In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 20 (2000) 90-92 [Access article in PDF] Christian Views on Ritual Practice The Ongoing Creation of Loving Community: Christian Ritual and Ethics Jay T. RockNational Council of Churches of ChristAt the center of Christian practice is an ethical imperative: "This is my commandment," Jesus says; "Love one another as I have loved you" (John 15:12). This principle of active love lies at the heart of Christian living.The (...) argument about who is to be included in the circle of those to be loved, much alive in Jesus' own day, continues unabated. Christians do not agree whether the "sisters and brothers" whom one is instructed to love in various passages of the Christian canon refers only to the family of those in the Church, or to the family of all humankind. But there is certainly agreement that simply professing love is not enough: the love God has given is fully embraced only in being done.Given such a central emphasis on reconciling, active love, it is not surprising to find Christian ritual almost always directly connected to, and fully completed in, ethical behavior in the world. Even in the important ways in which Christian rites serve to open the individual and community to receive God, to become aware of the presence of the Ultimate Reality in their lives, one finds implicit links to acting in love. Christian ritual is itself incarnational: it continuously creates and recreates a community into which it incorporates individuals, and it reactualizes moments of sacred history in a way that opens them to the active participation and concrete action of the people.Some comments on the nature and significance of commemoration in the sacraments of Baptism and the Eucharist, or Lord's Supper, may illustrate what I mean. These are the central liturgical celebrations of Christianity, one recalling the baptism of Jesus by John in the Jordan River, the other, more complex, connected to the events of the passion, death, and resurrection of Jesus in Jerusalem. They are commemorations of past historical events, the memory of which is preserved in the theology and practice of the community. But their celebration by the community makes these events existentially present, and their meanings real and accessible, in several ways.Through Baptism, individuals enter into the Jesus community, and participate in the life of Christ. The rite is understood to effect a permanent bond between the one baptized, and Jesus, in whose name she is baptized. The one being baptized is taken down into water, and there is understood to die and rise with Christ: the ritual "makes present again what God has done through Jesus" and brings the Christian into direct, existential relation to the "actual happening of salvation in Christ." 1 Through this connection, the person undergoes a transition from the ways of "death" and "darkness" into the way of "light."The Eucharistic celebration, similarly, provides believers a way of entering into the events of Jesus' death and resurrection. In it, Christians both take part in these [End Page 90] acts of redemption--his death and rising again--and also take into themselves the body and blood of Jesus. The sacrament is a central way in which Christians partake of/take part in the Body of Christ. The rite commemorates a past event, but more importantly, it brings to present life the person of Christ, and allows active participation in the ongoing, communal expression of God's self-giving in Christ.In these rituals, a particular kind of historical memory is at work: that of anamnesis, which the Lutheran liturgist Frank Senn suggests might be best approximated in English as "reactualization." 2 This kind of remembering involves not simply a return to past events, but the placing of the past into the present situation. Ethicist John Pawlikowski reminds us that this concept has roots in the Hebrew Scriptures, in the biblical sense of zakar: just as it is only in being remembered by God that we continue in existence, remembering in this sense "brings the past as close as possible so that it becomes... (shrink)

This article reviews models of the cerebellum and motor learning, from the landmark papers by Marr and Albus through those of the present time. The unique architecture of the cerebellar cortex is ideally suited for pattern recognition, but how is pattern recognition incorporated into motor control and learning systems? The present analysis begins with a discussion of exactly what the cerebellar cortex needs to regulate through its anatomically defined projections to premotor networks. Next, we examine various models showing how the (...) microcircuitry in the cerebellar cortex could be used to achieve its regulatory functions. Having thus defined what it is that Purkinje cells in the cerebellar cortex must learn, we then evaluate theories of motor learning. We examine current models of synaptic plasticity, credit assignment, and the generation of training information, indicating how they could function cooperatively to guide the processes of motor learning. (shrink)

Male-male competition is involved in inter- and intrasexual selection, with both endocrine and psychological factors presumably contributing to reproductive success in human males. We examined relationships among men’s naturally occurring testosterone, their self-perceived mate value, self-esteem, sociosexuality, and expected likelihood of approaching attractive women versus situations leading to child involvement. We then monitored changes in these measures in male rowers from Cambridge, UK, following a manipulated “win” or “loss” as a result of an indoor rowing contest. Baseline results revealed that (...) men with heightened testosterone and SPMV values typically had greater inclinations toward engaging in casual sexual relationships and a higher likelihood of approaching attractive women in a hypothetical social situation. As anticipated, both testosterone and SPMV increased following a manipulated “victory” and were associated with heightened sociosexuality, and increased expectations toward approaching attractive women versus individuals who would involve them in interacting with children after the race. SPMV and self-esteem appeared to mediate some of the effects of testosterone on post-race values. These findings are considered in the broader context of individual trade-offs between mating and parental effort and a model of the concurrent and dynamic androgenic and psychological influences contributing to male reproductive effort and success. (shrink)

The U.S. Food and Drug Administration's rationale for supporting the development and approval of BiDil for heart failure specifically in black patients was based on under-powered, post hoc subgroup analyses of two relatively old trials , which were further complicated by substantial covariate imbalances between racial groups. Indeed, the only statistically significant difference observed between black and white patients was found without any adjustment for potential confounders in samples that were unlikely to have been adequately randomized. Meanwhile, because the accepted (...) baseline therapy for heart failure has substantially improved since these trials took place, their results cannot be combined with data from the more recent trial amongst black patients alone. There is therefore little scientific evidence to support the approval of BiDil only for use in black patients, and the FDA's rationale fails to consider the ethical consequences of recognizing racial categories as valid markers of innate biological difference, and permitting the development of group-specific therapies that are subject to commercial incentives rather than scientific evidence or therapeutic imperatives. This paper reviews the limitations in the scientific evidence used to support the approval of BiDil only for use in black patients; calls for further analysis of the V-HeFT I and II data which might clarify whether responses to H-I vary by race; and evaluates the consequences of commercial incentives to develop racialized medicines. We recommend that the FDA revise the procedures they use to examine applications for race-based therapies to ensure that these are based on robust scientific claims and do not undermine the aims of the 1992 Revitalization Act. (shrink)

We hypothesize that black women experience accelerated biological aging in response to repeated or prolonged adaptation to subjective and objective stressors. Drawing on stress physiology and ethnographic, social science, and public health literature, we lay out the rationale for this hypothesis. We also perform a first population-based test of its plausibility, focusing on telomere length, a biomeasure of aging that may be shortened by stressors. Analyzing data from the Study of Women’s Health Across the Nation (SWAN), we estimate that at (...) ages 49–55, black women are 7.5 years biologically “older” than white women. Indicators of perceived stress and poverty account for 27% of this difference. Data limitations preclude assessing objective stressors and also result in imprecise estimates, limiting our ability to draw firm inferences. Further investigation of black-white differences in telomere length using large-population-based samples of broad age range and with detailed measures of environmental stressors is merited. (shrink)

Medical-legal partnerships — collaborative endeavors between health care clinicians and lawyers to more effectively address issues impacting health care — have proliferated over the past decade. The goal of this interdisciplinary approach is to improve the health outcomes and quality of life of patients and families, recognizing the many non-medical influences on health care and thus the value of an interdisciplinary team to enhance health. There are currently over 180 MLPs at over 200 hospitals and health centers in the United (...) States, with increasing federal interest and potential legislative support of this model.This article examines the unique, interrelated, and often similar ethical issues that confront the clinical and legal partners involved in MLPs. We contend that the ethical precepts of the clinical and legal professions should be seen as opportunities, not barriers, to further the interdisciplinary nature of MLPs. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Full Collection of Personal NarrativesJake Beery, Neethi Pinto, Marcia King, Laura Wachsmuth, Alisha, Katie L. Gholson, T.S. Moran, Calvin R. Gross, Joanne Alfred, Cindy Bitter, Jenna Bennett, Nadia Khan, Clarice Douille, Kristen Carey Rock, Adrienne Feller Novick, Andrea Eisenberg, Japmehr Sandhu, Katherine Bakke, Heer Hendry, Karan K. Mirpuri, and Katerina V. Liong• Being the Difference• Grieving One More Time• Echoes of Grief: Tales from an Emergency Medicine and (...) Critical Care Nurse• Searching for Peace in Death• “I’d Love to go Off the Grid and Never Come Back”• “A Mother’s Love”• Tiny Person, Big Impact• Night Shift• Cracked Armor• Who Tells the Story• Navigating Hard Situations that Medical School Cannot Prepare You For• The Wish• Break• Five More Minutes• I Saw My Reflection• The Aftermath• Where the Journey Begins• Lessons Learned in Room 208• Joint and Grief Aches• My First Loss: Carrying His Legacy• Grieving the Loss of What Medicine Was Supposed to BeCopyright © 2024 Johns Hopkins University Press... (shrink)

I’m avoiding Mr. G’s room. I shouldn’t have read the emergency room notes from the other hospital, where this middle‐aged man raised a stink about the wait. What type of person calls the triage nurse a bitch? From the timestamps on the electronic medical record notes, he stormed from that ER and drove his abdominal pain, vomiting, diarrhea, and discontent directly across town to us.I’m reminded of this oft‐quoted aphorism from Sir William Osler: “The good physician treats the disease; the (...) great physician treats the patient who has the disease.” It’s cited by medical educators as an invocation to never forget the humanistic heart at the center of clinical care. But what if the patient is a jerk? That I haven’t met Mr. G, only read briefly about him, doesn’t stop these ugly feelings from surfacing. (shrink)

The relation between Prāsaṅgika-Madhyamaka accounts of time and contemporary physical accounts of time are considered. Caution is urged in assimilating them too quickly, and caution that there are many differences in detail. Nonetheless, it is shown that if we follow carefully a philosophical arc from Nāgārjuna through Tsongkhapa and Dōgen, we encounter a relational account of time and of our experience of temporality that can inform thought about the ontological status of time in contemporary physical theory, about the anisotropy of (...) time, and about the observer-relativity of time. There is room for dialogue, but only if we are clear about what Madhyamaka does and does not bring to the table. (shrink)

For close to forty years now T.M. Scanlon has been one of the most important contributors to moral and political philosophy in the Anglo-American world. Through both his writing and his teaching, he has played a central role in shaping the questions with which research in moral and political philosophy now grapples. Reasons and Recognition brings together fourteen new papers on an array of topics from the many areas to which Scanlon has made path-breaking contributions, each of which develops a (...) distinctive and independent position while critically engaging with central themes from Scanlon's own work in the area. Contributors include well-known senior figures in moral and political philosophy as well as important younger scholars whose work is just beginning to gain wider recognition. Taken together, these papers make evident the scope and lasting interest of Scanlon's contributions to moral and political philosophy while contributing to a deeper understanding of the issues addressed in his work. (shrink)

In Western societies and organizations, episodes of discrimination based on individual demographic and social characteristics still occur. Relevant questions, such as why ethnic discrimination is perpetuated and how people confront it in the workplace, remain open. In this study, we adopt a social-symbolic work perspective to explore how individuals confront workplace ethnic discrimination by both upholding and challenging it. In doing so, we incorporate the perspectives of those directly experiencing, observing and neglecting discrimination. Specifically, we focus on the Italian branches (...) of North American professional service firms (PSFs), performing a qualitative investigation of the worlds of concern among professionals regarding the topic of ethnic discrimination to explore how different backgrounds motivate social-symbolic work. We find that different forms of work are enacted to support the status quo, shape the boundaries of existing organizational practices, and balance professional identities, emotions, and careers to silence episodes of ethnic discrimination. We also highlight cases of ‘soft,’ yet increasing, work that contests the status quo. Finally, we discuss our results in light of neo-institutional and critical management research to ultimately inspire our focal firms and societies to find alternatives to the rhetoric in the established approaches to inequality. (shrink)

Finnigan, in the course of a careful and astute discussion of the difficulties facing a Buddhist account of the moral agency of a buddha, develops a challenging critique of a proposal I made in Garfield. Much of what she says is dead on target, and I have learned much from her paper. But I have serious reservations about the central thrust both of her critique of my own thought and about her proposal for a positive account of a buddha’s enlightened (...) action. Curiously, in another fine paper, Finnigan and her co-author have anticipated much of what I will say in reply. I will rely in part on that second paper in my reply to the essay that appears in this volume. (shrink)

Philosophers of the life sciences have devoted considerably more attention to evolutionary theory and genetics than to the various sub-disciplines of ecology, but recent work in the philosophy of ecology suggests reflects a growing interest in this area (Cooper 2003; Ginzburg and Colyvan 2004). However, philosophers of biology and ecology have focused almost entirely on conceptual and methodological issues in population and community ecology; conspicuously absent are foundational investigations in ecosystem ecology. This situation is regrettable. Ecosystem concepts play a central (...) role in many branches of theoretical and applied ecology, and in environmental literature generally. Indeed, for some historians, the division of ecological theory into population-community and ecosystem research traditions, and the methodological and conceptual debates that have arisen between workers in these respective camps, is the distinguishing feature of 20th century ecological science (Hagen 1992). These include debates over, among others: reductionistic vs. holistic research methodologies; the existence and metaphysics of ecological “kinds”; the relationship between evolutionary mechanisms and ecosystem phenomena; and the nature and scope of ecological science and its relationship to other branches of natural and social science. Philosophers of ecology have written on all these topics, but almost exclusively from the theoretical perspective of population, community or evolutionary ecology. Philosophical attention to these issues from the perspective of ecosystem ecology is long overdue. It would be misleading to assert that philosophers in general have ignored ecosystem ecology. Environmental philosophers, including environmental ethicists so-called “radical” environmental philosophers (deep ecologists, social ecologists, ecofeminists, etc.), and policy theorists, have had a long-standing interest in ecosystem ecology (e.g. Callicott 1986; Cahen 1988; Warren and Cheney 1993; Westra 1994; Sagoff 1997; Fitzsimmons 1999).. (shrink)

The Moral Nexus develops and defends a new interpretation of morality—namely, as a set of requirements that connect agents normatively to other persons in a nexus of moral relations. According to this relational interpretation, moral demands are directed to other individuals, who have claims that the agent comply with these demands. Interpersonal morality, so conceived, is the domain of what we owe to each other, insofar as we are each persons with equal moral standing. The book offers an interpretative argument (...) for the relational approach. Specifically, it highlights neglected advantages of this way of understanding the moral domain; explores important theoretical and practical presuppositions of relational moral duties; and considers the normative implications of understanding morality in relational terms. The book features a novel defense of the relational approach to morality, which emphasizes the special significance that moral requirements have, both for agents who are deliberating about what to do and for those who stand to be affected by their actions. The book argues that relational moral requirements can be understood to link us to all individuals whose interests render them vulnerable to our agency, regardless of whether they stand in any prior relationship to us. It also offers fresh accounts of some of the moral phenomena that have seemed to resist treatment in relational terms, showing that the relational interpretation is a viable framework for understanding our specific moral obligations to other people. (shrink)

Philosophers and Cognitive Scientists have become accustomed to distinguishing the first person perspective from the third person perspective on reality or experience. This is sometimes meant to mark the distinction between the “objective” or “intersubjective” attitude towards things and the “subjective” or “personal” attitude. Sometimes, it is meant to mark the distinction between knowledge and mere opinion. Sometimes it is meant to mark the distinction between an essentially private and privileged access to an inner world and a merely inferential or (...) speculative access to that world. No doubt there are other uses as well. But I don't care about this dichotomy here, or indeed any of these putative distinctions it is alleged to mark. Instead, I want to call attention to the central role of the less often acknowledged grammatical and phenomenological category, that of the second person. This category is essential not only for understanding the development of self-understanding, but also for the development of the moral sense that allows us to participate in the societies that constitute us as persons. The task of moral education is the cultivation of care for second persons. But we do so by extending not self-regard (for that is inextensible—others are not oneself), but by extending the spontaneous caring response we have for those with whom we immediately interact—second persons. Our moral lives, I will argue, like our cognitive lives, cannot be understood without understanding the special nature of second person relationships. In short, I will argue that the second person perspective is in fact essential to the constitution of human subjectivity, and that it permeates all forms of interpersonal consciousness and even self-consciousness. (shrink)

Evolving Dharma is a next-generation book about meditation, Buddhism, and the contemplative path. It explores how the dharma (the path, the way, the teachings of the Buddha) has evolved in astonishing ways and how dharma practice evolves in one's own life. Instead of approaching the dharma as spirituality, therapy, or self-help, scholar and practicing Buddhist Jay Michaelson presents it as a set of technologies for upgrading the brain, for physically enhancing its capacity for wisdom and compassion. In the last twenty (...) years, Buddhism has exploded well beyond its former boundaries. Meditation is being taught to prisoners, cancer patients, and children. It is being practiced online--by geeks, hipsters, and punks; by atheists, Christians, and Jews; by people who are not "spiritual." It's not even "Buddhism" anymore, having evolved out of its original religious context and into dozens of new ones. Evolving Dharma is the first book to take stock of these trends, and to speak in real-life terms about how they affect the practice of meditation and the path to upgrading the mind. Michaelson is fearless, unorthodox, and irreverent, yet his book is also based on his decade of meditation practice and teaching as well as his ten years of work as an LGBT activist. Including forays into neuroscience and cultural criticism and Michaelson's personal stories of his five months spent in silent retreat, life-changing realizations, pain, joy, and insight, this is not an ironic, wading-into-spirituality memoir but a thoughtful, important work that takes its subject seriously, both as discipline and as individual narrative. Chapter titles include "The Dharma Evolves By Disappearing," "The Evolution of Enlightenment," and "When Every Mystical State You've Ever Wanted Isn't Enough.". (shrink)

"Paradox drives a good deal of philosophy in every tradition. In the Indian and Western traditions, there is a tendency among many philosophers to run from contradiction and paradox. If and when a contradiction appears in a theory, it is regarded as a sure sign that something has gone amiss. This aversion to paradox commits them, knowingly or not, to the view that reality must be consistent. In East Asia, however, philosophers have reacted to paradox differently. Many East Asian philosophers-both (...) in the Daoist and the Buddhist traditions-have openly embraced paradox. They have taken compelling arguments for contradictory positions to suggest that the world is-at least in some respects, and often in very deep respects-inconsistent, and that our best theories of the world will therefore be inconsistent. This book is an initial survey of the writings of some influential East Asian thinkers who were committed to paradox, and for good reason. Their acceptance of contradiction allowed them to develop important insights that evaded those who consider paradox out of bounds"--. (shrink)

From 2000 to 2007, Jay Wolke photographed in the south of Italy to capture the complexity of a region that is colloquially known as Il mezzogiorno. What he found in this historic and often troubled landscape was an elaborate set of physical, social, and political forces manifested in an extraordinary tapestry of visual information. Both referential and suggestive, Wolke's pictures reveal the marks of a long line of invaders, conquerors, and occupiers from the Greeks to the Spanish to the Camorra. (...) Architectural and structural adaptations and “resignations” are evident in every scene and serve as the photographer's focus. Although the landscape is marred by layers of dysfunction and greed, we can't help but view it through the lens of the timeless belief in the bel paese—the beautiful country. (shrink)

On September 1, 2005, Memorial Hospital was on “survival mode.” Hurricane Katrina had felled the levees of New Orleans, submerging a modern city with floodwaters of biblical proportions, tasking physicians and nurses to make morally sound decisions under unprecedented conditions, where, as one physician stated, “[T]he laws of man and the normal standards of medicine no longer applied” (p. 9). In Five Days at Memorial, Sheri Fink, a Pulitzer Prize‐winning journalist, resists the urge to assign easy blame or take a (...) position. Instead, she weaves together the perspectives of a cast of people tested by this catastrophe and constructs a tapestry of experiences that isn't neat and comforting but disturbing, compelling, and admirable all at once. (shrink)

How does a country achieve a public capital market in which firms can raise capital from investors? In seeking clues and hypotheses, this article looks back to the dawn of the public corporation in the United States. The battles for control of the Erie Railroad, known as the "Scarlet Woman of Wall Street," a reference to its ill repute, stand at the symbolic center of these developments. The battles for control, which waxed and waned between 1868 and 1872, involved: the (...) titan of the transportation age, Cornelius Vanderbilt; the brilliant and notorious stock market manipulator and takeover entrepreneur, Jay Gould; the largest and most powerful railroad of the era, the Pennsylvania; control over rail transportation to New York City; and the politics and courts of New York, Pennsylvania, and Ohio. It was played out in the securities markets, the courts, the legislatures, and the newspapers and attracted the attention, and condemnation, of some of the leading commentators of the day. Rereading this history from the vantage point of the end of the twentieth century, several features are striking. First, the battles are remarkably familiar: they are recognizably modern battles for control over a widely-held corporation. Second, many of the tactics utilized are now illegal. Finally, surprising connections emerge between antitrust, federalism, and the emergence of public capital markets. (shrink)

Topics at a Poynter Institute privacy conference in December 1992 ranged from the role and obligations of the journalist to the rights of victims. Journalists' responsibility to fulfill a dual role of truthtelling and minimizing harm to vulnerable people in society framed the discussion. The public' s curiosity and media obsessions with information about victims of sex crimes are the first topics to be explored. Bob Steele of the Poynter Institute sets the stage for the delicate balance. Helen Benedict, author (...) of Virgin or Vamp: How the Press Covers Sex Crimes, suggests some reforms regarding this area of news. Patricia Bowman, a victim's advocate, talks about her experience as the victim of the media and of a celebrated sex crime case. Elinor Brecher of the Miami Herald discusses a particularly vexing assignment she recently faced, and Tom French of the St. Petersburg Times expresses concern for the subjects of sensitive personal stories and recommends trying to inform them about the story and help them cope with the intrusion into their private life. In separate articles, J. T. Johnson of Sartor Associates in San Francisco and Nora Paul of the Poynter Institute offer insights into the paradox of individual privacy and public right/desire to know, particularly as the issues arise in today's information society. Finally, Robert Ellis Smith, publisher of Privacy Journal, outlines ways media can approach privacy issues and still feel they are on safe ground; he recommends self-restraint in place of government restrictions. The general theme of the Poynter Conference is restraint and concern for others' responsible usage of information that has the possibility to harm others. (shrink)

Why you don’t have a self—and why that’s a good thing In Losing Ourselves, Jay Garfield, a leading expert on Buddhist philosophy, offers a brief and radically clear account of an idea that at first might seem frightening but that promises to liberate us and improve our lives, our relationships, and the world. Drawing on Indian and East Asian Buddhism, Daoism, Western philosophy, and cognitive neuroscience, Garfield shows why it is perfectly natural to think you have a self—and why it (...) actually makes no sense at all and is even dangerous. Most importantly, he explains why shedding the illusion that you have a self can make you a better person. Examining a wide range of arguments for and against the existence of the self, Losing Ourselves makes the case that there are not only good philosophical and scientific reasons to deny the reality of the self, but that we can lead healthier social and moral lives if we understand that we are selfless persons. The book describes why the Buddhist idea of no-self is so powerful and why it has immense practical benefits, helping us to abandon egoism, act more morally and ethically, be more spontaneous, perform more expertly, and navigate ordinary life more skillfully. Getting over the self-illusion also means escaping the isolation of self-identity and becoming a person who participates with others in the shared enterprise of life. The result is a transformative book about why we have nothing to lose—and everything to gain—by losing our selves. (shrink)

T. W. Adorno's and Max Horkheimer'sDialectic of Enlightenmentis fifty years old. Its disconcerting darkness now seems so bound to the time of its writing, one may well wonder if we have anything to learn from it. Are its main lines of argument relevant to our social and philosophical world? Are the losses it records losses we can still recognise as our own?

I could have been more understanding, especially when police brought a man I'll call Mr. Atkins to the emergency room for depression and suicidal ideation. But it was 3:00 a.m. and the ER was a carnival of disease and discontent, a parade of drunk drivers and folks who practiced conflict resolution with knives and bullets. A patient well known for her drug abuse wasn't done yelling at me for refusing to write her a narcotic script when a nurse tweaked at (...) my elbow to please come speak with Mr. Atkins, who was making a case to walk out. (shrink)

Remarks such as 'I am in pain' and 'I think that it's raining' present opportunity for reflection and theory. Ostensibly such remarks report what one feels or thinks. But we do not in conversation treat these remarks as we do ordinary reports. If I ask you about the weather and you say, "I think it's raining," I can't complain that you told me just about your thoughts, and not about the weather. It is often held, moreover, when we do take (...) such remarks as revealing the speaker's mental states, those remarks are not subject to the kind of challenges that are in place with ordinary reports. Indeed, such remarks are often taken to exhibit some kind of epistemic privilege, and some have even maintained that one cannot be wrong when one says such things. (shrink)