In this eye-opening look at the doctor-patient decision-making process, physician and law professor Jay Katz examines the time-honored belief in the virtue of silent care and patient compliance. Historically, the doctor-patient relationship has been based on a one-way trust -- despite recent judicial attempts to give patients a greater voice through the doctrine of informed consent. Katz criticizes doctors for encouraging patients to relinquish their autonomy, and demonstrates the detrimental effect their silence has on good patient care. Seeing a growing (...) need in this age of medical science and sophisticated technology for more honest and complete communication between physician and patients, he advocates a new, informed dialogue that respects the rights and needs of both sides. In a new foreword to this edition of The Silent World of Doctor and Patient , Alexander Morgan Capron outlines the changes in medical ethics practice that have occurred since the book was first published in 1984, paying particular attention to the hotly debated issues of physician-assisted suicide and informed consent in managed care. (shrink)

For nearly two thousand years Buddhism has mystified and captivated both lay people and scholars alike. Seen alternately as a path to spiritual enlightenment, an system of ethical and moral rubrics, a cultural tradition, or simply a graceful philosophy of life, Buddhism has produced impassioned followers the world over. The Buddhist saint Nagarjuna, who lived in South India in approximately the first century CE, is undoubtedly the most important, influential, and widely studied Mahayana Buddhist philosopher. His many works include texts (...) addressed to lay audiences, letters of advice to kings, and a set of penetrating metaphysical and epistemological treatises. His greatest philosophical work, the Mulamadhyamikakarika--read and studied by philosophers in all major Buddhist schools of Tibet, China, Japan, and Korea--is one of the most influential works in the history of Indian philosophy. Now, in The Foundations of the Philosophy of the Middle Way, Jay L. Garfield provides a clear and and eminently readable translation of Nagarjuna's seminal work, offering those with little of no prior knowledge of Buddhist philosophy a view into the profound logic of the Mulamadhyamikakarika. Translated from the Tibetan, the tradition through which Nagarjuna's philosophical influence has largely been transmitted, Garfield presents a superb translation of Mulamadhyamikakarika in its entirety. Illuminating the systematic character of Nagarjuna's reasoning, as well as the works profundity, Garfield shows how Nagarjuna develops his doctrine that all phenomena are empty of inherent existence and essenceless. But, he argues, phenomena nonetheless exist conventionaly, and that indeed conventional existence and ultimate emptiness are in fact the same thing. This represents the radical understanding of the Buddhist doctrine of the two truths, or two levels of reality. Nagarjuna reinterprets all of Buddhist metaphysics and epistemology through this analytical framework--"a systematic and beautifully elegant philosophical dissection of reality." In turn, Garfield goes on to offer the only verse-by-verse commentary based upon the Indo-Tibetan Prasangika-Madhyamika reading of Nagarjuna, the school most influential in the development of Mahayana philosophy in Tibet, China, Korea, and Japan. Written specifically for the Western reader, the commentary explains Nagarjuna's positions and arguments in the language of Western metaphysics and epistemology, and connects Nagarjuna's concerns tho those of Western philosophers such as Sextus, Hume, and Wittgenstein. A fascinating and accessible translation of the foundational text for all Mahayana Buddhism text, The Fundamental Wisdom of the Middle Way will enlighten all those in search of the essence of reality. (shrink)

In this essay I first provide an analysis of various community concepts. Second, I evaluate two of the most serious challenges to the existence of communities—gradient and paleoecological analysis respectively—arguing that, properly understood, neither threatens the existence of communities construed interactively. Finally, I apply the same interactive approach to ecosystem ecology, arguing that ecosystems may exist robustly as well. ‡I would like to thank to the participants at the Ecology and Environmental Ethics Conference at the University of Utah, the Philosophy (...) of Ecology Conference hosted by the University of Brisbane, and those participants in a session at the Philosophy of Science Association Meeting in Vancouver, British Columbia for helpful discussions of this essay. Specific thanks go to Mark Colyvan, Greg Cooper, Steve Downes, Chris Elliott, Marc Ereshefsky, Paul Griffiths, Jesse Hendrikse, Greg Mikkelson, Anya Plutynski, Kate Ritchie, Sahotra Sarkar, Kim Sterelny, and Rob Wilson. †To contact the author, please write to: Department of Philosophy, Lewis and Clark College, 0615 SW Palatine Hill Road, Portland, OR 97219; e-mail: jay@lclark.edu. (shrink)

Insights from First Amendment considerations and from developmental psychology are utilized in suggesting that whatever value codes of ethics may hold for the mass media, they represent serious difficulties in inculcating substantial ethical values in individual journalists and in the profession as a whole. Evidence from developmental psychology suggests that codes are probably of some limited value to the neophyte working in the media. Codes also help assure non?journalists that the industry really is concerned about ethics. However, codes probably should (...) be relegated to a framed wall hanging for any journalists who have advanced beyond their internships. Confusion reigns because codes are often founded on moralistic rather than moral?philosophical bases, and there is a blurring between general precepts and specific practices covered in codes. As individual professionals mature intellectually and ethically, they should transcend socially?approved conventions codified by ?regulators,?; and begin to become social catalysts in their own rights, according to this essay. (shrink)

In this study of how we know what we know, W. Jay Wood surveys current views of foundationalism, epistemic justification and reliabilism.

The participation of adolescents in genetic research engenders unusual problems concerning the nature of their informed consent. In this study we analyze 70 consent documents collected from genetics investigators in the United States who conduct research with children and adolescents. We find that many consent documents do not reflect either the current or the developing ethical and legal standards for research with adolescents and that in many cases the documents are simply confusing or unclear. We make recommendations for change to (...) reflect more adequately the changing perspective concerning the autonomous decision-making capacity of adolescents. (shrink)

In this essay, I examine the controversy concerning the advocacy of ethical values in conservation biology. First, I argue, as others have, that conservation biology is a science laden with values both ethical and non-ethical. Second, after clarifying the notion of advocacy at work, I contend that conservation biologists should advocate the preservation of biological diversity. Third, I explore what ethical grounds should be used for advocating the preservation of ecological systems by conservation biologists. I argue that conservation biologists should (...) defend their preservationist positions on instrumentalist grounds alone if the context of discussion and debate is a scientific one. (shrink)

Anyone who is accustomed to the view that contradictions cannot be true, and cannot be accepted, and who reads texts in the Buddhists traditions will be struck by the fact that they frequently contain contradictions. Just consider, for example.

Over a decade ago, John Sowa did the AI community the great service of introducing it to the Existential Graphs of Charles Sanders Peirce. EG is a formalism which lends itself well to the kinds of thing that Conceptual Graphs are aimed at. But it is far more; it is a central element in the mathematical, logical, and philosophical thought of Peirce; this thought is fruitful in ways that are seldom evident when we first encounter it. In one of his (...) major works on Existential Graphs, Peirce remarks that. (shrink)

Biographical sketches show how six writers and public figures prepared for their deaths.

In this paper, I analyze George Gaylord Simpson's response to the molecularization of evolutionary biology from his unique perspective as a paleontologist. I do so by exploring his views on early attempts to reconstruct phylogenetic relationships among primates using molecular data. Particular attention is paid to Simpson's role in the evolutionary synthesis of the 1930s and 1940s, as well as his concerns about the rise of molecular biology as a powerful discipline and world-view in the 1960s. I argue that Simpson's (...) belief in the supremacy of natural selection as the primary driving force of evolution, as well as his view that biology was a historical science that seeks ultimate causes and highlights contingency, prevented him from acknowledging that the study of molecular evolution was an inherently valuable part of the life sciences. (shrink)

Force Fields collects the recent essays of Martin Jay, an intellectual historian and cultural critic internationally known for his extensive work on the history of Western Marxism and the intellectual migration from Germany to America.

Providing an accessible examination of ethics, Doing Ethics in Media, introduces students to ethical theory and provides a grounded discussion of ethics in the context of today's media outlets. Emphasizing the understanding of ethics, the text will help readers 'do ethics' expeditiously, honestly, and efficiently when they enter the workplace and need to make critical ethical decisions on deadline. The text is organized around six decision-making questions, and cases demonstrate the application of these questions to real-world scenarios. Each chapter focuses (...) on a specific ethical theory or issue, with a thorough discussion of the key points accompanied by practical applications, demonstrated through references to classic and contemporary issues in media. Student voices are heard throughout the book, illustrating how they have grappled with and applied the concepts in their own worlds and in the media. Distinctive features include: a new approach to ethical decision making through the "5W's and H" questions that serve as the book's framework; discussions and case studies aimed at five media disciplines: journalism, new media, advertising, public relations, and entertainment. Cases engage students at early stages of their careers, and consider that most students will change careers several times comprehensive materials on classic moral theory and current issues such as truth telling and deception, values, persuasion and propaganda, privacy, diversity, loyalty, moral development, and codes of ethics user-friendly approach throughout the book challenges students to think for themselves rather than imposing answers on them connects the model or theory to every decision-making challenge (44 cases and dozens of practical applications) a Companion Website with ancillary materials for students and for instructors (including a test bank and instructor's manual). This text has been written for undergraduates and graduate students studying media ethics in mass media, journalism, and media studies. It also will serve students in rhetoric, popular culture, communication studies, and interdisciplinary social sciences"--Provided by publisher. (shrink)

In this paper we argue that the phenomenon of evidentiality, the grammatical marking in some languages of the source of one's knowledge, gives us a revealing window into the developmental processes in middle childhood that subserve the achievement of narrative competence. First, we argue that the mastery of evidentiality is connected to the development of an understanding of inference, and of the ability to mobilize this understanding in the construction of human narratives. Second, we examine the role that parent-child discourse (...) plays in clarifying the contrastive uses of sources of knowledge. Finally, we discuss the difference between first person and third person narratives, and suggest that evidentials might reveal something of the sources of evidence for persistence of self as the protagonist in one's own life story. (shrink)

Written by researchers in their field, this book is about the skills beyond basic word recognition that are necessary for the processing and comprehension of spoken and written language. It offers topics such as: language and text analysis; cognitive processing and comprehension; development of literacy; literacy and schooling; and more.

Michael Lynch has recently proposed an updated version of alethic functionalism according to which the relation between truth per se and lower-level truth properties is not the realization relation, as might be expected, and as Lynch himself formerly held, but the manifestation relation. I argue that the manifestation relation is merely a resemblance relation and is inadequate to properly relate truth per se to lower-level truth properties. I also argue that alethic functionalism does not justify the claim that truth per (...) se exists, or that truth per se is a functional property. Finally, I suggest a replacement for the manifestation relation. I argue that the resulting theory is a strict improvement over alethic functionalism on two counts, but that the improved theory does not justify the claim that truth per se exists. Since no further improvements to the theory are apparent, the prospects for alethic functionalism are dim. (shrink)

Race or ethnic identity, despite its imprecise categorization, is a useful means of identifying population differences in mechanisms of disease and treatment effects. Therefore, race and other arbitrary demographic and physiological variables have appropriately served as a helpful guide to clinical management and to clinical trial participation. The African-American Heart Failure Trial was carried out in African-Americans with heart failure because prior data had demonstrated a uniquely favorable effect in this subpopulation of the drug combination in BiDil. The remarkable effect (...) of the drug in reducing mortality in this study has illuminated an important new mechanism of therapy for heart failure. Application of these findings need not be confined to the population studied, but the observation highlights the need for more precise ways to identify individual responsiveness to therapy. (shrink)

The hope of moving beyond formalism is one of two things that unites an otherwise diverse group of literary theorists who have begun to explore the role of desire in narrative. Peter Brooks, for example, in Reading for the Plot, says in more than one place that his interest in desire “derives from my dissatisfaction with the various formalisms that have dominated critical thinking about narrative.”3 Leo Bersani sees desire as establishing a crucial link between social and literary structures. Teresa (...) de Lauretis faults structuralist models for their inability to disclose the ways in which narrative operates, through the desire it excites and fulfills, to construct the social world as a system of sexual differences. Other names could be added, both within and outside the field of narrative theory—Nancy Armstrong, Roland Barthes, Georges Bataille, Jessica Benjamin, Gilles Deleuze and Félix Guattari, René Girard, Luce Irigaray, Fredric Jameson, Peggy Kamuf, Linda Kauffman, Julia Kristeva, Jacques Lacan, Jean Laplance, Catharine A. McKinnon, and Eve Kosofsky Sedgwick—for desire has become one of the master tropes of contemporary criticism. 3. Peter Brooks, Reading for the Plot: Design and Intention in Narrative , p. 47; hereafter abbreviated RP.4. Leo, Bersani, A Future for Astyanax: Character and Desire in Literature , p. 13; hereafter abbreviated FA.5. Bersani and Ulysse Dutoit, The Forms of Violence: Narrative in Assyrian Art and Modern Culture , p. v; hereafter abbreviated FV. Although Bersani coauthored this book with Dutoit, for convenience I refer to it by Bersani’s name alone. This practice is justified by two considerations: first, most of the arguments about narrative, violence, and desire are elaborations of positions that Bersani has taken in earlier works; second, passages and examples in the sections with which I shall be dealing are reprinted with only minor changes from an article that Bersani published under his own name. Jay Clayton, associate professor of English at Vanderbilt University, is the author of Romantic Vision and the Novel and coeditor of Contemporary Literature and Contemporary Theory . He is currently completing a study of contemporary American literature and theory, Narrative Power. (shrink)

Speech-act theory is often called upon to support one of the central claims of contextualism: that works of literature differ from ordinary speech because they are not tied to an immediate social context. The distinction is simple enough. Speakers and hearers meet face-to-face in a world of concrete circumstances that has a good deal to do with what they say. Their use of language is supported by facts that help to clarify their meaning, and they understand one another partly because (...) they share an understanding of their situation. Authors and readers, on the other hand, can hardly be said to meet anywhere at all. Their only common ground is the text, and they share nothing but the words that pass between them. Meanings that might be clear enough in the social context of ordinary speech tend toward ambiguity in this circumstantial void where author and reader must do without a common world of reference and make the best of a language that cannot rely on the casual support of facts. Jay Schleusener, an associate professor of English at the University of Chicago, is currently completing a book on Piers Plowman. His previous contribution to Critical Inquiry, "Literary Criticism and the Philosophy of Science: Rader's 'Fact, Theory, and Literary Explanation,'" appeared in the Summer 1975 issue. (shrink)

Thomas Friedman’s best-selling The World is Flat has exerted much influence in the west by providing both an accessible analysis of globalisation and its economic and social effects, and a powerful cultural metaphor for globalisation. In this review, we more closely examine Friedman’s notion of the social contract, the moral centre of his hopeful vision of a globalised world. While Friedman’s social contract holds a more generous view of social and state obligation than his neoliberal economic analysis might otherwise allow, (...) his fallacious assumptions about education rest on poorly argued claims about the nature of human beings, the proper aims of schooling, and meanings of justice in a globalised world. (shrink)

In this essay, I first consider what the implications of global climate change will be regarding issues of equity. Secondly, I consider two types of proposals which focus on sustainable emissions and subsistence rights respectively. Thirdly, I consider where these proposal types conflict. Lastly, I argue under plausible assumptions, these two proposals actually imply similar policies regarding global climate change.

Owen Flanagan has recently argued for the claim that "the overall spirit--of Quine's philosophy warrants [a]--robust, realistic, and cognitivist picture of ethics." I believe that Flanagan's interpretation of Quine's philosophy is mistaken. Specifically, I argue that the overall spirit of Quine's philosophy, especially his treatment of cognitive meaning, warrants a noncognitivist and thus antirealist account of normative ethics My argument helps explain what Quine means when he wrote that ethics is methodologically infirm as compared to science.

This paper was originally presented at the annual meeting of the program board of the Division of Overseas Ministries of the National Council of Churches. It followed a discussion by Jorgen Randers showing the implications of present world trends in growth of population and industrialization, depletion of natural resources, rise in population, and full utilization of agricultural land. Referring to the two hours of his talk and the ensuing discussion, Randers said, “The entire purpose is to convince you that exponential (...) growth cannot go on forever in a world of fixed size.” Randers stressed that overtaxing of the natural environment is caused more by industrialization than by population. Industrial processes use natural resources and emit pollution. Capital‐intensive agriculture in time decreases the productivity of land. Limiting of capital accumulation is as necessary as limiting of population. World civilization must and will move from growth to equilibrium, either by human choice or by the pressure of natural and social forces.Many trade‐offs and choices lie before us in the approaching equilibrium. We can press forward along the historical growth curves, exceed the limits of the world environment, and endure a collapse of population and industrialization back to a level the world can support. Or we can choose a redirection of law, policies, and religions to create a smooth transition to world equilibrium. Even in choosing equilibrium, alternatives arise. The higher the population, the lower will be the achieveable standard of living and quality of life. Trade‐offs will be made consciously or implicitly between advantages in the immediate future compared to advantages in the distant future. An inherent conflict exists between time horizons. Choosing to maximize the present quality of life condemns future generations to suffer for their predecessors' advantage.The reader should, if possible, read first any of those cited in notes1, 2, or 6 listed at the end of this paper before reading the following text, —J A Y W. FORRESTER. (shrink)

This chapter explicates Theodor W. Adorno's dialectical engagement with inauthenticity and genuineness, two of the central tropes of his mature philosophy. The chapter discusses the extent to which Adorno's critique of genuineness in Minima Moralia and elsewhere was itself deeply indebted to Walter Benjamin's defense of mechanical reproduction against the aura and his notion of the mimetic faculty. It quickly becomes apparent that many of his “own” ideas betray precisely the kind of inauthenticity that he defended against the jargon. Or (...) if one wants to rely on his critical use of the term, it shows the non-auratic authenticity of the intellectual who knows himself not to be in full possession of his own ideas. Paradoxically, in his very lack of originality, his reworking without entirely duplicating many of his friend's most arresting ideas, Adorno took upon himself the stigma he urged everyone to embrace. (shrink)

This article applies the analytic rigor of philosophy to the vexed topic of business strategy, and uses the objective, public evidence of business strategy as an existence proof for the possibility of free will and purpose in the private realm of subjective intentionality. The first part distinguishes three types of intentionality in philosophy—purposive intentionality, referential intentionality, and the problematic intentionality of a godlike, miraculous “inner intender.” After rejecting this third type of intentionality, and noting that its rejection saves the first (...) two types of intentionality from guilt by association, the second part draws parallels with three types of strategy in business: purposive, referential, and godlike. The first defines the goals and objectives of a company; the second picks out and targets consumers in market driven strategy; and the third, with the help of philosophical reflections, demands a rethinking of the function of leadership without reliance on a single, godlike leader. In the third part of this article, the existence proof from the public world of business is used to shed light on the possibility of intentionality in the private world of subjective intentionality. Finally, the article draws conclusions for its three audiences: for the philosophers, with credit to Nietzsche who saw it all, a greater clarity about intentionality and free will; for business people, greater clarity about the importance of purposiveness and strategic intent; and for business philosophers, a demonstration showing how—through strategy and intentionality—we can both create value and give meaning to the lives of our employees, ourselves, and our customers. (shrink)

The age of artificial intelligence (AI) is upon us, and its effect upon society in the coming years will be noteworthy. Artificial intelligence is a field that encompasses such applications as robotics, expert systems, natural language understanding, speech recognition, and computer vision. The effect of these AI systems upon existing and future job occupations will be important. This paper takes a look at artificial intelligence in terms of the creation of new job categories. Also, the introduction of AI into the (...) organization to better familiarize the employees about AI will be discussed. (shrink)

on Rhetoric and Representation in Nonfiction Film by Carl Plantinga.

This book builds on the idea that pragmatics and philosophy are strictly interconnected and that advances in one area will generate consequential advantages in the other area. The first part of the book, entitled ‘Theoretical Approaches to Philosophy of Language’, contains contributions by philosophers of language on connectives, intensional contexts, demonstratives, subsententials, and implicit indirect reports. The second part, ‘Pragmatics in Discourse’, presents contributions that are more empirically based or of a more applicative nature and that deal with the pragmatics (...) of discourse, argumentation, pragmatics and law, and context. The book presents perspectives which, generally, make most of the Gricean idea of the centrality of a speaker’s intention in attribution of meaning to utterances, whether one is interested in the level of sentence-like units or larger chunks of discourse. (shrink)