Context: The need to reinvigorate medical confidentiality protections is recognised as an important objective in building patient trust necessary for successful health outcomes. Little is known about patient understanding and expectations from medical confidentiality.Objective: To identify and describe patient views of medical confidentiality and to assess provisionally the range of these views.Design: Qualitative study using indepth, open ended face-to-face interviews.Setting: Southeastern Pennsylvania and southern New Jersey, USA.Participants: A total of 85 women interviewed at two clinical sites and three community/research centres.Main (...) outcome measures: Subjects’ understanding of medical confidentiality, beliefs about the handling of confidential information and concerns influencing disclosure of information to doctors.Results: The subjects defined medical confidentiality as the expectation that something done or said would be kept “private” but differed on what information was confidential and the basis and methods for protecting information. Some considered all medical information as confidential and thought confidentiality protections functioned to limit its circulation to medical uses and reimbursement needs. Others defined only sensitive or potentially stigmatising information as confidential. Many of these also defined medical confidentiality as a strict limit prohibiting information release, although some noted that specific permission or urgent need could override this limit.Conclusions: Patients share a basic understanding of confidentiality as protection of information, but some might have expectations that are likely not met by current practice nor anticipated by doctors. Doctors should recognise that patients might have their own medical confidentiality models. They should address divergences from current practice and provide support to those who face emotional or practical obstacles to self-revelation. (shrink)

I argue that mind-independence realism should be characterised in terms of what I call 'essential', rather than 'modal', independence from our mental lives. I explore the connections between the two kinds of independence, and argue that characterizations in terms of essence respect more intuitions about what realism is, harmonize better with standard characterizations of anti-realism, and avert the threat of subversion from Blackburn's quasi-realist.

Book Information The Blackwell Guide to Continental Philosophy. The Blackwell Guide to Continental Philosophy Robert C. Solomon and David Sherman, eds., Oxford: Blackwell, 2003, viii + 345, $69.30 (cloth) Edited by Robert C. Solomon; and David Sherman. Oxford: Blackwell. Pp. viii + 345. $69.30 (cloth:).

forthcoming in R. Cameron, B. Hale and A. Hoffmann (ed.s), The Logic, Epistemology and Metaphysics of Modality, Oxford University Press. Presents a concept-grounding account of modal knowledge.

We discuss explanation of an earlier event by a later event, and argue that prima facie cases of backwards event explanation are ubiquitous. Some examples: (1) I am tidying my flat because my brother is coming to visit tomorrow. (2) The scarlet pimpernels are closing because it is about to rain. (3) The volcano is smoking because it is going to erupt soon. We then look at various ways people might attempt to explain away these prima facie cases by arguing (...) that in each case the 'real' explanation is something else. We argue that none of the explaining-away strategies are successful, and so any plausible account of explanation should either make room for backwards explanation, or have a good story to tell about why it doesn't have to. (shrink)

forthcoming in Philosophy Compass. This is a paper which aims both to survey the field and do some work at its cutting edge.

This introductory text is written for students faced with the question "what is history?

The goal of the research programme I describe in this article is a realist epistemology for arithmetic which respects arithmetic's special epistemic status (the status usually described as a prioricity) yet accommodates naturalistic concerns by remaining fundamentally empiricist. I argue that the central claims which would allow us to develop such an epistemology are (i) that arithmetical truths are known through an examination of our arithmetical concepts; (ii) that (at least our basic) arithmetical concepts are accurate mental representations of elements (...) of the arithmetical structure of the independent world; (iii) that (ii) obtains in virtue of the normal functioning of our sensory apparatus. The first of these claims protects arithmetic's special epistemic status relative, for example, to the laws of physics, the second preserves the independence of arithmetical truth, and the third ensures that we remain empiricists. Preliminaries Justifying and grounding concepts Cameras and filters An epistemology for arithmetic Concluding remarks. (shrink)

The partial aim of this paper is to suggest that Merleau-Ponty’s ontology is prefigured in Schelling’s conception of God as presented in Ages of the World. This will specifically be demonstrated by explicating the parallels between Merleau-Ponty’s paradoxical notion of the flesh and Schelling’s equally complex idea of Ungrund. Understanding the significance of Schelling’s influence on Merleau-Ponty becomes pivotal upon the recognition that the contemporary French political philosopher Claude Lefort’s idea of the political instituting politics is directly linked to Merleau-Ponty’s (...) ontology of the invisible and visible. The implication here involves the suggestion that Lefort’s conception of the political parallels Schelling’s conception of God as mediated by Merleau-Ponty. It is then suggested that the political form of modernity should be understood less as the emergence of a novel form and conceived of more as an originary dimension where the theological and the political become indistinguishable. (shrink)

This essay attempts to provide a historical account of Michael Oakeshott’s famous distinction between civil and enterprise association. As such, it demonstrates that Oakeshott’s political skepticism and his concomitant view of civil association can in part be explained by his reliance on Augustinian theology. In a similar vein, Oakeshott’s linkage of enterprise association with the rationalism of Bacon must be considered in terms of Oakeshott’s understanding of Pelagianism and Gnosticism. Unsurprisingly, it will be demonstrated that despite Oakeshott’s disagreements with the (...) political philosopher Eric Voegelin, he was very impressed by Voegelin’s work on the Gnostic origins of modernity. Consequently, a major claim of this essay is that Oakeshott’s speculative understanding of modern political thought constitutes a theological genealogy of political modernity in all but name. (shrink)

Lewis has argued that quasi-realism is fictionalism. Blackburn denies this, offering reasons which rely on a descriptive reading of quasi-realism. This note offers a different, more general argument against Lewis's claim, available to prescriptive as well as descriptive quasi-realists.

The fields of environmental ethics and of religion and ecology have been shaped by Lynn White Jr.'s thesis that the roots of ecological crisis lie in religious cosmology. Independent critical movements in both fields, however, now question this methodological legacy and argue for alternative ways of inquiry. For religious ethics, the twin controversies cast doubt on prevailing ways of connecting environmental problems to religious deliberations because the criticisms raise questions about what counts as an environmental problem, how religious traditions change, (...) and whether ethicists should approach problems and traditions with reformist commitments. This article examines the critiques of White's legacy and presents a pluralist alternative that focuses religious ethics on the contextual strategies produced by moral communities as they confront environmental problems. (shrink)