Knowledge of the ethical and legal basis of medicine is as essential to clinical practice as an understanding of basic medical sciences. In the UK, the General Medical Council requires that medical graduates behave according to ethical and legal principles and must know about and comply with the GMC’s ethical guidance and standards. We suggest that these standards can only be achieved when the teaching and learning of medical ethics, law and professionalism are fundamental to, and thoroughly integrated both vertically (...) and horizontally throughout, the curricula of all medical schools as a shared obligation of all teachers. The GMC also requires that each medical school provides adequate teaching time and resources to achieve the above. We reiterate that the adequate provision and coordination of teaching and learning of ethics and law requires at least one full-time senior academic in ethics and law with relevant professional and academic expertise. In this paper we set out an updated indicative core content of learning for medical ethics and law in UK medical schools and describe its origins and the consultative process by which it was achieved. (shrink)

Background: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. -/- (...) Methods: 12 facilitators were interviewed from 10 Canadian medical tourism companies. -/- Results: Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry. -/- Conclusion: Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles. (shrink)

Index to the Digha-nikaya. Compiled by M. Yamazaki, Y. Ousaka, K. R. Norman and M. Cone. Pali Text Society, Oxford 1997. vii, 357 pp. £19.75. ISBN 0 86013 355 9.

A Pali Grammar. William Geiger. Translated into English by Batakrishna Ghosh, revised and edited by K. R. Norman. Pali Text Society, Oxford 1994. xxix, 220 pp. Hardback £12.95, paperback £6.75.

Dhammapada. Ed. O. von Hinüber and K.R. Norman. Pali Text Society, Oxford 1994. xv, 148 pp. £10.95.

Ḍırār b. ʿAmr ve ʿAbdullāh b. Yezīd el-Fezārī, dönemlerinin önde gelen kelâmcıları arası yer almışlardır. Onlara dair bilgilerimiz çok uzun bir süre sadece makâlât ve tarih kitaplarındaki anlatımlara dayanıyordu. Yakın tarihimizde bu eksikliği gideren gelişmeler oldu. Ḍırār’ın günümüze intikal eden ilk ve tek eseri olan Kitābu’t-Taḥrīş, 2014 yılında neşredildi. Bu eser, doğrudan kelâm alanıyla ilgili olmasa da mezheplerin dağılımı ve fikirleri hakkında bilgiler ihtiva eden en eski Muʿtezilî kaynaklar arasında yer almaktadır. Ḍırār bu kitabında farklı dinî grupların rivâyetleri birbirlerine karşı (...) nasıl kullanıp suistimal ettiklerini konu edinmiştir. Eserin özelliği sadece ihtiva ettiği rivâyetlerde değil, meseleyi ele alış ve anlatım tarzında da bulunuyor. Ḍırār bu çalışmasıyla sonraki nesilleri birçok yönden etkilemiştir. ʿAbdullāh b. Yezīd el-Fezārī, eserlerinin günümüze ulaşması bakımından daha şanslıdır. Bir proje kapsamında 2014 yılından itibaren onun tam on bir eseri yayımlanmıştır. Bunlar arasında kelâm ilmine hasredilmiş birçok neşir yer almaktadır. Böylece çağdaş İslâm araştırmacıları ʿAbdullāh’ın fikirlerini az sayıdaki makâlât referanslarından bağımsız olarak doğrudan kendi kaleminden öğrenme imkanı elde etmiş oldular. Bunun ötesinde bu çalışmalar erken dönem kelâm ilminin en eski kaynakları arasına girmiştir. Bu yayımlar arasında özellikle Kitābu’r-Rudūd dikkat çekmektedir. Sebebi ise Kitābu’t-Taḥrīş ile olan benzerliğinden dolayıdır. Neredeyse her iki kitabın tamamı birbirinin aynısıdır ve karşılıklı atıflar içermemektedirler. Bu tür bir yazım faaliyeti günümüzde tereddütsüz intihal olarak adlandırılırdı. İki mütekellim arasında kronolojik farklar olmadığından kimin kimden etkilendiğini söylemek ilk aşamada zordur. Ḍırār ve ʿAbdullāh’ın birbirlerinden haberdar oldukları anlaşılıyor: İkisi de Kûfe’de yaşamış, Abbâsî halifesi Hārūn er-Reşīd döneminde (786-809) Bağdat’a geçmişler ve orada Hişām b. el-Ḥakem’le (ö. 179/795) imâmete dair Yaḥyā b. Ḫālid el-Bermekī’nin (ö. 190/805) rehberlik ettiği aynı münazara ortamında bulunmuşlardır. Eserlerin özgünlüğü ve etkisi hasebiyle bu çağdaş hemşehrilerden kimin kime kaynaklık etmiş olabileceği sorusu merak uyandırıyor. İkisinin de hem rivâyetleri merkeze alan bir eser vermek için hem bu tür bir telifin fikir babası olmasına delalet eden gerekçeleri var. Bu makalede, öncelikle ikisinin biyografik benzerlikleri takdim edilmiş, akabinde iki eser arasında mukayeselere yer verilmiştir. Kıyaslama, eserlerin hayat öyküleriyle uyumlulukları ve eserlerin tertip ve düzeni üzerinden yapılmıştır. Yöntem olarak aralarındaki paralelliklerden çok farklılıklara odaklanılmıştır. Son olarak ikisinin dayandığı ortak bir kaynağın varlığı sorgulanmıştır. Bu emârelerden hareketle kimin kime öncülük etmiş olabileceğine açıklık getirilmek amaçlanmıştır. (shrink)

Fully named _Discourse on the Method for Reasoning Well and for Seeking Truth in the Sciences_, this work offers the most complete presentation and defense of René Descartes’ method of intellectual inquiry— a method that greatly influenced both philosophical and scientific reasoning in the early modern world. Descartes’s timeless ideas strike an uncommon balance of novelty and familiarity, offering arguments concerning knowledge, science, and metaphysics that are as compelling in the 21st century as they were in the 17th. Ian (...) class='Hi'>Johnston’s new translation of the original French text is modern, clear, and thoroughly annotated, ideal for readers unfamiliar with Descartes’ intellectual context. An approachable introduction engages both the historical and the philosophical aspects of the text, enabling the reader to interpret this easily misunderstood work within Descartes’ larger project. This edition joins Broadview’s growing list of affordable classic texts from the philosophical canon, adapted from Andrew Bailey’s popular anthology series _First Philosophy_. (shrink)

At the University of Newcastle, health law and ethics is taught and assessed in each year of the five-year curriculum. However, the critical question for assessment remains: 'Does teaching ethics have a measurable effect on the clinical activity of medical students who have had such courses?' Those responsible for teaching confront this question each year they sit down to construct their assessment tools. Should they assess what the student knows? Should they assess the student's moral reasoning, that is, what decisions (...) the student makes, and, how these decisions are justified, or should they assess what the student actually does when dealing with patients in the clinical setting, and how he or she does it? From 1982 to 1991, assessment at Newcastle was primarily aimed at determining the quality of the students' ethics knowledge base. This paper describes the strengths and limitations of a purely knowledge-based method of evaluation and why in 1992, we are now attempting to redefine and assess, what we call 'clinical ethical competence' in terms of how students actually apply this knowledge base in a controlled clinical context. (shrink)

Catalogue of the Hugh Nevill Collection of Sinhalese Manuscripts in the British Library. K. D. Somadasa. Pali Text Society and the British Library. Vol. 1, 1987. xi, 440 pp. £22.00. Vol. 2, 1989. vii, 316 pp. £24.95.

A crucial debate currently raging in the fields of cognitive and social science centers around general and specific approaches to understanding the actions of others. When we understand the actions of another person, do we do so on the basis of a general theory of psychology, or on the basis of an effort to place ourselves in the particular position of that specific person? Hans Herbert Kögler and Karsten R. Stueber's Empathy and Agency addresses this other issues vital to current (...) social science in an advanced and diverse analysis of the foundations of social-scientific methodology based on recent cognitive psychology. The book serves as both an introduction to the debate for non-academic audiences and as a catalyst for further discussion for serious theorists. Empathy and Agency provides a solid foundation of the fundamental issues in social and cognitive science, but also presents the most influential paradigms in the field at this time. (shrink)

Poems of Early Buddhist Nuns. Translations of the Therigatha by Mrs C. A. F. Rhys Davids. Pali Text Society, Oxford 1989. xvi, 233 pp. £4.95.

In this paper Popper formulates and discusses a new aspect of the theory of mind. This theory is partly based on his earlier developed interactionistic theory. It takes as its point of departure the observation that mind and physical forces have several properties in common, at least the following six: both are located, unextended, incorporeal, capable of acting on bodies, dependent upon body, capable of being influenced by bodies. Other properties such as intensity and extension in time may be added. (...) It is argued that a fuller understanding of the nature of forces is essential for the analysis of the mind-brain problem. The relative autonomy and indeterministic nature of mind is stressed. Indeterminism is treated in relation to a theorem of Hadamard. The computer theory of mind and the Turing test are criticized. Finally the evolution of mind is discussed. (shrink)

Journal of the Pali Text Society, Volume XXVII. Edited by O. von Hinüber and R.F. Gombrich. Pali Text Society, Oxford 2002. 183 pp. £18.75. ISBN 0 86013 407 5.

Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment to their humanity, or because of an ethical paralysis in the face of biotechnical progress? The PVS patient is cut off from the normal patterns of human connection and communication, with a (...) life unlike other forms of human existence. Why the struggle to justify ending a life which, it is said, has suffered an irreversible loss of the content of consciousness? Elsewhere, the authors have addressed the ethical controversies and confusion engendered by ambiguous terminology, misuse of medical facts and the differing interpretations of what constitutes 'effective' treatment: in particular, the issue of whether in fact artificial nutrition and hydration is a medical treatment, or simply part of the obligatory care owed to all patients, permanently unconscious or not. In this paper, we intend to argue that recent analyses of medical futility, its meaning and ethical implications, despite an absence of public consensus, permit some tentative re-evaluation of our ethical obligations to the PVS patient. (shrink)

Journal of the Pali Text Society, Volume XXVI. Edited by O. von Hinüber and R.F. Gombrich. Pali Text Society, Oxford 2000. 234 pp. £15.00. ISBN 0 86013 391 5.

The Sutra of Golden Light. Translated by R. E. Emmerick. Second revised edition, Pali Text Society, Oxford 1990. xvi, 116 pp. £10.00.