With a focus on end-of-life discussion in aging and chronically ill populations, this book offers insight into the skill of communicating in complex and emotionally charged discussions. This text is written for all clinicians and professionals in the fields of healthcare and public health who are faced with questions of ethical deliberation when a patient's illness turns from chronic to terminal. This skill is required to manage care well in an age of advanced technology, and numerous autonomous choices. With a (...) palliative care and ethics focus, the manuscript provides case studies illustrating issues which occur in the acuity and chronicity of end of life. Clear tools for clinicians, such as scripting and "the advance care planning video library" are included. The book focuses on the unique concept of outpatient ethics, including readmission prevention and shortened length of stay through good communication for clinicians who will be required to conduct this discussion with patients. The ethical undertone in this text provides a perfect opening for application in healthcare ethics classes, both in fields of public health and healthcare. Medical scholars and physicians, nurse practitioners and physician's assistants, as well as social workers, both in practice and training, will benefit from this text. (shrink)

Corruption can impede commerce and economic development, yet it seems to be tolerated in many countries. The purpose of this study was to develop and test a model that integrates socioeconomic factors related to corruption. The analysis revealed that a negative relationship between economic adversity and wealth was mediated by corruption. Economic adversity was positively related to corruption, and corruption was inversely related to wealth. Uncertainty avoidance moderated the relationship between economic adversity and corruption, whereas power distance and uncertainty avoidance (...) were positively associated with corruption. The implications of these results for enhancing the effectiveness of international agreements are discussed. (shrink)

There has been a plethora of studies outlying the various factors which may affect undergraduate student cheating, generally focusing on individual, situational and deterrent factors. But beyond these factors, does the type of cheating affect students’ perceptions of cheating? We found that there were differences in regards to gradable cheating such as cheating on homework, tests and papers versus non-gradable cheating such as illegally downloading software/music from the Internet or photocopying materials which violate the university’s academic integrity policy. Gender, discussion (...) of ethical issues in class and enforcement of cheating reduces the acceptance of cheating across types of cheating. Less time spent on the Internet reduces the acceptance of only non-gradable cheating and the type of institution and knowing the consequences of cheating reduces the acceptance of only gradable cheating. (shrink)

Scientific data‐sharing and open science initiatives are increasingly important mechanisms for advancing the impact of genomic research. These mechanisms are being implemented as growing attention is paid to the need to improve the inclusion of research participants from marginalized and underrepresented groups. Together, these efforts aim to promote equitable advancements in genomic medicine. However, if not guided by community‐informed protections, these efforts may harm the very participants and communities they aim to benefit. This essay examines potential benefits and harms of (...) open science and explores how to advance a more just vision of open science in genomics. Drawing on relational ethics frameworks, we argue that researchers should consider their obligations to participants as well as the broader communities that are impacted by their research. We propose eight strategies to provide a foundation of practical steps for researchers to reduce the possibility of harms stemming from open science and to work toward genomic justice. (shrink)

Nietzsche's Zarathustra is a guide through the convoluted territory of Nietzsche's Thus Spoke Zarathustra. It shows the philosophical significance of the fictional format as a means to simultaneously propose alternatives to traditional dogmas within the Western tradition and reveal the danger of mistaking doctrinal formulations for living philosophical insight.

This article proposes to discuss the role of music within confucian philosophy as a whole and within neo-Confucian philosophy in particular. The discussion includes a consideration of the construction of chinese music; philosophical correlations drawn between musical elements and features of both macrocosm and microcosm; musical aesthetics in the confucian and neo-Confucian philosophical systems; and affinities between the nature of music and the broader outlook of confucian and neo-Confucian philosophy. The suggestion is made that these affinities help to explain the (...) prominent role of music in these two philosophical schools. (shrink)

A traditional association of judgment with "reason" has drawn upon and reinforced an opposition between reason and emotion. This, in turn, has led to a restricted view of the nature of moral judgment and of the subject as moral agent. The alternative, I suggest, is to abandon the traditional categories and to develop a new theory of judgment. I argue that the theory of judgment developed by Justus Buchler constitutes a robust alternative which does not prejudice the case against emotion. (...) Drawing on this theory I then develop how to conceptualize the ways in which feeling and emotion can be (or be components of) moral judgments. (shrink)

This article reviews four areas of pediatric research in which we have identified questionable levels of allowable risk, exceeding those foreseen by the Commission. They are the following: the categorization of increasingly risky interventions as minimal risk in a variety of protocols; the increasing number of applications for federal panel review of research not otherwise approvable because of higher projected risk levels; research on asymptomatic at risk children; and the inclusion of children and adolescents in placebo-controlled trials for participants of (...) all ages without performing subgroup analysis. While embracing the imperative to include children in research is an encouraging step towards providing the pediatric population with effective medical care and finally eradicating the therapeutic orphan, we must ensure that this research does not become overly permissive. (shrink)

An account of events is developed in which events are characterized as a series of momentary states of affairs. This characterization is motivated by a study of the structural features required to capture our notion of an event. Events have structure in the sense that they involve objects and properties, and, since they necessarily occur over an interval of time, events have a transtemporal structure. This latter feature is used to account for a variety of relationships between events, as well (...) as distinctions between states, processes, and completable events. Special attention is given to the problem of event identity. Some progress is made on this issue by laying the groundwork which is necessary for its resolution. This consists, first of all, in sorting out various cases of identity, e.g. distinguishing between the problems of adverbial modification and property identity, and, secondly, in providing a metaphysical framework within which to interpret the problem of event identity. (shrink)

Historians of science do not generally indulge in much mythologizing about the founders and prominent figures in our discipline's history. Nevertheless, the received history of the field elides a great deal of the work done on behalf of the Society and its publications because it was tedious, contentious, done in service to discarded aims, performed by underpaid or unacknowledged professional staff, or simply unglamorous. A brief tour through the Society's voluminous if poorly organized archives serves as a corrective.

The purpose of this paper is to examine how multinational enterprises and their subsidiaries (MNEs) can respond to violent conflict in the host countries where they operate, and how the characteristics of the conflict affect the types of intervention strategies that MNEs may adopt. Drawing on insights from the research on conflict resolution and the risk that violent conflict poses to the firm, we develop a framework and several propositions that provide guidance to MNEs confronting violent conflict with respect to (...) existing projects or facilities. (shrink)

This thesis considers the philosophical rationale behind Nietzsche's use of a fictional mode of writing in Thus Spoke Zarathustra. I argue that the worldview involved in Nietzsche's "tragic philosophy," presented as an alternative to the Platonic-Christian worldview of Nietzsche's culture, is premised on the understanding of human individual existence that he associates with Greek tragedy. I argue that because Nietzsche attempts to transform the self-understanding of his readers, he rejects the univocal mode of philosophical discourse which is used to express (...) universally valid truths. Instead, Nietzsche models his presentation on the Greek tragedy, through which, he believes, the spectator achieves a transformed orientation toward earthly, individuated existence through identifying with the tragic hero. I conclude that a consequence of Nietzsche's attempt to make Zarathustra a similar tragic hero is that Nietzsche can communicate his tragic philosophy only to readers who are receptive; and that, as a result, the question of whether or not he is understood becomes a significant problem for Nietzsche in his later works. (shrink)

The scope of this article is feminist philosophical engagement with the natural sciences. As a starting point we can view science as having the objective of “producing general propositions about nature, the physical ‘out there,’ that can be tested empirically where appropriate, and that are rational in character” but we also need to recognize the fluidity of the term “science”; for to term something “scientific” is honorific. It is signaled as something to be trusted and relied on, and there are (...) political as well as intellectual debates concerning what is to be dignified with this title. (shrink)

The regulation of stem cell research is an issue that has drawn much comment, criticism and even judicial arbitration in recent years. An emerging issue, addressed in this article, is how the fruits of that research-stem cell medicine-are likely to be regulated en route from lab to market. Taking account of the ethical, legal, social and safety issues raised by stem cell medicine and the goals of governance, the article explains the relevant regulatory instruments (e.g. the draft UK Stem Cell (...) Bank Code, the EU Directive on Human Tissue, the EU Directives on medical products and devices, and the Human Tissue Act 2004) and critically examines the framework they provide. (shrink)

The ancient law school about which we have the most information was at Beirut. Editors of legal papyri have occasionally speculated about possible connections between particular ancient texts and the activities of professors of law in that city, but no one has examined the evidence in a body. It is likely, I think, that legal papyri reflect the state of contemporary legal education at Beirut, and that they preserve, moreover, primary evidence for the history of scholarship in general. With so (...) broad a topic, it would be useful first to consider what we know about legal instruction in antiquity, particularly at Beirut, then to review the relevant papyrological evidence, and finally to draw the two subjects together by considering the possible relation between the marginal commentaries of legal papyri and the extensive scholia which fill the broad margins of many medieval manuscripts. (shrink)

This paper argues that the force and weaknesses of Thomas Nagel’s arguments against psychophysical reductionism can be felt more fully when held up to the defense of a similar view in Jean-Paul Sartre’s Being and Nothingness. What follows for both from their shared rejection of psychophysical reductionism is a defense of the claim that an objective conception of subjective reality is necessarily incomplete. I examine each one’s defense of this claim. However, although they both claim an objective conception of subjectivity (...) will be incomplete, they do think we have some ability to form such a conception and I examine next the quite different ways in which Nagel and Sartre relate this ability to our use of language. The last sections of the paper discuss each philosopher’s belief that although the tension between the objective and the subjective is irreconcilable, humans continue to desire such reconciliation, i.e., they desire to be God. (shrink)

Ironies are implicit in the title of Zoltan Somhegyi’s book Reviewing the Past: The Presence of Ruins, and this is in keeping with ruins’ own paradoxical character as manifesting endurance and fragility, presence and absence, vivid physicality and an import that is almost entirely reflective. By inviting readers to take a desultory approach to the sequence of the book’s chapters, the author positions them to be active co-explorers of ruins who are reflective about their responses. Somhegyi analyzes various threats to (...) the survival of ruins as structures and aesthetic objects but nevertheless finds bases for some optimism. He ends the book with a chapter on a topic that seems far afield from ruins: museums that make the process of remembering thematic. This somewhat abrupt conclusion forces the reader to draw connections between his remarks on such museums and the topic of ruins. This provocation of the reader’s own reflections encourages a stance akin to that involved in the aesthetic appreciation of ruins and draws attention to their open-endedness. (shrink)

Jessica Wiskus’s book The Rhythm of Thought: Art, Literature, and Music (University of Chicago Press, 2013) is a fascinating study of Merleau-Ponty’s late philosophy inrelation to the artistic expression of Mallarmé, Cézanne, Proust, and Debussy. By invoking examples from across the arts and citations from across Merleau-Ponty’soeuvre, Wiskus provides us with a style for reading some of Merleau-Ponty’s difficult late concepts, including noncoincidence, institution, essence, and transcendence.In this review, we explore some of the key concepts and insights of Wiskus’s rich, (...) interdisciplinary book and offer some places where the depth that it opens up perhapsinvites further exploration. (shrink)

A popular approach to defining fictive utterance says that, necessarily, it is intended to produce imagining. I shall argue that this is not falsified by the fact that some fictive utterances are intended to be believed, or are non-accidentally true. That this is so becomes apparent given a proper understanding of the relation of what one imagines to one's belief set. In light of this understanding, I shall then argue that being intended to produce imagining is sufficient for fictive utterance (...) as well. (shrink)

As philosophers of mind we seem to hold in common no very clear view about the relevance that work in psychology or the neurosciences may or may not have to our own favourite questions—even if we call the subject ‘philosophical psychology’. For example, in the literature we find articles on pain some of which do, some of which don't, rely more or less heavily on, for example, the work of Melzack and Wall; the puzzle cases used so extensively in discussions (...) of personal identity are drawn sometimes from the pleasant exercise of scientific fantasy, at times from surprising reports of scientific fact; and there are those who deny, as well as those who affirm, the importance of the discovery of rapid-eye-movement sleep to the philosophical treatment of dreaming. A general account of the relation between scientific, and philosophical, psychology is long overdue and of the first importance. Here I shall limit myself to just one area where the two seem to connect, discussing one type of neuropsychological research and its relevance to questions in the philosophy of mind and the philosophy of psychology. (shrink)