Telling Our Lives explores how three working-class women-from Jewish, African-American, and Irish-American backgrounds connect across their differences through storytelling and conversation.

Organizational ethics—defined as the alignment of an institution’s practices with its mission, vision, and values—is a growing field in health care not well characterized in empirical literature. To capture the scope and context of organizational ethics work in United States healthcare institutions, we conducted a nationwide convenience survey of ethicists regarding the scope of organizational ethics work, common challenges faced, and the organizational context in which this work is done. In this article, we report substantial variability in the structure of (...) organizational ethics programs and the settings in which it is conducted. Notable findings included disagreement about the activities that comprise organizational ethics and a lack of common metrics used to assess organizational ethics activities. A frequently cited barrier to full engagement in these activities was poor institution-wide understanding about the role and function of organizational ethics resources. These data suggest a tension in the trajectory of organizational ethics’ professionalization: while some variability is appropriate to the field’s relative youth, inadequate attention to definitions of organizational ethics practice and metrics for success can impede discussions about appropriate institutional support, leadership context, and training for practitioners. (shrink)

In September 2010 at the Johns Hopkins Hospital, one of the nation's elite academic hospitals located in East Baltimore, Maryland, Paul Warren Pardus entered the facility to visit his mother, a patient. During a discussion with her doctor in a hospital hallway, Pardus became “overwhelmed” about the care and condition of his mother, pulled a handgun from his waistband, and shot the doctor in the chest. Pardus then locked himself and his mother in her room, shot and killed her, and (...) committed suicide.Dr. Gabe Kelen, a national expert on emergency preparedness and director of the Johns Hopkins emergency department, admitted several years later that this tragic event “really got us thinking in a very serious way.” Together with colleagues at the Johns Hopkins Office of Critical Event Preparedness and Response, Kelen conducted research on the threat and impact of “active shooters” in health care settings. (shrink)

Obesity is the definitive epidemic of the modern era in the United States. Its well-documented public health impacts, especially related to children and adolescents, are horrific. Nearly one-third of American minors are overweight; over 50% of them are obese. Already, these kids suffer from multiple adverse physical and mental health conditions. Sadly, absent serious communal and individual interventions, their lives may be cut short compared to their own parents’ life expectancy. While recent surveillance suggests childhood obesity may be trending down (...) slightly in some populations, public health experts remain concerned about the threat obesity poses to the health of America's youth.The concurrent travesty underlying childhood obesity is the relative societal failure to slow and reverse its spread. (shrink)

To better understand the available publications addressing ethical issues in rural health care we sought to identify the ethics literature that specifically focuses on rural America. We wanted to determine the extent to which the rural ethics literature was distributed between general commentaries, descriptive summaries of research, and original research publications. We identified 55 publications that specifically and substantively addressed rural health care ethics, published between 1966 and 2004. Only 7 (13%) of these publications were original research articles while (12) (...) 22% were descriptive summaries of research and 36 (65%) were general commentaries. The majority of publications examined (55%) were clinically focused while 27% addressed organizational ethics and 18% addressed ethical ramifications of rural health care policy at a national or community level. Our findings indicate that there are a limited number of publications focusing on rural health care ethics, suggesting a need for scholars and researchers to more rigorously address rural ethics issues. (shrink)

Nelson Goodman argues against those who, like Carnap, claim extensional identity is the criterion for correct constructional definition. Goodman argues that internal logical difficulties sink such a criterion, thus he proposes his own criterion of extensional isomorphism. We argue that Goodman's criterion itself falls prey to his own arguments or else extensional identity is not shown faulty.

General discussion of grounding, including its formal features, relations to other notions, and applications.

Roger’s official statement of the thesis that he defends reads as follows: Uniqueness : If an agent whose total evidence is E is fully rational in taking doxastic attitude D to P, then necessarily, any subject with total evidence E who takes a different attitude to P is less than fully rational. Following Roger, I’ll call someone who denies Uniqueness a Permissivist . In what follows, I’ll argue against Uniqueness and defend Permissivism.

From a religious studies perspective, Atran & Norenzayan (A&N) succeed in arguing for the influence of evolved cognitive functions in religious phenomena. To develop their argument further, four suggestions are offered: (1) Look beyond the ordinary to the extraordinary; (2) culture matters more than ever; (3) theists need not despair, atheists ought not celebrate; and (4) dreaming is a primal wellspring of religion.

Recent developments in genomic science hold out the tantalizing prospect of soon being able to treat and prevent a wide variety of medical conditions through gene therapy. In time, it may be possible to use similar techniques not simply to combat disease but also to enhance, or improve on, normal human functioning.

This 1945 “Preface” is intended to answer the question “What is phenomenology?” and to justify it as the methodology of the long work of philosophical psychology to follow. Merleau-Ponty approaches this task by first setting out the apparent paradoxes and contradictory claims that have been advanced by phenomenology, in a long and eloquent survey section that is built on a series of “X, but also Y” rhetorical devices. He then surveys four prominent themes of phenomenology. Just as he does in (...) the introductory section of the essay “The Philosopher and His Shadow,” Merleau-Ponty here presents himself as the chief interpreter and champion of Husserl's later philosophy. The first major theme considered is that phenomenology is a matter of describing the field of perception. This sets it in contrast to the prevalent explanatory methodologies of a) scientific empiricism and b) metaphysical idealism. Empirical science (such as mathematical physics) begins with observation, but then abstracts entirely from lived experience to consider idealized schematic cases (such as motion across a frictionless surface) that may reveal universal laws. Such a methodology is obviously fruitful in important respects, but is nonetheless naïve and dishonest in its renunciation of the specifics of observed events. The metaphysical idealism of Kant or Descartes likewise abstracts from the experienced particularity of perception to posit an “inner man” that constitutes the world according to 2 internal, transcendental principles. Merleau-Ponty's criticism is the same, whether these principles are “reason” of Rationalism, “the categories of understanding” of Critical Rationalism, or the rules governing the “association of ideas” posited by Empiricism. Phenomenology indicates that perception is not an act but a fact; the world is not an object but rather the unified setting of perception; and the inner man is a myth, along with his allegedly privileged access to univocal truth. The second theme is the technique of “phenomenological reduction,” the suspension of belief in the assemblage of everyday assumptions known as the “natural attitude.” Husserl's understanding of the reduction long led him to an idealist position: that all particular consciousnesses are united in a transcendental ego.. (shrink)

In ‘Ramseyan Humility’ David Lewis argues that a particular view about fundamental properties, quidditism, leads to the position that we are irredeemably ignorant of the identities of fundamental properties. We are ignorant of the identities of fundamental properties since we can never know which properties play which causal roles, and we have no other way of identifying fundamental properties other than by the causal roles they play. It has been suggested in the philosophical literature that Lewis’ argument for Humility is (...) merely an instance of traditional scepticism, to which traditional responses to scepticism are applicable. I agree that in ‘Ramseyan Humility’ Lewis does present an argument to which it is appropriate to consider the applicability of responses to traditional scepticism—he argues that we irredeemably lack the evidence to rule out possibilities in which different properties occupy the causal roles described by our best physical theory. And prima facie this is just the kind of argument responses to traditional scepticism are designed to tackle. However, I will argue that Lewis bolsters this argument with a second. This second argument serves to deepen Lewis’ case and cannot be met with a response to traditional scepticism. For Lewis argues that not only do we lack evidence for which properties play which roles, we lack the ability to grasp any such proposition about role-occupancy. And if we cannot grasp any such proposition we cannot know it. (shrink)

During the last third of the 20C, public discourse in the United States has become increasingly acerbic. Parallel to this development there has been an increasing enrollment in College level logic courses, courses that focus on arguments and their appraisal. Could there be a connection? A number of majorphilosophers do not just see arguments as either 100% correct or 100% incorrect. Notable in this regard are Plato, Aquinas and Hume. Their approach to “logic” and that of others is offered as (...) a palliative to the types of logic that we now teach. (shrink)

Kant behauptet, daß wir nur indirekte Pflichten haben können, von Grausamkeiten und Gewalt gegen Tiere abzusehen. Pflichten dieser Art seien direkte Pflichten gegen uns selbst, um unseren moralischen Charakter nicht zu verderben, aber könnten nicht direkte Pflichten gegenüber den Tieren sein, weil Tiere keine rationalen Wesen sind. Diese Sichtweise erscheint unbefriedigend, da die Tiere die Opfer einer solchen Mißhandlung sind, wenn sie stattfindet, und die Vorstellung, daß wir keine direkten Pflichten ihnen gegenüber haben sollen, erscheint merkwürdig. Ich plädiere dafür, daß (...) Kant, durchaus in Übereinstimmung mit seiner allgemeinen Moralphilosophie, hätte ein Konzept von direkten Pflichten gegenüber Tieren entwickeln können. Ein solches Konzept wäre weitaus plausibler und hätte Kant geholfen, mit allfälligen Problemen umzugehen, die sich im Hinblick auf die Behandlung von zurechnungsunfähigen Personen ergeben, die ebenfalls keine rationalen Wesen sind, sondern allenfalls potentiell. Zwar kann Kant durchaus plausibel machen, daß es die von ihm behaupteten indirekten Pflichten im Hinblick auf Tiere gibt, aber nicht, daß unsere Pflichten gegenüber Tieren auf derartige indirekte Pflichten beschränkt sind. Kant claimed that we could only have indirect duties to abstain from cruelty and violence to animals; such duties were directly duties to ourselves not to degrade our moral character, but could not be direct duties to animals because animals are not rational beings. This view seems unsatisfactory because animals are the victims of such mistreatment when it occurs, and the idea that we have no direct obligations to them seems odd. I urge that Kant, consistent with his general moral philosophy, could have developed a view of DIRECT duties to animals. Such a view would have been more plausible and would also have helped him deal with lurking problems concerning the treatment of incompetent humans, some of whom are also not rational beings, even potentially. Kant can plausibly claim that there are such indirect duties to animals, but not that our duties to them are limited to such indirect duties. (shrink)

A fun, pocket-size book packed with inspiration from the galaxy's most cool and composed Jedi Master. Stay true to yourself with confidence and class. Is your new home more hive of villainy than sandy beach resort? Friends not the chosen ones you thought they were? Don't throw a tantrum - keep it classy and ask yourself, "What would Obi-Wan do?" Glide elegantly through anything life throws at you with pearls of wisdom from Obi-Wan Kenobi and fellow sages. Learn how to (...) face your fears and perfect your witty comebacks."--Amazon.com. (shrink)

In May 2010, philosophers, family and friends gathered at the University of Notre Dame to celebrate the career and retirement of Alvin Plantinga, widely recognized as one of the world's leading figures in metaphysics, epistemology, and the philosophy of religion. Plantinga has earned particular respect within the community of Christian philosophers for the pivotal role that he played in the recent renewal and development of philosophy of religion and philosophical theology. Each of the essays in this volume engages with some (...) particular aspect of Plantinga's views on metaphysics, epistemology, or philosophy of religion. Contributors include Michael Bergman, Ernest Sosa, Trenton Merricks, Richard Otte, Peter VanInwagen, Thomas P. Flint, Eleonore Stump, Dean Zimmerman and Nicholas Wolterstorff. The volume also includes responses to each essay by Bas van Fraassen, Stephen Wykstra, David VanderLaan, Robin Collins, Raymond VanArragon, E. J. Coffman, Thomas Crisp, and Donald Smith. (shrink)

The focus of this paper is the social trinitarian account in Richard Swinburne's "The Christian God." After setting out the route Swinburne follows in reaching his conclusions about the Godhead, I endeavour to show two things: (i) that his account does not avoid the charge of tritheism and thus is not faithful to key elements in the Christian creeds; (ii) the philosophical moves behind his conclusions are not compelling if, as we can, we challenge his assumptions about divine necessity. A (...) better account of divine necessity takes us away from Swinburne's version of trinitarianism/tritheism. (shrink)

Reliabilism is a theory that countenances basic knowledge, that is, knowledge from a reliable source, without requiring that the agent knows the source is reliable. Critics (especially Cohen 2002 ) have argued that such theories generate all-too-easy, intuitively implausible cases of higher-order knowledge based on inference from basic knowledge. For present purposes, the criticism might be recast as claiming that reliabilism implausibly generates cases of understanding from brute, basic knowledge. I argue that the easy knowledge (or easy understanding) criticism rests (...) on an implicit mischaracterization of the notion of a reliable process. Properly understood, reliable processes do not permit the transition from basic knowledge to understanding based on inference. (shrink)

In this article, I argue that the liberal framework-its autonomous individuals with equal rights-allows judges to justify enforcing surrogacy contracts. More importantly, even where judges do not enforce surrogacy contracts, the liberal framework conceals gender and class issues which insure that the surrogate will lose custody of her child. I suggest that Marx's analysis of estranged labor can reveal the class and gender issues which the liberal framework conceals.

This chapter contains sections titled: Simone de Beauvoir Luce Irigaray Colette Guillaumin Hélène Cixous Julia Kristeva Monique Wittig Sarah Kofman Michèle Le Doeuff Christine Delphy Conclusion.