Physicians have an ethical responsibility to their patients to offer the best available medical care. This responsibility conflicts with their role as gatekeepers of the limited health care resources available for all patients collectively. It is ethically untenable to expect doctors to face this trade-off during each patient encounter; the physician cannot be expected to compromise the wellbeing of the patient in the office in favour of anonymous patients elsewhere. Hence, as in other domains of public policy where individual and (...) collective interests conflict, some form of collective solution is required. Collective solutions may take the form of placing explicit resource constraints on resources available to physicians, or clinical practice guidelines that recognise cost-effective care as acceptable. Such solutions will be politically and ethically sustainable only if patients as citizens of the larger population accept the need for rationing of limited resources in health care. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:M. C. Henberg GEORGE ELIOT'S MORAL REALISM No moment in the history of ethics could be more propitious than the present for a comprehensive restudy of George Eliot's moral realism. Analysis of the "logic" of moral language has proved barren, prescriptivism is in full flight, and schematic divisions of moral theories into descriptive versus normative, deontological versus teleological, or substantive versus meta-ethical have promised much but delivered little. Such (...) distinctions dominate maps to the modern moral terrain, but awanderer in the land ofchoice itselfstill finds himselfwithout signposts. A particularly unhealthy bias in contemporary ethics has been the belief that moral principles ought to withstand all counterexamples, however plausible or implausible, whether concocted from a sense of men's actual capacities or from a fondness for outrageous possibilities, many of them lifted from the pages of science fiction. If moral rules do not govern in hard cases, it is thought, they do not govern at all. Few philosophers have bothered to distinguish between the hard cases common to men's actual choices and the hard cases confronted by one man in a million or by the imagined inhabitants of some future world. (Witness, for example, the present preoccupation with "lifeboat ethics" and ask yourself how many actual moral choices are so starkly dramatic.) Any logically possible circumstance is too often assumed to qualify as a fruitful area for moral investigation; and any conceivable counterexample, achieved by whatever stretch of the imagination, is assumed to be fair ammunition in the debate over principles. Closely related to this first bad tendency in modern philosophical ethics is another, equally bad. Too often the examples used are of little moral significance, obviously conceived to make a point rather than to direct attention to commonplace but nonetheless important circumstances where informed choice is essential. Philosophy journals have treated us to discussions about whether failing to wear tennis whites is or is not "rude" and about whether a first sinner's crossing of a patch of lawn does or does not have a "threshold-related effect" 20 M. C. Henberg21 which must be considered in assessing later consequences (a bare path ultimately worn in the grass). Such examples rightly earn a contemptuous snort from anyone who expects philosophy to increase our understanding in matters of serious consequence. Whatever her other accomplishments as a moralist and philosophical thinker, George Eliot never commits either of the preceding crimes. Her moral realism constitutes first and foremost an ethics aimed at the bulk of her fellow men. She yields to the theoretic impulse solely in criticizing other theories. When it comes to providing answers, she depicts fictional characters whose struggles, failings, and passions are ultimately akin to what we ourselves are likely to experience. Her ethical precepts are not aimed at proving themselves in every conceivable situation. They are instead precepts which are sometimes susceptible to ruin, just as are the changeable creatures who profess them. To know the natural boundaries of a moral rule, Eliot tells us, is as difficult and important as knowing the rule itself. Moral realism requires a combination of clear-eyed perception and imaginative sympathy—faculties ill-served by lectures on abstract principles. Eliot reminds us that our best moral judgments must be "checked and enlightened by a perpetual reference to the special circumstances that mark the individual lot" (The Mill on the Floss, Book VII, chap. 3). This emphasis in particular—found both in her early essays and early fiction—makes Eliot's moral realism a welcome anodyne to the worst tendencies of modern ethics. The discussion which follows will be confined to early works, including Scenes of Clerical Life, Adam Bede, and The Mill on the Floss. The ruminations of her authorial voice in these novels may conveniently be juxtaposed with her essays, for the works are near to one another both temporally and thematically. Later novels such as Middlemarch and Daniel Deronda—however interesting from an ethical perspective— do not lend themselves to this mode of analysis. To what extent Eliot's views are modified in these later novels constitutes a separate topic whose omission here does not reflect upon its intrinsic interest or importance. Since George Eliot offers no... (shrink)

The requirement of gauge invariance for the Schwinger-DeWitt equations, interpreted as a manifestly covariant quantum theory for the evolution of a system in spacetime, implies the existence of a five-dimensional pre-Maxwell field on the manifold of spacetime and “proper time” τ. The Maxwell theory is contained in this theory; integration of the field equations over τ restores the Maxwell equations with the usual interpretation of the sources. Following Schwinger's techniques, we study the Green's functions for the five-dimensional hyperbolic field equations (...) for both signatures ± [corresponding to O(4, 1) or O(3, 2) symmetry of the field equations] of the proper time derivative. The classification of the Green's functions follows that of the four-dimensional theory for “massive” fields, for which the “mass” squared may be positive or negative, respectively. The Green's functions for the five-dimensional field are then given by the Fourier transform over the “mass” parameter. We derive the Green's functions corresponding to the principal part ΔP and the homogeneous function Δ 1 ; all of the Green's functions can be expressed in terms of these, as for the usual field equations with definite mass. In the O(3, 2) case, the principal part function has support for x2⩾τ2, corresponding to spacelike propagation, as well as along the light cone x2=0 (for τ=0). There can be no transmission ofinformation in spacelike directions, with this propagator, since the Maxwell field, obtained by integration over τ, does not contain this component of the support. Measurements are characterized by such an integration. The spacelike field therefore can dynamically establish spacelike correlations. (shrink)

A class K of structures is controlled if for all cardinals λ, the relation of L∞,λ-equivalence partitions K into a set of equivalence classes . We prove that no pseudo-elementary class with the independence property is controlled. By contrast, there is a pseudo-elementary class with the strict order property that is controlled 69–88).

A class K of structures is controlled if, for all cardinals λ, the relation of L ∞,λ-equivalence partitions K into a set of equivalence classes (as opposed to a proper class). We prove that the class of doubly transitive linear orders is controlled, while any pseudo-elementary class with the ω-independence property is not controlled.

A frequent objection to the fine-tuning argument has been that although certain necessary conditions for life were admittedly exceedingly improbable, still, the many possible alternative sets of conditions were all equally improbable, so that no special significance is to be attached to the realization of the conditions of life. Some authors, however, have rejected this objection as fallacious. The object of this paper is to state the objection to the fine-tuning argument in a more telling form than has been done (...) hitherto, and to meet the charge of fallacy. (shrink)

The answer to philosophical questions will often depend on the position one takes regarding the fact-value problem. It is, therefore, not surprising that, in the tradition of western philosophy, the past 200 years or so record an animated discussion of it. In the present collection the debate is continued by representatives of various "schools" in contemporary western thought. A number of philosophers from non-western cultures, too, enter into it. The contributions do not all reflect on the same theme, nor do (...) they use the same approach. Essays written by philosophers sympathetic to the analytical tradition are followed by reflections on the part of those inspired by phe nomenology. A third group of contributions is by non-western thinkers, who are more likely to approach the problem in terms of culture. Their engage ment with the issue clearly shows, among other things, that it is almost exclusively in the western tradition that the fact-value distinction is often understood as an outright dichotomy. The occasion for the publication of this collection is Dr. Cornelis Anthonie van Peursen's retirement as Professor of Philosophy. This year he leaves the Free University, Amsterdam; until 1982 he was professor at the University of Leyden as well. In the Netherlands and beyond he has become known for his concern with constructive comparison of diverging philosophical trends and the cross-cultural fertilization of thought. Characteristic of his career are his efforts to render the results of academic philosophizing understand able to a broader audience. (shrink)

Nolan, Ann MC In the past fifty years there has been a stream of commentary on the documents of Vatican II. Have we not had so much commentary, so much interpretation, that further commentary is unnecessary? Fifty years on, one might ponder how to interpret the sixteen documents for the church of our times, indeed to wonder whether they continue to have any relevance at all. Faced with this thought, we could turn to one scholar whose works span almost the (...) whole of this fifty-year period, yet whose thought in relation to the documents has not remained static: the renaissance historian John O'Malley SJ. (shrink)

The effects of school inspections on school improvement have been investigated only to a limited degree. The investigation reported on in this article is meant to expand our knowledge base regarding the impact of school inspections on school improvement. The theoretical framework for this research is partly based on the policy theory behind the Dutch Educational School Supervision Act (the latter includes assumptions about how school inspections lead to school improvement). Interviews and a survey with school inspectors gave insight into (...) how school inspectors implement the Supervision Act and how they assess schools, and stimulate schools to improve. The results of ten case studies showed that all schools started to improve after a school visit. The innovation capacity of the school and the school environment do not seem to contribute to school improvement after school inspections. No effects were found on school-improvement processes of the number of insufficient scores that schools received from inspectors, the extent of feedback and suggestions for improvement, and the number of agreements. The provision of feedback about weaknesses, the assessment of these weak points as unsatisfactory, and the agreements between an inspector and the school regarding improvement activities do appear to make a difference in promoting school improvement. (shrink)

The Gesta Normannorum Ducum is one of the most important sources for the history of Normandy and England in the eleventh and twelfth centuries, and contains the earliest prose account of the Norman Conquest. It was written by a succession of authors, the first of whom was William of Jumieges, who wrote for William the Conqueror. Later historians, such as Orderic Vitalis and Robert of Torigni, interpolated and extended the chronicle as far as King Henry I. The later accretions reveal (...) much not only about changing attitudes towards the Norman invasion of England, but also about views of the early Viking foundations of Normandy.Elisabeth van Houts's two-volume edition is based on a study of all forty-seven extant manuscripts of the Gesta, including the earliest surviving copy of c. 1100, unknown until very recently. The full original text of William of Jumieges is supplied, as well as the integral text of the subsequent revisions and additions. Volume I contains Dr van Houts's introduction to the whole work, together with the text and translation of books i-iv. Volume II contains books v-viii. The edition forms an important contribution to our understanding of Anglo-Norman politics. (shrink)

Throughout the history, whenever humans encounter a phenomenon for which there was no explanation, a theory was proposed for it. Of course, not necessarily all the theories were purely scientific and many of them were non-scientific, pseudo- scientific, or at best were only slightly influenced by science. But one thing was in common among them: they all were trying to provide as deeper as possible explanations about how the universe works. Although today and in the modern era the exact meaning (...) of theory has changed comparatively, still they must be such that can be tested through scientific procedures in order to confirm or reject. Nevertheless, still sometimes in a common belief, the meaning of "theory" is unprovable or at least unproven conjecture, and surprisingly sometimes confused with hypothesis. Scientific laws are descriptive reports - or theories - that express and predict a range of natural phenomena and explain how they work. Any scientific discourse is carried out in three levels: hypothesis, theory, and law. A hypothesis, is a testable logical conjecture to explain the phenomena we observe in the universe. A hypothesis usually comes with no practical support, or at least not been proven yet. The hypothesis can only be tested through trial and error and tries to offer explanation that provides a reasonable platform for further studies and usually it is the first step in solving a problem or describing a phenomenon. A theory however, is a logical statement about a phenomenon that is derived from rational thinking and is often associated with processes such as observation, study or research and provides standards in such a way that scientific tests can confirm - or reject. A theory used in describing what is usually to happen with the implication that it doesn’t still a fact. Yet a scientific law is a descriptive reports - or theory - that previses a range of natural phenomena and explains how they function. Scientific laws are descriptive summaries of a large set of facts that are tested by scientific evidences and after fact-checking based on their potential ability for measuring future experiences. So it can be said that every theory was first a hypothesis and has the potential to become a law to come. It can also be said that any theory is valid as long as it is not violated by a more conclusive one. (shrink)

Early psychophysical methods as codified by Fechner motivate the development of quantitative theories of subjective experience. The basic insight is that just noticeable differences between experiences can serve as units for measuring a sensory domain. However, the methods described by Fechner tacitly assume that the experiences being investigated can be linearly ordered. This assumption is not true for all sensory domains; for example, there is no trivial linear order over all possible color sensations. This paper discusses key developments in the (...) history of psychophysical methods for measuring color experience. In particular, a clear distinction between topological and metrical structure allowed Helmholtz to use opponent colors as a standard for measuring the gross structure of color space. Once this gross structure had been determined, lines through color space could be defined and Fechner-style methods employed for determining local structure. Extensions of these methods due to Wright, MacAdam, and others provide detailed evidence for the degree of agreement in the qualities of color experience across individuals. This allows a precise statement of the evidential support for the claim that your experience of color and mine are the same. (shrink)

Mechanism realists assert the existence of mechanisms as objective structures in the world, but their exact metaphysical commitments are unclear. We introduce Local Hierarchy Realism (LHR) as a substantive and plausible form of mechanism realism. The limits of LHR reveal a deep tension between two aspects of mechanists’ explanatory strategy. Functional decomposition identifies locally relevant entities and activities, while these same entities and activities are also embedded in a nested hierarchy of levels. In principle, a functional decomposition may identify entities (...) engaging in causal interactions that crosscut the hierarchical structure of composition relations, violating the mechanist’s injunction against interlevel causation. We argue that this possibility is realized in the example of ephaptic coupling, a subsidiary process of neural computation that crosscuts the hierarchy derived from synaptic transmission. These considerations undermine the plausibility of LHR as a general view, yet LHR has the advantages that (i) its metaphysical implications are precisely stateable; (ii) the structure it identifies is not reducible to mere aggregate causation; and (iii) it clearly satisfies intuitive and informal definitions of mechanism. We conclude by assessing the prospects for a form of mechanism realism weaker than LHR that nevertheless satisfies all three of these requirements. (shrink)

Since antiquity, theories of knowledge have had fundamental impacts on understanding the design of the conditions of learning and teaching. As represented in this special issue, these theories may be divided into structural, functional, and biofunctional. Structural models have contributed to knowledge about the organization of information stored in memory. Functional models have contributed to our understanding of how learning occurs and how it can be facilitated. Functional and biofunctional approaches have much in common but differ in their assumptions about (...) the nature of the role of biology in learning. All three types of theories complement one another. This paper focuses on the potential contributions of functional models, including the biofunctional model, to the design of the conditions of learning and teaching. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Free as a Bird: Varro De Re Rustica 3C. M. C. GreenMarcus terentius varro is a most difficult writer to assess. The very high regard in which he was held by the greatest writers of his—or any—time is supported by a fragmentary structure made up of a mass of tantalizing titles, excerpts, and allusions gathered from later authors, the reflection of his Res Divinae in Augustine, the extant books (...) of his De Lingua Latina, and De Re Rustica. The last of these, De Re Rustica, is the only complete work of Varro’s we possess, and therefore on it must be tested all our theories and suppositions about Varro as a writer. Unhappily, the artistic weaknesses of this work seem only too apparent. 1 The subject—managing a villa economy—is not one to readily attract most readers in and of itself, and Varro’s undeniable learnedness is exhibited to us in a narrative full of “hasty remarks, conversational language, rhetorical nostalgia, and, crowning all, the anacoluthons,” all of which muddle his discussion, and produce a prose “style” that defies categorization, if not description. 2It is truly unsettling, then, that the opening of each of the books of [End Page 427] De Re Rustica presents to us a Varro whose urbane wit and literary skill are much more in accord with our expectations from the immensely learned friend of all the great writers of the late Republic, and particularly from the author of Menippean Satires. Such is the disparity between the charm of the dialogues’ setting and the dry exposition of the factual material, and so indifferently are they linked, that one could suppress the first, as Boissier suggests, 3 without noticeably affecting the second. The result, a learned and somewhat tedious discussion of agriculture, would be understandable: practicality and Cato’s crabbed example would naturally excuse Varro from the higher artistic requirements. Yet the dramatic dialogue suggests that the author intended more than a dry exposition of material—though it is a suggestion which is left unfulfilled and, at first sight, seems to do little more than demonstrate its irrelevance.My aim in this essay is to suggest that we have been taking Varro at once too seriously, and, paradoxically, not seriously enough. That is, we have been reading De Re Rustica so intently as a (lady-)farmer’s vade mecum—Varro began the project, he says, at the request of his young wife who wanted to know how to manage her new estate (1.1.1–4)—that we have not given its author’s wit and literary subtlety the attention they deserve. The ruthless either/or of academic categorization has misled readers; either Varro is joking, they tend to assume, or he is serious. That he might be both at the same time is an idea that needs more help than we have so far been given. It is my contention that his wit is more carefully wrought, and is reaching toward far more serious matters than the details of how to farm.If we begin, first, by allowing the possibility that Varro had a purpose beyond packaging some important agricultural information in a decent volume; and if we then proceed by taking the paradoxes of De Re Rustica as being intentional, and therefore having meaning, we may at least open the door to new observations. The genre is defined (or so it seems) immediately by the opening of book 1, the dedication to Fundania; it is a handbook, since that is what Varro’s bride asked for. Yet the dialogue form signals some kind of philosophical genre, taken more or less seriously. We look, therefore, to Xenophon’s Oeconomicus, in which Ischomachus and Socrates discuss farming and, in particular, Ischomachus’ [End Page 428] fifteen-year-old wife’s management of her part of the oikos. 4 Then there is the dramatic framing of the three books, each with a very distinctive and rather unphilosophical setting, and dates that are mutually discordant. 5 This, combined with the enchanting name-play lavished on most of the characters in the dialogue, 6 suggests a comedic influence. The whole mixed bag taken together—handbook, philosophical... (shrink)

For all his peculiarities, man is not the only animal who knows. But he is, as far as it is possible to judge, the only animal who knows that he knows, and who seeks to understand the nature and meaning of the act of knowing itself. Michael Polanyi has been engaged in this search for more than twenty years, and the book here under review is an ‘interim report’ on the development of his thought since the publication of Personal Knowledge (...) and The Study of Man just ten years ago. Its three short chapters are substantially the Terry Lectures which he delivered at Yale University in 1962. This review will attempt no more than to summarise the central theme of Polanyi’s argument. A detailed, critical analysis of its philosophical significance is beyond the competence of a biologist. (shrink)

This paper explores how open-mindedness and its exercise can be social in nature. In particular, it argues that an individual can be regarded as open-minded even though she does not conduct all of the intellectual tasks as required by open-mindedness _by herself;_ that is, she delegates some of these tasks to her epistemic peers. Thinking about open-mindedness in such social terms not only opens up the possibility that there are different and surprising ways for an individual to be open-minded, but (...) can also help offset some recent criticisms raised against open-mindedness and its status as an intellectual virtue. (shrink)

The Gesta Normannorum Ducum is one of the most important sources for the history of Normandy and England in the eleventh and twelfth centuries, and contains the earliest prose account of the Norman Conquest. It was written by a succession of authors, the first of whom was William of Jumièges, who wrote for William the Conqueror. Later writers, such as Orderic Vitalis and Robert of Torigni, interpolated and extended the chronicle as far as King Henry I. The later accretions reveal (...) much not only about changing attitudes towards the Norman invasion of England, but also about views of the early Viking foundation of Normandy. Elisabeth van Houts's two-volume edition is based on a study of all forty-seven extant manuscripts of the Gesta, including the earliest surviving copy of c. 1100, hitherto unknown. The full original text of William of Jumièges is supplied, as well as the integral text of the subsequent revisions and additions. Volume I contains Dr van Houts's introduction to the whole work, together with the text and translation of books i-iv. Books v-viii will appear in Volume II. The edition forms an important contribution to our understanding of Anglo-Norman politics. (shrink)

This is a book about the between: the place that "does not occupy any space", between phenomenology and structuralism. Silverman writes from this place between Husserl, Heidegger, Sartre, and Merleau-Ponty, on one side, and de Saussure, Piaget, Levi-Strauss, Lacan, and Barthes, on the other. His writing draws from all of the figures mentioned, yet does not align itself with any one of them. The place between phenomenology and structuralism is both historically and conceptually beyond both traditions: what Silverman says about (...) the writing of Foucault and Derrida might as well be applied to his own, that is, that this writing "might be described as a post-phenomenology post-structuralism". But this is not the amorphous location of a loosely constructed eclecticism; it is a carefully conceived philosophical doctrine designed for two interrelated purposes. (shrink)

Sows housed in stalls are kept insuch extreme confinement that they are unableto turn around. In some sectors of the porkindustry, sows are subjected to this degree ofconfinement for almost their entire lives(apart from the brief periods associated withmating). While individual confinement isrecognized by farmers and animal welfarecommunity organizations alike, as a valuabletool in sow husbandry (to mitigate againstaggression), what remains questionable from ananimal welfare point of view is the necessityto confine sows in such small spaces.In 2001, the Australian Journal (...) ofAgricultural Research published a reviewarticle on the science associated with the useof the sow stall, and claimed that ``noscientific evidence to support therecommendation in the Code of Practice advisingagainst housing of sows in stalls followed byhousing in crates'''' (Barnett et al., 2001, p. 21).If all the available scientific publications onthe animal welfare implications of sow stallsare consulted (many of which did not feature inthe above review), then one will indeed findscientific evidence to support recommendationsagainst the housing of sows in stalls. Becausethere is science on both sides of this policydivide, the argument to defend the use of sowstalls, therefore, is not one of science vspublic opinion, but one of ethics. (shrink)

Concept Pluralism and Concept Eliminativism are two positions recently proposed in the philosophy and the psychology of concepts. Both of these theories are motivated by the view that all current theories of concepts are empirically and methodologically inadequate and hold in common the assumption that for any category that can be represented in thought, a person can possess multiple, distinct concepts of it. In this paper, I will challenge these in light of a third theory, Conceptual Atomism, which addresses and (...) dispels the contentious issues. In particular, I contend that Conceptual Atomism, when properly understood, is empirically adequate and can overcome difficulties that plague Pluralism and Eliminativism. (shrink)

This collection of essays celebrates the seventieth birthday of one of the great scientist-philosophers of the century. The list of subscribers in the front of the book contains the names of some of the most distinguished scientists, academics, writers and educators living today, not to mention the names of organizations like the Fund for the Republic and the Congress for Cultural Freedom, and of more than twenty universities, colleges and research institutes throughout the world. In all, one hundred and seventy-eight (...) names, a unique tribute to a remarkable man whose contributions to science, philosophy, sociology and that frontier region between science and religion, comprise one of the major intellectual achievements of our time. (shrink)

BackgroundWork stress is a serious problem in primary education. Decades of research underline the importance of participatory, organizational-level work stress prevention approaches. In this approach, measures are planned to tackle causes of work stress in a participatory manner and implemented by a working group consisting of members of the organization. This approach can only be effective if the measures contain effective ingredients to decrease work stress risks and are successfully implemented. The aim of this paper is to present an outline (...) of a work stress prevention approach that is evaluated in primary education. To ensure the appropriateness of measures, a logic model of change is built as part of the risk assessment to facilitate the selection of appropriate measures. Progression on target behaviors as well as implementation factors are real-time monitored during implementation and fed back to the working groups, to provide the opportunity to adjust action plans when needed to optimize implementation.MethodsThe approach consists of five steps: preparation: installing an advisory board and working groups, risk assessment: inventory of work stress risks. In addition, a behavioral analysis is performed to build a logic model of change to facilitate selection of measures, action planning: conducting an action plan with appropriate measures, implementation: implementing the action plan. During implementation progression on target behaviors and implementation factors are monthly monitored and fed back to the working groups, and evaluation: effects of the approach are studied in a controlled trial with measurements at baseline, 1 year, and 2 years follow-up. A process evaluation is carried out using quantitative and qualitative data to study the implementation process of all steps of the work stress approach.DiscussionWe believe that building a logic model of change and real-time monitoring of implementation could be of added value to improve the success of the work stress prevention approach. With this study, we aim to provide more insights into work stress intervention research, especially in primary education.Clinical Trial RegistrationThe study is registered in Netherlands Trial Register. (shrink)

It has long been thought that Romans did not hunt before the time of Scipio Aemilianus because hunting was not an activity for respectable citizens. This article shows that this tradition arose from a nineteenth-century bias for hunting on horseback. The tradition was supported principally by Polybius' account of Scipio's hunting and a quotation from Sallust. Although we now recognize that Greeks and Romans in general hunted on foot, this bias has predisposed the discussion against the discovery of evidence for (...) the actual practice of hunting among the early Romans. The archaeological evidence from new excavations in Latium and previously uncited historical and legal evidence for hunting in the Republican period demonstrate that, precisely as we would expect, Romans from the earliest days hunted. Hunting as an aristocratic sport, as a communal activity associated with the military preparation of soldier-citizens, and as a practical means of survival for the poorer countrymen, were all present in Roman society. Further, Polybius' account of Scipio's hunting, contrary to what has been argued, indicates that the cause of disapproval was not the fact that Scipio hunted, but rather that he hunted instead of pleading cases in the forum. Supporting evidence from Cato the Elder, Ennius, and Plautus shows that hunting was a common and accepted activity among Romans of the mid-Republic. Finally, Sallust's criticism of hunting cannot be assumed to represent Roman views, since he condemns farming and hunting together, and we know Romans highly respected farming. No evidence supporting a negative view of hunting in Roman society is found, and the positive evidence in sum demonstrates conclusively that in all periods Romans did indeed hunt. (shrink)

The number of discriminable colours is often assumed to be of the order of several million but the extent of detectable chromatic diversity present in individual natural scenes is an open question. Here, the aim was to estimate the number of discriminable colours seen in natural scenes. Hyperspectral data were obtained from a set of natural scenes over the range 400 - 720 nm at 10 nm intervals (Nascimento et al, 2002 Journal of the Optical Society of America A 19 (...) 1484 - 1490) and the representation of each scene in CIELAB space computed for all pixels of the image. The number of discriminable colours was estimated by counting the number of unit volumes in the three-dimensional volume defined by the scene when represented in CIELAB space. We found that the number of discriminable colours estimated in a scene could vary by an order of magnitude from scene to scene, but rarely exceeded 105, indicating a limited chromatic diversity. (shrink)

In E.N. I. c. 5 Aristotle is considering divers views as to what constitutes Eudaimonia. He told us in c. 4, 2–3 that there are many conflicting opinions on the subject. The Many identify Happiness with some palpable good, such as pleasure, wealth, honour, but the Wise identify it with something beyond the Many, while [Plato] denied it to be any specific good at all. Of all these views we should consider such as have many adherents or are considered to (...) be reasonable. Accordingly, the Universal Good is considered in c. 6 after consideration in c. 5 of five particular goods—pleasure in the form of bodily pleasure, honour, wealth, virtue [and, implied in the theoretic Life, wisdom]. These five goods are brought into relation with four Lives—viz. pleasure with the apolaustic; honour and virtue with the political; [wisdom] with the theoretic; wealth with the business or money-making Life; and the first three Lives are called προέχοντες. There is nothing in this introduction of the Lives to astonish us; for, as Aristotle himself tells us, τò ληθς ν τοȋς πρακτικοȋς κ τν ργων κα τοû βίου κρίνεται . But there is much difference of opinion as to the argument he draws from the Lives. According to the view now submitted for consideration, the argument is that when a specific good, which some suppose to be Eudaimonia, is also the end of a ‘pre-eminent’ Life, then there is some prima facie probability in the view that that specific good is Eudaimonia. (shrink)

Deficits in social cognition and more specifically in communication have an important impact on the real-life functioning of people with schizophrenia. In particular, patients have severe problems in communicative-pragmatics, for example, in correctly inferring the speaker’s communicative intention in everyday conversational interactions. This limit is associated with morphological and functional alteration of the left middle temporal gyrus, a cerebral area involved in various communicative processes, in particular in the distinction of ironic communicative intention from sincere and deceitful ones. We performed (...) an fMRI study on 20 patients with SZ and 20 matched healthy controls while performing a pragmatic task testing the comprehension of sincere, deceitful, and ironic communicative intentions. We considered the L-MTG as the region of interest. SZ patients showed difficulties in the correct comprehension of all types of communicative intentions and, when correctly answering to the task, they exhibited a higher activation of the L-MTG, as compared to HC, under all experimental conditions. This greater involvement of the L-MTG in the group of patients could depend on different factors, such as the increasing inferential effort required in correctly understanding the speaker’s communicative intentions, and the higher integrative semantic processes involved in sentence processing. Future studies with a larger sample size and functional connectivity analysis are needed to study deeper the specific role of the L-MTG in pragmatic processes in SZ, also in relation to other brain areas. (shrink)

Background Genuine uncertainty on superiority of one intervention over the other is called equipoise. Physician-investigators in randomized controlled trials need equipoise at least in studies with more than minimal risks. Ideally, this equipoise is also present in patient-participants. In pediatrics, data on equipoise are lacking. We hypothesize that 1) lack of equipoise at enrolment among parents may reduce recruitment; 2) lack of equipoise during participation may reduce retention in patients assigned to a less favoured treatment-strategy. Methods We compared preferences of (...) parents/patients at enrolment, documented by a questionnaire, with preferences developed during follow-up by an interview-study to investigate equipoise of child-participants and parents in the BeSt-for-Kids-study. This trial in new-onset Juvenile Idiopathic Arthritis-patients consists of three strategies. One strategy comprises initial treatment with a biological disease-modifying-antirheumatic-drug, currently not standard-of-care. Semi-structured interviews were conducted with 23 parents and 7 patients, median 11 months after enrolment. Results Initially most parents and children were not in equipoise. Parents/patients who refused participation, regularly declined due to specific preferences. Many participating families preferred the biological-first-strategy. They participated to have a chance for this initial treatment, and would even consider stopping trial-participation when not randomized for it. Their conviction of superiority of the biological-first strategy was based on knowledge from internet and close relations. According to four parents, the physician-investigator preferred the biological-first-strategy, but the majority stated that she had no preferred strategy. In phase 2, preferences tended to change to the treatment actually received. Conclusions Lack of equipoise during enrolment did not reduce study recruitment, mainly due to the fact that preferred treatment was only available within the study. Still, when developing a trial it is important to evaluate whether the physicians’ research question is in line with preferences of the patient-group. By exploring so-called ‘informed patient-group’-equipoise, successful recruitment may be enhanced and bias avoided. In our study, lack of equipoise during trial-participation did not reduce retention in those assigned to a less favoured option. We observed a change for preference towards treatment actually received, possibly explained by comparable outcomes in all three arms. (shrink)

Background Regulations on research ethics in France have evolved considerably over the past four years: the implementation of the Jardé law and of the General Data Protection Regulations have changed the landscape of research ethics for research involving or not involving human persons. In a context of creation of an Institutional Review Board at the University of Bordeaux, France, we sought to explore research ethics practices and perceptions in the medical community of our University Hospital. Methods A short questionnaire was (...) sent to all physicians of the University Hospital of Bordeaux. The questionnaire included closed questions and main topics were: physicians’ education in research ethics, ethics practices concerning researches non implying human persons, and physicians’ perceptions about current regulations. Results 86 questionnaires were sent back. If a majority of physicians have validated Good Clinical Practices trainings, there was a low rate of specific training on fundamental references in research ethics and a high proportion of responders do not consider themselves as educated in research ethics after completion of GCPs. Regulations on research ethics have many implications on medical research, especially by inducing changes in protocols in order to alleviate ethical requirements. Malpractices were acknowledged like false mention of positive opinion from an ethics committee. If If a majority of responders considers regulations as a positive answer to research ethics, a large majority considers it as a constraint and a complexification of research process. For 58%, regulations in research ethics are perceived as a hindrance for research initiatives. Conclusion Because of their impact on research process, regulations seem to constitute a scarecrow for physicians. Lack of training, bad representations and questionable practices highlight the need to improve education and to propose concrete guidance for medical researchers. (shrink)

© 2016 Regents of the University of California.The Review summarizes much of particle physics and cosmology. Using data from previous editions, plus 3,062 new measurements from 721 papers, we list, evaluate, and average measured properties of gauge bosons and the recently discovered Higgs boson, leptons, quarks, mesons, and baryons. We summarize searches for hypothetical particles such as supersymmetric particles, heavy bosons, axions, dark photons, etc. All the particle properties and search limits are listed in Summary Tables. We also give numerous (...) tables, figures, formulae, and reviews of topics such as Higgs Boson Physics, Supersymmetry, Grand Unified Theories, Neutrino Mixing, Dark Energy, Dark Matter, Cosmology, Particle Detectors, Colliders, Probability and Statistics. Among the 117 reviews are many that are new or heavily revised, including those on Pentaquarks and Inflation. The complete Review is published online in a journal and on the website of the Particle Data Group. The printed PDG Book contains the Summary Tables and all review articles but no longer includes the detailed tables from the Particle Listings. A Booklet with the Summary Tables and abbreviated versions of some of the review articles is also available. (shrink)

Now that the twentieth century has celebrated its fiftieth birthday, it can no longer plead youth and inexperience as excuses to avoid judgments on its achievements, least of all in its poetry, of which one chapter is practically closed and another has at least made its main point. Of course any survey of European poetry in the last fifty years is bound to be very general and superficial, but is perhaps worth attempting not merely as a matter of historical inquiry (...) but because it may throw some light on the immediate present and the prospects for the near future. We may be still too close to recent developments to see them in their right perspective or to gauge them at their final worth, but much that has happened since 1900 already belongs to a past sufficiently remote for an independent judgment to be passed on it, while much else has revealed its main lines of development, with the result that we may perhaps form a clearer and juster estimate of what the poets have done than was possible when their works were too new to be rightly assessed and suffered alike from the ardent hopes of their protagonists and the shocked disapproval of their opponents. (shrink)

This paper examines the conflict between conventional and non-conventional moral obligations by focusing on the specific case of political lies. It argues that political candidates are under a conventional obligation to try and win their election, and sometimes the most moral way to discharge this obligation involves lying. In such cases, candidates face a conflict between the conventional obligation to try and win and the non-conventional obligation to not lie. Oftentimes, candidates that face this conflict should lie because because voters, (...) contributors, staffers and political allies all legitimately rely on that candidate to try and win. To make this point, the paper defends a framework for understanding conventional obligations that applies far beyond the specific case of political lies. (shrink)

Context: The dominant approach to the study of perception is representational/computational, with an emphasis on the achievements of the brain and the nervous system, which are taken to construct internal models of the world. Alternatives include ecological, embedded, embodied, and enactivist approaches, all of which emphasize the centrality of action in understanding perception. Problem: Despite sharing many theoretical commitments that lead to a rejection of the classical approach, the alternatives are characterized by important contrasts and points of divergence. Here we (...) focus on the enactive and ecological approaches, in particular, on how they construe the status of the environment and the content of perception. Method: We begin with a review of James Gibson’s ecological psychology, highlighting it as a psychology for all organisms not just humans. Against this backdrop, we consider enactivist arguments against direct perception - a central assertion of the ecological approach - and in favor of interpreting the activity of perceptual agents as a kind of construction of a perceptually meaningful world. Results: We assess the merits of this interpretation and we conclude that it cannot be grounded on fundamental principles such as thermodynamics and organism-environment mutuality. Implications: As a consequence, enactivism remains close to representationalism and entails a form of dualism. Constructivist content: We advance a criticism of the constructivist foundations of the enactive approach to perception. Perception-action mutuality at the heart of enactivism does not require mental construction; indeed, perception-action mutuality obviates construction. (shrink)

A system of nonlinear integro-differential equations is derived for the motion of the classical electron with a rigid and spherically symmetric 3D gaussian distribution of charge. The equations are analyzed for stability around the state of rest and of uniform rectilinear motion with velocity small with respect to the velocity of light. The extremely high-frequency and radiationless micro-oscillations that the electron executes when disturbed from the equilibrium states show the inconsistency of the Abraham-Lorentz equation and of all concepts associated with (...) this equation, like the notion that the electron may have a mass of electromagnetic origin. (shrink)

Background One of the objectives of medicine is to relieve patients' suffering. As a consequence, it is important to understand patients' perspectives of suffering and their ability to cope. However, there is poor insight into what determines their suffering and their ability to bear it. Purpose To explore the constituent elements of suffering of patients who explicitly request euthanasia or physician-assisted suicide (EAS) and to better understand unbearable suffering from the patients' perspective. Patients and methods A qualitative study using in-depth (...) face-to-face interviews was conducted with 31 patients who had requested EAS. The grounded theory approach was used to analyse the data. Results Medical, psycho-emotional, socio-environmental and existential themes contributed to suffering. Especially fatigue, pain, decline, negative feelings, loss of self, fear of future suffering, dependency, loss of autonomy, being worn out, being a burden, loneliness, loss of all that makes life worth living, hopelessness, pointlessness and being tired of living were constituent elements of unbearable suffering. Only patients with a psychiatric (co)diagnosis suffered unbearably all the time. Conclusions Unbearable suffering is the outcome of an intensive process that originates in the symptoms of illness and/or ageing. According to patients, hopelessness is an essential element of unbearable suffering. Medical and social elements may cause suffering, but especially when accompanied by psycho-emotional and existential problems suffering will become ‘unbearable’. Personality characteristics and biographical aspects greatly influence the burden of suffering. Unbearable suffering can only be understood in the continuum of the patients' perspectives of the past, the present and expectations of the future. (shrink)

BackgroundResuscitation and treatment of critically ill newborn infants is associated with relatively high mortality, morbidity and cost. Guidelines relating to resuscitation have traditionally focused on the best interests of infants. There are, however, limited resources available in the neonatal intensive care unit, meaning that difficult decisions sometimes need to be made. This study explores the intuitions of lay people regarding resource allocation decisions in the NICU.MethodsThe study design was a cross-sectional quantitative survey, consisting of 20 hypothetical rationing scenarios. There were (...) 119 respondents who entered the questionnaire, and 109 who completed it. The respondents were adult US and Indian participants of the online crowdsourcing platform Mechanical Turk. Respondents were asked to decide which of two infants to treat in a situation of scarce resources. Demographic characteristics, personality traits and political views were recorded. Respondents were also asked to respond to a widely cited thought experiment involving rationing.ResultsThe majority of respondents, in all except one scenario, chose the utilitarian option of directing treatment to the infant with the higher chance of survival, higher life expectancy, less severe disability, and less expensive treatment. As discrepancy between outcomes decreased, however, there was a statistically significant increase in egalitarian responses and decrease in utilitarian responses in scenarios involving chance of survival, life expectancy, and cost of treatment. In the classic ‘lifeboat’ scenario, all but two respondents were utilitarian.ConclusionsThis survey suggests that in situations of scarcity and equal clinical need, non-health professionals support rationing of life-saving treatment based on probability of survival, duration of survival, cost of treatment or quality of life. However, where the difference in prognosis or cost is very small, non-health professionals preferred to give infants an equal chance of receiving treatment. (shrink)

It can hardly be claimed that the advance in material civilization has done much for poetry. The growth of large towns has curtailed that intimate connection of man with nature which has in the past provided countless themes for song; the pressure of crowded populations fosters conventions of behavior which are inimical to the free play of imaginative impulse; the spread of standardized education does not always encourage the originality and independence which are necessary to creative work; the specialization of (...) intellectual life diminishes not merely the desire to write poetry but the ability to enjoy it. A mass of evidence shows that poetry is far less popular in western Europe and the United States than in countries like Persia or China or India, whose material civilization is far less advanced but which have kept a traditional taste for the beauty of words. At an even lower level, in societies where conditions are still primitive and existence is indeed hard, poetry may be the main pastime and consolation of peoples like the Asiatic Tatars or the Armenians or the Ainus, among all of whom it is a truly national art practiced with a high degree of accomplishment and enjoyed by whole populations. Compared with such societies, our own mechanized, urban world is indeed feeble and uncertain in its approach to an art which has in the past enjoyed great glory but seems now in danger of becoming an esoteric pursuit of cliques and coteries. (shrink)

In the past, human violence was associated with food shortage, but recently it has increased even in relatively well-fed societies. The reason appears from studies of monkeys under relaxed, spacious conditions and under crowding stress. Uncrowded monkeys have unaggressive leaders, rarely quarrel, and protect females and young. Crowded monkeys (even well-fed) have brutal bosses, often quarrel, and wound and kill each other, including females and young. Crowding has similar behaviour effects on other mammals, with physiological disturbances including greater susceptibility to (...) infections. All this appears to be a regular response to overpopulation, reducing the population before it has depleted its natural resources. Human beings, like monkeys and other mammals, need ample space, and become more violent when crowded. Human history is marked by population cycles: population outgrows resources, the resulting violence, stress and disease mortality cuts down the population, leading to a relief period of social and cultural progress, till renewed population growth produces the next crisis. The modern population crisis is world-wide, and explains the increase of violence even in well-fed societies. The solution to the problem of violence is to substitute voluntary birth control for involuntary death control, and bring about relaxed conditions for a reduced world population. (shrink)

Objectives The objective of this research was to develop ethics accreditation standards for hospitals. Research design Our research methods included a literature review, an expert focus group, the Delphi technique and a hospital survey. The entire process was separated into two stages: (1) the development of a draft of hospital ethics accreditation standards; and (2) conducting a nationwide hospital survey of the proposed standards. Results This study produced a tentative draft of hospital ethics accreditation standards comprised of six chapters and (...) 62 standards based on the expert focus group and Delphi technique. The six chapters are: Medical ethics policies, regulations and leadership; The establishment and operation of a medical ethics committee; The establishment and operation of research-related ethics committees; Medical ethics education; Organisational ethical climate; and Respect for patients' rights and establishment of good hospital-patient relationships. The hospital survey indicated that the concept of an organisational ethical climate was new to most hospital managers, most hospitals disliked the idea of having a separate hospital ethics accreditation system, and small hospitals were concerned about their ability to comply with all of the standards. Conclusions Regardless of whether hospital ethics accreditation can be a stand-alone accreditation or just part of existing hospital accreditation programmes, we hope this draft can serve as a good reference for future endeavours by hospital accreditation authorities. (shrink)

Background: Funding organisations and research ethics committees should play a part in strengthening attention to gender equality in clinical research. In the research policy of European Union , funding measures have been taken to realise this, but such measures are lacking in the EU policy regarding RECs.Objective: To explore how RECs in Austria, Germany, Ireland, The Netherlands and Sweden deal with gender equality issues by asking two questions: Do existing procedures promote representation of women and gender expertise in the committee? (...) How are sex and gender issues dealt with in protocol evaluation?Methods: Two RECs were selected from each country. Data were obtained through interviews with key informants and content analysis of relevant documents .Results: All countries have rules to ensure the presence of women on RECs; gender expertise is not required. Drug study protocols are carefully evaluated, sometimes on a formal basis, as regards the inclusion of women of childbearing age. The reason for excluding either one of the sexes or including specific groups of women or making a gender-specific risk–benefit analysis are investigated by some RECs. Such measures are, however, neither defined in the regulations nor integrated in review tools.Conclusions: The RECs investigated in five European member states are found to pay limited attention to gender equality in their working methods and, in particular in protocol evaluation. Policy and regulations of EU are needed to strengthen attention to gender equality in the work of RECs. (shrink)

The ‘right to the truth’ involves disclosing all the pertinent facts to a patient so that an informed decision can be made. However, this concept of a ‘right to the truth’ entails certain ambiguities, especially since it is difficult to apply the concept in medical practice based mainly on current evidence-based data that are probabilistic in nature. Furthermore, in some situations, the doctor is confronted with a moral dilemma, caught between the necessity to inform the patient (principle of autonomy) and (...) the desire to ensure the patient's well-being by minimising suffering (principle of beneficence). To comply with the principle of beneficence as well as the principle of non-maleficence ‘to do no harm’, the doctor may then feel obliged to turn to ‘therapeutic privilege’, using lies or deception to preserve the patient's hope, and psychological and moral integrity, as well as his self-image and dignity. There is no easy answer to such a moral dilemma. This article will propose a process that can fit into reflective practice, allowing the doctor to decide if the use of therapeutic privilege is justified when he is faced with these kinds of conflicting circumstances. We will present the conflict arising in practice in the context of the various theoretical orientations in ethics, and then we will suggest an approach for a ‘practice of truth’. Last, we will situate this reflective method in the broader clinical context of medical practice viewed as a dialogic process. (shrink)

This paper starts with an overview of C.G. Jung’s notion of archetypes. His ideas imply that Jungian archetypes can be viewed as the most general examples of the shared awarenesses that occur in groups of people of all sizes, ranging from families to humanity as a whole. The term ‘archetype’ is used in connection with such shared awarenesses in the subsequent discussion. The distinction that Jung made between archetypal representations and archetypes themselves is retained and emphasized. It is then pointed (...) out that archetypal representations are sets of Dawkins’ memes appearing in awareness. Pursuing the line of thought suggested by this, it is further proposed that the meme set can be regarded as analogous to the genotype in biology, while the representation itself resembles the phenotype in heuristically useful respects. Archetypes, as opposed to their representations, are the factors which predispose particular sets of memes to spread within a group of people and enter their awarenesses. It follows from the biological analogy that archetypes can be thought of as regularities that occur in an ‘ecology’ of representations. Because memes are subject to pseudo-Darwinian influences, parallels between the behaviour of representations and the phenomena of parasitology and epidemiology will sometimes be observed. The view of archetypes arrived at opens up a possibility that they might be responsible for some mass behaviours; e.g. those involved in the production of social movements such as Nazism or certain medical conditions of obscure aetiology. Archetypal representations possess in some circumstances the power to fill the consciousnesses of individuals ‘infected’ by them for long periods of time. These points are illustrated in a brief account of fatigue syndromes. Finally, should consciousness have a quantum theoretical basis, details of the epidemiology of archetypal representations will differ from those to be expected if it has no such basis. The phenomenon of alien abduction, presumed to be of archetypal origin, is discussed as an example. (shrink)

A sensitive, carefully demonstrated interpretation of Nietzsche's entire philosophy as culminating in, unified by, and also self-directed through the theory of eternal recurrence. The doctrine of the superman is shown to be the presupposition of the doctrine of eternal recurrence, for only the man who has surpassed himself can will the eternal recurrence of all being. The author also shows that, for Nietzsche, eternal recurrence is both "the way of the world" and moral task, and that, though Nietzsche struggled in (...) all his works to make these two "interpretations" of eternal recurrence coincide, in fact the notion of eternal recurrence remains ambiguous, revealing through its ambiguity that Nietzsche failed to reconcile man with the cosmos. --C. M. (shrink)

This edition, providing the only available English language access to Collin de Plancy's long-forgotten Dictionnaire infernal, is directed to the reader who likes the reinforcement of being able to get through a whole book in an hour or so, whizzing through clean pages at incredible speeds. Perhaps the most misleading aspect of this flashy volume is the fact that the publishers never mention that it is abbreviated at all; it contains 177 truncated versions of Collin de Plancy's 2,400 plus entries, (...) which filled in the 1825-1826 edition of four volumes of text and one of plates. Wade Baskin, a master of condensation, does cover a lot of ground in his two and one-half page introduction. This, unfortunately, serves as little but a teaser to the reader interested in more than a mere mention of Collin de Plancy's colorful, success-oriented career, his filiations with spiritual brothers like Nodier, and his influence on other writers of the Romantic period. One can begrudge this sort of holding back with good reason, for Collin de Plancy is a name unfamiliar today even to French scholars. Baskin's translation is, as usual, excellent.—C. M. R. (shrink)

On 5 August 1968, publication of the Harvard Committee’s report on the subject of “irreversible coma” established a standard for diagnosing death on neurological grounds. On the same day, the 22nd World Medical Assembly met in Sydney, Australia, and announced the Declaration of Sydney, a pronouncement on death, which is less often quoted because it was overshadowed by the impact of the Harvard Report. To put those events into present-day perspective, the authors reviewed all papers published on this subject and (...) the World Medical Association web page and documents, and corresponded with Dr A G Romualdez, the son of Dr A Z Romualdez. There was vast neurological expertise among some of the Harvard Committee members, leading to a comprehensible and practical clinical description of the brain death syndrome and the way to diagnose it. This landmark account had a global medical and social impact on the issue of human death, which simultaneously lessened reception of the Declaration of Sydney. Nonetheless, the Declaration of Sydney faced the main conceptual and philosophical issues on human death in a bold and forthright manner. This statement differentiated the meaning of death at the cellular and tissue levels from the death of the person. This was a pioneering view on the discussion of human death, published as early as in 1968, that should be recognised by current and future generations. (shrink)

Those who teach or are taught medical ethics with a heavy reliance on case studies should be warned first of all that the practice tends to exaggerate the degree to which morality is controversial. Secondly, they ought to realise that it is often quite unclear what problems count as moral problems. Thirdly, they will need to bear in mind that there may be -- and presumably are -- limits to what we may regard as open to discussion. It would be (...) quite superficial to assume that ethics teachers, going along with what is generally accepted by their colleagues in this matter, would never tempt students to disregard these limits. (shrink)