Family Medicine Groups (FMGs) are the most recently developed primary care organizations in Quebec (Canada). Nurses within FMGs play a central role for patients with chronic diseases (CD). However, this complex role and the nursing activities related to this role vary across FMGs. Inadequate knowledge of nursing activities limits the implementation of exemplary nursing practices. This study aimed to describe FMG nursing activities with patients with CD and to describe the facilitators and barriers to these activities. A multiple‐case study was (...) performed with ten nurses practicing among patients with CD in FMGs. Five data sources were used to provide an in‐depth description of nursing activities and the facilitators and barriers to the development of these activities. After qualitative data analysis, findings show that nursing activities are clustered into five domains: Global assessment of the patient, Care management, Health promotion, Nurse–physician collaboration, and Planning services for patients with CD. Activities vary depending on contextual factors identified in each case. This multiple‐case study provides a clear description of nursing activities with patients with CD. There is a need for improved nursing activities and expertise in domains of activities that are less present in FMGs, such as case management and interprofessional collaboration. (shrink)

Objective:Fear of Cancer Recurrence (FCR), Health Anxiety (HA), worry, and uncertainty in illness are psychological concerns commonly faced by cancer patients. In survivorship research, these similar, yet different constructs are frequently used interchangeably and multiple instruments are used in to measure them. The lack of clear and consistent conceptualization and measurement can lead to diverse or contradictory interpretations. The purpose of this scoping review was to review, compare, and analyze the current conceptualization and measurements used for FCR, HA, worry, and (...) uncertainty in the breast cancer survivorship literature to improve research and practice.Inclusion Criteria:We considered quantitative, qualitative, and mixed methods studies of breast cancer survivors that examined FCR, HA, worry, or uncertainty in illness as a main topic and included a definition or assessment of the constructs.Methods and Analysis:The six-staged framework was used to guide the scoping review process. Searches of PubMed, CINAHL, and PsycINFO databases were conducted. The principle-based qualitative analysis and simultaneous content analysis procedures were employed to synthesize and map the findings.Findings:After duplicate removal, the search revealed 3,299 articles, of which 82 studies met the inclusion criteria. Several critical attributes overlapped the four constructs, for example, all were triggered by internal somatic and external cues. However, several unique attributes were found (e.g., a sense of loss of security in the body is observed only among survivors experiencing FCR). Overall, findings showed that FCR and uncertainty in illness are more likely to be triggered by cancer-specific factors, while worry and HA have more trait-like in terms of characteristics, theoretical features, and correlates. We found that the measures used to assess each construct were on par with their intended constructs. Eighteen approaches were used to measure FCR, 15 for HA, 8 for worry, and 4 for uncertainty.Conclusion:While consensus on the conceptualization and measurement of the four constructs has not yet been reached, this scoping review identifies key similarities and differences to aid in their selection and measurement. Considering the observed overlap between the four studied constructs, further research delineating the unique attributes for each construct is warranted. (shrink)

Aucune discussion d'ensemble des ecrits de Lyotard sur l'art n'avait ete entreprise. Or sa reflexion sur les arts - musique, cinema, peinture surtout - est une part essentielle de son oeuvre, comme en temoignent les analyses proposees dans Discours, figure, Que peindre?, Moralites postmodernes, L'Inhumain et Les Ecrits sur l'art contemporain et les artistes. Moins remarque pourtant est le fait que Lyotard a collabore avec des peintres (Monory, Guiffrey, Adami, Sam Francis, Appel, Buren, etc). Il a ete commissaire d'une exposition (...) en 1985 qui a fait date, " Les Immateriaux ", au Centre Georges-Pompidou. Plusieurs textes du volume ainsi qu'un entretien inedit avec Bernard Blistene sont consacres a cette manifestation. Pour ce livre Francoise Coblence et Michel Enaudeau ont sollicite non seulement des lecteurs avertis de Lyotard (Christine Buci-Glucksmann, Elisabeth de Fontenay, Jean-Michel Rey, Jean-Loup Thebaud, Herman Parret, Anne Cauquelin, Gerald Sfez, Jean-Claude Rolland, Claudine Eizykman et Guy Fihman, Jean-Francois Nordmann, Jean-Patrice Courtois), mais aussi de plus jeunes chercheurs (Gaelle Bernard, Frederic Fruteau de Laclos, Claire Pages, Jerome Glicenstein, Maud Pouradier, Evelyne Toussaint) qui decouvrent pour leur propre compte le travail de Lyotard sur les arts. Les contributions rassemblees analysent les concepts forges par Lyotard, tels que " figural ", "libidinal ", " sublime ", " immateriau ", " matiere ", " impresentable " " affect ", " ecriture ". A travers eux, cette pensee de l'art veut rompre avec l'esthetique au sens academique du terme pour voir ou entendre dans les oeuvres l'evenement de la couleur ou du son. C'est donc bien d'un enjeu " ontologique " qu'il y va : l'art est seul a nous presenter la frappe sensible de l'etre. (shrink)

With the help of medicine and technology we are living longer than ever before. As human life spans have increased, the moral and political issues surrounding longevity have become more complex. Should we desire to live as long as possible? What are the social ramifications of longer lives? How does a longer life span change the way we think about the value of our lives and about death and dying? Christine Overall offers a clear and intelligent discussion of the (...) philosophical and cultural issues surrounding this difficult and often emotionally charged issue. Her book is unique in its comprehensive presentation and evaluation of the arguments—both ancient and contemporary—for and against prolonging life. It also proposes a progressive social policy for responding to dramatic increases in life expectancy. Writing from a feminist perspective, Overall highlights the ways that our biases about race, class, and gender have affected our views of elderly people and longevity, and her policy recommendations represent an effort to overcome these biases. She also covers the arguments surrounding the question of the "duty to die" and includes a provocative discussion of immortality. After judiciously weighing the benefits and the risks of prolonging human life, Overall persuasively concludes that the length of life does matter and that its duration can make a difference to the quality and value of our lives. Her book will be an essential guide as we consider our social responsibilities, the meaning of human life, and the prospects of living longer. (shrink)

After discussing de Sousa's view of emotion in akrasia, I suggest that emotions be viewed as nonconceptual perceptions of value (see Tappolet 2000). It follows that they can render intelligible actions which are contrary to one's better judgment. An emotion can make one's action intelligible even when that action is opposed by one's all-things-considered judgment. Moreover, an akratic action prompted by an emotion may be more rational than following one's better judgement, for it may be the judgement and not the (...) perception which is in error. By contrast, "cool" akrasia is genuinely puzzling; it is not clear whether it exists. (shrink)

... View (i) The Thesis of Essential Contestedness The view that freedom and other ideals such as justice are essentially contested is important, ...

Within the framework of the searches about the new philosophic practices with the children, teachers-researchers and primary school teachers specialized in French educational systéme, gather for a collaborative search.The group observes the practices of his members and notes that they tend to modify the temporal representations on which teachers usually lean to think and act in their class. These changes have important consequences that are sometimes difficult to identify.The co-explicitation interviews presented here have led to the awareness and recognition of (...) knowledges of experience of the practitioners and to the developpment of théorical knwoledges. (shrink)

The aim of this paper is twofold: In its first part, we work out the key features of constitutivism as presented by Christine Korsgaard. This reconstruction serves to clarify which goals Korsgaard wants to achieve with her account and which of its central claims she has to defend in particular. In the second part, we discuss whether Korsgaard can vindicate constitutivism's most central claim. To do this, we analyse two important arguments - the argument from unavoidability and the argument (...) from the abstract constitutive principle - that have been made in support of constitutivism. We show how both these arguments go amiss and conclude that at least for now, constitutivism's most central claim has not been successfully argued for. (shrink)

The way in which one understands information and concepts, and the way a student works to develop this, is an individual aspect of learning that cannot be universally defined as (at least manifested) the same for everyone. ‘Understanding’ is a broad term, and the way one achieves understanding is dependent on the way that material is presented. In this article, we argue that the philosophy of science can be important to nursing education—in particular, by showing that the way we imbue (...) understanding might depend on the meaning of ‘understanding’. Diagrams and concept maps are meant to guide newly formed knowledge and connections to develop proper thinking (e.g., the order in which nursing students must prioritize data) that a student requires in the field. We argue that whether or not an image/diagram/concept map confers understanding will depend on both what the object is and what we mean by ‘understanding’. (shrink)

According to Aristotle, Plato's efforts at metaphysical explanation not only fail, they are nonsensical. In particular, Plato's appeals to Forms as metaphysically explanatory of the sensibles that participate in them is "empty talk" since "'participating' means nothing". I defend Plato against Aristotle's charge by identifying a particular, substantive model of metaphysical predication as the favored model of Plato's late ontology. The model posits two basic metaphysical predication relations: self-predication and participation. In order to understand the participation relation, it is important (...) first to understand how Plato's Forms are self-predicative paradigms. According to the favored model, Forms are self-predicative paradigms insofar as they are ideal, abstract encoders of structural essences. Sensibles participate in Forms by exemplifying the structures encoded in the Forms. Given plausible conditions on metaphysical explanation, Plato's appeals to abstract Forms as metaphysically explanatory of sensibles is a reasonable competitor for Aristotle's appeals to natural, substantial forms. At the very least, Plato's appeals to a participation relation are not empty. (shrink)

The Hearts and Minds of Ghana project improves the lives of those who are less fortunate and have few resources. Providing clear goals for the mission, devising prior guidelines for patient selection and treatment, achieving a better understanding of local culture and expectations, and good team work, facilitate making better ethical decisions, but doesn’t make them less difficult.

Marcelle Marini s’est éteinte à Paris le 24 janvier 2007. La distance qu’elle avait prise ces dernières années avec le monde universitaire ne doit pas faire oublier l’apport original à la recherche féministe française qui a été le sien. À travers son enseignement, ses ouvrages et ses articles, elle a développé une approche de la littérature renouvelée par la psychanalyse et par les interrogations du féminisme, approche dépourvue de dogmatisme et attentive aux œuvres dans leurs singularités. J...

Les premières années du XXe siècle ont vu en France un essor de la presse féminine et de la production littéraire des femmes, marquées par une vogue de la poésie d’autant plus frappante qu’elle reste sans équivalent dans d’autres périodes. On ne saurait y voir un mouvement littéraire cohérent ni concerté – quoique certains commentateurs aient parfois, à la suite de Charles Maurras, parlé à ce propos de « romantisme féminin » –, et cette étonnante reconnaissance publique d’une poésie écrite (...) pa... (shrink)

Le E dit muet, ou encore féminin, caduc, instable, concentre régulièrement l’attention dans les discours tenus sur la langue française, du XVIe siècle à nos jours. Parce qu’il sert à la formation du féminin et qu’il caractérise les rimes dites féminines, parce qu’il relève d’un traitement particulier dans la métrique française classique, et ne trouve pas son équivalent dans le système phonétique d’autres langues, il s’est peu à peu vu investi par écrivains et théoriciens des deux sexes de valeurs de (...) féminité, puis de poéticité et de francité. Le parcours chronologique proposé éclaire les idéologies de la langue française en montrant combien elles sont profondément associées, de façon explicite ou non, à une conception de la place des femmes dans la société et la culture. (shrink)

Futurism is famous for promoting “the art of noise” in its manifestos, serate (theatrical evenings), poetry, music, and visual art. Noise appears in Futurism as an avatar of the machine age, as a means of assaulting the senses of complacent audiences, and as a sign of the conflict inherent in matter. Beginning with the “Founding and Manifesto of Futurism” of 1909, where the noises of the street galvanize Marinetti and his friends to break out of a prison-like domestic space, to (...) early paintings representing the vibrations of music/noise by Balla, Severini, Carr , and Russolo, to Russolo's 1913 manifesto “The Art of Noises” and his invention of a series of “noise tuners,” discordant sound played a vital role in Futurist art and politics. Often it was associated with moments of rebirth or awakening to new forms of consciousness, as in Russolo's noise score “Awakening of the City,” but it could also signify the destruction of life, as in Marinetti's Zang Tumb Tuuum . It served both to shatter older forms of perception based on notions of order and harmony, and to instantiate the violence the Futurists believed was inherent in matter as well as in social life. It allowed repressed energies to be released, but also sought to re-channel these energies towards the integration of man and machine, flesh and metal, war and the universe of matter. (shrink)

Ökonomische und vorübergehende Migration stellen liberal-demokratische Gesellschaften vor die Herausforderung, traditionelle Ideale von Gesellschaft und demokratischer Inklusion zu überdenken. Christine Chwaszcza entwickelt einen moralischen Standpunkt für die ethische Bewertung von Fragen zu Immigration, sozialer und demokratischer Inklusion, der demokratietheoretische Überlegungen und Forderungen post-nationaler Gerechtigkeit in einer transnationalen Perspektive integriert. Das Buch wendet sich an Forscher und fortgeschrittene Studierenden der Politischen Philosophie, der Rechtsphilosophie und der Sozialwissenschaften.

Les vingt dernières années ont vu l’apparition d’une convergence forte entre une démarche appliquée se consacrant à la création de corpus de grande taille, à leur codage et à leur étiquetage, et diverses théories linguistiques dont les analyses reposent sur de tels corpus. Pour l’analyse de conversation (ou linguistique interactionnelle) une telle convergence ne semble pas possible, car son approche est qualitative et s’appuie sur de « petits » corpus. De plus, un examen approfondi du contexte social des interactions recueillies (...) est nécessaire, qui ne peut donc se réduire à la collecte de métadonnées. Une question surgit immédiatement : la notion de « petit » corpus a une validité sur le plan épistémologique? Le présent article montre qu’une réponse positive peut être apportée à cette question et qu’il est possible de fonder en raison une pratique qui, le plus souvent, se drape sous les oripeaux de l’évidence. (shrink)

This book seeks to remedy the contempt for law prominent in socialist writings. While political thinkers on the left are indisputably concerned with justice, they dismiss those legal institutions which, in liberal capitalist societies, have ensured some minimum measure of justice in citizens' lives. Marxists in particular have tended to reduce law to a capitalist apparatus necessary to mediate conflict between egoistic wills or social classes. The book argues against this doctrine by showing that however ideal a society socialists envisage, (...) legal institutions would be necessary to fairly adjudicate conflict between private and public interests. Each chapter takes up an issue in liberal jurisprudence to see how it would fare in a socialist theory which takes a constructive approach to law. The rule of law, natural and legal rights, obligations, and the sources of law are among the subjects covered. The book concludes that a socialist concept of law would enrich, not only debates about the nature of socialism, but also debates about community and justice which preoccupy `mainstream' political theory and jurisprudence. (shrink)

This essay argues for a conception of law as a normative practice, a conception which departs from traditional, particularly positivist, conceptions. It is argued that Dyzenhaus's book (Dyzenhaus 1991), with its fascinating case study of unjust judicial decisions in South Africa, makes a compelling argument for such a conception. However, the essay takes issue with Dyzenhaus for romanticising the liberal tradition, and inflating the power of law and legal theory. Nonetheless, the essay agrees that positivist accounts tend to downplay the (...) emancipatory promise of law, and ends with some remarks about promise. (shrink)

How do we know if people are equal? Contemporary philosophers consider a number of issues when determining if the goals of egalitarian distributive justice have been achieved: defining the metric of equality; determining whether the goal is equality, or simply priority or sufficiency; establishing whether there should be conditions, e.g. bad brute luck, for the amelioration of inequality. In all this, most egalitarians contend that what is to be equalized is not people’s actual shares of the good in question, but (...) rather, the opportunities to have such shares. I counter this view with an ‘egalitarian flourishing’ approach that, in seeking to make people equal in actual well-being, takes exception to the role of opportunity in contemporary argument. The flourishing view means a focus on outcomes, on how people live, in order to enable people to live equally flourishing lives. I argue that if we consider the complex dynamics of choice and circumstance, the role of nonmaterial considerations and the ideal of an egalitarian community, equality of opportunity proves to be an inadequate approach to the realization of the egalitarian ideal. (shrink)

BackgroundFrontal brain dysfunction is a major challenge in neurorehabilitation. Neurofeedback (NF), as an EEG-based brain training method, is currently applied in a wide spectrum of mental health conditions, including traumatic brain injury.ObjectiveThis study aimed to explore the capacity of Infra-Low Frequency Neurofeedback (ILF-NF) to promote the recovery of brain function in patients with frontal brain injury.Materials and methodsTwenty patients hospitalized at a neurorehabilitation clinic in Switzerland with recently acquired, frontal and optionally other brain lesions were randomized to either receive NF (...) or sham-NF. Cognitive improvement was assessed using the Frontal Assessment Battery (FAB) and the Test of Attentional Performance (TAP) tasks regarding intrinsic alertness, phasic alertness and impulse control.ResultsWith respect to cognitive improvements, there was no significant difference between the two groups after 20 sessions of either NF or sham-NF. However, in a subgroup of patients with predominantly frontal brain lesions, the improvements measured by the FAB and intrinsic alertness were significantly higher in the NF-group.ConclusionThis is the first double-blind controlled study using NF in recovery from brain injury, and thus also the first such study of ILF NF. Although the result of the subgroup has limited significance because of the small number of participants, it accentuates the trend seen in the whole group regarding the FAB and intrinsic alertness (p = 0.068, p = 0.079, respectively). We therefore conclude that NF could be a promising candidate promoting the recoveryfrom frontal brain lesions. Further studies with larger numbers of patients and less lesion heterogeneity are needed to verify the usefulness of NF in the neurorehabilitation of patients with frontal brain injury (NCT02957695 ClinicalTrials.gov). (shrink)

Le propos de l’article est l’analyse de la cérémonie de la prise d’habit au sein de l’Ordre Notre-Dame du Mont-Carmel aux xviie et xviiie siècles. À partir des sources normatives, picturales et hagiographiques, cette cérémonie est détaillée, notamment la scénographie de l’avant/après, gommant toute marque féminine (présence de cheveux, soins pour un teint pâle, vêtement ajusté, usage de soieries, de bijoux, etc.). Certaines pratiques témoignent de la mise en impatience de ce passage de la soie au drap, qui se traduit (...) par des prises d’habit clandestines, prématurées ou des portraits de mondaines usurpatrices en habit de carmélites. Il est vrai que le modèle absolu de La Madeleine, compte tenu des origines le plus souvent princières des postulantes, n’est pas étranger au prestige de la métamorphose. Réalité et construction représentative permettent de montrer comment le Carmel s’est approprié une cérémonie, qui, dans le contexte compétitif entre les ordres de la liturgie tridentine, valorise la femme, par le biais de la moniale, affranchie des attributs de son sexe. Mais surtout, la vêture a su rendre spectaculaire et désirable ce qui a priori ne l’est pas, la pauvreté et la pénitence du corps et de ses attributs, dans le but avoué du recrutement de nouvelles postulantes. De la rivalité entre drap et soie, le vainqueur n’est pas forcément celui que l’on croit. (shrink)

Otto Neugebauer’s early academic career was marked by a series of transitions. His interests shifted from physics to mathematics, and finally to the history of ancient mathematics and exact sciences. Yet even from his early years in Graz, Neugebauer was strongly attracted to the mathematical culture of Göttingen. When he arrived there in 1922, he quickly established a strong personal friendship with Richard Courant, the newly appointed Director of the Mathematics Institute. Neugebauer and Courant worked together closely up until 1933, (...) when the Nazi government decimated the Göttingen scientific community. In this essay, Neugebauer’s historical work and his vision for a new approach to the study of the exact sciences are viewed through the prism of these events. By so doing, one can easily appreciate how Neugebauer’s scholarship reflects the ideals he and Courant shared as leading representatives of the Göttingen mathematical tradition. (shrink)

This chapter contains sections titled: Notes.

The allocation of any scarce health care resource, especially a lifesaving resource, can create profound ethical and legal challenges. Liver transplant allocation currently is based upon urgency, a sickest-first approach, and does not utilize capacity to benefit. While urgency can be described reasonably well with the MELD system, benefit encompasses multiple dimensions of patients’ well-being. Currently, the balance between both principles is ill-defined. This survey with 502 participants examines how urgency and benefit are weighted by different stakeholders. Liver transplant patients (...) favored the sickest-first allocation, although all other groups tended to favor benefit. Criteria of a successful transplantation were a minimum survival of at least 1 year and recovery of functional status to being ambulatory and capable of all self-care. An individual delisting decision was accepted when the 1-year survival probability would fall below 50%. Benefit was found to be a critical variable that may also trigger the willingness to donate organs. The strong interest of stakeholder for successful liver transplants is inadequately translated into current allocation rules. (shrink)

This volume examines Arnold Gehlen’s theory of the state from his philosophy of the state in the 1920s via his political and cultural anthropology to his impressive critique of the post-war welfare state. The systematic analyses the book contains by leading scholars in the social sciences and the humanities examine the interplay between the theory and history of the state with reference to the broader context of the history of ideas. Students and researchers as well as other readers interested in (...) this subject will find this book offers an informative overview of how one of the most wide-ranging and profound thinkers of the twentieth century understands the state. With contributions by Oliver Agard, Heike Delitz, Joachim Fischer, Andreas Höntsch, Tim Huyeng, Rastko Jovanov, Frank Kannetzky, Christine Magerski, Zeljko Radinkovic, Karl-Siegbert Rehberg and Christian Steuerwald. (shrink)

The “motive of justice” is ambiguous between three quite different categories of motivation. These are: the motive to perform a particular just act; the motive to set up institutions of justice, most particularly the conventions or “artifices” which regulate and establish property; and a motivational disposition, or essential part of a complex of motivational dispositions, that is characteristic of a person with the virtue of justice. The question now arises: Can justice as a basic virtue be understood as having at (...) its core a natural motive which is expressed in its various differentiated forms? More particularly, could Hume find such a motive? This chapter argues that compassion can be seen as just that natural motive. It considers two problems for the understanding of compassion as the natural motive for justice in sense, in relation to Hume's theory of the passions. (shrink)

In this interview Christine M. Korsgaard answers several questions on her particular interpretation of Kant's moral philosophy. More specifically, she dwells on the role of the noumenal/phenomenal distinction for a better understanding of Kant's idea of practical reason, as well as on the compatibility between Aristotelian and Kantian practical reason. In addition, she answers a couple of more general questions on the perspectives and challenges of contemporary ethical theory.

Das Nachdenken über Beziehungen zwischen Bildern ist ein kunsthistorisches Kerngeschäft. Zugleich ist es jedoch auch eine Herausforderung für die Theorien und Methoden des Faches. Was bedeutet es daher, im Rückgriff auf die Literaturtheorie von der Intertextualität der Bilder zu sprechen? Worin besteht der Unterschied zur Rede von Bildzitaten, vom Bezug auf Quellen oder die ikonografische Tradition? Seit den 1960er Jahren wird dies lebhaft diskutiert. Elisabeth-Christine Gamer zeichnet in ihrem Buch die Geschichte des Diskurses über fünf Dekaden nach und berücksichtigt (...) dabei unterschiedliche Fächer und Sprachen. Zugleich arbeitet sie seine Merkmale heraus und liefert damit eine Basis für die weitere kunsthistorische Beschäftigung mit dem Modell Intertextualität"--Back cover. (shrink)

Some concepts, such as colour concepts or value concepts, seem to bear traces of the mind's own make-up. For instance, the character of perceptually-determined colour concepts seems in some sense derivative from the character of the visual system. Thus, it has seemed plausible to claim that the corresponding colour properties are dispositions to elicit certain visual experiences in normal observers under suitable conditions. Much the same has been suggested for value concepts. An extreme position would be that colours and values (...) therefore are not in the world at all, they instead are mere projections that tell us more about the users of response-dependent concepts than about the world they inhabit. But even setting aside such extreme views, a number of important philosophical and psychological questions remain open. What exactly is response-dependence, and does any concept have this feature? What is the appropriate metaphysics for properties represented by response-dependent concepts, and for these concepts themselves? What determines the extension of such properties? How are we to account for knowledge expressed in terms of response-dependent concepts? What mechanisms correctly explain the origins of response-dependent concepts, and their role in representation? This volume brings together a wide range of views on these questions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Toward Thriving Communities: Virtue Ethics as Social Ethics by Brian StiltnerChristine DarrToward Thriving Communities: Virtue Ethics as Social Ethics Brian Stiltner WINONA, MN: ANSELM ACADEMIC, 2016. 271 PP. $28.95Brian Stiltner's text provides a clear introduction to the theoretical framework of virtue ethics and how that framework can be fruitfully applied to understand the interplay between individual character development and flourishing, and the flourishing (or not) of communities to (...) which those individuals belong. He breaks this task into two parts. In the first, Stiltner offers an introduction to the field of ethics in its personal, communal, and social dimensions. He discusses the three normative ethical theories most prominent in the West (deontological, consequentialist, and virtue ethics) and then applies these theories to a case study to examine the strengths and weakness of each. He then argues that, while applied ethicists often recommend employing all three approaches into the decision-making process, a person who wishes to make [End Page 198] formal ethical arguments must ultimately choose which framework to favor. In Stiltner's view, the framework of virtue ethics is best able to address the social and communal dimensions of ethics, which is the focus of the second part of the book.In the latter half of the first part, Stiltner describes the cultivation of virtue and examines specific categories—namely, virtues of care, respect, purpose, perceiving and reasoning, and acting and relating. The lynchpin between the first and second parts of the text is Stiltner's elucidation of human flourishing, in which he begins to link individual flourishing with the flourishing of communities. He draws heavily on Martha Nussbaum's capabilities approach to explain how individual flourishing can be enhanced or diminished by the communities of which one is a part. Finally, he argues that some groups perform as "mediating institutions" wherein "the pro-social influences of the virtues instilled in people in one communal context transfer to other contexts as the individuals participate in many associations," thereby influencing society as a whole (105).Following the primarily theoretical first part, the focus of the second part is how to apply those theoretical principles to actual communities. He describes his objective here as "recommend[ing] ethical principles and concrete practices that will help persons, groups, and societies to flourish" (131). He examines four specific types of mediating institutions—families, schools, work, and service—and follows the same pattern of analysis for each. He provides a brief sociological account of the group, then scrutinizes the ethical impact of the reciprocal relationships of persons to groups and groups to society. He then discusses a case study that highlights some of the challenges in each particular institution and what resources are available to individuals and institutions that could overcome those challenges.Stiltner's text is an excellent introduction to the field of virtue ethics for an undergraduate audience. One particular strength is his discussion of many contemporary voices from the fields of ethics, philosophy, and sociology—from Nussbaum to Robert Putnam, his reliance on fields outside of ethical theory proper strengthens and broadens his analysis significantly. In addition, he provides ample resources along the way for the reader. Each chapter begins with a boxed overview of the chapter and ends with questions for review and discussion as well as resources for further research. The text does not specifically address the spiritual dimension of ethical development or the role of religion as a mediating institution; while this is not necessarily a weakness, one should know this is not specifically a Christian ethical analysis. Nevertheless, I strongly recommend this text for an introduction to ethics course or as a resource for undergraduates studying sociology or social work. [End Page 199]Christine DarrUniversity of DubuqueCopyright © 2017 Society of Christian Ethics... (shrink)