Background Informed consent confers upon participants the right to decline or accept participation in a study in equal measure. Consent declines can be used as a potential metric to assess the adequacy of the informed consent process. Limited literature is available on the reporting of consent declines in Clinical Research. We evaluated randomized controlled trials published in three high-impact factor journals for consent declines (four-year period) to assess the extent of exertion of autonomy by research participants. Methods CONSORT flow charts (...) in RCTs published in New England Journal of Medicine (NEJM), The Lancet and Journal of the American Medical Association (JAMA) between 2012 and 2015 were evaluated. The total and per journal proportion of RCTs reporting consent declines was calculated. Percentage of consent declines was also compared based on number of centers (single centric vs. multicentric) and type of setting (developed vs. developing). Between-groups analysis was done using Chi Square, Chi Square for trend and a Crude odds ratio [95% C.I] (cOR) were calculated. Results Only 3.7% (1103/29,825) of the published articles were RCTs. Of the 1103 RCTs, only 532 (48.2%) reported consent declines. JAMA had the highest RCTs reporting consent declines (171/267.64%), the Lancet [129,150/781,924, 16.5%] had the most participants declining consent. Difference was significant using Chi square for linear trend [ p < 0.00001]. Consent decline rate was higher in developed countries relative to developing countries [cOR(95% C.I): 2.27(2.23,2.32), p < 0.000001] and in single centric versus multicentric studies [cOR (95% C.I): 3.63(3.56,3.71), p < 0.0000001]. Conclusion Both authors and journal editors need to ensure better reporting of consent declines. (shrink)

According to familiar accounts, Rousseau held that humans are actuated by two distinct kinds of self love: amour de soi, a benign concern for one's self-preservation and well-being; and amour-propre, a malign concern to stand above other people, delighting in their despite. I argue that although amour-propre can (and often does) assume this malign form, this is not intrinsic to its character. The first and best rank among men that amour-propre directs us to claim for ourselves is that of occupying (...) 'man's estate'. This does not require, indeed it precludes, subjection of others. Amour-propre does not need suppression or circumscription if we are to live good lives; it rather requires direction to its proper end, not a delusive one. (shrink)

Bede's Ecclesiastical History is the most important single source for early medieval English history. Without it, we would be able to say very little about the conversion of the English to Christianity, or the nature of England before the Viking Age. Bede wrote for his contemporaries, not for a later audience, and it is only by an examination of the work itself that we can assess how best to approach it as a historical source. N.J. Higham shows, through a close (...) reading of the text, what light the Ecclesiastical History throws on the history of the period and especially on those characters from seventh- and early eighth-century England whom Bede either heroized, such as his own bishop, Acca, and kings Oswald and Edwin, or villainized, most obviously the British king Cædwalla but also Oswiu, Oswald's brother. In (Re-)Reading Bede, N.J. Higham offers a fresh approach to how we should engage with this great work of history. He focuses particularly on Bede's purposes in writing it, its internal structure, the political and social context in which it was composed and the cultural values it betrays, remembering always that our own approach to Bede has been influenced to a very great extent by the various ways in which he has been both used, as a source, and commemorated, as man and saint, across the last 1,300 years. (shrink)

How do we refer to people in everyday conversation? No matter the language or culture, we must choose from a range of options: full name ('Robert Smith'), reduced name ('Bob'), description ('tall guy'), kin term ('my son') etc. Our choices reflect how we know that person in context, and allow us to take a particular perspective on them. This book brings together a team of leading linguists, sociologists and anthropologists to show that there is more to person reference than meets (...) the eye. Drawing on video-recorded, everyday interactions in nine languages, it examines the fascinating ways in which we exploit person reference for social and cultural purposes, and reveals the underlying principles of person reference across cultures from the Americas to Asia to the South Pacific. Combining rich ethnographic detail with cross-linguistic generalizations, it will be welcomed by researchers and graduate students interested in the relationship between language and culture. (shrink)

Excerpt from De Finibus Bonorum Et Malorum: Libri Quinque About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We (...) do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

This part of the philosophy of psychology I refer to as 'moral psychology'; and, therefore, this book is offered as a contribution to moral psychology. ...

Life, but not as we know it -- Still life in nearly present time -- Driving and the city -- Movement-space -- Afterwords -- From born to made -- Spatialities of feeling -- But malice aforethought -- Turbulent passions.

Working memory--the ability to keep important information in mind while comprehending, thinking, and acting--varies considerably from person to person and changes dramatically during each person's life. Understanding such individual and developmental differences is crucial because working memory is a major contributor to general intellectual functioning. This volume offers a state-of-the-art, integrative, and comprehensive approach to understanding variation in working memory by presenting explicit, detailed comparisons of the leading theories. It incorporates views from the different research groups that operate on each (...) side of the Atlantic, and covers working-memory research on a wide variety of populations, including healthy adults, children with and without learning difficulties, older adults, and adults and children with neurological disorders. A particular strength of this volume is that each research group explicitly addresses the same set of theoretical questions, from the perspective of both their own theoretical and experimental work and from the perspective of relevant alternative approaches. Through these questions, each research group considers their overarching theory of working memory, specifies the critical sources of working memory variation according to their theory, reflects on the compatibility of their approach with other approaches, and assesses their contribution to general working memory theory. This shared focus across chapters unifies the volume and highlights the similarities and differences among the various theories. Each chapter includes both a summary of research positions and a detailed discussion of each position. Variation in Working Memory achieves coherence across its chapters, while presenting the entire range of current theoretical and experimental approaches to variation in working memory. (shrink)

The Homeric Scholia are not the most obvious source for literary criticism in the modern sense. And yet if one takes the trouble to read through them one will find many valuable observations about poetic technique and poetic qualities. Nowadays we tend to emphasize different aspects from those which preoccupied ancient critics, but that may be a good reason for looking again at what they have to say.

In the six remarkable elegidia transmitted in the Tibullan corpus as 3.13–18 we appear to possess the writings of an educated Roman woman of aristocratic family and high literary connections: a woman, moreover, who participates as an equal in one of the most distinguished artistic salons of the age, and composes poetry in an obstinately male genre on the subject of her own erotic experience, displaying a candour and the exercise of a sexual independence startingly at odds with the ideology (...) of her class. Such a figure is either, depending on one's viewpoint, too good to be true or too embarrassing to be tolerated. The case could easily be put that Sulpicia, more perhaps even than Sappho, has found her poems condemned by accident of gender to a century and a half of condescension, disregard, and wilful misconstruction to accommodate the inelastic sexual politics of elderly male philologists. Certainly even the most sympathetic of recent comment is prone to lapse into a form of critical language outlawed in Catullan scholarship thirty years ago. Yet feminist critics have been strangely cautious in their response. A scholar who rose swiftly to the defence of Erinna when that elusive poet's identity was impugned has notoriously written of Sulpicia: ‘She was not a brilliant artist: her poems are of interest only because the author is female.’ Five years late, Sulpicia has found a place in the major sourcebook on ancient women, but with the cycle of poems violently reordered after the judgment of a nineteenth-century critic, anxious to restore his poetess's chastity against the disconcerting frankness of the texts. (shrink)

This paper provides a philosophical critique of professional stereotypes in medicine. In the course of this critique, we also offer a detailed analysis of the concept of care in health care. The paper first considers possible explanations for the traditional stereotype that caring is a province of nurses and women, while curing is an arena suited for physicians and men. It then dispels this stereotype and fine tunes the concept of care. A distinction between ‘caring for’ and ‘caring about’ is (...) made, and concomitant notions of parentalism are elaborated. Finally, the paper illustrates, through the use of cases, diverse models of caring. Our discussion reveals the complexity of care and the alternative modes of caring in health care. (shrink)