In debates about criteria for human death, several camps have emerged, the main two focusing on either loss of the "organism as a whole" (the mainstream view) or loss of consciousness or "personhood." Controversies also rage over the proper definition of "irreversible" in criteria for death. The situation is reminiscent of the proverbial blind men palpating an elephant; each describes the creature according to the part he can touch. Similarly, each camp grasps some aspect of the complex reality of death. (...) The personhood camp, in contrast to the mainstream "organism" camp, recognizes that a human organism can still be a biological living whole even without brain function. The mainstream camp, in contrast to the personhood camp, recognizes that a person can be permanently, even irreversibly unconscious, and still be a living person so long as his/her body is alive. The author proposes that hylomorphic dualism incorporates both these key insights. But to complete the picture of the entire "death elephant," a fundamental paradigm shift is needed to make sense of other seemingly conflicting insights. The author proposes a "semantic bisection" of the concept of death, analogous to the traditional distinction at the beginning of life between "conception" and "birth." To avoid the semantic baggage associated with the term "death," the two new death-related concepts are referred to as "passing away" (or "deceased") and "deanimation," corresponding, respectively, to sociolegal ceasing-to-be (mirror image of birth) and ontological/theological ceasing-to-be of the bodily organism (mirror image of conception). Regarding criteria, the distinguishing feature is whether the cessation of function is permanent (passing away) or irreversible (deanimation). If the "dead donor rule" were renamed the "deceased donor rule" (both acronyms felicitously being "DDR"), the ethics of organ transplantation from non–heart-beating donors could, in principle, be validly governed by the DDR, even though the donors are not yet ontologically "deanimated." Thus, the paradigm shift satisfies both those who insist on maintaining the DDR and those who claim that it has all along been receiving only lip service and should be explicitly loosened to include those who are "as good as dead." Even so, a number of practical caveats remain to be worked out for non–heart-beating protocols. (shrink)

The composition of nitrogen-doped hydrogenated amorphous carbon films grown in a magnetically confined rf plasma-enhanced chemical vapour deposition system has been determined by X-ray photoelectron spectroscopy and compared with that determined using a combination of elastic recoil detection analysis, Rutherford back-scattering and nuclear reaction analysis. The importance of nitrogen doping or 'incorporation' in hydrogenated amorphous carbon films is discussed in relation to the significant variation in the sp 2 -to-sp 3 ratio that takes place. At 7 at.% N in the (...) a-C : H matrix, a critical change in the microstructure is observed, which governs the resulting mechanical, optical and electronic properties. Finally, the correlation between the sp 2 and sp 3 fractions determined by a non-destructive method of obtaining the bond fractions and by electron-energy-loss spectroscopy is discussed, with a view to evaluating accurately the sp 2 fraction in a-C : H : N films. (shrink)

Social scientists could learn some useful things from philosophy. Here I shall discuss what I take to be one such thing: a better understanding of the concept of utility. There are several reasons why a better understanding may be useful. First, this concept is commonly found in the writings of social scientists, especially economists. Second, utility is the main ingredient in utilitarianism, a perspective on morality that, traditionally, has been very influential among social scientists. Third, and most important, with a (...) better understanding of utility comes, as I shall try to show here, a better understanding of “personal welfare”. or, in other words, of what may be said to be in people's best interests. Such an understanding is useful to social scientists and philosophers alike, whether for utilitarian purposes or not. (shrink)

I present an annotated development of the basic ideas of the Geneva School approach to the foundations of physics and the structures which emerge as mathematical representations of the physically dual notions of state and property.

To those who think that an institution must be a function of its history it must seem a considerable anomaly that when universities were first set up in the Middle Ages their main aim, apart from being communities of scholars, was to produce theologians, lawyers and doctors of medicine. For arts and what then had some connection with what we now know as science, as incorporated in the traditional seven liberal arts of grammar, logic and rhetoric, followed by arithmetic, geometry, (...) music and astronomy, were thought of as merely propaedeutic to the study of theology, law and medicine. Those seven liberal arts occupied the student during the course for the B.A., which gave the licence to teach, and some students went no further than that. But the main concern of a university lay in what happened after the B.A., in the attainment of a mastership or in what was in effect the doctorate in one of the three areas which I have mentioned before. Indeed, in some universities, particularly those in the south of Europe, the B.A. was given only scant attention and only lip service was given to the idea of liberal arts. (shrink)

Many philosophers have declared that everything which exists is a particular. There is a weak interpretation of this doctrine which I believe to be a true proposition, and a strong one which I believe to be false.

This paper addresses the issue of how science and history of science may help or be helped by Vedic studies. The conclusions drawn are that: 1. Vedic studies are important for the history of Indian science; 2. Modern science, in particular physics, is not a useful source of philosophical ideas that confirm aspects of Vedic studies; 3. Vedic studies will not contribute to modern scientific research; and 4. Vedic studies are nevertheless centrally important for an understanding of Indian history and (...) culture in general. (shrink)

This is a personal account highlighting some of the difficulties in dealing with a contagious epidemic in a resource poor setting. It shows a situation where you are limited in what you can do and asks what you should do when the interests of the population and of the individual conflict.

: This article explores certain issues that arise at the borderline between conceptual analysis and metaphysics, where answers to questions of a conceptual nature compete with answers to questions of an ontological or metaphysical nature. I focus on the way in which three philosophers, Kant, Collingwood and Davidson, articulate the relationship between the conceptual question "What are actions?" and the metaphysical question "How is agency possible?" I argue that the way in which one handles the relationship between the conceptual and (...) the ontological question has important implications for one’s conception of the nature of philosophy, and that thinking hard about what it takes to defend the autonomy of the mental and of the agent-centred perspective should force us to think about our underlying conception of philosophy and to choose between one that understands it as first science and one that understands it as the under-labourer of science. (shrink)

To understand the continuing importance of John Rawls’s work, we need to understand the background, the object and the method of his fifty-year quest as a political thinker. The background to Rawls’s investigation was a (carefully circumscribed) acknowledgement of a certain kind of evaluative pluralism. The object of Rawls’s work was to develop a method of commensuration that would enable us, the free and equal citizens of a democratic society, to identify a common basis for our dealings, in search of (...) mutual benefit, with one another. Finally, the method used by Rawls in his work was broadly, though tacitly rather than explicitly, pragmatist in character, especially in the sense that Rawls was aiming, now explicitly, to develop principles of political association that generate their own support in the attitudes and actions of those whose behavior they are intended to guide. (shrink)

Ormerod and Chronicle reported that optimal solutions to traveling salesperson problems were judged to be aesthetically more pleasing than poorer solutions and that solutions with more convex hull nodes were rated as better figures. To test these conclusions, solution regularity and the number of potential intersections were held constant, whereas solution optimality, the number of internal nodes, and the number of nearest neighbors in each solution were varied factorially. The results did not support the view that the convex hull is (...) an important determinant of figural attractiveness. Also, in contrast to the findings of Ormerod and Chronicle, there were consistent individual differences. Participants appeared to be divided as to whether the most attractive figure enclosed a given area within a perimeter of minimum or maximum length. It is concluded that future research in this area cannot afford to focus exclusively on group performance measures. (shrink)

In his Essay Towards a New Theory of Vision Berkeley argues that it is only a happy accident that we are aware of space and objects in space by means of vision, and that the logically primary way in which we are aware of space is by touch. Berkeley 's argument is that all connections between the visual and the spatial properties of things are contingent. Thus we may judge an object's distance from us by noting the number and size (...) of intervening objects, by the sensations arising when we turn our eyes to it, from the confused appearance of the object, or from the straining of our eyes ; but in each case there is only a contingent connection between the method used and the distance of the object from the observer. Similar considerations apply to the judgements we make by sight of magnitude and situation. If this is so then clearly we must have some other way of making spatial judgements, for how else could we establish the various contingent links between what we see and space? This other method must, of course, be by touch, but then touch cannot be merely contingently related to space, for then we would need a third method and so on. Berkeley is therefore led to maintain that there are necessary connections between touch and space. For Berkeley, then, it is impossible for us to make spatial judgements, judgements of the distances between objects and of the magnitudes and positions of objects, by means of sight alone, whereas it is possible to make such judgements on the basis of information obtainable from touch alone. It is this joint claim that I wish to consider. (shrink)

Frank Plumpton Ramsey was born in February 1903, and he died in January 1930—just before his 27th birthday. In his short life he produced an extraordinary amount of profound and original work in economics, mathematics and logic as well as in philosophy: work which in all these fields is still, over sixty years on, extremely influential.

Background: Demand for organisational ethics capacity is growing in health organisations, particularly among managers. The role of clinical ethicists in, and perspective on, organisational ethics has not been well described or documented in the literature. Objective: To describe clinical ethicists’ perspectives on organisational ethics issues in their hospitals, their institutional role in relation to organisational ethics, and their perceived effectiveness in helping to address organisational ethics issues. Design and Setting: Qualitative case study involving semi-structured interviews with 18 clinical ethicists across (...) 13 health organisations in Toronto, Canada. Results: From the clinical ethicists’ perspective, the most pressing organisational ethics issues in their organisations are: resource allocation, staff moral distress linked to the organisation’s moral climate, conflicts of interest, and clinical issues with a significant organisational dimension. Clinical ethicists were consulted in particular on issues related to staff moral distress and clinical issues with an organisational dimension. Some ethicists described being increasingly consulted on resource allocation, conflicts of interest, and other corporate decisions. Many clinical ethicists felt they lacked sufficient knowledge and understanding of organisational decision-making processes, training in organisational ethics, and access to organisational ethics tools to deal effectively with the increasing demand for organisational ethics support. Conclusion: Growing demand for organisational ethics expertise in healthcare institutions is reshaping the role of clinical ethicists. Effectiveness in organisational ethics entails a re-evaluation of clinical ethics training to include capacity building in organisational ethics and organisational decision-making processes as a complement to traditional clinical ethics education. (shrink)

(No abstract is available for this citation).

The author introduces us to the mythology, system of thought and social practices of the Inuit in an attempt to discover their conception of social sex (or gender). Unlike the binary conception that predominates among westerners, the Inuit have a tripartite system in which some individuals, men or women, straddle the social frontier between the sexes/genders. This third social sex, which is prominent in mythology and among the great mythical figures, is also found at the heart of shamanistic mediations, as (...) well as in many families, where the identity of dead relatives is transmitted to the 'newborn', regardless of their sex. When the sex is different, the children are cross-dressed till puberty, after which time they have to take on the gender corresponding to their sex, but a number of these young people used to become shamans and so continued to assume the mediations of the third social sex. This construction occurs without any reference to sexual orientation. (shrink)

The burden of the Christian religion is not primarily that certain attitudes are desirable nor that certain practices are comfortable, but that certain things are true. Certain facts have to be faced, certain claims recognized. Questions of the meaningfulness and truth-status of religious language are thus central to Christian apologetic. However much emphasis we give to the vital link between true belief and action - and for the Bible the two are inseparable - there is no escaping the obligation to (...) enquire into the meaning and truth of Christian affirmations as well as their personal or social effectiveness. (shrink)

The following discussion arises out of reflection upon a number of related topics. One of these is the problem of perception, and in particular of perceptual illusion. Another is the use which has been made, e.g. by Bradley, of the distinction between appearance and reality as a guiding principle of metaphysical inquiry. But the immediate occasion of the present inquiry is the attempt to discover what Kant in particular has to say upon these and similar problems. It is for this (...) reason that I have given the paper its title, and not because I wish to pose as an expert in Kantian scholarship. What contribution I can make to Kantian studies is only that of the outsider whose questions may perhaps suggest to the experts lines of inquiry which their very familiarity with Kant's ways of expressing himself may have led them to overlook. But the aim of the paper is not so much to discover what Kant meant as to formulate a particular view which may have been Kant's in such a way that we can judge whether it is true or not. The decision on that point, however, falls outside the scope of the present discussion. (shrink)

The death of Roger Caillois was vividly felt by writers and intellectuals all over the world. Not only in France, where his work in sociology, surrealism, criticism and literature brought him into the Académie française, but also in Japan, Brazil (whose Academy elected him to the seat previously occupied by André Malraux), in Argentina (where he counted numerous friends whose works and thought he had made known in Europe) his passing profoundly saddened literary and intellectual circles. Struck to the heart (...) by his death also is the review Diogenes, which he founded and which has been formed by his perpetually needle-sharp curiosity, his creative imagination and his uncompromising precision. (shrink)

What makes Jehovah's Witnesses tick? What motivates practitioners of medicine? How is benevolent human behaviour to be interpreted? The explanation that fear of censure, mind-control techniques or enlightened self-interest are the real motivators of human conduct is questioned. Those who believe that man was created in "God's image", hold that humanity has the potential to rise above selfishly driven attitudes and actions, and reflect the qualities of love, kindness and justice that separate us from the beasts. A comparison of general (...) medical ethics and disciplines, and those of the Jehovah's Witness community, is made in this context. The easy charge that frequent deaths result from refusal of blood transfusions is examined. The central source of antipathy towards Jehovah's Witnesses, namely the alleged imposition of extreme and even harmful refusal of blood therapy on our children is addressed. Of course, "...few dilemmas are likely to be resolved wisely or satisfactorily by a blinkered adherence to abstract principles alone. Solutions to most cases will be dictated by a combination of factors. The support of medical ethics by Jehovah's Witnesses, and their willingness to share in reasoned and ethical debate, while at the same time holding firm to their religious and conscientious principles are emphasised. (shrink)