This article explores challenges to accessing opioid treatment programs in rural areas, and offers solutions that would ease these problems.

Like nature itself, modern economic life is driven by relentless competition and unbridled selfishness. Or is it? Drawing on converging evidence from neuroscience, social science, biology, law, and philosophy, Moral Markets makes the case that modern market exchange works only because most people, most of the time, act virtuously. Competition and greed are certainly part of economics, but Moral Markets shows how the rules of market exchange have evolved to promote moral behavior and how exchange itself may make us more (...) virtuous. Examining the biological basis of economic morality, tracing the connections between morality and markets, and exploring the profound implications of both, Moral Markets provides a surprising and fundamentally new view of economics--one that also reconnects the field to Adam Smith's position that morality has a biological basis. Moral Markets, the result of an extensive collaboration between leading social and natural scientists, includes contributions by neuroeconomist Paul Zak; economists Robert H. Frank, Herbert Gintis, Vernon Smith, and Bart Wilson; law professors Oliver Goodenough, Erin O'Hara, and Lynn Stout; philosophers William Casebeer and Robert Solomon; primatologists Sarah Brosnan and Frans de Waal; biologists Carl Bergstrom, Ben Kerr, and Peter Richerson; anthropologists Robert Boyd and Michael Lachmann; political scientists Elinor Ostrom and David Schwab; management professor Rakesh Khurana; computational science and informatics doctoral candidate Erik Kimbrough; and business writer Charles Handy. (shrink)

In Religion and the Obligations of Citizenship Paul J. Weithman asks whether citizens in a liberal democracy may base their votes and their public political arguments on their religious beliefs. Drawing on empirical studies of how religion actually functions in politics, he challenges the standard view that citizens who rely on religious reasons must be prepared to make good their arguments by appealing to reasons that are 'accessible' to others. He contends that churches contribute to democracy by enriching political (...) debate and by facilitating political participation, especially among the poor and minorities, and as a consequence, citizens acquire religiously based political views and diverse views of their own citizenship. He concludes that the philosophical view which most defensibly accommodates this diversity is one that allows ordinary citizens to draw on the views their churches have formed when voting and offering public arguments for their political positions. (shrink)

ARCHIVES INTERNATIONALES D'HISTOIRE DES IDEES INTERNATIONAL ARCHIVES OF THE HISTORY OF IDEAS 33 PAUL J. OLSCAMP The Moral Philosophy of George Berkeley ..

This article has two objectives. First, and in particular, it seeks to reinterpret the ostracism procedure of early democratic Athens. Since Aristotle, this has been understood as a rational, political weapon of collective defense, intended to expel from Athens a disproportionately powerful individual. In this article, by putting emphasis on themateriality, gestures, and location of ostraka-casting, I propose instead that the institution can more fruitfully be understood as a ritual enactment of civic unity. Second, and more generally, I hope to (...) explore the frames within which early Athenian democracy is placed: while Greek kingship and tyranny (i.e. “primitive” polities) have been very successfully explored through anthropological and cross-cultural comparison, Greek democracy for the most part has remained in the domains of the institutional historian and political theorist. Taking a phenomenological and comparative approach, this article asks how the citizens of early democratic Athens experienced and comprehended their new sovereignty and the invented procedures of mass decision-making through which it was expressed. (shrink)

The current study investigates classroom interactivity in L2 tertiary literature classrooms in Hong Kong and Taiwan when ESL/efl students engage with and interpret literary texts in classroom talk as a pedagogic process of text recontextualization. It proposes a more ecological-based approach to language and languaging dynamics that is complementary to current social semiotic approaches to multimodality. It also aims to open up a more embodied analysis of the meaning-making process in tertiary literature classrooms. The multimodal investigation of real-time classroom interactivity (...) based on a multi-scalar approach showcases an embodied coordination of vocalization and gesticulation as integral aspects of the dynamic whole-body sense-making activity that arises in the pedagogic process of text recontextualization. The dynamics vary from students’ solo speech in individual presentation to teacher–student interactions in group discussion and to student–student interactions in role-play. The distributed language view of first-order languaging dynamics demonstrates the embodied and distributed dimensions of the real-time classroom interactivity that couples pedagogic subjects to the affordances of their pedagogic environment. It also provides insights into the impact of pedagogic activities on the multi-scalar dynamics of the meaning-making process with reference to embodied speech–gesture coordination. The paper demonstrates the value of applying an ecologically embodied perspective to multimodal studies in classroom research and stimulates a re-thinking of some of the important aspects of classroom interactivity that have received little attention thus far. (shrink)

In their analysis Childress et al. (2023) suggest that withdrawal of extracorporeal membrane oxygenation (ECMO) over a patient’s dissent is not justified by existing ethical arguments. The alternat...

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The (...) cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students. (shrink)

Individual differences related to emotions are typically represented as emotion traits. Although important, these descriptive models often do not address the psychological dynamics that underlie the trait. Appraisal theories of emotion assume that individual differences in emotions can be traced to differences in patterns of appraisal, but this hypothesis has largely gone untested. The present research explored whether individual differences in the emotion of interest, known as trait curiosity, consist of patterns of appraisal. After completing several measures of trait curiosity, (...) participants read complex poems (Experiment 1) or viewed simple and complex pictures (Experiment 2) and then gave ratings of interest and interest's appraisal components. The effect of trait curiosity on interest was fully mediated by appraisals. Multilevel analyses suggested that curious people differ in the amount of appraisal rather than in the kinds of appraisals relevant to interest. Appraisal theories can offer a process-oriented explanation of emotion traits that bridges state and trait emotional experience. (shrink)

Academic health centres have historically treated patients with the most complex of diseases, served as training grounds to teach the next generations of physicians and fostered an innovative environment for research and discovery. The physicians who hold faculty positions at these institutions have long understood how these key academic goals are critical to serve their patient community effectively. Recent healthcare reforms, however, have led many academic health centres to recruit physicians without these same academic expectations and to partner with non-faculty (...) physicians at other health systems. There has been limited transparency in regard to the expertise among the physicians and the academic faculty within these larger entities. Such lack of transparency may lead to confusion among patients regarding the qualifications of who is actually treating them. This could threaten the ethical principles of patient autonomy, benevolence and non-maleficence as patients risk making uninformed decisions that might lead to poorer outcomes. Furthermore, this lack of transparency unjustly devalues the achievements of physician faculty members as well as potentially the university they represent. In this paper, it is suggested that academic health centres have an obligation to foster total transparency regarding what if any role a physician has at a university or medical school when university or other academic monikers are used at a hospital. (shrink)

Examining the implications of a localist model for linguistic performance, I show the strengths of the P-graph, a network of elementary units of meaning where utterance results from relaxation through the operation of a dynamics of affect values. A unit of meaning is stored in a synaptic connection that brings together two words. Such a model, consistent with the anatomy and physiology of the neural tissue, eschews a number of traditional pitfalls of “semantic networks”: (1) ambiguity ceases to be an (...) issue, as similar uses of a word are automatically clustered together; (2) faster retrieval of words acquired early is explained by the larger number of their instances. In addition the P-graph takes advantage of a plausible form of information storage: the local topology of the neural tissue. (shrink)

What does quilting have to do with electric circuit theory? The answer is just one of the fascinating ways that best-selling popular math writer Paul Nahin illustrates the deep interplay of math and physics in the world around us in his latest book of challenging mathematical puzzles, Mrs. Perkins's Electric Quilt. With his trademark combination of intriguing mathematical problems and the historical anecdotes surrounding them, Nahin invites readers on an exciting and informative exploration of some of the many ways (...) math and physics combine to create something vastly more powerful, useful, and interesting than either is by itself. In a series of brief and largely self-contained chapters, Nahin discusses a wide range of topics in which math and physics are mutually dependent and mutually illuminating, from Newtonian gravity and Newton's laws of mechanics to ballistics, air drag, and electricity. The mathematical subjects range from algebra, trigonometry, geometry, and calculus to differential equations, Fourier series, and theoretical and Monte Carlo probability. Each chapter includes problems--some three dozen in all--that challenge readers to try their hand at applying what they have learned. Just as in his other books of mathematical puzzles, Nahin discusses the historical background of each problem, gives many examples, includes MATLAB codes, and provides complete and detailed solutions at the end. Mrs. Perkins's Electric Quilt will appeal to students interested in new math and physics applications, teachers looking for unusual examples to use in class--and anyone who enjoys popular math books. (shrink)

Treatments of the moral doctrine of René Descartes found in the Cartesian scholarship do not typically regard the Cartesian philosophy as being devoted to moral instruction. In this essay, it is argued that the moral philosophy of Descartes involves the connection of the method enunciated in the Discourse on the Method with the „morale par provision” articulated in that work. The affinity between morals and method is found in the fact that moral dispositions are to be adapted to the progress (...) achieved in scientific technology. Accordingly, it is the advance of science that determines the good of man. And it is concluded that the Cartesian moral teaching amounts to this: That which man can do is good or moral to do. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:On the God of the Christians: And on One or Two Others by Rémi BraguePaul J. GriffithsOn the God of the Christians: And on One or Two Others. By Rémi Brague. Translated by Paul Seaton. South Bend, Ind.: St. Augustine’s Press, 2013. Pp. xvi + 160. $26.00 (cloth). ISBN: 978-1-58731-345-5.Rémi Brague holds professorial positions at the Sorbonne in Paris and the Ludwig-Maximilians-Universität in Munich. He is perhaps (...) best described as a philosophical theologian and historian of ideas, and has published widely and deeply in these fields, writing mostly in French. A good portion of his work has, during the last two decades, been translated into English, and there are now half-a-dozen books and many essays by him available in that language. The book here under review was published in French in 2009.The book’s title aptly indicates one of its main themes, which is the deep and distinctive difference between the God of the Christians and other gods, especially the God of Islam. Brague does not like—and wishes to place under the ban—ways of characterizing Christianity and Islam that suggest or imply that Christians and Muslims worship the same God, and that they are each monotheistic, Abrahamic, and a people of the Book. Furthermore, he advocates such a ban, sometimes in excitable language, because of deep differences in Christian and Muslim ways of understanding, depicting, and analyzing God.Brague seems to think that difference in predicatively identifying, describing, and responding to something requires, if it reaches a certain level, the conclusion that what is being identified, described, and responded to is not the same thing. Such difference makes, for example, shared reference impossible. If the predicate list I supply for something I wish to talk about is sufficiently different from the predicate list you supply for something you wish to talk about, the conclusion Brague prefers is that we are not talking about the same thing—that we are not referring to the same thing.But there are problems here. Imagine the following case. I speak of someone who is female, sixty-eight years old, lives in Bangalore, writes in English, and has published seventy-four essays and thirteen books. You speak of someone who is male, seventy-three years old, lives in Montréal, writes in French, and has published thirty-nine books and more than one hundred essays. The predicates have little in common. It might seem reasonable to say [End Page 463] that we are and must be referring to different people because no one person could share this predicate list: the list contains noncompossibles. But a little discussion shows that we each understand ourselves to be speaking about the most eminent living philosopher; that is a description each of us applies to the person thus predicatively identified.What to say about this? Perhaps that each of us is speaking of (referring to) the most eminent living philosopher, but that one (or both) of us has identified that person wrongly. On this understanding—not one, I think, that Brague would prefer—there is no failure of reference. Rather, there is error, more or less widespread, in specifying the properties belonging to the individual to whom the overarching predicate (‘most eminent living philosopher’) applies. Alternatively, one might say that only one—or perhaps neither—of us is speaking about the most eminent living philosopher, and that failure to do so is guaranteed by a sufficient number of mistakes in the predicate list. That is the line Brague would prefer.But it is easy enough to see that such an interpretation is not necessary and may be confused. We might, after all, be in substantial agreement as to what it would take to be the most eminent living philosopher. We might, that is, give largely the same sense to that expression, even if we disagree massively as to the particulars of the person who meets the case. And if so, the proper conclusion is not that neither of us is talking about the most eminent living philosopher; it is rather that we are talking about just that person... (shrink)

Through a detailed re-reading of Saussure's work in the light of contemporary developments in the human, life and physical sciences, Paul Thibault provides us with the means to redefine and refocus our theories of social meaning-making. Saussure's theory of language is generally considered to be a formal theory of abstract sign-types and sign-systems, separate from our individual and social practices of making meaning. In this challenging book, Thibault presents a different view of Saussure. Paying close attention to the original (...) texts, including the Cours de Linguistic Generale, he demonstrates that Saussure was centrally concerned with trying to formulate a theory of how meanings are made. In addition to demonstrating the continuing viability of Saussure's thinking through a range of examples, Re-reading Saussure makes an important intervention in contemporary linguistic and semiotic debate. (shrink)

ABSTRACTHélène Landemore's Democratic Reason offers a new justification for democracy and for broad-based citizen participation, appealing to the “emergent” intelligence of large, diverse groups. She argues that ordinary citizens should rule as directly as possible because they will make better informed, more intelligent decisions than, for example, appointed officials, councils of experts, or even elected representatives. The foundation of this conclusion is the premise that “diversity trumps ability” in a wide range of contexts. But the main support for that claim (...) is merely a series of computer experiments that are strongly biased toward that result and tell us essentially nothing about decision making in real-world political settings. Moreover, Landemore's analyses of alternative forms of rule deal only in abstract comparisons between sharply distinguished ideal types. Among other difficulties, they entirely overlook the central consideration in such comparisons: the relative ability of any decision-making process to go beyond stereotyped, intrinsic strategies and integrate multiple sources and varieties of information. In the end, Landemore's claims for the superior intelligence of broadly participatory forms are thus not supported by credible evidence. (shrink)

book 1. Knowledge.--book 2. Truth.--book 3. Certitude.

With this paper I aim to demonstrate that a look beyond the Aristotelian square of opposition, and a related non-conservative view on logical determiners, contributes to both the understanding of Aristotelian syllogistics as well as to the study of quantificational structures in natural language.

During the midst of the Great Resignation, over 4.5 million people have changed jobs. While a job change does not register as one of the top three drivers of stress, career transition-related stress does present itself as one of the top 25 causes. This stress can be reduced through social support models, career transition planning, and personal brand strategy frameworks. These adaptive change models become part of a continuous learning and growth process. This literature review aims to contribute to the (...) industry and define career transition through a more holistic personal brand strategy utilizing a wide range of disciplines considering the challenges and opportunities presented during the Great Resignation. (shrink)

Benchmarks against which healthcare ethics consultation (HCEC) services can assess their performance are needed. As first-generation benchmarks continue to be developed, it is the obligation of the field to continually evaluate how these measures reflect the performance of any single HCEC service. This will be possible only with widespread reporting of standardized data points. In their article in this issue of The Journal of Clinical Ethics, Glover and colleagues provide a valuable preliminary approach for assessing appropriate consult volumes for a (...) HCEC service. The limitations of their study read as a call to action for the field of clinical ethics to expand and standardize data reporting so that more robust metrics can be developed. In response to this call by Glover and colleagues, the Cleveland Clinic HCEC service provides consult data from 2015 through 2019 for one of its medical centers, and offers an additional volumebased metric, consult-to-ICU-to-bed ratio (CiBR), that may add nuance to any normative assessment of HCEC service consult volume. Given that volume-based metrics are the native language of the clinical environment, efforts to improve such metrics in the field through transparency and standardization are warranted. However, the expositive power of volume-based metrics is limited; additional domains related to quality and outcomes are needed. (shrink)

Complex clinical ethics cases require a blend of compassion, sensitivity, and tenacity in order to navigate the hard work required of stakeholders. Each person comes to the table with rich historie...

First published in 2000. Routledge is an imprint of Taylor & Francis, an informa company.

This chapter contains sections titled: Tradition and Sources Ontology Epistemology and Philosophy of Language Persons God Works cited.

The vulnerability of patients receiving significantly innovative neurosurgical procedures, either as research or as non-standard therapy, presents particularly potent challenges for those attempting to substantially advance clinical Neurosurgical practice in the most ethically and efficacious manner. This beginning formulation has built into it several important notions about research participation, balancing values, and clinical advancement in the context of neurological illness. For the time being, allow vulnerability to act as a placeholder for circumstances or states of being wherein the established checks (...) and balances of power and interest are no longer sufficient in promoting the just treatment of persons. Further, the phrase to substantially advance Neurosurgical practice encompasses radical innovation as well as significant research into new procedures. Finally, few of these explorations involve true randomized placebo controlled trials, but rather they enroll patients rightfully hoping for some benefit by means of undergoing the procedure.When a neurosurgeon asks me, as an ethicist, to meet with a patient who has medically refractory disease and no good standard therapy options remaining, he is asking for help concerning whether to offer, as a last chance, an unproven therapy as either innovation or research. (shrink)

This exploration of a notorious mathematical problem is the work of the man who discovered the solution. Written by an award-winning professor at Stanford University, it employs intuitive explanations as well as detailed mathematical proofs in a self-contained treatment. This unique text and reference is suitable for students and professionals. 1966 edition. Copyright renewed 1994.

As neural implants transition from engineering design and testing into human subjects research, careful consideration must be paid to the ethical elements in developing research protocols. Although these ethical aspects may be framed by the design choices of the engineering, a number of challenging choices arise. In spite of many ethical considerations for neural implant technologies being shared with generic research ethics questions, there are subsets needing special attention. Even in considerations requiring increased attention, substantial overlap can be found with (...) research ethics questions for general medical implants and for psychiatric pharmaceuticals. The special attention to specific ethical questions in neural implants exists because of the value placed on preserving cognition and control as well as our continued memory of significant past research abuses in neurosurgery. This paper focuses on three issues of particular saliency to neural implant testing: inclusion/exclusion of subjects with psychiatric conditions, consent withdrawal of research subjects, and enhancement as a goal. (shrink)

In his identity, words, and deeds Jesus of Nazareth provides the possibility and promise of ministry in his name.

Western Buddhology, the responsible scholarly study of Buddhist languages, history and ideas, is now more than a century and a half old. For most of that time scholars working in this field have been primarily concerned to understand and expound their sources, not to criticize or assess the views found therein, much less to make any attempt at deciding whether the central views of Buddhist philosophers are likely to be true statements of the way things are. There are good reasons (...) for this restriction; before a given set of philosophical views can be assessed it must be understood, and in the case of Buddhism the gaining of such understanding has involved the collective philological labours of several generations of scholars and is still in many respects in its infancy. What is the case for the scholarly community as a whole is magnified for the individual working in this field; the effort involved in becoming competent in several Buddhist canonical languages and in becoming familiar with a range of philosophical ideas and preconceptions which are in many respects alien to one's own culture tends to mean that the Buddhologist's apprenticeship is long, his publications so clogged with jargon as to be inaccessible to any non-specialist, and his appetite for truth stifled by Sanskrit syntax and Tibetan declensions. There is the added problem that the Western intellectual who makes the study of Buddhism his avocation is likely to be, in some more or less well defined sense, a Buddhist; and the dangers of making religious commitment the major motivation for scholarly study have been so amply illustrated by Christian history that they scarcely need rehearsing here. (shrink)

In Moral Leadership>, Paul J. Olscamp shows how college presidents and trustees can use basic ethical principles to help make moral decisions. Olscamp describes the nature of the college presidency and provides a summary view of western ethical theory, outlining a series of principles relating to morality and obligation.

Background and Aims Progress towards validating amyloid beta as an early indicator of Alzheimer’s disease (AD) heightens the need for evaluation of stakeholders’ perspectives of the benefits and harms of preclinical testing in asymptomatic individuals. Methods Investigators conducted and analyzed 14 semi-structured interviews with family members of patients diagnosed with AD. Results Participants reported benefits, including the potential to seek treatment, make lifestyle changes, and prepare for cognitive impairment. Participants identified harms, including social harms, adverse life decisions, and psychological harms. (...) Nine participants reported either a “positive global perspective” or a “positive global perspective (qualified).” Conclusion Results from this study characterized stakeholders’ perspectives on the potential benefits and harms of clinical use of preclinical testing for AD. Investigators used data from this study to develop a framework that contributes to ongoing discussions that will evaluate widespread adoption of preclinical testing and will inform future research. (shrink)

Because Paul has proven difficult to understand, the interpreter must pay careful attention to the language, the rhetorical structure, and the context if unnecessary difficulties are to be avoided.

Responsibility has traditionally been associated with a project of appropriation, understood as the securing of a sphere of mastery for a willful subject, and enframed in a metaphysics of will, causality and subjectivity. In that tradition, responsibility is understood in terms of the subjectum that lies at the basis of the act, as ground of imputation, and opens onto the project of a self-legislation and self-appropriation of the subject. However, one finds in Heidegger and Derrida the reversal—indeed, the deconstruction—of such (...) a tradition, and responsibility is approached instead as an exposure to an inappropriable: assumption of an inappropriable thrownness and finitude for Heidegger, ‘experience of the im-possible’ for Derrida. I will explore how responsibility can be thought from such inappropriable, in an experience that Derrida called ‘ex-appropriation.’ In the process, I will engage the very complex and tortuous relation of Derrida to Heidegger. (shrink)