What is the nature of children's trust in testimony? Is it based primarily on evidential correlations between statements and facts, as stated by Hume, or does it derive from an interest in the trustworthiness of particular speakers? In this essay, we explore these questions in an effort to understand the developmental course and cognitive bases of children's extensive reliance on testimony. Recent work shows that, from an early age, children monitor the reliability of particular informants, differentiate between those who make (...) true and false claims and keep that differential accuracy in mind when evaluating new information from these people. We argue that this selective trust is likely to involve the mentalistic appraisal of speakers rather than surface generalizations of their behavior. Finally, we review the significance of children's deference to adult authority on issues of naming and categorization. In addition to challenging a purely inductive account of trust, these and other findings reflect a potentially rich set of tools brought by children to the task of learning from people's testimony. (shrink)

Psychologists have emphasized children's acquisition of information through firsthand observation. However, many beliefs are acquired from others' testimony. In two experiments, most 4yearolds displayed sceptical trust in testimony. Having heard informants' accurate or inaccurate testimony, they anticipated that informants would continue to display such differential accuracy and they trusted the hitherto reliable informant. Yet they ignored the testimony of the reliable informant if it conflicted with what they themselves had seen. By contrast, threeyearolds were less selective in trusting a reliable (...) informant. Thus, young children check testimony against their own experience and increasingly recognise that some informants are more trustworthy than others. (shrink)

How do children acquire beliefs from testimony? In this chapter, we discuss children's trust in testimony, their sensitivity to and use of defeaters, and their appeals to positive reasons for trusting what other people tell them. Empirical evidence shows that, from an early age, children have a tendency to trust testimony. However, this tendency to trust is accompanied by sensitivity to cues that suggest unreliability, including inaccuracy of the message and characteristics of the speaker. Not only are children sensitive to (...) evidence of unreliability, but they are also sensitive to the positive reasons a speaker may have for the reliability of their testimony. This evidence is discussed in relation to reductivist and non-reductivist viewpoints. (shrink)

Paul Appelbaum and colleagues propose four models of informed consent to research that deploys whole genome sequencing and may generate incidental findings. They base their analysis on empirical data that suggests that research participants want to be offered incidental findings and on a normative consensus that researchers incur a duty to offer them. Their models will contribute to the heated policy debate about return of incidental findings. But in my view, they do not ask the foundational question, In the (...) context of genome sequencing, how much work can consent be asked to do? (shrink)

[1] The phenomenology of Edmund Husserl -- The existential philosophy of Albert Camus -- The existenz philosophy of Karl Jaspers -- The philosophy of Gabriel Marcel -- The philosophy of Martin Heidegger -- v. 2. The existential philosophy of Søren Kierkegaard -- The existential philosophy of Ortega y Gasset -- The philosophy of Martin Buber -- The existential philosophy of Nicolas Berdyaev -- The philosophy of Paul Ricoeur.

Table of Contents Volume I Preface to Volumes I and II: A Guide to the Primer Chapter 1, Basic Ideas and Tools Chapter 2, Transcription between English and Sentence Logic Chapter 3, Logical Equivalence, Logical Truths, and Contradictions Chapter 4, Validity and Conditionals Chapter 5, Natural Deduction for Sentence Logic: Fundamentals Chapter 6, Natural Deduction for Sentence Logic: Strategies Chapter 7, Natural Deduction for Sentence Logic: Derived Rules and Derivations without Premises Chapter 8, Truth Tree for Sentence Logic: Fundamentals Chapter (...) 9, Truth Trees for Sentence Logic: Applications Index for Volume 1 Solutions Manual for Volume 1 Table of Contents to Volume II Introduction to Predicate Logic Notes Chapter 1, Predicate Logic: Syntax Chapter 2, Predicate Logic: Semantics and Validity Chapter 3, More about Quantifiers Chapter 4, Transcription Chapter 5, Natural Deduction for Predicate Logic: Fundamentals Chapter 6, More on Natural Deduction for Predicate Logic Chapter 7, Truth Tress for Predicate Logic: Fundamentals Chapter 8, More on Truth Tress for Predicate Logic Chapter 9, Identity, Functions, and Definite Descriptions Chapter 10, Metatheory: The Basic Concepts Chapter 11, Mathematical Induction Chapter 12, Soundness and Completeness for Sentence Logic Trees Chapter 13, Soundness and Completeness for Sentence Logic Derivations Chapter 14, Koenig’s Lemma, Compactness, and Generalization to Infinite Sets of Premises Chapter 15, Interpretations, Soundness, and Completeness for Predicate Logic Index for Volume II Solutions Manual for Volume II Diagrammatic Summary of Rules Corrections to the Text. (shrink)

PHOTO ID 121339257© Designer491| Dreamstime.com ABSTRACT When physicians use their clinical knowledge and skills to advance the well-being of their patients, there may be apparent conflict between patient autonomy and physician beneficence. We are skeptical that today’s medical ethics education adequately fosters future physicians’ commitment to beneficence, which is both rationally defensible and fundamentally consistent with patient autonomy. We use an ethical dilemma that was presented to a group of third-year medical students to examine how ethics education might be causing (...) them to give undue deference to autonomy, thereby undermining their commitment to beneficence. INTRODUCTION The right of patients to choose which treatments they prefer is rooted in today’s social mores and taught as a principle of medical ethics as respect for autonomy. Yet, when physicians use their clinical knowledge and skills to advance the well-being of their patients, there may be a conflict between patient autonomy and physician beneficence. We are skeptical that today’s medical ethics education adequately fosters a commitment to beneficence, which is both rationally defensible and fundamentally consistent with patient autonomy. I. An Ethical Dilemma The impetus for this paper arose when students who were completing their third clinical year discussed a real-life ethical dilemma. A middle-aged man developed a pulmonary hemorrhage while on blood thinners for a recently placed coronary stent. The bleeding was felt to be reversible, but the patient needed immediate intubation or he would die. The cardiologist was told that the patient previously expressed to other physicians that he never wanted to be intubated. However, the cardiologist made the decision to intubate the patient anyway, and the patient eventually recovered.[1] Students were asked if they believed that the cardiologist had acted ethically. Their overwhelming response was, “No, the patient should have been allowed to die.” We looked into how students applied ethical reasoning to conclude that this outcome was ethically preferred. To explore how the third-year clinical experience might have formed the students’ judgment, we presented the same case to students who were just beginning their third year. Their responses were essentially uniform in recommending intubation. While there is likely more than one reasonable view in this case, we agree with the physician and the younger medical students that intubation was the ethically appropriate decision and will present an argument for it. But first, we explain the reasoning behind the more advanced medical students’ decision to choose patient autonomy at the expense of beneficence. II. Medical Ethics Education and the Priority of Autonomy Beauchamp and Childress’s Principles of Biomedical Ethics, first published in 1979 and now in its 8th edition, is a significant part of the formal ethics education in medical school.[2] Students learn an ethical decision-making approach based on respect for four ethical principles: autonomy, beneficence, nonmaleficence, and justice. While Beauchamp and Childress officially afford no prima facie superiority to any principle, the importance of respect for patient autonomy has increased through the editions of their book. For example, early editions of their book opposed the legalization of physician-assisted death compared to recent editions that defended it.[3] As another example, Beauchamp and Childress make paternalism harder to justify by adding an autonomy-protecting condition to the list of conditions for acceptable paternalism.[4] Authority, they contend, need not conflict with autonomy—provided the authority is autonomously chosen.[5] “The main requirement,” they write, “is to respect a particular patient’s or subject’s autonomous choices, whatever they may be.[6] In the principlism of Beauchamp and Childress, autonomy now seems to have a kind of default priority.[7] However, the bioethics discourse has strong counternarratives, noting some movement to elevate the role of beneficence and to respect the input of stakeholders, including the family and the healthcare team. Ethics education achieves particular relevance in the third clinical year when students become embedded in the care of patients and learn from what has been called the informal curriculum. They observe how attending physicians approach day-to-day ethical problems at the patient’s bedside. In this context, students observe the importance of informed consent for serious treatments or invasive procedures, a practice that highlights the principle of patient autonomy. In both the formal and informal curriculum, medical students observe how, in the words of Paul Wolpe, “patient autonomy has become the central and most powerful principle in ethical decision-making in American medicine.”[8] In short, students appear to learn a deference for patient autonomy. This curricular shift in favor of autonomy coincides with legal developments that protect patients’ rights and decision-making with respect to their healthcare choices. The priority of autonomy in medicine benefits patients by reflecting their choices and, in some cases, their fundamental liberty. III. The Practice of Medicine and the Commitment to Beneficence There are many critiques of the dominant place that autonomy has in biomedical ethics,[9] especially considering that autonomy seems to be biased toward individualistic, Western, and somewhat American culture-driven values.[10] In addition, many bioethical dilemmas are cast as a conflict between autonomy and beneficence. Our point is that medical students bring to their study of medicine a commitment to beneficence that seems to be suppressed by practical ethics education. We think this commitment is rationally defensible and should be nurtured. It is striking that young medical students have a pre-reflective commitment to beneficence at all. For, as we mentioned, it is not just medicine but Western culture generally that prioritizes autonomy in settling ethical dilemmas. In wanting to act for the good of others (rather than simply agreeing to what others want), physicians are already swimming somewhat against the cultural tide.[11] However, doing so makes sense, given the nature of medicine and the profession of healing. When prospective medical students are asked why they wish to become physicians, the usual answer is some variation on caring for the sick and preventing disease. It is unlikely that a reason to become a physician is to respect a patient’s autonomy. It would be easy to dismiss medical students’ commitment to beneficence as a mere intuition and contrary to a more reasoned and deliberative approach. Beauchamp and Childress seem to minimize the value of physician intuition, stating that justifications for certain procedures are “…supported by good reasons. They need not rest merely in intuition or feeling.”[12] Henry Richardson writes that “situational or perceptive intuition…leaves the reasons for decision unarticulated.”[13] We think this is a crude and rather thin way of understanding intuition. Some bioethicists have defended intuition as essential to the practice of medicine and not something opposed to reason.[14] In the case we describe, we believe the ethical justifications s for the patient’s intubation are fundamentally sound: the patient did not have a “do not intubate” order written in the chart, the emergency intubation had not been foreseen, so the patient did not have the opportunity to consent to or reject intubation; the patient had consented to the treatment for his cardiac disease so his consent for intubation could have been assumed;[15] and the consequences of respecting his autonomy did not justify allowing him to die.[16] While it is possible to have more than one reasonable view on this case, we think the case for beneficence is strong and certainly should not be dismissed out of hand. We do not deny that if a patient makes a clearly documented, well-informed decision to forgo intubation that this decision ought to be respected by the physician (even if the physician disagrees with the patient’s decision). But, in this situation, as in many others in the practice of medicine, the patient’s real wishes and preferences are not well-articulated in advance. There are many cases where a physician acts based on what she believes the patient, or the surrogate, would want, sometimes in situations that do not allow much time for reflection. An example might be resuscitation of a newborn at the borderline of viability. In their ethics education, beneficence would mean acting first to save a life. If the patient or surrogate makes an informed decision to the contrary, a beneficent physician respects that autonomous decision. In the case presented, the patient expressed gratitude to the cardiologist when extubated. But what if he had expressed anger at the physician for violating his autonomy? There are those who could argue that not only was intubation ethically wrong but that the cardiologist put himself in legal jeopardy by his actions (especially if there had been a written refusal applicable to the specific situation). In the example we use, we point out that the cardiologist may not have escaped a lawsuit if the patient had died without intubation. His family, when hearing the circumstances, may have sued for failure to act and dereliction of the cardiologist’s duty to save him. Beyond a potential legal challenge for either action or inaction, there is an overriding ethical question the cardiologist had to address: what course would be most satisfying to his conscience? Would he rather allow a patient to die for fear of recrimination, or act to save his life, regardless of the personal consequences? In the absence of real knowledge about the patient’s considered wishes, it is most reasonable to err on the side of promoting patient well-being. A physician’s commitment to beneficence is not necessarily a way of undermining a patient’s autonomy. In acting for the patient's good, physicians are also acting on what it is reasonable to believe a patient (or most patients, perhaps) would want, which is obviously connected to what a patient does want. Pellegrino and Thomasma argue that beneficence includes respect for a patient’s autonomy since “the best interests of the patient are intimately linked with their preferences.”[17] Instead of conceptualizing ethical dilemmas in medicine as conflicts between autonomy and beneficence, it is possible that medical schools could teach students that truly practicing beneficence is a way of valuing patient autonomy, especially when the patient’s wishes are not specific to the situation and are not clearly expressed. CONCLUSION It is important for students and practicing physicians to understand the principle of respect for patient autonomy in a pluralistic society that demands personal self-determination. However, the role of the physician as a beneficent healer should not be diminished by this respect for autonomy. Respecting a patient’s autonomy is grounded in and manifested by physician beneficence.[18] That is, seeking what is good for the patient can only be good if it respects their personhood and dignity. We propose that a commitment to beneficence, incipient in young medical students, should be developed over time with their other clinical reasoning skills. Such a commitment need not be sacrificed on the altar of patient autonomy. Beneficence needs greater relative moral weight with students as they proceed in their ethics education. - [1] S. Jauhar, “When Doctors Need to Lie,” New York Times, February 22, 2014, https://www.nytimes.com/2014/02/23/opinion/sunday/when-doctors-need-to-lie.html. [2] T. L. Beauchamp and James F. Childress, Principles of Biomedical Ethics, 8th ed. (New York, NY: Oxford University Press, 2019). [3] Louise A. Mitchell, “Major Changes in Principles of Biomedical Ethics,” The National Catholic Bioethics Quarterly 14, no. 3 (2014): 459–75, https://doi.org/10.5840/ncbq20141438. [4] Tom L. Beauchamp and James F. Childress, Principles of Biomedical Ethics, 8th ed. (New York, NY: Oxford University Press, 2019), 238. [5] Beauchamp and Childress, 103. [6] Beauchamp and Childress, p. 108. [7] For other accounts that prioritize autonomy, see e.g. Allen E. Buchanan and Dan W. Brock, Deciding for Others: The Ethics of Surrogate Decision Making (Cambridge University Press, 1989), 38–39; R Gillon, “Ethics Needs Principles—Four Can Encompass the Rest—and Respect for Autonomy Should Be ‘First among Equals,’” Journal of Medical Ethics 29, no. 5 (October 2003): 307–12, https://doi.org/10.1136/jme.29.5.307. For examples of critiques of these accounts, see footnote 9. [8] P. R. Wolpe, “The Triumph of Autonomy in American Bioethics: A Sociological View,” in Bioethics and Society: Constructing the Ethical Enterprise, p. 43. [9] V. A. Entwistle et al., “Supporting Patient Autonomy: The Importance of Clinician-Patient Relationships,” Journal of General Internal Medicine 25, no. 7 (July 2010): 741–45; C. Foster, Choosing Life, Choosing Death: The Tyranny of Autonomy in Medical Ethics and Law, 1st ed. (Oxford ; Hart Publishing, 2009); O. O’Neill, Autonomy and Trust in Bioethics, The Gifford Lectures, University of Edinburgh 2001 (Cambridge, UK: Cambridge University Press, 2002). [10] P. Marshall and B. Koenig, “Accounting for Culture in a Globalized Bioethics,” The Journal of Law, Medicine & Ethics: A Journal of the American Society of Law, Medicine & Ethics 32, no. 2 (2004): 252–66; R. Fan, “Self-Determination vs. Family-Determination: Two Incommensurable Principles of Autonomy,” Bioethics 11, no. 3–4 (1997): 309–22. [11] Arguments stressing the importance of beneficence, as ours does here, certainly approach paternalistic arguments. We set aside the complex issue of paternalism for purposes of this paper and simply note that the principle of beneficence as such does not say anything specifically about acting against the patient’s will. In the case study that focuses this paper, we do not believe the patient’s will or wishes were clearly indicated. [12] Beauchamp and Childress, Principles of Biomedical Ethics, p. 20, see note 2 above. [13] H. S. Richardson, “Specifying, Balancing, and Interpreting Bioethical Principles,” The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 25, no. 3 (January 1, 2000): 285–307, p. 287. [14] H. D. Braude, Intuition in Medicine a Philosophical Defense of Clinical Reasoning (Chicago ; University of Chicago Press, 2012). [15] R. Kukla, “Conscientious Autonomy: Displacing Decisions in Health Care,” The Hastings Center Report 35, no. 2 (2005): 34–44. [16] M. Schermer, The Different Faces of Autonomy: Patient Autonomy in Ethical Theory and Hospital Practice, vol. 13, Library of Ethics and Applied Philosophy (Dordrecht: Springer Netherlands, 2002). [17] E. D. Pellegrino and D. C. Thomasma, For the Patient’s Good - the Restoration of Beneficence in Health Care (New York, NY: Oxford University Press, 1988), p. 29. [18] Pellegrino and Thomasma, For the Patient’s Good. 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The first three chapters cover Petzet's initial encounter with the young Heidegger in Freiburg, Heidegger's connection to National Socialism and naive attempt at a spiritual revival of the German university while rector at Freiburg, and Heidegger's tentative steps back into post-war public life. The "Dialogues" in chapter 4 are mostly Petzet's recorded conversations and personal recollections of talks with Heidegger in the fifties. Based on notes unknown to Heidegger, Petzet gives us glimpses of his friend in high spirits with an (...) inner circle of friends, irritated by the "ugly attacks against him", and nervously anticipating his interview with Der Spiegel in 1966. Except for chapter 7, the gist of the "encounters" are found in chapter 5. These are Petzet's eye-witness accounts of Heidegger's meetings with various individuals. The portrait of Heidegger's happiness after meeting Clara Rilke, along with the equally poetic encounters with Hertha Koenig and Andrei Voznesensky, have a warmth about them that may tell us more about Petzet than Heidegger. There is, however, the impression of genuine intimacy in Heidegger's friendships with Paul Hassler and Jean Beaufret. In chapter 6, Petzet affirms Heidegger's positive influence on his own work as art historian and critic, and insists that exposure to the works of Cézanne and Klee pushed Heidegger's views on art beyond those expressed in his treatment of van Gogh's Peasant Shoes in "The Origin of the Work of Art". (shrink)

Qui étions-nous? Pour répondre à cette question, Paul Jorion dresse l'inventaire de ce que nous, êtres humains, avons pu comprendre jusqu'ici de notre destin. Il convoque pour ce faire les phares de notre réflexion sur nous-mêmes, certains aux noms attendus : Confucius, Socrate, Aristote, Paul de Tarse, Hegel, Nietzsche et Freud, ou moins attendus, tels Machiavel, Shakespeare et Victor Hugo, voire inattendus, comme Mao Tse-toung et Jacob Taubes. Cette évaluation est réalisée en vue d'assurer notre salut, lequel est (...) sérieusement compromis aujourd'hui, dans un contexte de destruction accélérée de nos conditions de vie à la surface de la Terre. Le scénario le plus optimiste parmi les plus plausibles a cessé d'être celui de machines de plus en plus intelligentes à notre service, pour être celui de notre remplacement pur et simple par celles-ci. Si nous voulons survivre en tant qu'espèce, il nous faut sans plus tarder passer la vitesse supérieure. Il faut pour cela réunir l'équipe de ceux qui ne se résolvent pas à notre disparition, des femmes et des hommes qui soient précisément résolus, bâtissant sur les principaux acquis de l'humain, de la réciprocité au génie technologique. C'est l'appel lancé dans cette Défense et illustration du genre humain. (shrink)

On her seventy-fifth birthday, the author’s mother confessed to an affair more than three decades past. His father’s response was unforgiving. Her need to confess met his limitless rage. She acted out of love; he sought revenge. Their battle consumed everything and everyone around them. In the middle of this struggle, she was diagnosed with cancer. Two years later, she died. Testimony is a son’s memoir of this struggle. Paul Kahn finds here a story of the twentieth century, beginning (...) with poverty in the Depression and immigration from Hitler’s Germany. He follows his father’s experience of the war and his return with PTSD. He traces his parents’ movement through the turbulent 60s. More than a study of twentieth-century culture, Testimony is a philosophical inquiry into the possibility of faith in a secular age. History, philosophy, and theology flow together as Kahn finds in his parents’ lives the resources for a series of essays on the nature of truth, memory, death, and faith. Testimony is most of all a meditation on love in a time in which the very possibility of faith is constantly put to the test. (shrink)

‚Und jedes Tröpfchen, das aus dem köstlich-kühlen Quell des Entsagens fließt, das sammle sorgfältig, mit eifernder Wachsamkeit, daß die Tröpfchen sich zum Bach füllen, der Bach zum Fluß, der Fluß zum Strom, der nun in mächtig stillen Wogen dem offenen Weltmeer zurauscht – jenem klaren, ehrlichen, reinlichen restlosen NICHTMEHR.‘ Paul Dahlke, der Pionier für den Buddhismus in Deutschland, beschäftigt sich in diesem Werk mit den großen Fragen der Menschheit, gestellt vor dem Hintergrund der buddhistischen Weltsicht. Sein Buch ist eine (...) spannende Einführung in den Buddhismus, der noch nicht den westlichen Einflüssen unserer modernen Gesellschaft unterliegt - geschrieben in einer Zeit, in der der Buddhismus in Deutschland kaum bekannt war und in der er um die Abgrenzung der `echten ́ Lehre zu anderen Religionen kämpfte. (shrink)

Over the past thirty years Paul Feyerabend has developed an extremely distinctive and influentical approach to problems in the philosophy of science. The most important and seminal of his published essays are collected here in two volumes, with new introductions to provide an overview and historical perspective on the discussions of each part. Volume 1 presents papers on the interpretation of scientific theories, together with papers applying the views developed to particular problems in philosophy and physics. The essays in (...) volume 2 examine the origin and history of an abstract rationalism, as well as its consequences for the philosophy of science and methods of scientific research. Professor Feyerabend argues with great force and imagination for a comprehensive and opportunistic pluralism. In doing so he draws on extensive knowledge of scientific history and practice, and he is alert always to the wider philosophical, practical and political implications of conflicting views. These two volumes fully display the variety of his ideas, and confirm the originality and significance of his work. (shrink)

This paper questions the idea that Wittgenstein’s account of meaning as use requires an intrinsically normative understanding of this notion, and suggests instead that Wittgenstein is better understood as promoting a naturalistic view of meaning that undertakes an explanation based on non–semantic and non–normative facts of word–usage. It discusses the relevant positions of Kripke, Brandom and McDowell, all of whom are found to be united by the attempt to attribute to Wittgenstein a normative understanding of language that is not convincing. (...) While language does exhibit normative properties that cannot be naturalized, the understanding speakers have of their own words is “a prima facie plausible candidate for naturalistic analysis.”. (shrink)

In a world dominated by things, we must work hard to account for one another's personhood. Drawing a diverse set of thought leaders, Paul Louis Metzger helps us navigate a pluralistic world through a personalist moral framework, addressing issues such as abortion, genetic engineering, immigration, drone warfare, and more.

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 477 (p. 32), although some might consider him to have been an important historian of logic. I am not certain that citing Carnap and Heideggar (p. 75) can do much to clarify Vires. When one reads 'Henrique Estienne' and "Hipotiposes pirronicas" (p. 266) in an Italian book he is a bit taken aback and wonders whether the author has done his homework. The writer missed a golden (...) opportunity to connect Galileo to the tradition, for his still unpublished Quaestiones on logic and the De motu (both written before 1600) have many interesting comments which tie in directly with the material developed in this volume. This could have provided an excellent bridge to the next'century, when the analytic method began to take a more central role in scientific and methodological discussions. There is still room for a number of studies on the evolution of the analytic method during the Renaissance. Unfortunately Crescini's study barely scratches the surface of this immense subject. Let us hope that his book will at least have the effect of encouraging others to treat the matter with more care, in greater depth, and more exhaustively. The volume is provided with a preface by Giorgio Radetti, who claims more for it than it actually provides, as well as noting that it is the first part of a more comprehensive study by the same author on the formation of the analytic method in Cartesian philosophy (p. 5). The book has a useful index, but unfortunately no bibliography. CHARLESB. ScxiMrrr The University of Leeds Le thomisme et la pens#e italienne de la Renaissance. By Paul Oskar Kristeller. Conference Albert-le-Grand 1965. (Montr6ah Institut d'~tudes m~di~vales, and Paris: Vrin, 1967. Pp. 287. $6) Surprisingly little is known about the later history of Thomism. This brief but very rich lecture by Professor Kristeller, renowned historian of Italian Renaissance philosophy, examines one period in the later career of St. Thomas' thought. This study, based chiefly on unpublished source material, shows that Thomas was very much present to both the humanists and to the academic philosophers during the Renaissance. Such leading humanists as Lorenzo Valla, Giovanni Pico della Mirandola, and Marsilio Ficino, quote St. Thomas frequently and with approval. Even the unfavorable attitudes of Ermolao Barbaro or Baptista Mantuanus show that Thomas was already the most celebrated of mediaeval philosophers. The professors of philosophy at Italian universities, such as Pierre Pomponazzi, speak of Thomas with great respect and regard his theology as in conformity with the truths of faith, even when they reject his philosophy as being in disaccord with the authentic teaching of Aristotle. St. Thomas made a continuous contribution to the development of Renaissance theology and philosophy. Yet the principal Italian thinkers did not follow him strictly nor fall under his exclusive influence. Thomas is merely one of the most important sources, not the prevailing influence, in Renaissance thought. Ficino, for example, is,178 HISTORY OF PHILOSOPHY in accord with Thomas on certain important points, but his own theology is more in the spirit of Plato and Augustine. Professor Kristeller's vast learning is at the service of admirably balanced conclusions. Not everyone will agree with all his interpretations; Ficino perhaps did not imagine himself to be "constructing a system of philosophy" (p. 96) since the very title of his work, Theologia platonica, suggests that he continues, with new materials, the labor of mediaeval theolo#ans. And Ficino's doctrine of the continuity of the supernatural life of the soul in this world and the next (p. 120) seems to be completely in accord with Thomas. But the author's very careful scholarly method and sound general conclusions are beyond criticism. Two hitherto unpublished Latin texts are printed in critical edition at the end of the French lecture, the Opus aureum in Thomistas by Baptists Mantuanus, which is anti-Thomas, and the Opusculum ad Laurentium Medicem on beatitude, by Vincentius Bandellus, which is pro-Thomas. Like Professor Kristeller's fine lecture, these new texts are a permanent contribution to scholarship. PAUL J. W. MILLER University of Colorado The Anatomy of Leviathan. By F. S. McNeilly. (New York: St. Martin's Press, 1968. Pp... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:I Am Not Sure?Paul E. LevinIt was a beautiful Friday morning, a few weeks into the summer. My schedule appeared lighter than usual and I even envisioned leaving work a bit early. Maybe a challenging bike ride before dinner. I was sitting in the chairman’s office having our weekly meeting. One of our junior faculty members called... he needed help. He was on call and a 32–year–old pregnant (...) woman with a displaced femoral neck fracture had just been transferred to our emergency department (ED). Ms. B tripped in her kitchen last evening. She was unable to stand and was brought to the local ED by ambulance.My colleague was concerned that he wouldn’t be able to successfully reduce the fracture. The long–term prognosis of the hip joint depended on a successful reduction of the femoral neck fracture. In addition, there was an ongoing debate in the orthopaedic literature related to the urgency of operative care to prevent osteonecrosis of the femoral head. I reviewed the x–rays, didn’t anticipate a problem and let him know that I would come to the operating room (OR) to assist. “No”, he responded, “I am not comfortable caring for this patient”. I immediately left the office, went to the hospital and assumed care of the patient. Clearly, my plans for a bike ride were gone, but I had the opportunity to help a woman in need of expert orthopaedic care.Ms. B had been admitted to the obstetrical service. She was a 32–year–old woman of Haitian descent who had recently immigrated to the United States. She had very limited English comprehension and her primary spoken languages were French and Creole. She was alone, in a hospital in a foreign country. She was 24 weeks pregnant with her first child and had no other co–morbidities. Her pregnancy had ben progressing uneventfully.When I first met Ms. B she was lying on a stretcher in an observation unit on the obstetrical floor. She appeared frightened. Two orthopaedic residents were present and obtaining consent for surgical repair of the hip. In their minds there was nothing to discuss, the patient had a displaced femoral neck fracture and needed to have surgery immediately. In their minds, no other options were available and obtaining consent would be straightforward. I introduced myself, sat down on a lab stool by the bed and began a conversation. I needed to meet the patient, understand who she was and discuss treatment. I am not sure that obtaining an informed consent is ever “straightforward” when [End Page 14] a doctor is explaining to a patient that they require emergency surgery. This discussion surely would not be easy or straightforward.We utilized a telephone interpretation service. Every question and response required the transfer of the handset between the patient and physician. Ms. B was in pain and frightened. She immediately expressed concern about her pregnancy and her baby. I arranged for her to meet all of the physicians who would possibly be involved in her care and the care of her baby. Each consultant could explain their area of expertise and potential involvement in the care of Ms. B and her child. She met and had an opportunity to talk with the obstetrician on call, a maternal fetal medicine (MFM) fellow and a neonatologist. I supplied the orthopaedic information. I explained the severity of the injury, the risks of osteonecrosis either with or without surgery as well as concerns over non–union and traumatic arthritis of the hip. Undoubtedly, in a healthy 32–year–old woman who wasn’t pregnant, early surgical intervention would be the most appropriate management in hopes of preserving a normal hip joint. We also discussed the possibility of treating her without surgery. She would be administered pain medication, which were known to be safe during pregnancy, and allowed to begin to ambulate with a walker or crutches. I explained potential problems without surgery and what options would be available to treat any problems that developed with her hip after the child was born. Of course, hip fractures in pregnant woman are very rare, and as a result treating a... (shrink)

Eliot Porter: In the Realm of Nature contains 110 images from the collections of Daniel Greenberg and Susan Steinhauser; the Amon Carter Museum, Fort Worth, Texas; and of the J. Paul Getty Museum, along with an essay by Paul Martineau that ...

Psychoanalysis and Wisdom applies psychoanalytic insights to one of the great examples of wisdom literature, the Ethics of the Fathers, an ethical tractate of the Talmud. Paul Marcus quotes key passages from the Ethics of the Fathers, providing a psychoanalytic commentary to enlarge and deepen our understanding of its contents and focusing primarily on what constitutes a flourishing life. Marcus then considers what psychoanalysis can provide in its engagement with this classic of the wisdom teachings, such as illuminating aspects (...) of the Ethics that are overlooked or underappreciated, and how "pearls of wisdom" from the Ethics can be incorporated into psychoanalytic theory and practice. The book contains clinical material as well as the insights of philosophers like Martin Buber, Gabriel Marcel, and Emmanuel Levinas. Psychoanalysis and Wisdom will appeal to readers interested in psychoanalysis and psychotherapy and to academics and students of psychoanalytic studies, religious studies, Judaic studies, and philosophy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Phenomenalistic Interpretation of Kant's Theory of Knowledge PAUL MARHENKEt Introduction THw FOLLOWINGARTXCLEwas one of two previously unpublished papers found in the effects of the late Paul Marhenke (1899-1952), who was a professor at the University of California from 1927 until his death. Because of the intrinsic interest of the paper, the editors of the Journal o/the History of Philosophy have kindly consented to publish it. I (...) have made a few revisions in the manuscript in order to prepare it for publication. These revisions do not affect the sense of the argument in any way, being confined mainly to the expansion of abbreviations, the correction of typographical mistakes, and so on. It is not known when this paper was written, or for what occasion. Professor W. R. Dennes, who wrote the biographical sketch of Paul Marhenke which is included in the In Memoriam volume published by the University of California, informs me that he was unaware of the existence of this paper. Professor Dennes writes in this connection: I can only say that ever since our year of graduate study together (1919-19207) Paul and I often discussed the question how far Kant's apparatus of Categories and so on merely expressed a strong confidence in various sorts of regularities in phenomena; and if the apparatus really grounded the confidence, did it do so by a question-begging procedure of, for example, assuming causal regularity, and then grounding and guaranteeing such regularity by a "deduction" of the category of causation. In our discussions that went on, off and on, for thirty years, Paul at various times took various positions--all interesting-and I often urged him to write out his views on the matter. I wish I knew at which stage he did write them out, but I do not. This was one subject upon which I think Paul changed his mind a good deal in the course of his years of study and teaching. Paul Marhenke's main interests in philosophy lay in epistemology and particularly in the realist-phenomenalist issue which he here discusses in the context of Kant's philosophy. For those readers who will be making their [47] 48 HISTORY OF PHILOSOPHY first acquaintance with his work, this paper will provide an impressive illustration of the subtlety of his mind and of the care with which he drew distinctions. For those of us who were familiar with the cast of his mind, former students and colleagues alike, it will evoke the man himself, with his insistence upon rigor and precision as viae mediae toward an understanding of philosophical issues--AvRuM STROLL Two CURRENTSRUN through the Kantian theory of knowledge, one subjective, the other objective. These two currents follow very often in extreme proximity, so that we find Kant speaking in the same paragraph or even in successive sentences of the object of knowledge as being nothing but a synthesis of representations, i.e., sensations, and as being distinct from those sensations and merely represented by them in the individual mind of the perceiver. The former position is indistinguishable from Berkeleyan subjectivism as far as the existential status of the objects of immediate awareness is concerned; the world perceived is merely a subjective representation of the real world of things in themselves. The argument by which this position is reached presupposes, however, the truth of the realistic assumption which is denied in the conclusion based on the argument. For the argument presupposes the causal theory of perception with its realistic presupposition of real objects, sense-organs, nerves, a brain, etc. According to Kant sensations arise in the mind due to the impinging of physical stimuli on our senseorgans. Henceforth, however, it is denied that we perceive anything but these sensations and the truth of the realistic premises on which the conclusion is based must therefore be denied. The manifold of sensations constitutes the originally given material of the mind. The question to which Kant now attempts to give an answer is how this manifold becomes organized into a world of objects. This answer is given in the Transcendental Deduction of the Categories. The Kantian solution of the problem is a failure if for no... (shrink)

The author responds to the interpretations and criticisms of his thought as presented in the eleven essays in "Love and Society: Essays in the Ethics of Paul Ramsey ". He defends and refines his position on ethical theory, war and political ethics and medical ethics.

In _Rawlsian Political Analysis: Rethinking the Microfoundations of Social Science, _Paul Clements develops a new, morally grounded model of political and social analysis as a critique of and improvement on both neoclassical economics and rational choice theory. What if practical reason is based not only on interests and ideas of the good, as these theories have it, but also on principles and sentiments of right? The answer, Clements argues, requires a radical reorientation of social science from the idea of interests (...) to the idea of social justice. According to Clements, systematic weaknesses in neoclassical economics and rational choice theory are due to their limited model of choice. According to such theories in the utilitarian tradition, all our practical decisions aim to maximize the satisfaction of our interests. These neo-utilitarian approaches focus on how we promote our interests, but Clements argues, our ideas of right, cognitively represented in principles, contribute independently and no less fundamentally to our practical decisions. The most significant challenge to utilitarianism in the last half century is found in John Rawls’s _Theory of Justice _and _Political Liberalism_, in which Rawls builds on Kant's concept of practical reason. Clements extends Rawls's moral theory and his critique of utilitarianism by arguing for social analysis based on the Kantian and Rawlsian model of choice. To illustrate the explanatory power of his model, he presents three detailed case studies: a program analysis of the Grameen Bank of Bangladesh, a political economy analysis of the causes of poverty in the Indian state of Bihar, and a problem-based analysis of the ethics and politics of climate change. He concludes by exploring the broad implications of social analysis grounded in a concept of social justice. “Paul Clements’s _Rawlsian Political Analysis _mounts an important intervention into the philosophy of the social sciences, challenging the tired fact/value, empirical/normative binaries that continue to impoverish social analysis. His insistence that social analysis must engage both facts and norms, the empirical and the normative, the good and the right, interest and principle—and that empirical social scientists must engage constructively on questions of autonomy and social justice—is noble and ultimately essential if social science is to justify its place in the years to come.” —_Fonna Forman-Barzilai, University of California, San Diego_. (shrink)

Ferdinand de Saussure's distinction between parole and langue has greatly helped linguists to clarify the relationship between particular speech events and the underlying reservoir of verbal signs and combinatory rules. The relationship emerges from Saussure's Cours de linguistique générale as one between concrete instances of employed language and a slowly but permanently changing virtual system.1 It seems to me that the more recent literary distinctions between the implied author of a work and its actual author and between the implied and (...) the actual reader point to similar relationships along the rhetorical axis of communication.2 For example, the respective authors implied by The Comedy of Errors and by The Tempest are in a sense fixed, concrete manifestations of the actual author whose permanently shifting potential of manifesting himself in literary works or otherwise was only partially realized between 1564 and 1616; his full potential has thus forever remained virtual. The congenial readers implied by the respective plays are in turn two of many "roles" which an actual reader may attempt to slip into for the length of time it takes him to read one work or another. Even a book like Mein Kampf will be adequately understood only by men and women able and willing temporarily to become Adolf Hitler's implied readers. The price may be high, but having shed the mental mask and costume required for the proper "performance" of the text, a discerning person will emerge from the ordeal with a keener sense of the despicable part assigned to the book's actual readers. I hardly need to add that works of imaginative literature tend to imply readers whose intellectual, emotive, and moral response is far less predetermined than is the response of the reader implied by the typical work of assertive discourse. · 1. Ferdinand de Saussure, Cours de linguistique générale , 4th ed. . Since this book was posthumously compiled from the notes of students attending three different sets of lectures, I am not overly troubled by the fact that the letter of at least two sentences seems to contradict my characterization of langue as a virtual and changing system: "La langue n'est pas moins que la parole un objet de nature concrète" and "tout ce qui est diachronique dans la langue ne l'est que par la parole" . See also Wade Baskin's English trans., Course in General Linguistics , pp. 15 and 98.· 2. See esp. Wayne C. Booth, The Rhetoric of Fiction and Wolfgang Iser Der implizite Leser , trans. as The Implied Reader . Paul Hernadi is professor of English and comparative literature at the University of Iowa. His book, Beyond Genre: New Direction in Literary Classification, is soon to appear in Spanish translation. He has edited a collection of essays titled What is Literature? and written a book on modern historical tragicomedy. "On the How, What, and Why of Narrative" was contributed to Critical Inquiry in the Autumn 1980 issue. (shrink)

"This collection provides a powerful and sophisticated analysis of how environmental movements influence politics in Asia, and how politics influences movements." -- John S. Dryzek, Centenary Professor, University of Canberra "This important book reflects the challenges and questions currently foremost in scholars', activists' and policy-makers' minds-the Anthropocene, environmental justice, China's Belt and Road Initiative, and post-politics-all addressed through the lens of environmental movements in Asia. -- Jonathan Rigg, Professor at the School of Geographical Sciences, University of Bristol "How have authoritarianism, (...) democratization and political change affected environmentalism in East and Southeast Asia? How have environmental mobilization and demands for environmental justice at the grassroots influenced politics there? These are among the vital questions answered by this insightful and well-crafted volume." --Paul G. Harris, Chair Professor of Global and Environmental Studies, Education University of Hong Kong "This book shows convincingly that the concept of Anthropocene is as relevant in Asia as anywhere." -- Philip Hirsch, Emeritus Professor of Human Geography, University of Sydney "Despite its claims to universality, the Anthropocene concept remains largely a Western phenomenon. This book is crucial in correcting this view by putting environmental movements in Asia center stage." -- Eva Horn, Professor of Literature and Cultural History, University of Vienna. (shrink)

Die MISCELLANEA MEDIAEVALIA präsentieren seit ihrer Gründung durch Paul Wilpert im Jahre 1962 Arbeiten des Thomas-Instituts der Universität zu Köln. Das Kernstück der Publikationsreihe bilden die Akten der im zweijährigen Rhythmus stattfindenden Kölner Mediaevistentagungen, die vor über 50 Jahren von Josef Koch, dem Gründungsdirektor des Instituts, ins Leben gerufen wurden. Der interdisziplinäre Charakter dieser Kongresse prägt auch die Tagungsakten: Die MISCELLANEA MEDIAEVALIA versammeln Beiträge aus allen mediävistischen Disziplinen - die mittelalterliche Geschichte, die Philosophie, die Theologie sowie die Kunst- und (...) Literaturwissenschaften sind Teile einer Gesamtbetrachtung des Mittelalters. (shrink)

This book discusses ethical behavior through the genocidal stages of the Holocaust. Paul E. Wilson first looks at the antisemitism in Germany and Europe beginning in the decades preceding the Nazis reign of terror, and goes on to discuss the ethical decisions made in the initial stages that moved society toward genocide. The author maintains that the stages of genocide represent subtle changes that can be happening within a society in response to the moral choices made by actors. By (...) giving attention to the stages of genocide in the Holocaust, this book contributes to the overall understanding of how the Holocaust was possible, and encourages the moral community to join the watch for the development of genocide in the modern world. (shrink)

Paul Mattei, Les frontières de l'Église selon la première tradition africaine (Tertullien, Cyprien, Anonyme De rebaptismate), p. 27-47. - «Hors de l'Église pas de salut » : l'article montre que cette formule de Cyprien, promise à un long avenir, s'enracine dans une définition, au demeurant complexe et parcourue de tensions, de l'Église comme sacramentum unitatis. La comparaison avec Tertullien, lui aussi «excfusiviste», fait percevoir où se situent à cet égard, entre les deux théologiens, rupture et continuité. Une présentation du (...) De rebaptismate, œuvre contemporaine de Cyprien, manifeste la difficulté qu'il y avait, au IIIe siècle, en Afrique, malgré qu'on en eût, à rompre avec la conception cyprianique ; ce qu'Augustin, plus tard, devait réussir (il est vrai pour partie seulement, mais un pas était fait) dans sa confrontation avec les donatistes. (shrink)

In Classes: A Marxist Critique, Paul Kamolnick has produced what may prove to be the most fundamental critique of Erik Olin Wright's class structure analysis to date.

Begun by Ernst Behler and Bernd Magnus, and now under the editorial direction of Alan D. Schrift and Duncan Large, Stanford University Press’s ambitious project to offer in nineteen volumes a complete translation of the fifteen-volume Kritische Studienausgabe of Nietzsche’s works is proceeding apace. Volume 14 corresponds to volume 10 of the KSA and, while its first fragment demonstrates the need for its helpful editorial apparatus to make sense of these texts, its second raises more general questions about translation. These (...) questions are discussed at some length in the “Translators’ Afterword” provided by Paul S. Loeb and David F. Tinsley.In a section entitled... (shrink)

In the decade that followed 1972, the journal _boundary 2_ consistently published many of the most distinguished and most influential statements of an emerging literary postmodernism. Recognizing postmodernism as a dominant force in culture, particularly in the literary and narrative imagination, the journal appeared when literary critical study in the United States was in a period of theory-induced ferment. The fundamental relations between postmodernism and poststructuralism were being initially examined and the effort to formulate a critical sense of the postmodern (...) was underway. In this volume, Paul A. Bové, the current editor of _boundary 2_, has gathered many of those foundational essays and, as such, has assembled a basic text in the history of postmodernism. Essays by noted cultural and literary theorists join with Bové’s contemporary preface to represent the important and unique moment in recent intellectual history when postmodernism was no longer seen primarily as an architectural term, had not yet come to describe the wide range of culture it does now, but was finding power and place in the literary realm. These essays show that the history of postmodernism and its attendant critical theories are both more complex and more deeply bound with literary criticism than often is acknowledged today. _Early Postmodernism_ demonstrates not only the significance of these literary studies, but also the role played by literary critical postmodernism in making possible newer forms of critical and cultural studies. _Contributors_. Barry Alpert, Charles Altieri, David Antin, Harold Bloom, Paul A. Bové, Hélène Cixous, Gerald Gillespie, Ihab Hassan, Joseph N. Riddel, William, V. Spanos, Catharine R. Stimpson, Cornel West. (shrink)

:The “new institutionalist revolution” in social sciences has led to a repositioning of social norms to the forefront of the pre-analytic vision in institutional theory and to the consolidation of the contextual analysis approach. That has significant epistemological, methodological, and political philosophy implications. This essay follows the logic of these developments showing: why they inherently lead to the feasibility problem, the key of applied theory, toward which both contemporary philosophy and institutional analysis converge from different venues; how feasibility is a (...) nexus of empirical, counterfactual, normative, and contextual elements, that is, something more complex than a mere matching between empirical reality and institutional design; what are the governance implications of all of the above, with an emphasis on an alternative approach and in which the public choice process is seen mainly as endogenized, socialized, and institutionalized, as opposed to formalized, intellectualized, and externalized. (shrink)

This article combines an appreciation of several themes in Josh Reeves's Against Methodology in Science and Religion: Recent Debates on Rationality and Theology while arguing in favor of critical realism. The author holds that critical realism manages to combine the objective truth reached through inference and especially cognitive acts of judgment as well as the various, contingent historical contexts that also define where science is practiced. Reeves advocates a historical perspective, but this article claims that in order for critical realism (...) to be credible, a philosophical perspective must be maintained. (shrink)

Descartes a occupé le centre de la scène intellectuelle en Angleterre bien que son influence ait été due à des circonstances accidentelles et à de vigoureuses critiques plutôt qu’à des disciples consciencieux. Son rationalisme offrait la certitude en religion et une interprétation de la science. Mélangé à l’expéri- mentalisme anglais, il a créé une ambiguïté dans la méthode scientifique et il a conduit à des controverses sur la nature de la connaissance. Son mécanisme a inspiré une étude critique et il (...) a influencé les théories anglaises de l’espace et du temps. Quand sa science a été employée à la défense de la religion, elle a signifié le développement d’interprétations nouvelles sur Dieu, et elle a conduit aux controverses du déisme. (shrink)

Comment la sexualité se parle-t-elle dans le couple qu’elle unit de façon si impérieuse et précaire à la fois? Le paradoxe est que, d’une part, l’union des corps rend la parole superflue et que, d’autre part, l’amour tient au signifiant chez les êtres parlants. Parler de sa sexualité pour un couple ne se décrète pas. Dans l’après-acte se rétablit, au-delà du réel de l’étreinte, la séparation des êtres parlants. La sexualité n’est donc pas qu’un registre relationnel ou communicationnel. Ainsi se (...) dessine un savoir de l’inconscient qui ne ferait pas fi de l’impossible du rapport sexuel, sauf à parler de « lit de plein emploi » – entre-deux du « parlêtre » et du corps. Il s’agit ici d’en suivre la dialectique, des effets divisants de la parole à la réconciliation sur l’oreiller, de la sujétion sexuelle à l’éloignement, les figures de la crise imposant traumatiquement une parole d’éveil. (shrink)