The threat of malpractice litigation in the United States is encouraging physicians again to assume responsibility for their patients. The fundamental ethical problem, however, is that this approach denies the patient's moral agency. In this essay, responsibility to patients, rather than for them, is discussed as an alternative to the emerging neo-paternalism. Responsibility to avoids the ethical problems of assuming responsibility for moral agents and could reduce the threat of litigation as well.

The essays in this volume, with the exception of Gary Ferngren's, derive from ancestral versions originally presented at a symposium, 'Conflicts with Newborns: Saving Lives, Scarce Resources, and Euthanasia: held May 10-12,1984, at the Mercer University School of Medicine, Macon, Georgia. We wish to express our gratitude to the Georgia Endowment for the Humanities for a generous grant for the symposium and to Mercer University and the Medical Center of Central Georgia for additional financial support. The vit:ws expressed in this (...) volume do not necessarily represent those of the Georgia Endowment for the Humani ties, Mercer University, or the Medical Center of Central Georgia. We have endeavored to bring together a group of individuals with contrast ing viewpoints to display some of the range of approaches to a major problem in public policy: medical decisions regarding the treatment of defective newborns. So many persons contributed to the symposium that acknowledg ment of each would be impossible. Although unnamed, we express our sincere appreciation to each. Three individuals, however, must be recognized: R. Kirby Godsey, President, Mercer University; William P. Bristol, Dean, Mercer University School of Medicine; and Kenneth C. Henderson, Medical Director and Director of Medical Education, Medical Center of Central Georgia. Without their support, the symposium could not have succeeded and this volume would not have been possible. We wish also to express our gratitude to S. G. M. (shrink)

Govind Chandra Pande, b. 1923, Indian philosopher and historian; contributed articles.

Hawthorne and Magidor's criticisms of the model of presupposition and assertion that I have used and defended are all based on a rejection of some transparency or introspection of assumptions about speaker presupposition. This response to those criticisms aims first to clarify, and then to defend, the required transparency assumptions. It is argued, first, that if the assumptions are properly understood, some prima facie problems for them do not apply, second, that rejecting the assumptions has intuitively implausible consequences, and third, (...) that the 'margin of error' argument against the principle of positive introspection has a false premiss. The paper concludes with a response to a criticism of what Hawthorne and Magidor call 'the uniformity principle' that is used in the model to explain some pragmatic phenomena. (shrink)

This invaluable resource is the first one-volume, in-depth, comprehensive history of modern science ever published.

Papers presented in a National Seminar on "Wittgenstein's Philosophy of Language", held in Feb. 24-26, 1999, at Hyderabad, India.

Daniel Dennett and others have suggested that qualia and introspectible phenomena do not exist. Dennett's account of consciousness, along with several related approaches, has been called illusionism by Keith Frankish. Frankish's analysis is helpful and provocative. As currently presented, however, his 'strong' version of illusionism suffers from several basic confusions, particularly regarding its relationship to eliminative materialism. This paper contrasts strong illusionism with an alternative that is easier to understand and more sharply focused -- fallibilist experiential realism, or, less technically, (...) modest realism. Fallibilist realism affirms the existence of experiential states that are commonly considered qualitative and phenomenal, but shares Frankish's agenda of thoroughly re-evaluating our judgments about such experiences. To illustrate the advantages of modest realism, I compare the ways illusionism and modest realism address two challenging puzzles: explaining how qualitative differences among sensory experiences could be constituted by differences among neural states, and explaining how neural states could constitute any conscious experiences whatsoever. (shrink)

‘Mysticism means to isolate the eternal from the originated.’ This is not my definition of the word ‘mysticism’ but that of the founder of the ‘orthodox’ school of Muslim mysticism, Al-Junayd of Baghdad who flourished in the ninth century a.d . In actual fact it is not a definition of mysticism at all but of the Arabic word tawḥīd which means primarily ‘the affirmation of unity’; and that surely is an essential ingredient of any form of mysticism: it is the (...) affirmation through personal experience of unity either absolutely or in some qualified sense. (shrink)