To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly (...) distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on patient care. Ethics committee chairpersons identified end-of-life care as the greatest ethical challenge, whereas patients identified obtaining fair, respectful, and caring treatment. Perspectives on ethical challenges varied depending on the respondent's role. Understanding these differences can help managers take practical steps to address these challenges. Further, ethics committees seemingly, are not addressing the range of ethical challenges within their institutions. (shrink)

Although its roots can be traced to the 19th century, progress in the study of nonlinear dynamical systems has taken off in the last 30 years. While pertinent source material exists, it is strewn about the literature in mathematics, physics, biology, economics, and psychology at varying levels of accessibility. A compendium research methods reflecting the expertise of major contributors to NDS psychology, Nonlinear Dynamical Systems Analysis for the Behavioral Sciences Using Real Data examines the techniques proven to be the most (...) useful in the behavioral sciences. The editors have brought together constructive work on new practical examples of methods and application built on nonlinear dynamics. They cover dynamics such as attractors, bifurcations, chaos, fractals, catastrophes, self-organization, and related issues in time series analysis, stationarity, modeling and hypothesis testing, probability, and experimental design. The analytic techniques discussed include several variants of the fractal dimension, several types of entropy, phase-space and state-space diagrams, recurrence analysis, spatial fractal analysis, oscillation functions, polynomial and Marquardt nonlinear regression, Markov chains, and symbolic dynamics. The book outlines the analytic requirements faced by social scientists and how they differ from those of mathematicians and natural scientists. It includes chapters centered on theory and procedural explanations for running the analyses with pertinent examples and others that illustrate applications where a particular form of analysis is seen in the context of a research problem. This combination of approaches conveys theoretical and practical knowledge that helps you develop skill and expertise in framing hypotheses dynamically and building viable analytic models to test them. (shrink)

Perceptual symbol systems form a theoretically plausible alternative to amodal symbol systems. At this point it is unclear whether there is any truly diagnostic empirical evidence to decide between these systems. We outline some possible avenues of research in the domain of language comprehension that might yield such evidence. Language comprehension will be an important arena for tests of the two types of symbol systems.

ABSTRACT Self-efficacy is the assessment of one’s capacity to perform tasks. Previous research has demonstrated that self-efficacy impacts ethical behavior and attitudes but its effect on ethical cognition and perceptions has not been studied. For the present study, participants analyzed an ethical dilemma after either high or low self-efficacy was induced. Participants analyzed the dilemma using one of two cognitive problem-solving techniques versus a third, control group, and what participants wrote about the problem was content-analyzed to determine how ethical cognition (...) is impacted by self-efficacy. Additionally, perceptions of the ethical problem were examined. Results revealed that differences in self-efficacy did not lead to changes in ethical cognition, but they did lead to changes in perceptions of ethical problems. Implications of these findings are discussed. (shrink)

To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients and managers ; semi-structured interviews with managers, clinicians, and ethics committee chairpersons. Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on (...) patient care. Ethics committee chairpersons identified end-of-life care as the greatest ethical challenge, whereas patients identified obtaining fair, respectful, and caring treatment. Perspectives on ethical challenges varied depending on the respondent's role. Understanding these differences can help managers take practical steps to address these challenges. Further, ethics committees seemingly, are not addressing the range of ethical challenges within their institutions. (shrink)

Heterogeneity within MDD has hampered identification of biological markers (e.g., intermediate phenotypes, IPs) that might increase risk for the disorder or reflect closer links to the genes underlying the disease process. The newer characterizations of dimensions of MDD within Research Domain Criteria (RDoC) domains may align well with the goal of defining IPs. We compare a sample of 25 individuals with MDD compared to 29 age and education matched controls in multimodal assessment. The multimodal RDoC assessment included the primary IP (...) biomarker, positron emission tomography (PET) with a selective radiotracer for 5-HT1A ([11C]WAY-100635), as well as event-related functional MRI with a Go/No-go task targeting the Cognitive Control network, neuropsychological assessment of affective perception, negative memory bias and Cognitive Control domains. There was also an exploratory genetic analysis with the serotonin transporter (5-HTTLPR) and monamine oxidase A (MAO-A) genes. In regression analyses, lower 5-HT1A binding potential (BP) in the MDD group was related to diminished engagement of the Cognitive Control network, slowed resolution of interfering cognitive stimuli, one element of Cognitive Control. In contrast, higher/normative levels of 5-HT1A BP in MDD (only) was related to a substantial memory bias toward negative information, but intact resolution of interfering cognitive stimuli and greater engagement of Cognitive Control circuitry. The serotonin transporter risk allele was associated with lower 1a BP and the corresponding imaging and cognitive IPs in MDD. Lowered 5HT 1a BP was present in half of the MDD group relative to the control group. Lowered 5HT 1a BP may represent a subtype including decreased engagement of Cognitive Control network and impaired resolution of interfering cognitive stimuli. Future investigations might link lowered 1a BP to neurobiological pathways and markers, as well as probing subtype-specific treatment targets. (shrink)

Foundations of Economic Personalism is a series of three book-length monographs, each closely examining a significant dimension of the Center for Economic Personalism's unique synthesis of Christian personalism and free-economic market theory. In the aftermath of the momentous geo-political and economic changes of the late 1980s, a small group of Christian social ethicists began to converse with free-market economists over the morality of market activity. This interdisciplinary exchange eventually led to the founding of a new academic subdiscipline under the rubric (...) of economic personalism. These scholars attempt to integrate economic theory, history, and methodology with Christian personalism's stress upon human dignity, humane social structures, and social justice. This final volume in the series systematically applies the praxeological and theoretical foundations of the personalist tradition to free-market economic theory. Unlike the previous two, this work defends economic liberty in theologically sensitive terms that reference the personalist tradition, without compromising the disciplinary integrity of either economics or social ethics. (shrink)

In the second edition of this groundbreaking text in non-Western philosophy, sixteen experts introduce some of the great philosophical traditions in the world. The essays unveil exciting, sophisticated philosophical traditions that are too often neglected in the western world. The contributors include the leading scholars in their fields, but they write for students coming to these concepts for the first time. Building on revisions and updates to the original, this new edition also considers three philosophical traditions for the first time—Jewish, (...) Buddhist, and South Pacific philosophy. (shrink)

The title of Stewart’s biography is a tribute to Alain Locke’s seminal work, The New Negro: An Interpretation. This 1925 anthology highlighted the works of several up-and-coming black writers of the 20th century, planting these authors and, thus, a new black intellectual movement squarely in the public eye. While Alain Locke and John Dewey did not work directly together, Dewey’s philosophical approaches, specifically aesthetic valuation, significantly influenced Locke’s life. John C. Stewart provides a dense and thorough illustration of Locke’s use (...) of aesthetic valuation in his personal, professional, and educational experiences. Locke was pursuing his doctoral degree at Harvard University in Dewey’s discipline at... (shrink)

Research on positive psychology demonstrates that specific individual dispositions are associated with more desirable outcomes. The relationship of positive psychological constructs, however, has not been applied to the areas of business ethics and social responsibility. Using four constructs in two independent studies (hope and gratitude in Study 1, spirituality and generativity in Study 2), the relationship of these constructs to sensitivity to corporate social performance (CSCSP) were assessed. Results indicate that all four constructs significantly predicted CSCSP, though only hope and (...) gratitude interacted to impact CSCSP. Discussion focuses upon these findings, limitations of the study, and future avenues for research. (shrink)

Stakeholder theory is often unable to distinguish those individuals and groups that are stakeholders from those that are not. This problem of stakeholder identity has recently been addressed by linking stakeholder theory to a Rawlsian principle of fairness. To illustrate, the question of stakeholder status for the non-human environment is discussed. This essay criticizes a past attempt to ascribe stakeholder status to the non-human environment, which utilized a broad definition of the term "stakeholder." This paper then demonstrates how, despite the (...) denial of stakeholder status, the environment is nonetheless accounted for on a fairness-based approach through legitimate organizational stakeholders. In addition, since stakeholder theory has never claimed to be a comprehensive ethical scheme, it is argued that sound reasons might exist for managers to consider their organization's impact on the environment that are not stakeholder-related. (shrink)

One-third of all adults under the age of thirty in the United States of America are ‘nones’. Nones include atheists, agnostics, and those who answer “nothing in particular” to religious survey questions. In this article the authors examine the rise of the nones, drawing upon the work of Mary Eberstadt, Charles Taylor, and Joseph Bottum. We classify the nones into three groups: naturalists, transcendent spiritualists, and non-transcendent spiritualists. After discussing various challenges for evangelization among the nones, we propose some ideas (...) to address these challenges. Here we draw upon the work of Saint Thomas Aquinas, Jacques Maritain, and Mariano Artigas. Finally, we discuss some cultural concerns and problems that would probably result if the rise of the nones is left unaddressed. (shrink)

Previous research on unethical business behavior usually has focused on its impact from a financial or philosophical perspective. While such foci are important to our understanding of unethical behavior, we argue that another set of outcomes linked to individual well-being are critical as well. Using data from psychological, criminological, and epidemiological sources, we propose a model of unethical behavior and well-being. This model postulates that decrements in well-being result from stress or trauma stemming from being victimized by, engaging in, or (...) witnessing unethical behavior, or even from being associated with individuals involved in such behavior. (shrink)

In this article the author discusses Peter A. Redpath’s understanding of the nature of philosophy and his account of how erroneous understandings of philosophy have led to the decline of the West and to the separation of philosophy from modern science and modern science from wisdom. Following Aristotle and St. Thomas Aquinas, Redpath argues that philosophy is a sense realism because it begins in wonder about real things known through the senses. Philosophy presupposes pre-philosophical knowledge, common sense, which consists of (...) principles rooted in sensation that make human experience, sense wonder, and philosophy possible. Philosophy is certain knowledge demonstrated through causes and thus philosophy is the same as science. Redpath understands science as a habit that we acquire through repeated practice. More precisely, a scientific habit is a simple quality of the intellect that enables us to demonstrate (prove) the necessary properties of a genus through their causes or principles. In this way, science is the study of the one and the many. Redpath argues that metaphysics is the final cause of the arts and sciences, providing the foundation for all of the arts and sciences and justifying their principles. Finally, he argues that with modernity’s loss of belief in God and its rejection of metaphysics as a science, utopian socialism has become an historical/political substitute for metaphysics. (shrink)

Biogerontologist Aubrey de Grey has suggested that one of the reasons we as a society invest so little in research on combating aging is because we are in an intellectual trance. We think the effort will be futile: aging is immutable, so why try? A healthy skepticism can be a good thing but it is a major mistake to bet against the irresistible force of inexorable technological progress. Over the next few decades, nanotechnology will come to play a pivotal role (...) in the solution to the problem of human aging. Medical nanorobotics, if it can be made to work, can unquestionably offer convenient solutions to all known causes of age-related damage and most likely can also successfully address any new causes of senescence that remain undiscovered today. (shrink)

A vacuum is arising in the social policy of advanced countries. It is due to the fact that both of the currently dominant bases for social policy, market-oriented policy, and its presumed antagonist, welfare state policy, have the same and an insufficiently broad production value model at their core. The solution is to create a true new alternative, work quality policy, based on a re-understanding of work organization and the alternative forms of value it can create. Understanding work organization’s consequences (...) can help resolve current dilemmas relating to (a) economic growth based on low production cost instead of skill development, (b) hidden costs of work intensity and job insecurity, (c) true service sector productivity, and (d) current fragility of democratic institutions. (shrink)

Pharmacy Ethics: A Foundation for Professional Practice provides a model for examining and resolving ethical dilemmas, thereby helping student pharmacists understand the ethical decision-making process in professional practice.

Individuals are a prominent part of the biological world. Although biologists and philosophers of biology draw freely on the concept of an individual in articulating both widely accepted and more controversial claims, there has been little explicit work devoted to the biological notion of an individual itself. How should we think about biological individuals? What are the roles that biological individuals play in processes such as natural selection (are genes and groups also units of selection?), speciation (are species individuals?), and (...) organismic development (do genomes code for organisms)? Much of our discussion here will focus on organisms as a central kind of biological individual, and that discussion will raise broader questions about the nature of the biological world, for example, about its complexity, its organization, and its relation to human thought. (shrink)

Questions of Miracle will be a valuable reference book and teaching tool for scholars and students of theology, religious studies, and philosophy. Contents The Logic of Probabilities in Hume's Argument against Miracles - Fred Wilson David Hume and the Miraculous - Robert Larmer Miracles and the Laws of Nature - Robert Larmer Against Miracles - John Collier Against "Against Miracles" - Robert Larmer Miracles and Conservation Laws - Neil MacGill Miracles and Conservation Laws: A Reply to Professor (...) MacGill - Robert Larmer Miracles and Criteria - Robert Larmer Miracles and Natural Explanations - David Basinger Miracles and Natural Explanations: A Rejoinder - Robert Larmer Miracles as Evidence for Theism: A Surrejoinder - David Basinger Miracles, Evidence, and Theism: A Further Apologia - Robert Larmer Authenticating Biblical Reports of Miracles - Phillip Wiebe Miracles and Testimony: A Reply to Wiebe - Robert Larmer Miracles as Evidence against the Existence of God - Christine Overall Miracles and the Existence of God: A Reply - Robert Larmer. (shrink)

Following on theoretical work and studies that assert a relationship between unethical activities and diminished well-being, and a common belief that those more ethically inclined experience greater well-being, the present study examined whether individual differences in ethical orientation may be associated with the experience of well-being. This paper reports the findings of two separate studies showing that individual differences in moral attentiveness, moral identity, idealism, relativism, and integrity were associated with differences in a wide range of well-being measures. Of particular (...) significance is not all ethical orientations were found to contribute to well-being. In fact, some negatively impacted individual levels of well-being. Implications for integrating these new findings into existing ethical theory and considerations for future research are explored. (shrink)

This book offers a sustained critique of individualism in psychology, a view that has been the subject of debate between philosophers such as Jerry Fodor and Tyler Burge for many years. The author approaches individualism as an issue in the philosophy of science and by discussing issues such as computationalism and the mind's modularity he opens the subject up for non-philosophers in psychology and computer science. Professor Wilson carefully examines the most influential arguments for individualism and identifies the main metaphysical (...) assumptions underlying them. Since the topic is so central to the philosophy of mind, a discipline generating enormous research and debate, the book has implications for a very broad range of philosophical issues including the naturalisation of intentionality, psychophysical supervenience, the nature of mental causation, and the viability of folk psychology. (shrink)

A model of production and exchange is proposed as an alternative to both market-oriented policy and social welfare policy. New patterns of social coordination at work form the basis for a new form of production output value: conducive value. This value is developed in both workers and consumers, activates skills and capabilities, and transforms customers from passive recipients to active users. It broadens the definition of economically valid social activity and it will help to resolve the unemployment dilemma arising with (...) globalization. The article observes that the flexibility demanded by neoliberal, market-oriented policy is antithetical to the flexibility of creative production, which builds on horizontal interaction at work and in exchange, thereby facilitating the creation of social relationships and social capital. In that, it constructs bridges between the new policy and models of social policy which form its platform and enhances the chances for effective democracy in society. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Berkeley and Scepticism: A Fatal Dalliance Robert A. Imlay This article is divided into three sections. In the first section I try to show how Berkeley inadvertently commits himself to scepticism or subjectivism by employing against the representational realist an argument that seeks to identify all sensible quaUties regardless of degree with pleasure or pain viewed as feeling states. An appeal to the act-object distinction as a way (...) of avoiding this result is shown to be futile because ofthe purely grammatical nature ofthat distinction. Berkeley must, ifhe can do so consistently, radically change course and attack the alleged identity head-on. In view of that I try to show more clearly in the second section why the sceptic or subjectivist—and Berkeleyhimself—are convinced that the identity forces itselfupon us. At the same time I try to explain why even a representationaUsm that agrees to identify heat, for example, with felt heat but clings to something unfelt like heat qua heat to be found in the fire is no answer to these philosophers. If it were, admittedly, the identity would not have to be attacked head-on. Against this form of representational readism an appeal is once more made to the purely grammatical nature of the act-object distinction which in our view Ues behind Berkeley's anti-representationalist Ukeness principle. In the third section, attacking the identity head-on I try to show the identification of heat and pain, to continue with that example, assumes that all differences between the two would have to be transparent to consciousness. And that is already to assume what needs to be proved, namely, that there is no epistemologically opaque, mind-independent heat ofthe fire. Unfortunately, this Une ofattack is notopen toBerkeley, because hehas otherarguments designedto show that there is, indeed, no mind-independent heat of the fire. If, on the other hand, he rejected the transparency of consciousness, he would run the risk—as he is fully aware—of allowing in scepticism or subjectivism through another door. Finally, Berkeley's attempt to avoid scepticism or subjectivism by making sensible qualities objects ofperception is seen to run afoul ofthe purely grammatical nature of the act-object relation, the subject with which this paper more or less began. Volume XVIII Number 2 501 ROBERT A. IMLAY One tried but perhaps not always true way of dealing with the philosophical sceptic or subjectivist is to give her all the rope that she requires in order to hang herself. This is the way of Descartes in the first and the beginningofthe secondMeditation where sceptical doubt, indeed denial, pushed to its limit, is supposed to demonstrate to the philosopher that he exists. It is, however, also the way ofBerkeley at least to the extent that he is prepared to employ a sceptical or subjectivist argument to arrive at a position that is supposed to be in the final analysis incompatible with scepticism or subjectivism. Such astrategyis, needless to say, not withoutits dangers. Indeed, it is because ofthem thatjust such a strategy, ifit could succeed, would constitute areal epistemic tourdeforce. The most obvious and pressing danger is that by unabashedly employing a sceptical or subjectivist argument one inevitably becomes committed to scepticism or subjectivism oneself. Nor is that danger to be averted merely by quaUfying the argument in question in such a way that it loses its sceptical or subjectivist bite. For at least in the case of Berkeley and the particular argument of his that we have in mind, it can lose that bite only by ceasing to be itself. By the same token it will leave intact or at least play no role in the dismantling of a position that on further analysis is supposed to be not only compatible with scepticism or subjectivism but, ifBerkeley is right, ultimately vindicates it. The argument is the one in which Berkeley insists on the identity, regardless ofdegree, ofall the sensible qualities—heat and cold, sweet and bitter, for example—with either pleasure or pain viewed as feeling states in order to put them in the mind along with the latter.1 This argument is essentially a sceptical or subjectivist one and, if he were to abandon it... (shrink)

The eminent and award-winning historian Robert A. Gross presents his long-awaited, immersive journey through Concord in the age of Emerson and Thoreau.