There is increasing emphasis on the need for collaboration between practice and academic leaders in health care research. However, many problems can arise owing to differences between academic and clinical goals and timelines. In order for research to move forward it is important to name and address these issues early in a project. In this article we use an example of a participatory action research study of ethical practice in nursing to highlight some of the issues that are not frequently (...) discussed and we identify the impact of things not-named. Further, we offer our insights to others who wish to be partners in research between academic and practice settings. These findings have wide implications for ameliorating misunderstandings that may develop between nurse leaders in light of collaborative research, as well as for participatory action research. (shrink)

First Published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

'By identifying the extent to which Aristotle's thinking about ethics was shaped by notions drawn from the crafts Angier has thrown new light on a surprising number of topics and has deepened our understanding of tensions within Aristotle's thought. It is by now a rare achievement to have said something new, true and important about Aristotle.' -- Alasdair MacIntyre, Emeritus Professor of Philosophy, University of Notre Dame, USA.

In this book—the first large-scale survey of the complex relationship between Hegel’s idealism and Anglo-American analytic philosophy—Tom Rockmore argues that analytic philosophy has consistently misread and misappropriated Hegel. According to Rockmore, the first generation of British analytic philosophers to engage Hegel possessed a limited understanding of his philosophy and of idealism. Succeeding generations continued to misinterpret him, and recent analytic thinkers have turned Hegel into a pragmatist by ignoring his idealism. Rockmore explains why this has happened, defends Hegel’s idealism, and (...) points out the ways that Hegel is a key figure for analytic concerns, focusing in particular on the fact that he and analytic philosophers both share an interest in the problem of knowledge. (shrink)

It is common to focus on the duties of the wrongdoer in cases that involve injustice. Presumably, the wrongdoer owes her victim an apology for having wronged her and perhaps compensation for having harmed her. But, these are not the only duties that may arise. Are other beneficiaries of an injustice permitted to retain the fruits of the injustice? If not, who becomes entitled to those funds? In recent years, the Connection Account has emerged as an influential account that purports (...) to explain cases such as Embezzlement. This account holds that benefiting from injustice can give rise to a corrective duty - that is, a duty of compensation - owed specifically to the victim of the injustice from which the recipient benefits. This duty is grounded in the connection between the victim and the beneficiary of a given injustice. This paper has two aims. First, I show that we must reject the Connection Account on the grounds that it risks failing correctly to identify those who become entitled to the fruits of injustice. I achieve this by developing and defending the fairness objection. Second, I offer an alternative account: the Moral Taintedness Account. This account states that, when identifying who is entitled to the fruits of injustice, the cause and the degree of the harm suffered by a victim are both relevant considerations, though it does not matter whether the victim is the victim of the injustice that gave rise to the fruits in question. This account avoids the problem associated with the Connection Account, and yields intuitive conclusions in an important range of test cases. (shrink)

It was as a political thinker that Thomas Hobbes first came to prominence, and it is as a political theorist that he is most studied today. Yet the range of his writings extends well beyond morals and politics. Hobbes had distinctive views in metaphysics and epistemology, and wrote about such subjects as history, law, and religion. He also produced full-scale treatises in physics, optics, and geometry. All of these areas are covered in this Companion, most in considerable detail. The volume (...) also reflects the multidisciplinary nature of current Hobbes scholarship by drawing together perspectives that are now being developed in parallel by philosophers, historians of science and mathematics, intellectual historians, political scientists, and literary theorists. (shrink)

Kriegel’s self-representationalist theory of phenomenal consciousness pursues two projects. The first is to offer a positive account of how conscious experience arises from physical brain processes. The second is to explain why consciousness misleadingly appears to be irreducible to the physical i.e. to ‘demystify’ consciousness. This paper seeks to determine whether SR succeeds on the second project. Kriegel trades on a distinction between the subjective character and qualitative character of conscious states. Subjective character is the property of being a conscious (...) state at all, while qualitative character determines what it is like to be in that state. Kriegel claims that SR explains why subjective character misleadingly appears irreducible, thereby neutralising the apparent irreducibility of consciousness. I argue that although SR credibly demystifies subjective character, it cannot explain why qualitative character also appears irreducible. I conclude that we should pursue the possibility of a hybrid position that combines SR with an account that does explain the apparent irreducibility of qualitative character. (shrink)

Around the world, the population is ageing in ways that pose new challenges for healthcare providers. To date these have mostly been formulated in terms of challenges created by increasing costs, and the focus has been squarely on life-prolonging treatments. However, this focus ignores the ways in which many older people require life-enhancing treatments to counteract the effects of physical and mental decline. This paper argues that in doing so it misses important aspects of what justice requires when it comes (...) to older people. (shrink)

The great German philosopher and aesthetic theorist Theodor Wiesengrund Adorno was one of the main philosophers of the first generation of the Frankfurt School of critical theory. An accomplished musician, Adorno first focused on the theory of culture and art. Later he turned to the problem of the self-defeating dialectic of modern reason and freedom. In this collection of essays, imbued with the most up-to-date research, a distinguished roster of Adorno specialists explore the full range of his contributions to philosophy, (...) history, music theory, aesthetics and sociology. New readers will find this the most convenient and accessible guide to Adorno currently available. Advanced students and specialists will find a conspectus of recent developments in the interpretation of Adorno. (shrink)

Distinguishing between the source and the locus of value enables environmental philosophers to consider not only what is of value, but also to try to develop a conception of valuation that is itself ecological. Such a conception must address difficulties caused by the original locational metaphors in which the distinction is framed. This is done by reassessing two frequently employed models of valuation, perception and desire, and going on to show that a more adequate ecological understanding of valuation emerges when (...) these models are fully contextualized in the intersecting life worlds of the ecological community. Ecological evaluation takes place in ongoing encounters between these worlds and a crucial part in this process is assigned to living beings that are “open-endedly open,” that is, open not only to what the world affords them and others, but open to an indefinite field of possible valuational encounters between all kinds of beings. Ecological valuation overcomes some of the conceptual failings of contemporary attempts to evaluate nature: “The Economics of Ecology and Biodiversity” and “Valuing Nature.”. (shrink)

I was initially assigned the working title, “Pursuing Equality in Health Care for the Elderly Is Futile.” I prefer to think of that particular dead end of health policy as one of listening to the wrong music for too long. Hence, this article reprises and revises the title song of the early 1980s movie, Urban Cowboy, but with Johnny Lee’s original lyrics adapted as “Looking for better health [rather than either ‘love’ or ‘love of equality’] in all the wrong places.” (...) The better goal is to achieve more progress in improving health for more people, including the elderly. It need not be as futile as the pursuit of the elusive abstraction of “equality” for all — but only if we first move away from a path-dependent approach of recent times that remains too narrowly focused on statistical disparities in health care services received by particular groups. (shrink)

The sublime has come under severe criticism in recent years. Jane Forsey, for instance, has argued that all theories of the sublime “rest on a mistake”. In her article, “The Pleasures of Contra-purposiveness: Kant, the Sublime, and Being Human,” Katerina Deligiorgi () provides a rejoinder to Forsey. Deligiorgi argues—with the help of Kant—that a coherent theory of the sublime is possible, and she provides a sketch for such a theory. Deligiorgi makes good progress in the debate over the sublime. But (...) here I raise two questions in relation to her account. The aim of these questions is to help clarify and augment her theory and thus extend the discussion about the tenability and relevance of the sublime. The first question is about the pleasure of the sublime. The pleasure, she claims, comes from our catching a glimpse of ourselves as agents in the world. But, I argue, Deligiorgi's conception of agency is insufficient for explaining the pleasure of sublimity, and this is because she does not take into account what I call the “ends of reason,” those ends that matter most to us as agents. The second question pertains to the phenomenology of the sublime. The worry here is that Deligiorgi overcomplicates the subject's experience and, in doing so, greatly restricts the scope of the sublime. (shrink)

This editor's preface introduces a special issue of Critical Horizons on the theme of “contestatory cosmopolitanism.” After identifying the broad failings of the standard cosmopolitan appeal to global community, it presents the defining features of the “contestatory” alternative and introduces the papers in light of them.

The paper looks at how Tsong kha pa, mKhas grub, and Go rams pa understood the third and fourth lemmas in the tetralemma, “both A and B” and “neither A nor B,” respectively.

In the helpful article “Why Bioethics Needs a Disability Moral Psychology,” Joseph Stramondo adds to the critique of actually existing bioethics and explains why disability activists and scholars so often find fault with the arguments of bioethicists. He is careful not to stereotype either community—rightly, given that bioethicists endorse positions as disparate as utilitarianism, deontology, virtue ethics, and feminist ethics, among others. Although Stramondo never explicitly mentions utilitarians or liberals, it seems probable that these are the main targets of his (...) discontent. The disability community, as he concedes, is also a broad church. Yet for this reason, I do not believe that you can read off positions on bioethics questions from either disability embodiment or disability organization affiliation. (shrink)

This text develops students' ability to philosophise and learn about philosophy and education. It challenges readers to use philosophy as a tool within education and as a set of theories to understand education by developing solutions to problems as they occur within practice. Assuming no pre-existing philosophical background, this book explores topics such as: the limits of a religious-based education; the desire for 'alternative facts' or 'truths'; and the struggle in the teacher-student relationship. This book will support all those on (...) Education, Childhood or Youth Studies courses in developing a critical perspective and understanding the true value of philosophy within education. (shrink)

Early announcements of this special journal issue solicited authors interested in contributing articles on the subject of “costs at the end of life.” Those who replied were then informed the title was being changed, on the basis of early subscriber interest, in “rational end-of-life treatment.” Because that seemed a still inadequate reflection of the authorial concerns of responding potential contributors, the editors again changed the title, two months later, to “Making Treatments More Rational and Compassionate for the Chronically Critically Ill.” (...) At that point the editors gave up and decided this issue’s final title would be determined only after the papers were submitted and reviewed. (shrink)

Psychological altruism (being motivated by the needs of others) has a tendency to produce behaviour that is costly in evolutionary terms. How, then, could the capacity for psychological altruism evolve? One suggestion is that it is the result of sexual selection. There are, however, two problems that face such an account: first, it is not clear that the resulting behaviour would be altruistic in the relevant sense, and second, it does not seem to fit with key features of our actual (...) helping behaviour. I will argue that both of these problems can be avoided if we adopt a modular account of desire formation. (shrink)

Wnt proteins form a family of secreted signaling proteins that play a key role in various developmental events such as cell differentiation, cell migration, cell polarity and cell proliferation. It is currently thought that Wnt proteins activate at least three different signaling pathways by binding to seven transmembrane receptors of the Frizzled family and the co-receptor LRP6. Despite our growing knowledge of intracellular components that mediate a Wnt signal, the molecular events at the membrane have remained rather unclear. Now several (...) publications1-4 indicate that Frizzled receptors are G-protein coupled and kinases were identified that phosphorylate the co-receptor LRP6. These data deepen our understanding of Wnt-mediated signal transduction and provide more insight into how specificity may be achieved. BioEssays 28: 339–343, 2006. © 2006 Wiley Periodicals, Inc. (shrink)

In this paper we critically examine and seek to extend Philip Kitcher’s Ethical Project to weave together a distinctive naturalistic conception of how ethics came to occupy the place it does in our lives and how the existing ethical project should be revised and extended into the future. Although we endorse his insight that ethical progress is better conceived of as the improvement of an existing state than an incremental approach towards a fixed endpoint, we nonetheless go on to argue (...) that the metaethical apparatus Kitcher constructs around this creative metaethical proposal simply cannot do the work that he demands of it. The prospect of fundamental conflict between different functions of the ethical project requires Kitcher to appeal to a particular normative stance in order to judge specific changes in the ethical project to be genuinely progressive, and we argue that the virtues of continuity and coherence to which he appeals can only specify rather than justify the normative stance he favors. We conclude by suggesting an alternative approach for ethical naturalists that seems to us ultimately more promising than Kitcher’s own. (shrink)

(2005). Reflections on the Appointment of Dr. Edmund Pellegrino to the President's Council on Bioethics. The American Journal of Bioethics: Vol. 5, No. 6, pp. W8-W9. doi: 10.1080/15265160500388640.

This paper has outlined the theoretical framework for constructing a survey instrument designed to elicit attitudes that contribute to perceived legitimacy of corporate environmental sustainability policies or initiatives. It posits six attitudinal components of legitimacy that can be influenced independently, and that combine to yield an overall attitude regarding the legitimacy of sustainability as a factor in managerial decision-making. It discusses how a survey instrument could be developed to measure these attitudinal components, and suggests practical and pedagogical applications.

Like many other bioethicists, I often give talks on clinical topics that may touch on the patient's right of autonomy with regard to medical treatment and, from there, may move to questions about whether said patient has the capacity to exercise said right. When I get to that subject, I might ask, “Is this person competent to refuse treatment?” A stunned silence falls over the room, until finally a hand shoots up. “‘Competent’ is a legal term,” I am instructed. “Don't (...) you mean to ask whether he has the capacity to make decisions for himself?” The tone suggests that I'm being helped to make a very important distinction. But it's not a very important distinction; and it's misleading to boot. (shrink)

Contrary to the revised Common Rule, and contrary to the views of many bioethicists and researchers, we argue that broad consent should be sought for anticipated later research uses of deidentified biospecimens and health information collected during medical care. Individuals differ in the kinds of risk they find concerning and in their willingness to permit use of their biospecimens for future research. For this reason, asking their permission for unspecified research uses is a fundamental expression of respect for them as (...) persons and should be done absent some compelling moral consideration to the contrary. We examine three moral considerations and argue that each of them fails: that there is a duty of easy rescue binding on all, that seeking consent creates a selection bias that undermines the validity of biospecimen research, and that seeking and documenting consent will be prohibitively expensive. (shrink)

(1994). Moral authority in law and criminal justice: Some reflections on Wilson's The Moral Sense. Criminal Justice Ethics: Vol. 13, No. 2, pp. 44-53.

Previous research into the formalisation of statute law identified a number of uses of language which posed problems for formalisation. A previous paper argued that these uses establish the requirement that a formalisation be isomorphic, but noted that this has odd consequences. This paper expands on what these consequences are and argues that they undermine the very idea of formalisation. Therefore, the whole argument constitutes a reductio ad absurdum of the idea of formalising statute law. The paper provides reasons why (...) this activity is impossible and places the conclusion in the context of the development of modem logic, in which context it appears uncontroversial. (shrink)

Although space limitations do not permit including all the responses received after the passing of David Thomasma, some representative expressions are included below. As these remembrances attest, Edmund Pellegrino spoke for all of us when he said at David's memorial service, “It has been said that we die only when forgotten; if so, David will live a long time. He remains a presence for his family, friends, collaborators, and all who met him.”.

A recent issue of CambridgeQuarterlyofHealthcareEthics provides a fascinating look into the uncertainties surrounding the subject of human cloning. As Nelkin and Lindee point out, for example, the popular assumption is that this technology will lead to individual immortality. life everlasting for the deserving.considers the use of cloning for the replication of human individuals to be ethically unacceptable.”.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Things Merely Are: Philosophy in the Poetry of Wallace StevensTom McBrideThings Merely Are: Philosophy in the Poetry of Wallace Stevens, by Simon Critchley. 137 pp. New York: Routledge, 2005; $22.50.This book—a brief meditation on the poetry of Wallace Stevens and an even shorter one on the cinema of Terrence Malick—might have been a disaster. The author, a philosopher, is sometimes in worried denial that Stevens is an "anti-realist" (...) or a "transcendental realist," and one occasionally senses that in the ancient tension between philosophy and poetry, herding the poets into the philosopher's pen is a bullying way to resolve the conflict. But the book isn't a catastrophe at all; it's a lucid, ruminative, and personable reading of Stevens (and Malick) that even offers a good general guide to the reading of poetry in what Critchley calls "the wake of romanticism" (motto: "God is dead; therefore I am").Critchley's major idea is twofold: that poetry is a therapeutic art form because it slows us down and encourages, about countless subjects, "the whole voluptuousness of looking"; and that Stevens's poetry is informed by a contest between a poetry of "supreme fictions" (in which phenomena come under the [End Page 503] dominion of a potent imagination) and a poetry of "antipodes" (in which phenomena resist the imagination—they "merely are"—and thus reduce the imagination to impotence). Here Critchley affirms a usual view of Stevens as a poet of the weather—another way of saying that he is a modernist with strong roots in the Romantic movement—and he notes that the supreme fiction poems often tend to be set in summer, when the imagination seems especially yeasty, while the antipodean poems tend to be set in winter, when the miserly realness of things seems to rule the earth. In his sensitive and astute reading, however, Critchley remarks upon something else: that in his late poems Stevens seems more overtly metaphysical (Critchely says Stevens is the most philosophically interesting poet of the twentieth century) and that his later poems are set more and more in the seasons of transition (late autumn/early spring). Late in Stevens's career the battle between supreme fictions and antipodes is therefore played out in the same, often overtly philosophical poems. Here Critchley's commentary is at its most astute. Occasional lovers of Wallace Stevens's poetry will remember why they adore his work, and have a better idea why.However, lest readers get the wrong idea, some careful qualifications about the dialectic between Stevens's summer and winter poems are in order. For one thing, the poems of supreme fictions always leave phenomena with their particularity, their ordinariness, their concreteness. To cite one such poem, "Anecdote of the Jar," although the poet imaginatively places "a jar in Tennessee" that makes "the lovely wilderness / Surround that hill," the wilderness' birds and bushes, even the jar itself, remain birds and bushes and jars ("gray and bare"). Here Critchley reinterprets Samuel Taylor Coleridge's distinction between "fancy" and "imagination." Fancy dreams of what does not exist, while imagination transfigures what does. Stevens's poems of supreme fiction are always imaginative, never fanciful.A second qualification: Critchley argues that for Stevens (as well as for a number of philosophers) human ways of knowing are always informed, sooner or later, by the conceptual imagination. In that sense a rose is never just a rose, although we need not become overly fanciful about what a cigar might be. And this leads us to a third one: When readers get to the wintry, antipodean poems—the poems of "anti-poetry"—they will find Stevens suggesting that the only way to view objects without imagination is to imagine what that would be like. Even earlier in his career Stevens became interested in this paradox, as in "The Snow Man" where he muses:One must have a mind of winter To regard the frost and boughs Of the pine-trees crusted with snow; And have been cold a long time To behold the junipers shagged with ice, The spruces rough in the distant glitter [End Page 504] Of the January sun; and not... (shrink)