Demands by Patients or their Families for treatment thought to be inappropriate by health care providers constitute an important set of moral problems in clinical practice. A variety of approaches to such cases have been described in the literature, including medical futility, standard of care and negotiation. Medical futility fails because it confounds morally distinct cases: demand for an ineffective treatment and demand for an effective treatment that supports a controversial end (e.g., permanent unconsciousness). Medical futility is not necessary in (...) the first case and is harmful in the second. Ineffective treatment falls outside the standard of care, and thus health care workers have no obligation to provide it. Demands for treatment that supports controversial ends are difficult cases best addressed through open communication, negotiation and the use of conflict-resolution techniques. Institutions should ensure that fair and unambiguous procedures for dealing with such cases are laid out in policy statements. (shrink)

Mitchell et al.'s claim, that their propositional theory is a single-process theory, is illusory because they relegate some learning to a secondary memory process. This renders the single-process theory untestable. The propositional account is not a process theory of learning, but rather, a heuristic that has led to interesting research.

On Roger Bacon's life and works, by A. G. Little. -- Der Einfluss des Robert Grosseteste auf die wissenschaftliche Richtung des Roger Bacon, von L. Baur. -- La place de Roger Bacon parmi les philosophes du xiie siècle, par F. Picavet. -- Roger Bacon and the Latin vulgate, by F. A. Gasquet. -- Roger Bacon and philology, by S. A. Hirsch. -- The place of Roger Bacon in the history of mathematics, by D. E. Smith. -- Roger Bacon und seine (...) Verdienste um die Optik, von E. Wiedemann. -- Roger Bacon's Lehre von der sinnlichen Spezies und vom Sehvorgange, von S. Vogl. -- Roger Bacon's art des wissenschaftlichen Arbeitens dargestellt nach seineer Schrift De speculis, von Würschmidt. -- Roger Bacon et l'horreur du vide, par P. Duhem. -- Roger Bacon : his relations to alchemy and chemistry, by M. M. P. Muir. -- Roger Bacon and gunpowder, by H. W. L. Hime. -- Roger Bacon and medicine, by E. W, Withington. -- Roger Bacon in English literature, by Sir J. E. Sandys. -- Roger Bacon's works with references to the mss. printed editions, by A, G. Little (p. [375]-425). (shrink)

This monograph is the first integral study of the views of the Austro-English philosopher Ludwig Wittgenstein to appear in Soviet literature, and it is presented in close connection with an analysis of his relations with his contemporaries. The book sheds light on the sociocultural sources of Wittgenstein's philosophy, and it analyzes his book On Certainty for the first time, gives a new reading of his Notebooks, 1914-1916 and a number of other sketches, and very exhaustively treats his lectures on the (...) foundations of mathematics. The book is a critical analysis of the evolution of the philosophical views of Wittgenstein and sheds light on the personal motives behind his philosophical ideas and conceptions. (shrink)