Since testing for HIV infection became possible in 1985, testing of pregnant women has been conducted primarily on a voluntary, ‘opt-in’ basis. Faden, Geller and Powers, Bayer, Wilfert, and McKenna, among others, have suggested that with the development of more reliable testing and more effective therapy to reduce maternal-fetal transmission, testing should become either routine with ‘opt-out’ provisions or mandatory. We ask, in the light of the new rapid tests for HIV, such as OraQuick, and the development of antiretroviral treatment (...) that can reduce maternal-fetal transmission rates to <2%, whether that time is now. Illustrating our argument with cases from the United States (US), Kenya, Peru, and an undocumented Mexican worker in the US, we show that when testing is accompanied by assured multi-drug therapy for the mother, the argument for opt-out or mandatory testing for HIV in pregnancy is strong, but that it is problematic where testing is accompanied by adverse events such as spousal abuse or by inadequate intrapartum or follow-up treatment. The difference is not a ‘double standard’, but reflects the presence of conflicts between the health interests of the mother and the fetus – conflicts that would be abrogated by the assurance of adequate, continuing multi-drug therapy. In light of these conflicts, where they still occur, careful processes of informed consent are appropriate, rather than opt-out or mandatory testing. (shrink)

This paper examines the characteristics of infectious diseases that raise special medical and social ethical issues, and explores ways of integrating both current bioethical and classical public health ethics concerns. Many of the ethical issues raised by infectious diseases are related to these diseases’ powerful ability to engender fear in individuals and panic in populations. We address the association of some infectious diseases with high morbidity and mortality rates, the sense that infectious diseases are caused by invasion or attack on (...) humans by foreign micro‐organisms, the acute onset and rapid course of many infectious diseases, and, in particular, the communicability of infectious diseases. The individual fear and community panic associated with infectious diseases often leads to rapid, emotionally driven decision making about public health policies needed to protect the community that may be in conflict with current bioethical principles regarding the care of individual patients. The discussion includes recent examples where dialogue between public health practitioners and medical‐ethicists has helped resolve ethical issues that require us to consider the infected patient as both a victim with individual needs and rights and as a potential vector of disease that is of concern to the community. (shrink)

: Understanding the categories in terms of which people act is a basic tenet of anthropological research. This principle should apply to the study of scientists, yet analysts (social scientists and others) often do not address the content of science and, therefore, ignore a significant aspect of the conceptual framework within which scientists act. This paper examines, in the case of the development of the American secret nuclear surveillance system, the limitations of interpretations that do not adequately analyze such a (...) conceptual framework. It also examines the implications of this case for an anthropology of science. (shrink)

ABSTRACT In this article, we first document the virtually complete absence of infectious disease examples and concerns at the time bioethics emerged as a field. We then argue that this oversight was not benign by considering two central issues in the field, informed consent and distributive justice, and showing how they might have been framed differently had infectiousness been at the forefront of concern. The solution to this omission might be to apply standard approaches in liberal bioethics, such as autonomy (...) and the harm principle, to infectious examples. We argue that this is insufficient, however. Taking infectious disease into account requires understanding the patient as victim and as vector. Infectiousness reminds us that as autonomous agents we are both embodied and vulnerable in our relationships with others. We conclude by applying this reunderstanding of agency to the examples of informed consent and distributive justice in health care. (shrink)

ABSTRACT In this article, we first document the virtually complete absence of infectious disease examples and concerns at the time bioethics emerged as a field. We then argue that this oversight was not benign by considering two central issues in the field, informed consent and distributive justice, and showing how they might have been framed differently had infectiousness been at the forefront of concern. The solution to this omission might be to apply standard approaches in liberal bioethics, such as autonomy (...) and the harm principle, to infectious examples. We argue that this is insufficient, however. Taking infectious disease into account requires understanding the patient as victim and as vector. Infectiousness reminds us that as autonomous agents we are both embodied and vulnerable in our relationships with others. We conclude by applying this reunderstanding of agency to the examples of informed consent and distributive justice in health care. (shrink)

Syndromic surveillance uses new ways of gathering data to identify possible disease outbreaks. Because syndromic surveillance can be implemented to detect patterns before diseases are even identified, it poses novel problems for informed consent, patient privacy and confidentiality, and risks of stigmatization. This paper analyzes these ethical issues from the viewpoint of the patient as victim and vector. It concludes by pointing out that the new International Health Regulations fail to take full account of the ethical challenges raised by syndromic (...) surveillance. (shrink)

The prelims comprise: Seeing Infectious Disease as Central The Birth of Bioethics Amid the Decline of Infectious Disease The Shifting Concerns of Public Health Bioethics and Public Health: How the Twain Didn't Meet The Case of HIV Bridging the Gap: Seeing Bioethics in Terms of the Patient as Victim and Vector An Ordinary Example Summing Up: Autonomous Agency in the Context of Infectious Disease Notes.

Charles_ _Hartshorne characterizes this book as “an eloquent and insightful presentation of the claims of Buddhism to the attention of thoughtful people in this country, espe­cially those aware of the widely influential process philosophy and process theology of Whitehead.” Stressing Buddhism as opposed to West­ern philosophy, Jacobson concentrates on the theme of the self-corrective nature of Buddhism, ending with a strong emphasis on “self-surpassing Oneness.” Introducing the reader to the major perspectives of Buddhist philosophy, he notes that “the more (...) fully awakened we become to the moments that are the real event, the more we will recog­nize how much we need each other to enrich these _nows, _and the less tempted we will be to serve that abstract and false self.” Because everything on earth is a part of everything else, an organic whole, even the most enlightened self-interest is irrational and destructive. The rational person seeks to “infuse the life we live with the novel qualities of each _now.” _The rational person further struggles to “free himself from the one-sided, self-justifying cultural cocoons that have dwarfed and warped his awareness and crippled cross-cultural communica­tions,” according to Jacobson. Buddhism of­fers the only alternative to the enervated economic, political, diplomatic, and military measures presently used to “cope with un­derlying disaster.”. (shrink)

Prefatory Remarks to Charles Hartshorne's Essay The leading process philosopher of out time intimately divulges his own awakening to the fundamentals of ...

This captivating new book, a milestone in Buddhist and comparative studies, is a compilation of seventeen essays celebrating the work and thought of Nolan Pliny Jacobson. A profoundly motivated interdisciplinary thinker, Jacobson sought to discover, clarify, and synthesize points of similarity among leading thinkers of different Oriental and Western cultures. For almost half a century, he articulated his vision of an emerging world civilization, one in which all people can feel and express their creative, constructive powers for the (...) benefit of others as well as for themselves. Jacobson believed that philosophy and the works of philosophers should be understood as a vital force enriching all civilizational experience. His own philosophic perspective was rooted in the conviction that novelty is the source of all experience and the center of a creativity that lives beyond words, arguments, and rational paradigms. Throughout his career, Jacobson explored Buddhist texts and personalities, spending much time in the Orient, particularly Myanmar and Japan. He also closely studied the works of numerous Western philosophers, including Whitehead, Dewey, Peirce, James, Hartshorne, and Wieman. Jacobson believed that American philosophy and Buddhism concurred in many ways, with the potential to form a powerful basis for the development of a world civilization. The essays in this volume are organized around Jacobson’s activities, publications, and interests. Authored by an impressive selection of scholars, the essays are grouped into four sections—"Historical Context," "Central Issues," "Practical Implications," and "The Japan Emphasis." Hajime Nakamura, Charles Hartshorne, Kenneth K. Inada, Seizo Oho, and numerous others discuss freedom, creativity, and Buddhism’s self-corrective nature, setting forth their reasons for sharing Jacobson’s ideas and visions. (shrink)

The Spirit of the Laws is, without question, one of the central texts in the history of eighteenth-century thought, yet there has been no complete, scholarly English-language edition since that of Thomas Nugent, published in 1750. This lucid translation renders Montesquieu's problematic text newly accessible to a fresh generation of students, helping them to understand quite why Montesquieu was such an important figure in the early enlightenment and why The Spirit of the Laws was, for example, such an influence upon (...) those who framed the American constitution. Fully annotated, this edition focuses attention upon Montesquieu's use of sources and his text as a whole, rather than upon those opening passages towards which critical energies have traditionally been devoted, and a select bibliography and chronology are provided for those coming to Montesquieu's work for the first time. (shrink)

By mass-energy equivalence, the gravitational field has a relativistic mass density proportional to its energy density. I seek to better understand this mass of the gravitational field by asking whether it plays three traditional roles of mass: the role in conservation of mass, the inertial role, and the role as source for gravitation. The difficult case of general relativity is compared to the more straightforward cases of Newtonian gravity and electromagnetism by way of gravitoelectromagnetism, an intermediate theory of gravity that (...) resembles electromagnetism. (shrink)

Aristotle's solution to the problem raised in Ch. 4 depends on his account of how we arrive at thoughts on the basis of experience. In his view, we standardly acquire a term for a kind on the basis of contact with members of a kind, without thereby knowing that the kind in question exists. Further, we can grasp such terms without knowing that the kind has a unifying basic feature that explains its necessary properties. Our understanding of the kind is (...) to be compared with that of a craftsman and not that of a proto‐scientist. Aristotle's view is distinguished from several twentieth‐century accounts of these issues. (shrink)

Of laws in general -- Of laws directly derived from the nature of government -- Of the principles of the three kinds of government -- That the laws of education ought to be relative to the principles of government -- That the laws given by the legislator ought to be relative to the nature of government -- Consquences of the principles of different governments, with respect to the simplicity of civil and criminal laws, the form of judgements, and inflicting of (...) punishments -- Consquences of the different principles of the three governments, with respect to sumptuary laws, luxury, and the condition of women -- Of the corruption of the principles of the three governments -- Of the laws in the relation they bear to defensive force -- Of laws, in the relation they bear to offensive force. (shrink)

Yang returns to the problem of referential ambiguity, addressed in the opening paper by Gleitman and Trueswell. Using a computational approach, he argues that “big data” approaches to resolving referential ambiguity are destined to fail, because of the inevitable computational explosion needed to keep track of contextual associations present when a word is uttered. Yang tests several computational models, two of which depend on one‐trial learning, as described in Gleitman and Trueswell’s paper. He concludes that such models outperform cross‐situational learning (...) models, thereby formalizing, reinforcing, and advancing the conclusions offered by Gleitman and Trueswell. (shrink)

Should engineering ethics be taught? Despite the obvious truism that we all want our students to be moral engineers who practice virtuous professional behavior, I argue, in this article that the question itself obscures several ambiguities that prompt preliminary resolution. Upon clarification of these ambiguities, and an attempt to delineate key issues that make the question a philosophically interesting one, I conclude that engineering ethics not only should not, but cannot, be taught if we understand “teaching engineering ethics” to mean (...) training engineers to be moral individuals (as some advocates seem to have proposed). However, I also conclude that there is a justification to teaching engineering ethics, insofar as we are able to clearly identify the most desirable and efficacious pedagogical approach to the subject area, which I propose to be a case study-based format that utilizes the principle of human cognitive pattern recognition. (shrink)

" -- Dr. Daniel Gardner, Cornell University Medical College Charles Stevens, a prominent neurobiologist who originally trained as a biophysicist (with George Uhlenbeck and Mark Kac), wrote this book almost by accident.

English translation, with Chinese source text, of a seminal Chinese classic.

In lieu of an abstract, here is a brief excerpt of the content:"The Crowd Is Untruth": A Comparison of Kierkegaard and Girard Charles K. Bellinger University of Virginia The purpose ofthis essay is to provide an introductory comparison of the writings of Soren Kierkegaard and René Girard. To my knowledge, a substantial secondary article or book has not been written on this subject.1 Girard's writings themselves contain only a handful of references to Kierkegaard.2 This deficiency is unfortunate, since, as (...) I hope to show in the following pages, these two authors do share common insights into the psychology ofviolence. Girard's writings usually take the form of a scientific analysis of historical data. He is attempting to frame a theory of culture which takes into account all of the data which he has encountered. It would seem that Kierkegaard's mode of thought is very different, since he is primarily concerned with the meaning of personal existence before God. But 1 Eugene Webb's Philosophers of Consciousness and The Self Between contain discussions ofKierkegaard and Girard, but they are basically parallel sections which do not include a focused comparison of the two authors. David McCracken's The Scandal ofthe Gospels makes reference to Girard and contains a chapter on Kierkegaard, but it also lacks an extended comparison. 2 See Girard 1984, 58; 1986, 173; 1988, 26-7. In his Foreword to Robert HamertonKelly (xi), Girard says, "Mimetic theory is too realistic and commonsensical to be confused with one more nihilistic stepchild ofGerman idealism. And yet, unlike the positivistic social sciences, it is not blind to paradox; it can articulate the intricacies of human relations just as effectively as a Kierkegaard or a Dostoievsky." 104Charles K Bellinger Kierkegaard was in his own way and in his own time a kind of social scientist. He engaged in an extended "anthropological contemplation" (1967-1978, 1:37), in which he attempted to map out the territory of the human spirit. Girard's thought, for its part, occasionally steps outside ofthe methodological atheism of the scientific guild to speak in theological terms. Thus in both realms, the scientific and the theological, there is the possibility of fruitful dialogue between these two authors. I am assuming that the readers ofthis essay are more familiar with the writings of Girard than with the writings of Kierkegaard. My procedure will therefore involve listing certain key concepts in Girard's thought, such as mimetic desire, envy, the social crisis, etc., followed by a search for parallel ideas in Kierkegaard. IfGirard were claiming complete originality for his interpretation of culture, my findings would show that he was in many respects foreshadowed by Kierkegaard. But, of course, he is not claiming this. He claims only to be restating and organizing insights which have already been achieved by great novelists and the Bible. I would argue that Kierkegaard is rightly seen as one of the great "novelists" who sees human culture clearly and penetratingly. It is not a coincidence that Kierkegaard's thought, like Girard's, is rooted in an interpretation ofthe Bible. After this initial survey ofsimilarities between Kierkegaard and Girard, I will outline a few possible differences between their approaches. This will lead to comments on the way in which Kierkegaard's thought can be used as a basis for understanding the motives which underlie political violence. Consequently Kierkegaard's thought can be coordinated with Girard's in such a way that the thought ofeach author is strengthened by the contribution of the other. Mimetic desire Mimetic desire is the main starting point for Girard's theory of personality and culture. Human beings have a basic feeling ofexistential lack that leads them to look to a model who seems to possess a greater fullness of being. The desires of the model are imitated in the hope of acquiring a similar fullness ofbeing. In Girard's words: When modem theorists envisage man as a being who knows what he wants, or who at least possesses an "unconscious" that knows for him, they may simply have failed to perceive the domain in which human uncertainty is most extreme. Once his Kierkegaard and Girard105 basic needs are satisfied (indeed, sometimes even before), man is subject to intense desires, though he may not... (shrink)

John Dewey once said of philosophical problems that they are quite different from old soldiers. Not only do they never die, but they do not even fade away. Something similar might be said about the unfavourable Divine attributes of the 1950s and 60s, timelessness or eternity, necessary existence, foreknowledge of creaturely free choices, and immutability. All have contemporary defenders. Even the puzzling, traditional tenet that God is metaphysically simple now has formidable apologists. Perhaps the least popular of the traditional theistic (...) canon, the most likely to fade away, is the tenet that God is impassible. The recent appearance of Richard Creel's Divine Impassibility has shown that even this least popular of attributes can be powerfully articulated and defended. Roughly, the impassibility thesis is the claim that God does not undergo sensory experience including suffering and pain, nor is God subject to corruption, substantial essential change or to external agency. Creel's defence of Divine impassibilism is certainly the most balanced and sophisticated in the current literature. Any argument for passibilism must take Creel's work seriously. I intend to do just that in the course of defending the thesis that the God of Christian theism is passible in an important respect. There are substantive moral and religious reasons to believe God suffers. (shrink)

"In Getting Even, Charles Barton contends that revenge can be a form of justice that is constructive and healing for our society. Our current judiciary system, he explains, denies both victims and the accused an active role in the legal proceedings and resolution of their cases, reducing them to bystanders in what is essentially their own conflict. Barton does not argue for an individual's right to take the law into his own hands, but does show that the courts should (...) recognize the revenge motive as legitimate and rational within the rules of justice."--pub. desc. (shrink)

This volume sets Berkeley's philosophy in its historical context by providing selections from: firstly, works that deeply influenced Berkeley as he formed his main doctrines; secondly, works that illuminate the philosophical climate in which those doctrines were formed; and thirdly, works that display Berkeley's subsequent philosophical influence. The first category is represented by selections from Descartes, Malebranche, Bayle, and Locke; the second category includes extracts from such thinkers as Regius, Lanion, Arnauld, Lee, and Norris; while reactions to Berkeley, both positive (...) and negative, are drawn from a wide range of thinkers - Leibniz, Baxter, Hume, Diderot, Voltaire, Reid, Kant, Herder, and Mill. (shrink)

The observed complexity of nature is often attributed to an intrinsic propensity of matter to self-organize under certain (e.g., dissipative) conditions. In order better to understand and test this vague thesis, we define complexity as “logical depth,” a notion based on algorithmic information and computational time complexity. Informally, logical depth is the number of steps in the deductive or causal path connecting a thing with its plausible origin. We then assess the effects of dissipation, noise, and spatial and other symmetries (...) of the initial conditions and equations of motion on the asymptotic complexity-generating abilities of statistical-mechanical model systems. We concentrate on discrete, spatially-homogeneous, locally-interacting systems such as kinetic Ising models and cellular automata. (shrink)

Most contemporary philosophers who defend the compatibility of hell with the divine goodness do so by arguing that the damned freely choose hell. Thomas Talbott denies that such a choice is possible, on the grounds that God in his goodness would remove any 'ignorance, deception, or bondage to desire' which would motivate a person to choose eternal misery. My strategy is to turn the tables on Talbott and ask why God would not remove the motives we have for any sin (...) whatsoever. I argue that two plausible answers to this question also show why God would not remove our motives for choosing hell. (shrink)

The Mississippi River flows through American history and culture as a mythic waterway brimming with tragedy and hope, and awash in passionate ambitions and harsh realities. In 1953, a young Charles Dee Sharp traveled twice down the Mississippi to make a documentary film of it, taking black-and-white photographs of the river, its communities, and its people. While Sharp’s documentary never came to fruition, the striking images he captured survived as moving and evocative historical testaments to a lost era, now (...) collected in his new book The Mississippi in 1953. These images create a vivid portrait of America’s heartland a half century ago, and they are enriched with excerpts from Sharp’s original trip journal, intriguing anecdotes from the people he encountered along his journey, and an engaging environmental history of the river by historian John O. Anfinson. The Mississippi in 1953 offers an original and poignant look at the living artery of the American landscape and how it molded the United States into the nation it is today. (shrink)

Plato's striking figure of the ‘child in us’ at Phaedo 77e5 takes on an added lustre when viewed in the light of the theory of explanation Socrates develops between lOObl and 105c7.Socrates' theory aims to explain why certain objects have certain properties: why something is beautiful or tall, or when a body will be sick or alive. Explanation is called for, Socrates thinks, when an object has a property its title to which is insecure, in the sense that the object's (...) having the property is not guaranteed by its being what it is. Thus Socrates wants an explanation, for example, of a person's being tall or – the case of especial interest in the Phaedo – of a body's being alive. (shrink)