Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a unique self-study guide for practitioners and trainees covering the core competency areas of professionalism, ethics, and cultural sensitivity. This novel title presents real-world dilemmas encountered across the specialties of medicine, offering guidance and relevant information to assist physicians, residents, and medical students in their decision-making. The text is divided into two parts: Foundations and Questions with Answers. The first part provides a substantive foundation of knowledge in (...) the principles, scholarship, policy guidelines, and decision-making strategies of the modern health professions. The second part assists practitioners and trainees in preparing for the complex issues that arise each day in the settings where health professionals work and train – clinics, research centers, educational contexts, and communities. Developed by renowned leaders in a broad range of clinical fields, Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a major, invaluable contribution to the literature and an indispensable reference for clinicians at all levels. (shrink)

Lehoux contends that even though many of the Romans' views about the natural world have no place in modern science--the umbrella-footed monsters and dog-headed people that roamed the earth and the stars that foretold human destinies--their ...

. Once constituted, scientific facts have a way of roaming about on their own in the world, much divorced from the circumstances of their original constitution. An important part of Latour and Woolgar's discussion in Laboratory Life was to draw attention to how facts are used once they are at the final stage of their constitution. What I propose to do here is to go one step further, and to follow a single fact around in the wild—to tag it, as (...) it were, much as a biologist might tag an animal with a radio collar—and then look to see where it turns up. The fact I have chosen is especially taggable, simply because it happens to be fantastic: I refer to the fact that magnets will lose their power of attraction if they are rubbed with garlic. This fact is also useful because it shows up in authors spanning fifteen centuries, from Plutarch through Rabelais and beyond, and over this time it shows some interesting behaviors. Of course, in the end, the garlic-magnet antipathy was disproved, and so changed its epistemological status, moving from one extreme to the other: from the obviously true to the obviously ridiculous. What struck Rabe-. (shrink)

Why are some autocrats able to personalize power within their regimes while others are not? Past studies have focused on the balance of power between the autocrat and his or her supporting coalition of peer or subordinate elites, but we find that often the crucial relationship is between the autocrat and the “old guard”—retired leaders, party elders, and other elites of the outgoing generation. Using an original data set of authoritarian leadership transitions, we argue that when members of the old (...) guard retain oversight capacity over their incoming successor, he or she is less likely to overturn power-sharing arrangements and consolidate individual power. We illustrate this argument with a case study of three leadership transitions in China between 1989 and 2012. This study’s findings advance our understanding of elite politics and intergenerational conflict in authoritarian regimes. (shrink)

Scholars looking back to the earliest stirrings of the philosophical tradition in ancient Greece have often seen a rational approach to nature cleaving itself off from an older approach, that of the mythographer. If this account were right, we would have here a major (and perhaps the ?rst major) drawing of an epistemic boundary. There are, however, mounting reasons to question this narrative that have been accumulating across several modern disciplines. This paper explores the most important challenges to the myth-to-science (...) narrative and suggests that the different ways of framing the ancient debates have much to do with the boundaries between modern disciplines and/or academic cultures. (shrink)

Formal control systems are a common instrument to align employees’ interests with those of managers and companies. However, research shows that employees perceive formal controls as a sign of distrust and restraint, which can lead to costs of control in the form of lower employee cooperation and effort. We propose that charitable giving reduces these costs of control. We draw on the halo effect and propose that corporate charitable giving alters employees’ perception of and reaction to formal controls. In a (...) laboratory experiment, we find that charitable giving by a company creates a higher level of employee trust in a manager who decides to implement a control and a more positive assessment of formal control. These positive effects of charitable giving lead to lower costs of control compared to the absence of charitable giving. We thereby provide an example of how charitable giving as a corporate social responsibility activity yields positive benefits by altering the behavior of internal company stakeholders. (shrink)

Fish comes dangerously close to identifying the meaning of a statement with its illocutionary force. At one point he says that "the meaning of a sentence is a function of its illocutionary force". At another he says that a move from a situation in which "I have to study for an exam" is heard as a statement to one in which it is heard as a rejection of a proposal is a move "from one meaning that emerges in a set (...) of circumstances to another meaning that emerges in another set of circumstances". Since "meaning" is so tricky a term, it may be well to remind ourselves that in a situation in which the sentences "I have to tie my shoes," "I have to eat popcorn," and "I hate movies" would all be understood as rejections of an invitation to the movies, no one would mistake the meaning of one for that of either of the other two. The three sentences make different statements, convey different information, and offer different reasons for not going to the movies. There is a sense in which Y's saying "I hate movies" means that he rejects the proposal. But even in that situation, the meaning of "I hate movies" isn't reducible to "I reject your proposal." John Reichert, chairman of the English department at Williams College, is the author of Making Sense of Literature. He has contributed "Making Sense of Interpretation" to Critical Inquiry. (shrink)

This paper analyzes the ergodic hypothesis in the context of Boltzmann’s late work in statistical mechanics, where Boltzmann lays the foundations for what is today known as the typicality account. I argue that, based on the concepts of stationarity (of the measure) and typicality (of the equilibrium state), the ergodic hypothesis, as an idealization, is a consequence rather than an assumption of Boltzmann’s account. More precisely, it can be shown that every system with a stationary measure and an equilibrium state (...) (be it a typical state with respect to the phase space or the time average) behaves essentially as if it were ergodic. I claim that Boltzmann was aware of this fact as it grounds both his notion of equilibrium, relating it to the thermodynamic notion of equilibrium, and his estimate of the fluctuation rates. (shrink)

Technology is rapidly changing our understanding of ancient science. New methods of visualization are bringing to light important texts we could not previously read; changes in online publishing are allowing unprecedented access to difficult-to-find materials; and online mapping tools are offering new pictures of lost spaces, connectivities, and physical objects.

ABSTRACT This essay explores the ways in which theories and entities are culturally and intellectually embedded in historical and disciplinary contexts by looking at the development of a set of related theories of perception that emerged in response to contemporary Sceptical criticisms of the very possibility of doing empirical science. At the same time, it attempts to bring into focus a puzzle about precisely how (and how deeply) seeing itself is conditioned.

The relationship between conceptions of law and conceptions of nature is a complex one, and proceeds on what appear to be two distinct fronts. On the one hand, we frequently talk of nature as being lawlike or as obeying laws. On the other hand there are schools of philosophy that seek to justify ethics generally, or legal theory specifically, in conceptions of nature. Questions about the historical origins and development of claims that nature is lawlike are generally treated as entirely (...) distinct from the development of ethical natural law theories. By looking at the many intersections of law and nature in antiquity, this paper shows that such a sharp distinction is overly simplistic, and often relies crucially on the imposition of an artificial and anachronistic suppression of the role of gods or divinity in the worlds of ancient natural philosophy. Furthermore, by tightening up the terms of the debate, we see that the common claim that a conception of ‘laws of nature’ only emerges in the Scientific Revolution is built on a superficial reading of the ancient evidence.Keywords: Ancient science; Philosophy of science; Philosophy of law; Ancient theology; Scientific Revolution. (shrink)

What is the relationship between observations, predictions, texts, and instruments in ancient astrology? By distinguishing between two distinct kinds of observation claim in astrological texts, I show on the one hand the rhetorical and theoretical importance of each kind of observation claim to ancient astrological traditions, and on the other hand how practices of ancient astrology break from observation once astronomical phenomena become reliably predictable. We thus see a shift in practice from observationally derived predictions to a reliance on textual (...) and instrumental authority, even though the rhetoric of ancient astrology still tries to maintain an emphasis on observation.Author Keywords: Astrology; Astrometeorology; Astronomy; Divination; Instruments; Observation; Parapegmata; Prediction; Rhetoric; Signs; Weather. (shrink)

Although microfinance organizations are generally considered as inherently ethical, recent events have challenged the legitimacy of the sector. High interest rates and the excessive profitability of some market leaders have raised the question of how to define a fair profit level for social enterprise. In this article, we construct a fair profit framework based on four dimensions: profitability, social mission, pricing, and surplus distribution. We then apply this framework using an empirical sample of 496 microfinance institutions. Results indicate that satisfying (...) all four criteria is a difficult, although not impossible, task. According to our framework, 24 MFIs emerge as true double bottom line organizations. These MFIs are characterized by higher outreach to women, lower portfolio risk, and higher productivity in high-density environments such as South Asia. We argue that excessive profits can be better understood relative to pricing, the outreach of the MFI, and organizational commitment to clients in the form of reduced interest rates. (shrink)

When Professor Georges Gurvitch, the highly esteemed occupant of the chair of philosophy at the University of Strausbourg before World War ll and the author of a series of brilliant studies in the pluralist philosophy of law, referred to Pierre—Joseph Proudhon as the central figure in the development of modern social and judicial philosophy, the basis of his highly flattering judgment was the philosophy of law that serves as the basis of Proudhon’s mutualism, a socio-legal conceptualization that had not only (...) greatly infiuenced Gurvitch’s own thinking but which had exerted tremendous infiuence as well over the thought of such outstanding social theorists as Herzen, Tolstoi, and Kropotkinl To state, therefore, that Proudhon was not only the first to call himself an anarchist but also “the most important" anarchist thinker of the modern period} is to establish his right to be heard. We are not entitled to skip lightly over his conception of law and justice as past generations have done. After outlining Proudhon’s legal theory and his conception of natural right, this paper will attempt to demonstrate that Proudhon’s thinking on law is an outstanding contribution to modern political theory. It is not too much to say, in fact, that his philosophy of law and natural right stands as a highly suggestive antidote to the hopeless confusion in contemporary political theory, a confusion that stems not only from the cloudy conception of justice posited by the social contract theorists but from the defective conception of justice advanced by the advocates of state socialism as well. (shrink)

I prove a theorem on the precise connection of the time and phase-space average of the Boltzmann equilibrium showing that the behaviour of a dynamical system with a stationary measure and a dominant equilibrium state is qualitatively ergodic. Explicitly, I show that given a dynamical system with a stationary measure and a region of overwhelming phase-space measure, almost all trajectories spend almost all of their time in that region. Conversely, given that almost all trajectories spend almost all of their time (...) in a certain region, that region is of overwhelming phase-space measure. In total, the time and phase-space average of the equilibrium state approximately coincide. Consequently, equilibrium can be defined equivalently in terms of the time or the phase-space average. Moreover, since the two averages are almost equal, the behaviour of the system is essentially ergodic. While this does not explain the approach to equilibrium, it provides a means to estimate the fluctuation rates. (shrink)

In _I Can Learn from You_, Michael Reichert and Richard Hawley—the authors of _Reaching Boys, Teaching Boys_—set out to probe deeply into the relational dynamics that help boys succeed as learners. Drawing on interviews with students and teachers in thirty-five schools across six countries, they examine the particular ways boys extend and receive empathy—modes of interaction that remain consistent across a wide range of schools, teachers, countries, and cultures. The book shows how teachers can help boys form productive learning relationships (...) and how schools can support the development of teachers’ relational capacities. At the heart of the book is the belief that educators must—and can—put relational teaching at the center of school life. (shrink)

We analyze the points of total collision of the Newtonian gravitational system on shape space (the relational configuration space of the system). While the Newtonian equations of motion, formulated with respect to absolute space and time, are singular at the point of total collision due to the singularity of the Newton potential at that point, this need not be the case on shape space where absolute scale doesn’t exist. We investigate whether, adopting a relational description of the system, the shape (...) degrees of freedom, which are merely angles and their conjugate momenta, can be evolved through the points of total collision. Unfortunately, this is not the case. Even without scale, the equations of motion are singular at the points of total collision (and only there). This follows from the special behavior of the shape momenta. While this behavior induces the singularity, it at the same time provides a purely shape-dynamical description of total collisions. By help of this, we are able to discern total-collision solutions from non-collision solutions on shape space, that is, without reference to (external) scale. We can further use the shape-dynamical description to show that total-collision solutions form a set of measure zero among all solutions. (shrink)

The history of the human face is the history of its social coding and the media- conditions of its appearance. The best way to explain the »selfie«-practices of today’s digital culture is to understand such practices as both participative and commercialized cultural techniques that allow their users to fashion their selves in ways they consider relevant for their identities as individuals. Whereas they may put their image of themselves front stage with their selfies, such images for being socially shared have (...) to match determinate role-expectations, body-norms and ideals of beauty. Against this backdrop, collectively shared repertoires of images of normalized subjectivity have developed and leave their mark on the culture of digital communication. In the critical and reflexive discourses that surround the exigencies of auto-medial self-thematization we find reactions that are critical of self-representation as such, and we find strategies of de-subjectification with reflexive awareness of their media conditions. Both strands of critical reactions however remain ambivalent as reactions of protest. The final part of the present article focuses on inter-discourses, in particular discourses that construe the phenomenon of selfies thoroughly as an expression of juvenile narcissism. The author shows how this commonly accepted reading which has precedents in the history of pictorial art reproduces resentment against women and tends to stylize adolescent persons into a homogenous »generation« lost in self-love. (shrink)

We discuss Boltzmann’s probabilistic explanation of the second law of thermodynamics providing a comprehensive presentation of what is called today the typicality account. Countering its misconception as an alternative explanation, we examine the relation between Boltzmann’s H-theorem and the general typicality argument demonstrating the conceptual continuity between the two. We then discuss the philosophical dimensions of the concept of typicality and its relevance for scientific reasoning in general, in particular for understanding the reduction of macroscopic laws to microscopic laws. Finally, (...) we reply to various common criticisms of the typicality account. (shrink)

Concluding his discussion of bee reproduction in Book 3 ofGeneration of Animals, Aristotle makes a famous methodological pronouncement about the relationship between sense perception and theory in natural history. In the very next sentence, he casually remarks that the unique method of reproduction that he finds in bees should not be surprising, since bees have something ‘divine’ about them. Although the methodological pronouncement gets a fair bit of scholarly attention, and although Aristotle's theological commitments in cosmology and metaphysics are well (...) known, scholars have almost universally passed over the comment about bees and divinity in silence. This paper aims to show why that comment is no mere throwaway, and offers an exploration and elaboration of the ways in which divinity operates even at fairly mundane levels in his natural philosophy, as an important Aristotelian explanation for order, proportion and rationality, even in the lowest of animals. (shrink)

Investors with standard monetary preferences will give a fund manager incentives to increase firm profits, which can be achieved through a share in profits via carried interest. When investors have social preferences, it is not clear which incentives the manager should receive. We explore this puzzle by applying an agency theory perspective to impact investing, a practice where investors seek both financial returns and a measurable social or environmental impact. Using an inductive, qualitative approach, we identify and describe the ethical (...) tensions and challenges faced by fund managers to structure and implement impact-based variable compensation schemes. Our results indicate that economic incentives tied to non-financial objectives are useful to alleviate goal incongruity between principals and agents during fund creation but have the potential to lead to perverse effects during the fund lifecycle, where managers may exploit subjective non-financial metrics to maximize personal wealth. We introduce the concept of impact fidelity, a conceptual equivalent of fiduciary duty, to ensure that investment decisions reflect the asset owner’s impact preferences. (shrink)

Die Erschütterungen neuzeitlicher Gewissheitsordnungen haben das menschliche Selbst- und Weltverständnis in eine tiefe Krise gestürzt. Darauf antworten Bertolt Brecht und Antonin Artaud wie auch ihr Rezipient Roland Barthes mit einem Theater des Nichtverstehens - sowohl auf der Bühne wie auch im Text. Dieses Theater zeigt, dass Kultur in erster Linie ein ästhetisches System und daher immer ein riskanter Prozess ist. Melanie Reichert überführt die drei bisher vor allem literatur- und kunstwissenschaftlich gelesenen Autoren in einen kulturphilosophischen Diskurs über Philosophie, Theater und (...) die Wiederentdeckung der Ambiguitätstoleranz nach dem Scheitern der Ideologiekritik. (shrink)

If we are capable of changing our minds—of rejecting, that is, one hypothesis for another—the issue becomes one of the criteria which govern our choices. Are they, as [Stanley] Fish would argue, dependent on "beliefs" and "assumptions"? Perhaps, at some very fundamental level, they are. But I do not think Fish has succeeded in showing them to be so. Certainly the criteria are independent of anything so specific as beliefs about the nature of literature or the human mind. Who among (...) us, for example, whatever the object of interpretation, would choose one on the grounds of its greater inconsistency, or on the grounds of its accounting for fewer of the facts that we want to explain, or on the grounds of its being unnecessarily complicated? On the contrary, do we not tend to argue, as Fish does so effectively, as if counterexamples and inconsistencies tell against an hypothesis? It may be the case that our cherished beliefs often make it difficult in practice even to formulate our questions in ways that allow such criteria as I have hinted at to come into play. But why should hard work discourage us? John Reichert is the chairman of the English department at Williams College and the author of Making Sense of Literature. He has contributed "But That Was in Another Ball Park: A Reply to Stanley Fish" to Critical Inquiry. (shrink)

The paper discusses recent proposals by Carroll and Chen, as well as Barbour, Koslowski, and Mercati to explain the arrow of time without a Past Hypothesis, i.e. the assumption of a special initial state of the universe. After discussing the role of the Past Hypothesis and the controversy about its status, we explain why Carroll's model - which establishes an arrow of time as typical - can ground sensible predictions and retrodictions without assuming something akin to a Past Hypothesis. We (...) then propose a definition of a Boltzmann entropy for a classical N-particle system with gravity, suggesting that a Newtonian gravitating universe might provide a relevant example of Carroll's entropy model. This invites comparison with the work of Barbour, Koslowski, and Mercati that identifies typical arrows of time in a relational formulation of classical gravity on shape space. We clarify the difference between this gravitational arrow in terms of shape complexity and the entropic arrow in absolute spacetime, and work out the key advantages of the relationalist theory. We end by pointing out why the entropy concept relies on absolute scales and is thus not relational. (shrink)