Aims: The aim of this narrative synthesis was to explore the necessary and sufficient conditions required to define moral distress. Background: Moral distress is said to occur when one has made a moral judgement but is unable to act upon it. However, problems with this narrow conception have led to multiple redefinitions in the empirical and conceptual literature. As a consequence, much of the research exploring moral distress has lacked conceptual clarity, complicating attempts to study the phenomenon. Design: Systematic literature (...) review and narrative synthesis (November 2015–March 2016). Data sources: Ovid MEDLINE® In-Process & Other Non-Indexed Citations 1946–Present, PsycINFO® 1967–Present, CINAHL® Plus 1937–Present, EMBASE 1974–24 February 2016, British Nursing Index 1994–Present, Social Care Online, Social Policy and Practice Database (1890–Present), ERIC (EBSCO) 1966–Present and Education Abstracts. Review methods: Literature relating to moral distress was systematically retrieved and subjected to relevance assessment. Narrative synthesis was the overarching framework that guided quality assessment, data analysis and synthesis. Results: In all, 152 papers underwent initial data extraction and 34 were chosen for inclusion in the narrative synthesis based on both quality and relevance. Analysis revealed different proposed conditions for the occurrence of moral distress: moral judgement, psychological and physical effects, moral dilemmas, moral uncertainty, external and internal constraints and threats to moral integrity. Conclusion: We suggest the combination of (1) the experience of a moral event, (2) the experience of ‘psychological distress’ and (3) a direct causal relation between (1) and (2) together are necessary and sufficient conditions for moral distress. (shrink)

La première note est consacrée à un bloc interprété par F. Courby comme un élément du dallage ayant porté le tombeau de Dionysos. Mais ce bloc constituait à l’origine un socle isolé ; ce n’est que dans une seconde phase qu’il a été associé à d’autres blocs pour former un plateau sur lequel on a implanté un pressoir. La seconde note se fonde sur de nouveaux relevés des canalisations aménagées dans les substructions Sud du temple des Alcméonides, destinées à réunir (...) deux sources. Celle de l’Ouest existait depuis longtemps ; son débouché était situé au pied du mur de terrasse qui avait porté le temple préalcméonide et qui constitue le premier aménagement monumental du sanctuaire. L’hypothèse d’un détournement de la fontaine Cassotis à l’intérieur du temple est rejetée. La troisième note est consacrée aux fragments d’une sima en marbre provenant d’une toiture inachevée ; l’existence de deux modules amène à postuler à l’existence d’un bâtiment à deux ailes, probablement contemporain du temple du ive s. et peut-être à confondre avec le «monument en calcaire gris ». (shrink)

Ives, Rosslyn Review of: The age of genius: The seventeenth century and the birth of the modern mind, by A. C. Grayling, Bloomsbury 2016, $34.

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

The accusation of Nihilism, which Jacobi expressed in his Letter to Fichte, marks a caesura in Fichte’s production. Reputed to be the paradigmatical representantive of a philosophical tradition letting any reality dissolve in a simple game of shadows, Fichte sees himself constrained to clarify the status of the image in his system. This paper aims to examine the strategy to which he has recourse in the Destination of Man, in order to find an answer to the attack.

Ives, Rosslyn Review of: Labor's historic mission, by Brian Ellis, Pamphleteer series No. 1, Australian Scholarly Publishing.

Ives, Rosslyn Review of: The most good you can do: How effective altruism is changing ideas about living ethically, by Peter Singer, Text Publishing Melbourne 2015.

In our seventh and final piece on the theme “Good without God”, Jonathan Ives argues that reliance on God as an external source of moral authority leads to a kind of moral cowardice.

Ives, Rosslyn Review of: The swerve: How the renaissance began, by Stephen Greenblatt, Publisher The Bodley Head, London 2011.

Over the last decade, patient and public involvement (PPI) has become a requisite in applied health research. Some funding bodies demand explicit evidence of PPI, while others have made a commitment to developing PPI in the projects they fund. Despite being commonplace, there remains a dearth of engagement with the ethical and theoretical underpinnings of PPI processes and practices. More specifically, while there is a small (but growing) body of literature examining the effectiveness and impact of PPI, there has been (...) relatively little reflection on whether the concept/practice of PPI is internally coherent. Here, the authors unpick a ‘paradox’ within PPI, which highlights a tension between its moral and pragmatic motivations and its implementation. The authors argue that this ‘professionalisation paradox’ means we need to rethink the practice, and purpose, of PPI in research. (shrink)

O autor, na multiplicidade de seus aspectos, detém-se em considerações sobre o Estado, mas não se limita à perspectiva dos escritos tradicionais de Teoria Geral. Recolhe momentos de sua configuração histórica, de partes relevantes de sua fisionomia jurídica e, de modo particular, emite reflexões filosóficas sobre a morfologia estrutural e o sentido ético dessa entidade. O enfoque, porém, dista de ser mero tangenciar o assunto, porquanto insere, a cada passo, proposições que exprimem sua opinião pessoal e a ideologia de quem (...) anuncia mas, sobretudo, realiza com coerência e determinação, uma pauta de condutas orientada por valores definidos e estáveis. (shrink)

Quelle est la légitimité de l’accusation de constructivisme adressée par Jacobi à la « Doctrine de la Science » de Fichte? Il apparaît que Jacobi commet une double erreur, méthodologique et matérielle : d’une part il n’a pas suffisamment réfléchi sur le statut de sa propre démarche, d’autre part il gomme complètement l’assise pratique du système fichtéen, enracinée dans le sentiment ( Gefühl ).

Ives, Rosslyn For thousands of years religions have been the main source of answers to life's 'big questions': Where did we come from? Who are we? Where are we going? How shall we live?

La Doctrine de la science Nova Methodo est l'oeuvre maitresse de la production fichteenne de l'epoque de Iena. Construite sur les resultats des Principes de la Doctrine de la science, mais allant, aux dires memes de l'auteur, plus loin dans le developpement des principes, elle commande, grace a la deduction de l'intersubjectivite, les parties pratiques du systeme telles que le droit et l'ethique. Loin d'etre un atout mineur, la theorie de l'intersubjectivite est censee constituer la clef de voute de la (...) Doctrine de la science et meme de tout l'idealisme critique: elle a pour fonction d'etablir un pont entre le monde intelligible et le monde sensible, de depasser le dualisme kantien des phenomenes et des noumenes, et d'achever le systeme dont Kant aurait seulement jete les bases. (shrink)

Volume 20, Issue 4, May 2020, Page 80-82.

This book addresses the relevance of Timaeus’s cosmology to Socrates’ request for a speech about war. Charles Ives finds relevance in the dialogue’s concern for education apropos of the medical dimensions of Timaeus’ physics, the project of becoming like god, and the philosophical soul responsible for success on the battlefield.

Ives, Rosslyn Review(s) of: Bigger or better: Australia's population debate, by Ian Lowe, University of Queensland Press, 2012, $34.95.

Ives, Rosslyn Review of: Reclaiming Epicurus, by Luke Slattery, Penguin Specials, 2012. $9.99.

Plato's Atlantis Story is a revised edition of Gill's previous volume, Plato: The Atlantis Story, originally published by Bristol Press in 1980. This revised edition includes a new interpretive introduction, comprehensive bibliography, an original translation, Greek text with commentary, a glossary of Greek terms, an index of ancient passages, and a handful of helpful figures that portray the geography of Atlantis as well as the geography of the world as conceived by the Greeks. All the bases have certainly been covered, (...) and this wealth of resources should appeal to readers at any level of study. The nearly fifty-page interpretive introduction, however, will be of significant interest to scholars, and it will be... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:DHARMA AND DESTRUCTION: BUDDHIST INSTITUTIONS AND VIOLENCE Christopher Ives Stonehill College Photographs ofgentle monks in saffron, the cottageindustry ofbooks on mindfulness, and the Dalai Lama's response to the Chinese invasion of Tibet have all helped portray Buddhism as the "religion of nonviolence." This representation ofBuddhism finds support in Buddhist texts, doctrines, and ritual practices, which often advocate ahimsa, nonharming or non-violence. The historical record, however, belies the portrayal (...) of Buddhism as a "religion of nonviolence." By reinterpreting early doctrines of ahimsa, Buddhist thinkers have legitimated violence in particular situations, practitioners have committed acts of violence, and Buddhist institutions have lent support to other institutions—social, political, and governmental —engaged in violence. In this paper I will examine Buddhist perpetration andjustifications ofviolence,1 with particularfocus on Japan, arguing that, historically, Buddhists' desire for institutional security has taken precedence over total rejection of violence. 1 I have restricted my discussion to the killing of other human beings. I do not consider suicide andthe killing ofnon-human animals. For a discussion ofBuddhism, (self-)sacrifice, and suicide in relation to Girard's theory, see Charles D. Orzech, '"Provoked Suicide' and the Victim's Behavior." 152Christopher Ives Non-violence The doctrine of ahimsa figures prominently in early and Theravadan Buddhism. The first ofthe five moral precepts (panca silani) in Buddhism is ahimsa, and in the Dhammapada the historical Buddha purportedly states, All are afraid of the rod. Of death all are afraid. Having made oneself the example, One should neither slay nor cause to slay. (Ross 202) The Buddhaalso sketches the consequences ofhurting orharming (himsa): Who with a rod does hurt Beings who desire ease [of nibbana], While himself looking for ease— He, having departed, ease does not get. Theravadan monastic codes and practices, such as the uposatha biweekly confession of moral transgressions and recitation of the 227 rules in the Patimokkha (Skt. Pratimoksa), are closely tiedto ahimsa. One ofthe Patimokkha's four "offenses of defeat" (parajika dharmas), for which the punishment is immediate expulsion of the monk or nun from the order, is killing another human being (Prebish 11). Mahayana texts continue this exhortation against violence. For example, in the Dasabhimika-sutra we read that a Buddhist "must not hate any being and cannot kill a living creature even in thought."2 Early Buddhist texts include depictions ofthe ideal Buddhist king, the cakravartin-raja or "monarch who turns the wheel [of the Dharma],"3 as an exemplar of nonviolence. Contemporary Buddhist activist Sulak Sivaraksa expresses it, this king is a "an ideal ruler, a world-conquering monarch, who subdued the earth through righteousness rather than war" (Sulak 129), and whose ten main duties include striving for peace and ruling with nonviolent benevolence (129). For well over 2000 years 2 Cited in Har Dayal, The Bodhisattva Doctrine, p. 199; quoted by Kraft, 5. In much ofthe first section of this paper I am indebted to Ken Kraft's introduction to his volume. 3 The metaphor ofturning the wheel refers to the historical Buddha's teaching ofthe Dharma and the later propagation of it by others. Dharma and Deconstruction153 Buddhists have lifted up Indian king Ashoka (c. 272-236) as an instantiation of this ideal. The early Buddhist doctrine of ahimsa should not, however, be construed as compassionate altruism. Luis Gómez and other scholars have delineated how ahimsa at first did not express some sort of underlying altruistic concern for the well-being of others. Vegetarianism and other ways of avoiding himsa, harming or violence, derived from ancient Indian ritual taboos againstblood and otherbodily liquids (Gómez 36). Buddhists ethicized and psychologized earlier notions of physical pollution, and advocated abstention fromviolenceprimarily as ameans ofself-cultivation, as a way to keep the mind pure, like an unstained cloth (36). (Scholars have even argued that the positive expression oíahimsa, the practice ofdirecting metta (loving-kindness) to others, originally had as much or more to do with the spiritual benefits accrued by the person directing the metta as it did with the well-being of the person receiving it. Only later was ahimsa furtherreinterpreted as positive regard forothers, as seen in the bodhisattva ideal of Mahayana Buddhism. Violence in Buddhist History At numerous times over... (shrink)

Ives, Rosslyn Review(s) of: Arguably, by Christopher Hitchens Atlantic Books London, 2011.

Après avoir relevé quelques traces d’une réception de Fichte dans la littérature française du xixe siècle, visant à établir que la référence à Fichte touche un public excédant largement les milieux académiques, on s’attachera à étudier de façon systématique et non historique la réception française de la Doctrine de la Science à cette époque, considérant trois ordres de difficultés, liées 1) au langage (polyglottisme, ironie), 2) à la méthode (déconstruction de l’illusion transcendantale) et 3) au contenu (assimilation à un idéalisme (...) subjectif). Il apparaîtra que cet examen de la réception revient à la chronique d’une non-rencontre. (shrink)

Ives, Rosslyn When over two hundred people gathered in Amsterdam in 1952 and formed the International Humanist and Ethical Union, they had available to them a range of words to describe their non-religious worldview; among them atheist, ethicist, freethinker, humanist, rationalist and secularist. Why then, did those at the inaugural congress chose 'Humanism' over all the other available options?

This paper responds to the commentaries from Stacy Carter and Alan Cribb. We pick up on two main themes in our response. First, we reflect on how the process of setting standards for empirical bioethics research entails drawing boundaries around what research counts as empirical bioethics research, and we discuss whether the standards agreed in the consensus process draw these boundaries correctly. Second, we expand on the discussion in the original paper of the role and significance of the concept of (...) ‘integrating’ empirical methods and ethical argument as a standard for research practice within empirical bioethics. (shrink)

With the introduction of artificial intelligence (AI) to healthcare, there is also a need for professional guidance to support its use. New (2022) reports from National Health Service AI Lab & Health Education England focus on healthcare workers’ understanding and confidence in AI clinical decision support systems (AI-CDDSs), and are concerned with developing trust in, and the trustworthiness of these systems. While they offer guidance to aid developers and purchasers of such systems, they offer little specific guidance for the clinical (...) users who will be required to use them in patient care. This paper argues that clinical, professional and reputational safety will be risked if this deficit of professional guidance for clinical users of AI-CDDSs is not redressed. We argue it is not enough to develop training for clinical users without first establishing professional guidance regarding the rights and expectations of clinical users. We conclude with a call to action for clinical regulators: to unite to draft guidance for users of AI-CDDS that helps manage clinical, professional and reputational risks. We further suggest that this exercise offers an opportunity to address fundamental issues in the use of AI-CDDSs; regarding, for example, the fair burden of responsibility for outcomes. (shrink)

Ernesto Laclau and Chantal Mouffe have attempted to save the concept of ?hegemony? from its economistic and essentialist Marxist roots by incorporating the linguistic influences of post?structuralist theory. Their major Marxist detractors criticise their trajectory as a ?descent into discourse? ? a decay from well?grounded, material reality into the idealistic and problematic realm of language and discourse. Both sides of the debate seem to agree on one thing: the line from Marxism to post?Marxism is the line from the economy to (...) language, from ?reality? to discourse. This article focuses on Gramsci?s writings on language to argue against both sides of this debate. It illustrates how language is central to Gramsci?s historical materialism and that he does not oppose it to materiality. It argues that Gramsci adopted the very term hegemony substantially from his university studies in linguistics ? the debates from which Ferdinand de Saussure also developed structuralism. For Gramsci, such linguistic issues were directly related to the ?questione della lingua? and Italian unification. Moreover, language lies at the centre of Gramsci?s understanding of the relationship between coercion and consent. This not only troubles Laclau & Mouffe?s reading of Gramsci, but it illuminates a more productive conception of hegemony that can address recent debates around post?structuralism and the use of ?hegemony? to analyse globalisation and an increasingly technological and electronic world. (shrink)

In recent years there has been a wealth of literature arguing the need for empirical and interdisciplinary approaches to bioethics, based on the premise that an empirically informed ethical analysis is more grounded, contextually sensitive and therefore more relevant to clinical practice than an ‘abstract’ philosophical analysis. Bioethics has (arguably) always been an interdisciplinary field, and the rise of ‘empirical’ (bio)ethics need not be seen as an attempt to give a new name to the longstanding practice of interdisciplinary collaboration, but (...) can perhaps best be understood as a substantive attempt to engage with the nature of that interdisciplinarity and to articulate the relationship between the many different disciplines (some of them empirical) that contribute to the field. It can also be described as an endeavour to explain how different disciplinary approaches can be integrated to effectively answer normative questions in bioethics, and fundamental to that endeavour is the need to think about how a robust methodology can be articulated that successfully marries apparently divergent epistemological and metaethical perspectives with method. This paper proposes ‘Reflexive Bioethics’ (RB) as a methodology for interdisciplinary and empirical bioethics, which utilizes a method of ‘Reflexive Balancing’ (RBL). RBL has been developed in response to criticisms of various forms of reflective equilibrium, and is built upon a pragmatic characterization of Bioethics and a ‘quasi-moral foundationalism’, which allows RBL to avoid some of the difficulties associated with RE and yet retain the flexible egalitarianism that makes it intuitively appealing to many. (shrink)

Le but de cette contribution est d’identifier la place du langage dans l’architectonique du système fichtéen. Il est apparu (1) que la déduction du langage appartient de droit à la partie principielle du système ; (2) que l’intégration de cette déduction dans la partie principielle s’est faite, comme pour la doctrine de l’intersubjectivité, par la prise en compte de considérations initalement développées dans un écrit ne relevant pas directement de la Doctrine de la Science ; (3) qu’en tant que support (...) de la sollicitation, le langage joue un rôle crucial dans la genèse de la conscience, dont il constitue la condition suprême et (4) qu’il est directement lié à la solution proposée par Fichte pour remédier à l’« inachèvement du système kantien ». (shrink)

Ives, Rosslyn On February 12, Humanists and many others around the world will celebrate Charles Darwin's birthday. We do this because his most significant contribution to human knowledge, as set out in On Origin of the Species, is the evidence and arguments for evolution by natural selection. By taking a scientific approach, Darwin along with many others changed the way humans understand their origins and place in the biosphere. We are not the product of special creation, but rather naturally (...) evolved beings, fully interdependent with the rest of the natural world. (shrink)

Ives, Rosslyn The emergence of freethought in Western Europe and its colonies seems to be an almost inevitable outcome of the many changes that had occurred during the preceding centuries - changes that expanded knowledge and understanding about the place of humans in the scheme of things.