Recent flashpoints in Black-Jewish relations--Louis Farrakhan's Million Man March, the violence in Crown Heights, Leonard Jeffries' polemical speeches, the O.J. Simpson verdict, and the contentious responses to these events--suggest just how wide the gap has become in the fragile coalition that was formed during the Civil Rights movement of the 1960s. Instead of critical dialogue and respectful exchange, we have witnessed battles that too often consist of vulgar name-calling and self-righteous finger-pointing. Absent from these exchanges are two vitally important and (...) potentially healing elements: Comprehension of the actual history between Blacks and Jews, and level-headed discussion of the many issues that currently divide the two groups. In Struggles in the Promised Land, editors Jack Salzman and Cornel West bring together twenty-one illuminating essays that fill precisely this absence. As Salzman makes clear in his introduction, the purpose of this collection is not to offer quick fixes to the present crisis but to provide a clarifying historical framework from which lasting solutions may emerge. Where historical knowledge is lacking, rhetoric comes rushing in, and Salzman asserts that the true history of Black-Jewish relations remains largely untold. To communicate that history, the essays gathered here move from the common demonization of Blacks and Jews in the Middle Ages; to an accurate assessment of Jewish involvement of the slave trade; to the confluence of Black migration from the South and Jewish immigration from Europe into Northern cities between 1880 and 1935; to the meaningful alliance forged during the Civil Rights movement and the conflicts over Black Power and the struggle in the Middle East that effectively ended that alliance. The essays also provide reasoned discussion of such volatile issues as affirmative action, Zionism, Blacks and Jews in the American Left, educational relations between the two groups, and the real and perceived roles Hollywood has play in the current tensions. The book concludes with personal pieces by Patricia Williams, Letty Cottin Pogrebin, Michael Walzer, and Cornel West, who argues that the need to promote Black-Jewish alliances is, above all, a "moral endeavor that exemplifies ways in which the most hated group in European history and the most hated group in U.S. history can coalesce in the name of precious democratic ideals." At a time when accusations come more readily than careful consideration, Struggles in the Promised Land offers a much-needed voice of reason and historical understanding. Distinguished by the caliber of its contributors, the inclusiveness of its focus, and the thoughtfulness of its writing, Salzman and West's book lays the groundwork for future discussions and will be essential reading for anyone interested in contemporary American culture and race relations. (shrink)

The Catholic Church proscribes methods of birth control other than sexual abstinence. Although the U.S. Food and Drug Administration (FDA) recognizes abstinence as an acceptable method of birth control in research studies, some pharmaceutical companies mandate the use of artificial contraceptive techniques to avoid pregnancy as a condition for participation in their studies. These requirements are unacceptable at Catholic health care institutions, leading to conflicts among institutional review boards, clinical investigators, and sponsors. Subjects may feel coerced by such mandates to (...) adopt contraceptive techniques inconsistent with their personal situation and beliefs; women committed to celibacy or who engage exclusively in non-heterosexual activities are negatively impacted. We propose principles to insure informed consent to safeguard the rights of research subjects at Catholic institutions while mitigating this ethical conflict. At the same time, our proposal respects the interests of pharmaceutical research agencies and Catholic moral precepts, and fully abides by regulatory guidance. (shrink)

The first book on consciousness that offers sufficient breadth and depth to serve as a stand-alone text for courses on consciousness. Also ideally organized as a supplement for instructors who discuss topics of consciousness in other courses. Journey into the fascinating world of human consciousness with this comprehensive survey that covers topics of consciousness from both a natural science and cognitive psychology viewpoint. Based on the belief that consciousness is a natural phenomenon and product of the brain's functioning, Dr. Farthing's (...) captivating book emphasizes systematic research and theoretical interpretations and also discusses clinical applications and pertinent conceptual and philosophical issues. (shrink)

The following suggestions for the interpretation of Parmenides and Melissus can be grouped for convenience about one problem. This is the problem whether, as Aristotle thought and as most commentators still assume, Parmenides wrote his poem in the broad tradition of Ionian and Italian cosmology. The details of Aristotle's interpretation have been challenged over and again, but those who agree with his general assumptions take comfort from some or all of the following major arguments. First, the cosmogony which formed the (...) last part of Parmenides' poem is expressly claimed by the goddess who expounds it to have some measure of truth or reliability in its own right, and indeed the very greatest measure possible for such an attempt. Second, the earlier arguments of the goddess prepare the ground for such a cosmogony in two ways. For in the first place these arguments themselves start from assumptions derived from earlier cosmologists, and are concerned merely to work out the implications of this traditional material. And, in the second place, they end by establishing the existence of a spherical universe: the framework of the physical world can be secured by logic even if the subsequent introduction of sensible qualities or ‘powers’ into this world marks some decline in logical rigour. (shrink)

While philosophers are often concerned with the conditions for moral knowledge or justification, in practice something arguably less demanding is just as, if not more, important – reliably making correct moral judgments. Judges and juries should hand down fair sentences, government officials should decide on just laws, members of ethics committees should make sound recommendations, and so on. We want such agents, more often than not and as often as possible, to make the right decisions. The purpose of this paper (...) is to propose a method of enhancing the moral reliability of such agents. In particular, we advocate for a procedural approach; certain internal processes generally contribute to people’s moral reliability. Building on the early work of Rawls, we identify several particular factors related to moral reasoning that are specific enough to be the target of practical intervention: logical competence, conceptual understanding, empirical competence, openness, empathy and bias. Improving on these processes can in turn make people more morally reliable in a variety of contexts and has implications for recent debates over moral enhancement. (shrink)

In "Realism and Reason" Hilary Putnam has offered an apparently strong argument that the position of metaphysical realism provides an incoherent model of the relation of a correct scientific theory to the world. However, although Putnam's attack upon the notion of the "intended" interpretation of a scientific theory is sound, it is shown here that realism may be formulated in such a way that the realist need make no appeal to any "intended" interpretation of such a theory. Consequently, it can (...) be shown that realism is immune to Putnam's criticism and that attempts at reformulating this criticism are not likely to meet with success. (shrink)

In _Violence and Civility_, Étienne Balibar boldly confronts the insidious causes of violence, racism, nationalism, and ethnic cleansing worldwide, as well as mass poverty and dispossession. Through a novel synthesis of theory and empirical studies of contemporary violence, the acclaimed thinker pushes past the limits of political philosophy to reconceive war, revolution, sovereignty, and class. Through the pathbreaking thought of Derrida, Balibar builds a topography of cruelty converted into extremism by ideology, juxtaposing its subjective forms and its objective manifestations. Engaging (...) with Marx, Hegel, Hobbes, Clausewitz, Schmitt, and Luxemburg, Balibar introduces a new, productive understanding of politics as antiviolence and a fresh approach to achieving and sustaining civility. Rooted in the principles of transformation and empowerment, this theory brings hope to a world increasingly divided even as it draws closer together. (shrink)

It is now nearly axiomatic among Platonic scholars that the Timaeus and its unfinished sequel the Critias belong to the last stage of Plato's writings. The Laws is generally held to be wholly or partly a later production. So, by many, is the Philebus, but that is all. Perhaps the privileged status of the Timaeus in the Middle Ages helped to fix the conviction that it embodies Plato's maturest theories.

Fichte argues that the conclusion of Kant’s transcendental deduction of the categories is correct yet lacks a crucial premise, given Kant’s admission that the metaphysical deduction locates an arbitrary origin for the categories. Fichte provides the missing premise by employing a new method: a genetic deduction of the categories from a first principle. Since Fichte claims to articulate the same view as Kant in a different, it is crucial to grasp genetic deduction in relation to the sorts of deduction that (...) Kant offers. I propose to interpret genetic deduction as the simultaneous fulfillment of two tasks: answering the question quid facti by deriving the categories from the I and answering the question quid juris by establishing our entitlement to the categories as conditions of experience. While the second task represents Fichte’s agreement with Kant’s transcendental deduction, the first reflects his correction of Kant’s metaphysical deduction. (shrink)

First published in 2000, this translation of one of the great works of Western political thought is based on the assumption that when Plato chose the dialogue form for his writing, he intended these dialogues to sound like conversations - although conversations of a philosophical sort. In addition to a vivid, dignified and accurate rendition of Plato's text, the student and general reader will find many aids to comprehension in this volume: an introduction that assesses the cultural background to the (...) Republic, its place within political philosophy, and its general argument; succinct notes in the body of the text; an analytical summary of the work's content; a full glossary of proper names; a chronology of important events; and a guide to further reading. The result is an accomplished and accessible edition of this seminal work, suitable for philosophers and classicists as well as historians of political thought at all levels. (shrink)

We apply the distinction between parameter independence and outcome independence to the linear and nonlinear models of a recent nonrelativistic theory of continuous state vector reduction. We show that in the nonlinear model there is a set of realizations of the stochastic process that drives the state vector reduction for which parameter independence is violated for parallel spin components in the EPR-Bohm setup. Such a set has an appreciable probability of occurrence (≈ 1/2). On the other hand, the linear model (...) exhibits only extremely small parameter dependence effects. We investigate some specific features of the models and we recall that, as has been pointed out recently, if one wants to be able to speak of definite outcomes (or equivalently of possessed objective elements of reality) at finite times, one has to slightly change the criteria for their attribution to physical systems. The concluding section is devoted to a detailed discussion of the difficulties which one meets when one tries to take, as a starting point for the formulation of a relativistic theory, a nonrelativistic scheme which exhibits parameter dependence. Here we derive a theorem which identifies the precise sense in which the occurrence of parameter dependence forbids a genuinely relativistic generalization. Finally we show how the appreciable parameter dependence of the nonlinear model gives rise to problems with relativity, while the extremely weak parameter dependence of the linear model does not give rise to any difficulty, provided one takes into account the appropriate criteria for the attribution of definite outcomes. (shrink)

"It is the purpose of this article to attempt to re-examine the account of Thrasymachus' doctrine in Plato's Republic, and to show how it can form a self-consistent whole. [...] In this paper it is maintained that Thrasymachus is holding a form of [natural right]".

Our understanding of Schelling’s internal critique of German idealism, including his late attack on Hegel, is incomplete unless we trace it to the early “Philosophical Letters on Dogmatism and Criticism,” which initiate his engagement with the problem of systematicity—that judgment makes deriving a system of a priori conditions from a first principle necessary, while this capacity’s finitude makes this impossible. Schelling aims to demonstrate this problem’s intractability. My conceptual aim is to reconstruct this from the “Letters,” which reject Fichte’s claim (...) that the Wissenschaftslehre is an unrivalled system. I read Schelling as charging Fichte with misrepresenting a system’s livability or commensurability with our finitude. My historical aim is to provide a framework for understanding Schelling’s Freiheitsschrift, which argues that a system’s liveability depends on its incompleteness or limitation by our finitude. On my reading, Schelling is early and continually committed to systematicity within the bounds of human finitude. (shrink)

Much light can be shed on events which characterize or underlie scandals at firms such as Enron, Arthur Andersen, Worldcom, ImClone, and Tyco by appealing to the notion of ethical distance. Various inquiries have highlighted the difficulties in finding or identifying particular individuals to blame for particular events, and in the context of situations as complex as these it can sometimes be helpful to investigate the comparative ethical distance of various participants in these events. In this essay I offer a (...) characterization of ethical distance in terms of moral responsibility, and in doing so I describe and illustrate the rough inverse correlation between moral distance and degrees of moral responsibility. I urge that the concept of ethical distance is capable of shedding light upon situations in which several people are involved in bringing about a state of affairs. I then argue that moral responsibility cannot do justice to all situations involving ethical distance. When the distance between a person and a state of affairs grows sufficiently large, a different type of treatment is called for, and I introduce the notion of moral taint to describe the moral status of agents in these situations. (shrink)

Scholars agree that Schelling’s critique of Hegel consists in charging reason with an inability to account for its own possibility. This is not an attack on reason’s project of constructing a logical system, but rather on the pretense of doing so with complete justification and so without presuppositions, as if it were obvious why there is a logical system or why there is anything meaningful at all. Scholars accordingly cite the question ‘why is there something rather than nothing’ as emblematic (...) of Schelling’s critique and the source of his claim against Hegel that reason is bounded by something other than itself. But what sort of claim is this? For what sort of argument could it be the conclusion? On these questions, the literature is lacking. I propose that the question ‘why something’ motivates Schelling to give a transcendental argument to the effect that past and future are a priori conditions of the possibility of reason. As I reconstruct it from the Weltalter, this argument construes the past as the pre-rational decision to construct a logical system, while the future represents the purpose that guides the construction of the same. Schelling’s claim against Hegel that reason is bounded by something other is thus the discovery of inescapable presuppositions that condition the possibility of reason as such. (shrink)

The term "non-monotonic logic" covers a family of formal frameworks devised to capture and represent defeasible inference , i.e., that kind of inference of everyday life in which reasoners draw conclusions tentatively, reserving the right to retract them in the light of further information. Such inferences are called "non-monotonic" because the set of conclusions warranted on the basis of a given knowledge base does not increase (in fact, it can shrink) with the size of the knowledge base itself. This is (...) in contrast to classical (first-order) logic, whose inferences, being deductively valid, can never be "undone" by new information. (shrink)

The early 21st century has witnessed a significant rise in extreme nationalism, racism, and xenophobia, deeply affecting the rights of minorities such as the Roma, who have historically faced systemic discrimination and racism. Given that many political leaders who downplay minority rights often engage in populist discourse, a debate has emerged about the relationship between populism and minority rights. While many scholars argue that populism inherently undermines liberal principles like the protection of minorities, the question remains whether populism is necessarily (...) anti-pluralist and anti-minority. What about the case of left-wing populism? Furthermore, why is the relationship between anti-populism and minorities often overlooked? In this article, we examine the relationship between populism, anti-populism, and minorities through the case of two different governmental discourses in crisis-ridden Greece. Specifically, we focus on the governmental political discourse and policies of the populist SYRIZA (2015-2019) and the anti-populist ND (2019-2023) on Roma, with the aim of showing that populism is not necessarily anti-pluralist, while anti-populism is not always pluralist, as both phenomena can follow inclusionary or exclusionary logics. (shrink)

Research examining firm and industry effects on performance has primarily focused on the financial aspects of firm performance. Corporate social performance is a major aspect of firm performance that has been under-examined empirically in the literature to date. Adding to the fundamental debate regarding firm versus industry effects on performance, this study uses data drawn from the Kinder, Lydenberg and Domini Co. database to examine the degree to which CSP is related to firm, industry, and temporal factors. The results of (...) these analyses suggest that CSP tends to change in a linear manner over time; however, the slope of this line varies across firms and industries. These findings are supported by several robustness checks accounting for autocorrelation, alternative measures of industry, different samples commonly used when using KLD data to measure CSP, and alternative measures of CSP when using the KLD database. The authors also directly compare firm, industry, and temporal effects between CSP and financial performance. (shrink)

ABSTRACTThis article, which summarises some of the main arguments of Analogical Investigations [Lloyd 2015], undertakes a comparative cross-cultural critique of the dominant Western view that downgrades analogy especially when that is contrasted unfavourably with a notion of axiomatic-deductive demonstration aiming to secure incontrovertible conclusions. It draws on materials from ancient Greece, ancient China and modern social anthropology and philosophy of science to explore the problems of translation and mutual intelligibility. It develops the idea of semantic stretch to qualify the literal/metaphorical (...) dichotomy and the notion of the multidimensionality of reality to clarify aspects of the controversy between realism and relativism. (shrink)

There is growing interest in the use of neurointerventions to reduce the risk that criminal offenders will reoffend. Commentators have raised several ethical concerns regarding this practice. One prominent concern is that, when imposed without the offender’s valid consent, neurointerventions might infringe offenders’ right to bodily integrity. While it is commonly held that we possess a moral right to bodily integrity, the extent to which this right would protect against such neurointerventions is as-yet unclear. In this paper, we will assess (...) whether, why, and how severely three forms of neurointervention might infringe the right to bodily integrity. We show that the severity of the infringement of the right to bodily integrity differs across different forms of neurointervention. Moreover, we argue that mental and behavioral effects of neurointerventions could in some cases be relevant to determining the severity of infringements of the right to bodily integrity. (shrink)

In this article I intend to describe an issue of the Dutch euthanasia practice that is not common knowledge. After some general introductory descriptions, by way of formulating a frame of reference, I shall describe the effects of this practice on patients, physicians and families, followed by a more philosophical reflection on the significance of these effects for the assessment of the authenticity of a request and the nature of unbearable suffering, two key concepts in the procedure towards euthanasia or (...) physician-assisted suicide. This article does not focus on the arguments for or against euthanasia and the ethical justification of physician-assisted dying. These arguments have been described extensively in Kimsma and Van Leeuwen (Asking to die. Inside the Dutch debate about euthanasia, Kluwer Academic Publishers, Dordrecht, 1998). (shrink)

Intentionality in Interaction revisits some of the classical questions to be found in the original programme for second-personal studies as established in Thompson's 2001 JCS issue and sheds new light on them, witnessing the evolving dynamics of such a programme over the last decade. The contributions in this issue approach the questions of how persons share intentions, emotions, and experiences, of how interaction is shaped by and transforms affection, emotion, and cognition, and of how such interactions develop over time and (...) provide important insights into the development of human capacities in general, both in normal and pathological cases. In this introduction, we situate the special issue in the context of social cognition in general and second-personal studies in particular. We propose an outline of a new framework to approach questions regarding interaction and its development and evolution, a framework based on a novel understanding of interaction in terms of engagement between persons. (shrink)

And the first step of the Peripatetick argument is that, where Aristotle proveth the integrity and perfection of the World, telling us, that it is not a simple line, nor a bare superficies, but a body adorned with Longitude, Latitude and Profundity; and because there are no more dimensions but these three; the World having them, hath all, and having all, is to be concluded perfect. And again, that by simple length, that magnitude is constituted, which is called a line, (...) to which adding breadth, there is formed a Superficies, and yet further adding the altitude or profundity, there results the Body, and after these three the dimensions there is no passing farther, so that in these three the integrity, and to so speak, totality is terminated, which I might but with justice have required Aristotle to have proved to me by necessary consequences, the rather in regard he was able to do it very plainly and speedily. *Received 9. iii. 54. (shrink)

Dutch developments on euthanasia have drawn much attention over the years. Defenders and opponents have been telling very different stories about the practice of euthanasia and the frequency of cases, and the Dutch government has been struggling with the legal and moral problems involved. Concern about the procedures followed by physicians as well as questions on the “real” figures led the government to decide to organize an epidemiological study on the extent and the decision making. The results of the study (...) were published in November 1991. Interpretation of the data may lead to a final settlement of the debate on euthanasia and has inevitably led to a revival of the moral debate of the 1970s. For the moment it has been decided that euthanasia will remain officially illegal under the Penal Code. However, in cases where euthanasia does occur, Attorneys General will continue to check the procedures followed by physicians to ensure no abuses have occurred and to safeguard physicians against prosecution. In this contribution, we discuss the development and intertwinement of legal, medical, and moral aspects of euthanasia in The Netherlands and the effects of the empirical studies of 1991, both on definitions and procedures for medical decisions at the end of life. (shrink)

With the recent report of a live birth after use of Mitochondrial replacement therapy, sometimes called ‘Three-parent IVF’, the clinical application of the technique is fast becoming a reality. While the United Kingdom allows the procedure under regulatory scrutiny, it remains effectively outlawed in many other countries. We argue that such prohibitions may violate individuals’ procreative rights, grounded in individuals’ interest in genetic affinity. The interest in genetic affinity was recently endorsed by Singapore’s highest court, reflecting an emphasis on the (...) importance of biological ties found across the globe. We apply that reasoning to make the case for a right to ‘Three-parent IVF’. (shrink)

This article delves into the academic discussion on the relationship between populism and liberal democracy, challenging the view that all populist movements, parties, and leaders are inherently illiberal. Drawing from a Laclauian perspective, which frames populism as an integral part of democratic politics that amplifies the voices of marginalized groups, we argue that populism can align with the principles of liberal democracy and/or does not necessarily lead to illiberal democracy or authoritarianism. Through the examination of left-wing populist cases in Argentina (...) [Kirchnerism (2003-2015)] and Greece [SYRIZA (2015-2019)], we aim to demonstrate the inadequacy of approaches that understand populism as an inherently illiberal phenomenon, which often overlook the pluralistic and inclusive aspects of populism. Thus, we provide a response to this query: Is every populist case necessarily illiberal? (shrink)

Central to many issues surrounding reduction in science is the relation between a physical system and its components. In this article we examine how thermodynamic theory relates properties of whole systems to properties of their components. In order to keep the analysis general, we focus our study on universal properties like volume, heat capacity, energy and temperature. In the cases examined we find that scientific explanation requires appeal to properties of components that are spatially as extensive as the whole system. (...) We discuss some implications of our study for the purported paradigmatic reductions of heat and temperature to molecular motion. We conclude that while macro systems reduce ontologically to micro components, epistemologically the reduction of theoretical concepts in general fails. (shrink)

This paper looks at what David Kaplan's work on indexicals can teach us about logic and the philosophy of logic, and also what Kaplan's logic (i.e. the Logic of Demonstratives) can teach us about indexicals. The lessons are i) that logical consequence is not necessary truth-preservation, ii) that that the linguistic doctrine of necessary truth (also called conventionalism about modality) fails, and iii) that there is a kind of barrier to entailment between non-context-sensitive and context-sensitive claims.

Research has demonstrated that employee reactions to monitoring systems depend on both the characteristics of the monitoring system and how it is implemented. However, little is known about the role individual differences may play in this process. This study proposes that individuals have generalized attitudes toward organizational control and monitoring activities. We examined this argument by assessing the relationship between employees’ baseline attitudes toward a set of monitoring and control techniques that span the employment relationship. We further explore the effects (...) of employees’ generalized attitudes toward monitoring and their individual ethical orientations on their attitudinal reactions to an Internet monitoring system implemented in their workplace. Results of a longitudinal study indicate that as expected, prior beliefs and ethical orientation interact to affect employees’ reactions to monitoring systems. Implications for research and practice are discussed. (shrink)

The rise of networked social movements contesting neo-liberal globalization and protesting the summits of global finance and governance organizations has posed an analytical challenge to social movement theorists and called into question the applicability to this global milieu of the familiar concepts and heuristics utilized in social movement studies. In this article, we argue that the self-defining alter-globalization movement(s) might instead be engaged with as an expression and effect of global complexity, and we draw upon a ‘minor’ literature in social (...) movement studies that includes Gregory Bateson, Gilles Deleuze and Alberto Melucci to illustrate our claims. This article uses a Deleuzian reading of complexity to describe the phase space of the ‘movement of movements’, and its perturbation of global civil society through the iteration of sense-making processes (reflexive framing) and the exploration of singularities inhering in social movement ‘plateaux’. Those transnational gatherings, protests and social forums facilitated by computer-mediated communications and the advent of unprecedented mobility which constitute a ‘shadow realm’ that remains largely invisible to political exchange theories operating within the conceptual confines of the nation-state. (shrink)

In previous work I argued against (i) the likelihood of finding a theoretically sound foundation for the linked/convergent distinction and (ii) the utility of the distinction even if a sound theoretical basis could be found. Here I subject Douglas Walton’s comprehensive discussion of the linked/convergent distinction found in Argument Structure: A Pragmatic Theory to careful scrutiny and argue that at best Walton’s theory remains incomplete and that attempts to fill out the details will run afoul of at least one of (...) the problems adduced above—i.e., result in either a theoretically unsound distinction or a theoretically sound, but unnecessary distinction. (shrink)

RAULET: How should we begin? I have had two questions in mind. First, what is the origin of this global term, "post-structuralism"? FOUCAULT: First, none of the protagonists in the structuralist movement -- and none of those who, willingly or otherwise, were dubbed structuralists -- knew very clearly what it was all about. Certainly, those who were applying structural methods in very precise disciplines such as linguistics and comparative mythology knew what was structuralism, but as soon as one strayed from (...) these very precise disciplines, nobody knew exactly what it was. I am not sure how interesting it would be to attempt a redefinition of what was known, at the time, as structuralism. (shrink)

This article deals with four almost classic problems in Anaximander. of these the first is of comparatively minor importance, and the second is important not for what Anaximander thought but for what Aristotle thought he thought. Problem i is: Did Anaximander describe his as ? Problem 2: Did Aristotle mean Anaximander when he referred to people who postulated an intermediate substance ? Problem 3: Did Anaximander think that there were innumerable successive worlds? Problem 4: What is the extent and implication (...) of the extant fragment of Anaximander? Appended is a brief consideration of the nature of Theophrastus' source-material for Anaximander; on one's opinion of this question the assessment of the last two problems will clearly depend. (shrink)

The question of determining the genuine works of Hippocrates, a topic already much discussed by the ancient commentators, still continues to be actively debated, although the disagreements among scholars remain, it seems, almost as wide as ever. In comparatively recent times, Edelstein's IIEPI AEPQN and two subsequent studies of his written in the 1930s and marked a turning-point in that they presented a particularly clear and comprehensive statement of the sceptical view, according to which Hippocrates is, as Wilamowitz put it (...) long ago, ‘ein beriihmter Name ohne den Hintergrund irgend einer Schrift’. (shrink)

Traditionally clinicians have determined their patients' resuscitation status without consultation. This has been condemned as morally indefensible in cases where not for resuscitation (NFR) orders are based on quality of life considerations and when the patient's true wishes are not known. Such instances would encompass most resuscitation decisions in elderly patients. Having previously involved patients in CPR decision-making, we chose formally to explore the reasons behind the choices made. Although the patients were not upset, and readily decided at the time (...) of initial consultation, on later analysing the decision-making we found poor understanding of the procedure, poor recall of information given and in some cases evidence of harm. This may be attributed to impaired decision-making capacity of elderly hospitalised patients as previously shown, or to the discomfort precipitated by having to contemplate the apparent immediacy of cardiac arrest by these patients. We propose that subscribing to autonomy as a general principle needs to be balanced against particular cases where distress may be caused by, or result in, diminished competence and limited autonomy. (shrink)

Structural Realism (SSR), as embodied in the Ramsey-sentence H of a theory H, is defended against the view that H reduces to a trivial statement about the cardinally of the domain of H, a view which arises from ignoring the central role of observation within science. Putnam's theses are examined and shown to support rather than undermine SSR. Finally: in view of its synthetic character, applied mathematics must enter into the formulation of H and hence to be shown axiomatisable; this (...) is done in the Appendix, which is the most important part of the paper. (shrink)

Throughout his career Aquinas held to the Avicennian doctrine that the nature or essence of sensible substances is somehow indifferent. According to Aquinas's version of this well-known doctrine an essence as such posssesses only those characteristics which are specified in its definition. The essence of a human being, for instance, possesses as such animality and rationality and nothing else. On this view, all the other characteristics and in particular general properties like being one or many, universal or particular, do not (...) belong to essence as such, but are attributed to it only in so far as it enjoys a particular mode of existence. Essence, for instance, is in itself neither universal nor particular, but is universal in so far as it exists in the intellect and particular in its extra-mental existence in different individuals. Although Aquinas is entirely consistent all through his career in maintaining that essence as such is neither universal nor particular, there is a point of viw from which the essence of a sensible substance can be regarded as universal or common, namely the point of view of inviduation. (shrink)

Objective: To assess the knowledge of four groups of individuals regarding who is legally authorised to consent to health care or research involving older patients.Design: A provincewide postal survey.Setting: Province of Quebec, Canada.Participants: Three hundred older adults, 434 informal caregivers of cognitively impaired individuals, 98 researchers in aging and 136 members of research ethics boards .Measurements: Knowledge was assessed through a pretested postal questionnaire comprising five vignettes that describe hypothetical situations involving an older adult who requires medical care or is (...) solicited for research. The respondent had to identify the person who is legally authorised to provide consent.Results: Nearly 80% of all respondents provided the correct answer when the hypothetical scenario depicted a person who was competent to consent or incompetent but legally represented. Knowledge was worse for the scenario describing a research situation that involved an incompetent adult without a legal guardian.Conclusion: The observed lack of knowledge raises doubts about the ability of current legislation to truly protect the rights of older adults with diminished decision making capacity. It points to the need for educational programmes aimed at increasing public awareness of the legislation put in place for those requiring special protection. (shrink)

While writers of the English Civil War abstracted from Roman sources a theory of liberty, the original res publica, always under the control of a unified and entrenched oligarchy, presents a threadbare fabric of liberty. Yet an impressive strand of modern republicanism follows this example: Philip Pettit's 'liberty as non-domination' appears to be inimical to notions of government power, overlooking that power is sometimes necessary to protect freedoms. Quentin Skinner sharpens this classical focus on a 'neo-Roman' theory. In Pettit a (...) republican suspicion of popular government underplays contributions to the history of freedom from the Athenian democracy. (shrink)