In the UK, the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a widely used process, designed to facilitate shared decision-making between a clinician and a patient or, if the patient lacks capacity to participate in the conversation, a person close to the patient. A key outcome of the ReSPECT process is a set of recommendations, recorded on the patient-held ReSPECT form, that reflect the conversation. In an emergency, these recommendations are intended to inform clinical decision-making, and thereby (...) enable the attending clinician—usually a general practitioner (GP) or paramedic—to act in the patient’s best interests. This study is the first to explore the extent to which ReSPECT recommendations realise their goal of informing best interests decision-making in community contexts. Using a modified framework analysis approach, we triangulate interviews with patients and their relatives, GPs and nurses and care home staff. Our findings show that inconsistent practices around recording patient wishes, diverging interpretations of the meaning and authority of recommendations and different situational contexts may affect the interpretation and enactment of ReSPECT recommendations. Enacting ReSPECT recommendations in an emergency can be fraught with complexity, particularly when attending clinicians need to interpret recommendations that did not anticipate the current emergency. This may lead to decision-making that compromises the patient’s best interests. We suggest that recording patients’ values and preferences in greater detail on ReSPECT forms may help overcome this challenge, in providing attending clinicians with richer contextual information through which to interpret treatment recommendations. (shrink)

This book argues that understandings and explanations of religion are always historically contingent.

Religion and the Philosophy of Life considers how religion as the source of civilization transforms the fundamental bio-sociology of humans through language and the somatic exploration of religious ritual and prayer. Gavin Flood offers an integrative account of the nature of the human, based on what contemporary scientists tell us, especially evolutionary science and social neuroscience, as well as through the history of civilizations. Part one contemplates fundamental questions and assumptions: what the current state of knowledge is concerning life (...) itself; what the philosophical issues are in that understanding; and how we can explain religion as the driving force of civilizations in the context of human development within an evolutionary perspective. It also addresses the question of the emergence of religion and presents a related study of sacrifice as fundamental to religions' views about life and its transformation. Part two offers a reading of religions in three civilizational blocks-India, China, and Europe/the Middle East-particularly as they came to formation in the medieval period. It traces the history of how these civilizations have thematised the idea of life itself. Part three then takes up the idea of a life force in part three and traces the theme of the philosophy of life through to modern times. On the one hand, the book presents a narrative account of life itself through the history of civilizations, and on the other presents an explanation of that narrative in terms of life.". (shrink)

This book is intended as a general introduction to the history of Tantric traditions: what it is, where it fits into the history of South Asia and beyond, what its links are to Hinduism and Buddhism, and how contemporary Tantra transforms the older tradition. The book is entitled Tantric Knowledge because Tantric traditions claim to possess knowledge about the nature of the universe, the nature of ourselves as human beings, and how we fit into the wider cosmos around us; Tantric (...) knowledge is what the texts and traditions profess. The study of these traditions raises interesting questions of both historical and existential importance. (shrink)

Proponents of the dominant contemporary model of corporate governance maintain that the shareholder is the primary constituent of the firm. The responsibility for managerial decision makers in this governance system is to maximize shareholder wealth. Neoclassical economists ethically justify this objective with their interpretation of Adam Smith's notion of the Invisible Hand. Using a famous quotation from The Wealth of Nations, they interpret the Invisible Hand as Smith's (An Inquiry into the Nature and Causes of the Wealth of Nations, Methuen (...) & Co., London) assertion that market participants, in pursuing their own self-interests without regard to the interests of others, will collectively provide the optimal economic benefit to society. We argue that the traditional interpretation of Smith is too narrow and potentially harmful to society. In order to fully understand Smith's notion of the influence of the Invisible Hand on human behavior, one must also consider The Theory of Moral Sentiments. In that work, Smith (The Theory of Moral Sentiments, A. Millar, London) portrays the pursuit of self-interest as only one of several potential motivations for human action. He also acknowledged the existence of a “sympathy principle,” which refers to the ability and propensity of human beings to consider the interests of others. Heilbroner (The Essential Adam Smith, W.W. Norton, New York, p. 59) suggests that Smith's sympathy principle allows one to “determine the appropriate degree of self-interest, the proper display of benevolence, the desirable strictness of justice.” In fact, Smith indicates that (1) a society whose members pursue self-interest without a sense of justice will eventually collapse; (2) a society whose members pursue self-interest checked by their sense of justice alone will survive; (3) a society whose members pursue self-interest, justice, and the interests of others will flourish. Since a more complete reading of Smith indicates that human beings, in considering their own interests, also reflexively consider the interests of others when making decisions, then the traditional corporate governance model appears to be lacking. A broader, multiple stakeholder approach to corporate governance that considers the interests of other constituencies may be more consistent with Smith's views. In particular, Smith's sympathy principle provides a theoretical foundation for a shift away from the narrow, yet dominant, shareholder-based corporate governance model and toward multiple stakeholder models of corporate governance [e.g., Business and Society: A Strategic Approach to Corporate Citizenship, Houghton Mifflin, Boston, MA] and internal decision-making [e.g., Sloan Management Review 38, (1997) 25–37]. (shrink)

Today’s bodies are akin to ‘walking sensor platforms’. Bodies either host, or are the subjects of, an array of sensing devices that act to convert bodily movements, actions and dynamics into circulative data. This article proposes the notions of ‘disembodied exhaust’ and ‘embodied exhaustion’ to conceptualise processes of bodily sensorisation and datafication. As the material body interfaces with networked sensor technologies and sensing infrastructures, it emits disembodied exhaust: gaseous flows of personal information that establish a representational data-proxy. It is this (...) networked actant that progressively structures how embodied subjects experience their daily lives. The significance of this symbiont medium in determining the outcome of interplays between networked individuals and audiences necessitates that it is carefully contrived. The article explores the nature and function of the data-proxy, and its impact on social relations. Drawing on examples that depict individuals engaging with their data-proxies, the article suggests that managing a virtual presence is analogous to a work relation, demanding diligence and investment. But it also shows how the data-proxy operates as a mode of affect that challenges conventional distinctions made between organic and inorganic bodies, agency and actancy, mortality and immortality, presence and absence. (shrink)

This article provides an introduction to a special issue of Body & Society that explores the surveillance--embodiment nexus. It accentuates both the prevalence and consequence of bodies being increasingly converted into ‘objects of information’ by surveillance technologies and systems. We begin by regarding the normalcy of body monitoring in contemporary life, illustrating how a plurality of biometric scanners operate to intermediate the physical surfaces and subjective depths of bodies in accordance with various concerns. We focus on everyday experiences of bodily (...) intermediation by surveillant dispositifs, and consider the broader political, epistemological, and ontological significance of these processes. We then point to the substantive intersections and divergences existing between body and surveillance studies. We conclude with an overview of the five articles appearing in this special issue. We describe how each contribution creates a template for imagining what a body is, and what a body might become, in a culture defined by proliferating data sharing behaviours, systems of codification, and practices of intermediation. (shrink)

Wearable robots are an emerging form of technology that allow organizations to combine the strength, precision, and performance of machines with the flexibility, intelligence, and problem-solving abilities of human wearers. Active exoskeletons are a type of wearable robot that gives wearers the ability to effortlessly lift up to 200 lbs., as well as perform other types of physically demanding tasks that would be too strenuous for most humans. Synchronization between exoskeleton suits and wearers is one of the most challenging requirements (...) to operate these technologies effectively. In this conceptual paper, we extend interpersonal adaption theory (IAT) to the exoskeleton context and explicate (a) the antecedents that are most likely to shape synchrony in human-exoskeleton interactions, (b) automatic and strategic synchrony as adaptive behaviors in human-exoskeleton interactions, and (c) outcome variables that are especially important in these processes. Lastly, we offer a discussion of key methodological challenges for measuring synchrony in human-exoskeleton interactions and offer a future research agenda for this important area. (shrink)

This paper explores the embedding of data producing technologies in people's everyday lives and practices. It traces how repeated encounters with digital data operate to naturalise these entities, while often blindsiding their agentive properties and the ways they get implicated in processes of exploitation and governance. I propose and develop the notion of ‘data doxa’ to conceptualise the way in which digital data – and the devices and platforms that stage data – have come to be perceived in Western societies (...) as normal, necessary and enabling. The ‘data doxa’ concept also accentuates the enculturation of many individuals into a data sharing habitus which frames digital technologies in simplistic terms as panaceas for the problems associated with contemporary life, figures of progress and convenience, and mediums of knowledge, pleasure and identity. I suggest that three types of data-based relations contribute to the formation of this doxic sensibility: fetishisation, habit and enchantment. Each of these relations come to mediate public understandings of digital devices and the data they generate, obscuring the multifaceted nature and hidden depths of data and their propensity to double up as technologies of exposure and discipline. As a result of this situation, imaginative educational programs and revamped regulatory frameworks are urgently needed to inform individuals about the contribution of data to the leveraging of value and power in today's digital economies, but also to protect them from experiencing data-based harms. (shrink)

Ramsey et al. attempt to clarify methodological issues for identifying innovative behaviour. Their effort is seriously weakened by an underlying presumption that the behavior of primates is generally learned and that of non-primates is generally This presumption is based on a poor grasp of the non-primate literature and a flawed understanding of how learned behaviour is genetically assimilated.

Everyday surveillance work is increasingly performed by non-human algorithms. These entities can be conceptualised as machinic flâneurs that engage in distanciated flânerie: subjecting urban flows to a dispassionate, calculative and expansive gaze. This paper provides some theoretical reflections on the nascent forms of algorithmic practice materialising in two Australian cities, and some of their implications for urban relations and social justice. It looks at the idealisation – and operational black boxing – of automated watching programs, before considering their impacts on (...) notions such as ‘the right to the city’ and ‘the right to the face’. It will argue that the turn to facial recognition software for the purposes of automating urban governance reconstitutes the meanings and phenomenology of the face. In particular, the fleshly and communicative physicality of the face is reduced to a measurable object that can be identified by a virtualised referent and then consequently tracked. Moreover, the asymmetrical and faceless nature of these machinic programs of recognition unsettles conventional notions of civil inattention and bodily sovereignty, and the prioritisation given to pattern recognition renders them amenable to ideas/ideals from phrenology and physiognomy. In this way, algorithmic governance may generate not only forms of facial vulnerability and estrangement, but also facial artifice, where individuals come to develop tacit and artful ways of de-facing and re-facing in order to subvert the processes of recognition which leverage these modes of biopower. Thus, the datafication of urban governance gives rise to a dynamic biopolitics of the face. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:530 BOOK REVIEWS I think none of these books contains a wholly satisfactory treatment of the particular issues it takes up. Taken together, however, they do show that evil presents not just one but many problems to reflective religious minds. In addition, they make it perfectly evident that not just one but many academic disciplines continue to have helpful things to say in response to these gripping perplexities. University (...) of Notre Dame Notre Dame, Indiana PHILIP L. QUINN Di,alogue with the Other: The Inter-religious Dialogue. By DAVID TRACY. Louvain Theological and Pastoral Monographs, 1. Louvain : Peeters; Grand Rapids, Mich.: Eerdmans, 1990. Pp. 123. $12.95. With this book David Tracy continues the hermeneutical project he launched in the Analogical Imagination: a concern to converse with the classics and to encounter the ' other '. However, here the ' other ' is extended beyond the traditional Western classics to the religions of the world and the often neglected archaic traditions. Tracy is surely correct when he says: " I believe that we are fast approaching the day when it will not be possible to attempt Christian systematic theology except in serious conversation with the other great ways" (p. xi). Here he follows a pioneering line drawn in Chicago by Tillich, Eliade and Kitagawa. Tracy brings to this venerable tradition his particular concern with hermeneutics and his experience with Jewish-Christian and Buddhist-Christian dialogue. The essays are further united by Tracy's desire to restore the unity between the mystical and prophetic within the Christian tradition. Employing Kenneth Burke's analysis of rhetoric, Chapter one shows that Freud and Lacan can be interpreted in terms of a clash of prophetic and mystical rhetorics respectively. Both are concerned with the ' other ', Freud more instrumentally and didactically and Lacan more subversively and anarchically but not nihilistically or in the way of Zen. In this chapter Tracy has a tendency towards overdetermination. Still, the brunt of his argument is that all discourse has concealed foundations, the archaeology of which will help illuminate the opera· tive rhetoric. Furthermore, the mystical/prophetic typology used in religion can illuminate secular issues, viz., the debate between Freud and Lacan. However, Tracy does not pay full attention to the nature of the 'other', but too easily assimilates it. For instance, is Freud's attention to the subconscious analogous to religious rhetoric's regarding the otherness of God? And does it really serve Tracy's purpose to start BOOK REVIEWS 531 the book by remammg within such very western waters despite the brave navigational direction he charted in the introduction? Chapter two revisits the classics: he uses the writings of William James to throw light on the criteria for interreligious dialogue. These criteria are used to affirm the authenticity of religions; these are not intended to " replace the dialogue but, at best, heuristically to inform it" (p. 27). Tracy offers a good and sensitive appreciation of James (despite his anachronistic elements), but his conclusions are somewhat thinly related to James's work and relate more closely to Tracy's own hermeneutical approach. The three criteria that he advances are: first, the notion of " immediate luminousness," understood as manifestation in a Heideggerian sense (and in keeping with von Balthasar) ; second, the necessity of coherence, understood as the compatibility of religious belief with science, art, and other humanistic traditions; and third, an ethical-pragmatic criterion related to James's notion of "fruits." With regard to the second, Tracy is aware of the problem of assuming a neutral form of "reason" in adjudicating such coherence. Still, his study would have been more helpful with specific examples to highlight some of the intractable problems in such a task. For instance, autonomy has been granted to the sciences by most western Christians but has not been by some other religious traditions in certain parts of the world, and so the notion of coherence begs the question. Tracy needs to grapple with the issues raised by Macintyre and Winch (among others) to move beyond the potentially sterile dichotomy implied in his notion of coherence. With regard to the third criterion there is question begging, too. Would Abraham have passed this test in his willingness to kill his son? Or... (shrink)

Microbiologists are transitioning from the study and characterization of individual strains or species to the profiling of whole microbiomes and microbial ecology. Equipped with high-throughput methods for studying the taxonomic and functional characteristics of diverse samples, they are just beginning to encounter the conceptual, theoretical, and experimental problems of comparing taxonomy to function, and extracting useful measures from such comparisons. Although still unresolved, these problems are well studied in macro-ecology and are reiterated here as an historical precautionary for microbial ecologists. (...) Beyond expected and unresolved terminological vagueness, we argue that assessments and comparisons of taxonomic and functional profiles in micro-ecology suffer from theoretically unresolvable arbitrariness and ambiguities. We divide these into problems of scale, individuation, and commensurability. We argue that there is no technically/theoretically “correct” scale, individuation, or comparison of taxonomy and function, but there are nonetheless better and worse methodologies for profiling. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:TAKING OTHER RELIGIONS SERIOUSLY: SOME IRONIES IN THE CURRENT DEBATE ON A CHRISTIAN THEOLOGY OF RELIGJ:ONS * 1GAvIN D'CosTA West London Institute of Higher E'ducation Isleworth, Middlese111 HE QUESTION oi Christian attitudes to the world eligions is becoming increasingly important. An lnterpretatwn of Religion is emblematic of a growing trend, which runs across 1denominational lines, that attempts fo take other,religions seriously. John Hick.argues that for most of its ihistory (...) Christianity has hrud a rpolitioaUy and theologicrully imperialist attitude towards the ireligions of the world. Superiority :and uninformed arrogance have generally prev:ailed with the accompanying attitude that the religions of the world 1aire 1 generally sinful and incapable of being 1 salvific. The 1 time has come foT a change of a;ttitude: the wol"ld reHgions must be taken seriously :and this means ·affil"ming them as alternative paths to salvation, possibly neither worse nor better than·Christianity. This Hick cru1ls a "pluralistic" outlook. The agenda is irrudical and Hick's Vioice is not solitary. Hick'1 s hook!is a ma;gisteri:al 4rn paiges and is ibrused on his Giffol'ld Lectmes of 1986-87. It contains cons!i.derruble indological, philosophicail and theological material, hut in what follows I shall,be dea1ing with one aspect oll!ly, his argument for p1uiialism. Hick is acknowledged :as a leading irepresentative of this pluralistic approach. Initially he began as a conservative,and exclusivist Christian,and has over the years enoompassed a wide!l.'ange of thoofogica1 positions now,culminating *John Hick, An Interpretation of Religion: Human Responses to the Transcendent (New Haven: Yale University Press, 1989). 519 520 GAVIN D'COSTA in this p11esent rbook.1 In :this review discussion I propose that many o[ the most mdical strategies in the theology of re1ligions in 'Spite 0£ their wish to take other rreligions seriously have an il'!Onic tendency to do just the opposite! In attempting to be genuinely accommodating to the 11eligions 0£ the world, Hick, I will argue, unwittingly ends up in danger of accommodating none, including Christianity. This tendency, which iI believe to 1be clearly illustrated in Hick's rrecent rbook, is shared in various degrees hy numerous theologians pursuing a, pluralist p111oject similar to that of Hick's.2 It would he foolish to assume they are " all the 'Saime," hut they certainly share common theological and philosophical tendencies which I wish to isolate and comment on. I should 1state dearly that iby such a critique I do not intend to discount the possibility that 1 a:ll religions ma,y lead fo God, but that the stmtegies often employed to a111g111e.for this are deepJy problematic. ~o put Hiok"s new rbook into :perspective it will he helpful to wace its genesis 1briefly. In 1973, using an astronomical analogy, Hick suggested a Copernican revolution in the Christian theoology of rreligions whereby Christians should "shift from the 1 He began, in his own words, as a "strongly evangelical and indeed fundamentalist " Christian: see God Has Many Names (London: Macmillan, 1980), p. 2. See also my analysis of his entire pilgrimage in John Hick's Theology of Religions (London/New York: University Press of America, 1987). 2 For some of those on Hick's trajectory, see A. Race, Olllristians and Religious Pluralism (London: SCM, 1983); Paul Knitter, No Other Name'! (New York: Orbis, 1985); Wilfred Cantwell Smith, The Meaning and End of Religion (New York: Harper & Row, 1978); R. Ruether, Pluralism and Ohristology; the latter three and other influential co-contributors (including Hick) are to be found in The Myth of Christian Uniqueness: Towards a Pluralistio Theology of Religions, ed. J. Hick and P. Knitter (New York: Orbis, 1987). More recently, we can see the extremely thin line between pluralists and essentialist "inclusivists" in E. Hillman, Many Paths·: A Oatholic Approach to Religious Pluralism (New York: Orbis, 1989), who marries K. Rahner and W. C. Smith, divorces faith from history and tradition, and thereby provides an essentialist analysis. See the pertinent comments of K. Surin on Smith's essentialist project in "An Examination of the Discourse of John Hick and Wilfred Cantwell Smith", in Religious Pluralism and Unbelief, ed. I. Hamnett (London, Routledge... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 741 pointedly, what he is asking for is " the ' planned dissolution ' of the Latin Church into a considerable number of distinct, autonomous ' patriarchates ' " (p. 132). These suggestions, although not original, are intriguing. They deserve, however, more than three pages. What is needed is a detailed presentation of these changes, indicating their historical context, their advantages and disadvantages, and their practical implementation. (...) Despite the criticisms given above, there is much good material to be found in this crisply written book. I agree in general with Hill's judgment that Church authority should embody a collegial rather than a monarchical ecclesiology. He shows that the MC ecclesiology has a solid foundation in scripture and tradition and its cornerstone is the theology of the local Church. Furthermore, he is correct in insisting that the doctrines of collegiality and the priesthood of the faithful are urgent questions in contemporary ecclesiology and that they have broad ecumenical ramifications. He speaks convincingly of greater lay participation, local autonomy, consultation, and accountability. At the same time, his partisanship leads him to caricature the MP view. He will not persuade many MP supporters by criticizing their "highhanded authoritarianism and paternalism " (p. 53) and " ecclesiastical dishonesty " (p. 127) or by claiming that the Roman Curia " is neuro· tically obsessed with the matter of papal authority" (p. 114). Hill makes many valid and important points, but, on occasion, he weakens them by exaggeration. At times his partisan style overcomes his theo· logical substance. The Catholic University of America Washington, D.C. pATRICK GRANFIELD Many Paths: A Catholic Approach to Religious Pluralism. By EUGENE HILLMAN. Maryknoll, New York: Orbis Books, 1989. Pp. 95. A Christian theology of religions raises fundamental epistemological and methodological questions. Hillman comes to the debate from what Lindbeck has called an " experiential expressivist " background, that is, there is a tacit assumption that reality is experienced and then expressed, that reality precedes language rather than being disclosed and shaped through language. When such an outlook is applied to the theology of religions, the outcome is often the " discovery " of a common experience underlying all religions, despite their different expressions. The latter can be seen to vary according to climate, history, temperament, and so on. Such expressions are loose symbols for a 742 BOOK REVIEWS greater reality, which takes on an increasingly vague shape with the demise of the signifier. History can offer very little resistance to such a model, and the conflicts, differences, intractabilities, and real problems of religious plurality are slowly silenced, almost numbed into a drowsy calm. That history refuses to play this role, while theologies of religion are often demanding it, is indicative of the difficulties with such a model. Hillman's first book on this topic (The Wider Ecumenism, 1968) showed him to be a follower of Rahner. He stressed the universality of grace and its mediation through the historical and particular; he thereby argued for a wider ecumenism with regard to the world religions, in a model analogous to intra-Christian ecumenism. In this book, Hillman advances the same position, but now infused with a strong dose of Wilfred Cantwell Smith. He does not confront the theological criticisms made against either of his mentors. The book is divided into four lucid chapters. The first considers the meaning and role of religion, and much of Hillman's discussion is helpful. However, as the chapter proceeds, one finds that the definition of religion is not controlled by the particularities and intractable dif. ferences presented by the subject matter but rather by an experiential essentialism. Hillman uses Smith's distinction between "faith" and " belief " to two ends, one descriptive, the other evaluative. However he, like Cantwell Smith, conflates description with evaluation. Furthermore, he is untroubled that the subject matter under inspection does not easily yield to such distinctions. Descriptively, " belief " or the " cumulative tradition " involves the " myriad historico-cultural par· ticularizations " that go to make up a religion such as liturgies, doc· trines, ethical systems, practices, histories, and so on {20). Faith is basically an experience of " the tr,anscendent, which is presumably the same for every person," and can be distinguished from the "cumulative tradition, which is different for each people, nation or... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:524 BOOK REVIEWS Word is to interpret us" (189). That two-way response to the Word of God neatly summarizes William Hill's witness to us as theologian as well: to he the mediator between classical and contemporary idiomata in such a way as to enrich the deliverances of both, reminiscent of Matthew's commendation of the " disciple in the kingdom of Heaven [being] like a householder who brings out from (...) his storeroom new things as well as old" (13 :52). The excitement of this project will not he lost on students of theology confronted with novel theories periodically renewed. What makes William Hill a theologians' theologian is not only his conceptual clarity, hut his capacity to move among us as a fellow inquirer. Bereft of any need to kill off contenders to make room for his innovations, we rather find him recalling on every page how much he has learned from others and wishes to pass on to us. University of Notre Dame Notre Dame, Indiana DAVID B. BURRELL, c.s.c. The Diversity of Religions: A Christian Perspective. By J. A. D1NoIA, O.P. Washington, D.C.: The Catholic University of America Press, 1992. $29.95 (cloth), $17.95 (paper). For some time now the debate in the Christian theology of religions has centered around the question of ·the possibility of salvation for nonChristians. The answers to this question have often been placed in a threefold typology: exclusivism, inclusivism or pluralism. Exclusivists generally maintain that salvation is conditional on an explicit confession of faith in Jesus Christ, hence non-Christians are lost. Pluralists, on the other hand, maintain that salvation can he found in different religions in various ways, and that Christianity is one among many paths to the divine reality. Inclusivists agree that non-Christians may he saved, and if they are it may he through rather than despite their religion. Inclusivists differ from pluralists in believing that Christ is the constitutive cause of all salvation, even therefore the salvation of a non-Christian. DiNoia's hook claims to do two very significant things. First, to go beyond the three approaches and suggest a fresh way of dealing with the question. Second, in doing so, to create a new agenda for the Christian theology of religions. My verdict: he partly fails and partly succeeds, and both his failings and success are deeply instructive and profoundly illuminating. DiNoia's argument is advanced carefully and lucidly and is acces- BOOK REVIEWS 525 sihle to non-specialists. The bibliographic essay/notes related to each chapter indicate thorough research (with one exception) and are a pleasure to read. DiNoia (a Thomist with Barthian leanings) closely follows George Lindbeck's cultural-linguistic model of religion, arguing that the specific way of life, determined by the actual doctrines held, uniquely shapes and moulds the religious practitioner. The goal and means of the religious way are intrinsically related and cannot he separated. He then persuasively argues that the difficulty with pluralists and inclusivists is that they impose a soteriocentricism upon other religions where there may he none! In contrast, DiNoia maintains one cannot say anything about the meaning of another religion apart from specific and proper attention to the ways in which its doctrines regulate its practice and stipulate the goal to he achieved by that way of life. In Christianity, eternal fellowship with the blessed Trinity can be said to he the goal (salvation) which is carefully orchestrated in minute detail through the liturgical life of the community. To claim that other religions attain the same salvific goal is therefore problematic. DiNoia's argument creates a space for other religions to really disclose what they are about in their doctrines and practice, without a priori categorization, and this is to he welcomed. Hence, the necessity of dialogue as the proper location for disclosure of the "other". Dialogue thereby becomes central to a theology of religions. Only in this process can we ask the question as to whether and how these ways of life relate to Christianity. DiNoia allows for the possibility that doctrinal truth and good actions can he found in other religions, without compromising the cen· trality of the incarnation as constitutive... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 719 An Apology for Apologetics: A Study in the Logic of lnterreligious Dialogue. By PAUL J. GRIFFITHS. New York: Orbis, 1991. ISBN: 0 88344 761 4. pp. 113. Jesus Christ at the Encounter of World Religions. By J. DUPUIS. New York: Orbis, 1991 (ET: Robert R. Barr, from French, 1989). ISBN: 0 88344 723 1. pp. 301. Griffiths presents a rigorous argument for the possibility of con· (...) tradictory claims between different religious communities. His inspira· tion, as he acknowledges, is William Christian Snr. His basic argu· ment is: " If representative intellectuals belonging to some specific religious community come to judge at a particular time that some or all of their own doctrine-expressing sentences are incompatible with some alien religious claim(s), then they should feel obliged to engage in both positive and negative apologetics vis-a-vis these alien religious claim(s) and their promulgators" (3). He takes negative apologetics to be a critique of arguments made against one's own religious claims, showing that such arguments fail or are inconsistent or incoherent. Positive apologetics shows how a particular religious community's doctrines are cognitively superior, in some respect(s), to another religious community 's doctrines. It is essential for this enterprise that only methods of argumentation and criteria of knowledge acceptable to the adversary are employed. This requires the acceptance of natural theology. Griffiths is well aware of the lion's den he is entering, as his proposals run counter to much scholarship in the area of interreligious dialogue, so he spends three chapters apologetically tackling the lions. The objectors (who mainly remain in notes) include Derrida, Barthes, Winch, Lindbeck, Hick, Huxley, Nasr, Plantinga and others, although Mac· Intyre is curiously missing. This technique has the advantage of isolating and presenting arguments, without falling into problems of cor· rect exegesis of opponents. And this is also its weakness, as objectors will sometimes feel caricatured or misunderstood-as is surely the case with Plantinga and in one instance, Hick. First, he tackles objections that sentences from one tradition are either incomprehensible or incommensurable with those of another, convincingly showing that the strong versions of both claims are self· defeating and unsustainable. Weaker versions still allow for his proj· ect-or so he thinks. This is where Maclntyre's work should have been considered. Then he tackles various theories of religious language (following Lindbeck's typology). He argues against non-cognitive accounts that reduce beliefs to the credibility of causes for holding beliefs, a position incapable of asserting its truth over other views because of its 720 BOOK REVIEWS own presuppositions. He follows Lindbeck in criticizing experiental expressivism, and then turns upon Lindbeck's own form of rule theory (which is ambivalent regarding cognitive claims), arguing convincingly that to suggest that only sentences uttered confessionally and with performative function can possess ontological truth is confused (42). In a brief review it is not possible to rehearse Griffiths's careful argumentation. Griffiths then sets about tackling two types of universalists: Hick and Huxley. Of Hick, he argues that some criteria are required to discern true from false religions (e.g. Jim Jones) and in so doing such a position needs to support and develop such criteria, thereby effectively introducing apologetics. He neglects to deal with Hick's pragmatic criteria of beneficial ' fruits ' evident in adherents, but the logic of his argument can be applied to Hick's proposals. Using Katz and Zaehner, he argues against the esoteric universalism of the philosophia perennis. (The arguments of Robert Forman's recent book, The Problems of Pure Consciousness, are strangely neglected, despite Griffiths's being a contributor to that collection.) Finally, he tackles objections against positive apologetics-first, on the grounds that it has a negative effect on interreligious relations. Logically, this need not be the case, although Griffiths is well aware that the political context of apologetics can obscure its proper goal: deeper critical understanding, learning and problem solving. Then, in sustained dialogue with Plantinga, he argues against the objection that success is impossible. It is impossible only if " knockdown drag-out" (64) argumentative victory is expected. Griffiths suggests the cumulative -case argument and gives instances of such successful apologetics (medieval... (shrink)

BackgroundAlthough patient advocates have developed templates for standard consent forms, evaluating patient preferences for first in human (FIH) and window of opportunity (Window) trial consent forms is critical due to their unique risks. FIH trials are the initial use of a novel compound in study participants. In contrast, Window trials give an investigational agent over a fixed duration to treatment naïve patients in the time between diagnosis and standard of care (SOC) surgery. Our goal was to determine the patient-preferred presentation (...) of important information in consent forms for these trials.MethodsThe study consisted of two phases: (1) analyses of oncology FIH and Window consents; (2) interviews of trial participants. FIH consent forms were analyzed for the location(s) of information stating that the study drug has not been tested in humans (FIH information); Window consents were analyzed for the location(s) of information stating the trial may delay SOC surgery (delay information). Participants were asked about their preferred placement of the information in their own trial’s consent form. The location of information in the consent forms was compared to the participants’ suggestions for placement. Results34 [17 FIH; 17 Window] of 42(81%) cancer patients approached participated. 25 consents [20 FIH; 5 Window] were analyzed. 19/20 FIH consent forms included FIH information, and 4/5 Window consent forms included delay information. 19/20(95%) FIH consent forms contained FIH information in the risks section 12/17(71%) patients preferred the same. Fourteen (82%) patients wanted FIH information in the purpose, but only 5(25%) consents mentioned it there. 9/17(53%) Window patients preferred delay information to be located early in the consent, before the “Risks” section. 3/5(60%) consents did this.ConclusionsDesigning consents that reflect patient preferences more accurately is essential for ethical informed consent; however, a one-size fits all approach will not accurately capture patient preferences. We found that preferences differed for FIH and Window trial consents, though for both, patients preferred key risk information early in the consent. Next steps include determining if FIH and Window consent templates improve understanding. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Dogma and Ecumenism: Vatican II and Karl Barth's Ad Limina Apostolorum ed. by Matthew Levering, Bruce L. McCormack, and Thomas Joseph White, O.P.Gavin D'CostaDogma and Ecumenism: Vatican II and Karl Barth's Ad Limina Apostolorum edited by Matthew Levering, Bruce L. McCormack, and Thomas Joseph White, O.P. (Washington, DC: Catholic University Press of America Press, 2020), ix + 369 pp.In May 1966 Karl Barth visited Rome. He was (...) invited to reflect on the Second Vatican Council, to ask questions to leading curial figures, and peritus theologians, as well as Pope Paul VI. Barth's book Ad Limina Apostolorum: An Appraisal of Vatican II contains his questions and an account from Barth of his visit, along with some other important essays. It is still deeply challenging in its incisiveness, despite its brevity. I have always been struck by Barth's Marian criticisms that are so central to his viewpoint about divine agency and human cooperation. These give us an excellent insight into his ecclesiology. They represent the reasons for much of his questioning of various Roman Catholic positions on all sorts of matters. Eberhard Busch's diaries, while Barth's assistant during this period, form a fascinating complimentary account of the visit. These tell of the not-so-fruitful visit to Augustin Cardinal Bea and the great highpoint (for Barth) of his one-hour audience with Pope Paul VI. Barth was impressed by the Jesuits during his visit, but not so much by the Dominicans. He thought the latter had absorbed too many streams of liberal modernity. The two Dominicans participating in this book turn those tides. Indeed, all the authors could be located within the conserving wings of their ecclesial membership, which makes the volume all the stronger in raising serious unresolved disagreements and noting important common ground. It is testimony to Barth's enduring value that this volume seems so timely. The Barth Centre at Princeton and the Pontifical Faculty of the Dominican House in Washington were the sponsors of this collection.The volume is structured around five of the key documents commented on by Barth, with a Catholic and Reformed voice reflecting on both the particular document and Barth's input (with the exception of Francesca Aran Murphy, who deals with George Lindbeck rather than Barth), thereby simultaneously pushing forward the Catholic–Reformed engagement with the Council and with Barth. There is a preface with a penetrating introduction by Thomas Joseph White, O.P., and an irenic opening chapter by Matthew Levering on biblical renewal at Vatican II. Then follow the twin reflections on the five documents.First (and rightly so) comes the Dogmatic Constitution on Revelation, Dei Verbum. Katherine Sonderegger develops a nuanced reflection on the metaphor of Scripture as mirror of God (found in Dei Verbum), showing [End Page 971] a deep appreciation of currents within Dei Verbum that Barth had not detected, but which are more connective with his concerns and preoccupations. Lewis Ayres rather impishly takes what Barth saw as the main weakness of the text (its chapter 2: "Handing on Divine Revelation") and makes it the greatest strength. Ayers provides a deeply learned and original exploration of the concept of "tradition" as sacramental. In this duet, Barth comes out looking like he may have missed hearing the melodies while too closely studying the score.Then follow two profound essays on Lumen Gentium, the Dogmatic Constitution on the Church. Christoph Schwöbel builds up a strong Protestant case for the necessary visible ecclesial identity of the Church, thus showing a deep convergence without denying differences that remain. White, in a deeply insightful and probing essay, goes to the heart of the ecclesiological difference between Barth and Yves Congar (and some other key Catholics at the time): the relationship between uncreated divine agency and created human agency, especially within the context of the post-apostolic Church. White suggests that, without some stable ecclesial mediations, there can be no proper relationship envisaged between the transcendent causality of God operating in Christ and the created, active cooperative acts with this grace. While building up both a metaphysical and a theological case against Barth's criticisms... (shrink)

The United States Marine Corps (USMC) trains 40,000 recruits in ethical conduct each year. The Marines operate under highly stressful conditions and are perceived as moral exemplars. This study investigates their recruit training practices at Parris Island, SC and suggests applications consistent with ethical and psychological research that offer potential for building ethical corporate cultures and improving ethical behavior. The lessons were: 1) select values that fit the business, 2) use organizational-derived “hero stories”, 3) socialize members with conviction and repetition, (...) 4) utilize line leaders to conduct the training to provide specific guidelines for behavior, 5) closely monitor and reward ethical behavior, 6) add emotional control to the cognitive training, and 7) train with realistic business simulations. The seven lessons from the USMC can help business leaders earn a reputation for trustworthy leadership, a vital corporate asset. (shrink)

We examine the educational benefits of a virtual mentor program used to supplement classroom teaching of ethics, by connecting students with business practitioners through computer-mediated communications. Virtual mentoring can be a valuable and inexpensive way to extend the classroom lectures and discussion with real-world perspectives. In addition, it can serve additional purposes for students, such as learning how to develop a relationship with a mentor, and improving application of ethical concepts in practical situations. Is this potential realistic for business ethics (...) education? Based on a cross-case comparison of several virtual mentoring application and student satisfaction ratings, our findings establish that perspective and confidence increased in students’ transfer of ethical concepts and applying ethical judgment to business situations. Based on these experiences we suggest guidelines to individuals who teach business ethics, regarding the value of using a virtual mentor program, including practical lessons about implementing virtual mentors programs. (shrink)

Critically significant parental effects in behavioral genetics may be partly understood as a consequence of maternal brain structure and function of caregiving systems recently studied in humans as well as rodents. Key parental brain areas regulate emotions, motivation/reward, and decision making, as well as more complex social-cognitive circuits. Additional key environmental factors must include socioeconomic status and paternal brain physiology. These have implications for developmental and evolutionary biology as well as public policy.