The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts (...) associated with autonomy with discussion of the implications of the ethical analysis for long term care. A central chapter involves a phenomenological analysis of four general features of everyday experience (space, time, communication, and affectivity) and explores their practical implications for long term care. This work concludes with a discussion of the advantages associated with a phenomenologically-inspired treatment of actual autonomy for the ethics of long-term care. (shrink)

Many systems of logic diagrams have been offered both historically and more recently. Each of them has clear limitations. An original alternative system is offered here. It is simpler, more natural, and more expressively and inferentially powerful. It can be used to analyze not only syllogisms but arguments involving relational terms and unanalyzed statement terms.

Friedrich Nietzsche has emerged as one of the most important and influential modern philosophers. For several decades, the book series Monographien und Texte zur Nietzsche-Forschung (MTNF) has set the agenda in a rapidly growing and changing field of Nietzsche scholarship. The scope of the series is interdisciplinary and international in orientation reflects the entire spectrum of research on Nietzsche, from philosophy to literary studies and political theory. The series publishes monographs and edited volumes that undergo a strict peer-review process. The (...) book series is led by an international team of editors, whose work represents the full range of current Nietzsche scholarship. (shrink)

This article discusses the approach of the Clinical Ethics Consultation Advisory Committee (CECA) in developing A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care. This article addresses the processes used by the CECA, its use of pivot questions intended to encourage critical reflection, and the target audience of this work. It first considers the salience of case studies in general education and their relevance for training ethics consultants. Second, it discusses the enfolding approach used in presenting the (...) case material designed to engage the trainee in the details of the case while stimulating critical reflection. And, third, this article briefly comments on the target audience with the caveat that even superbly developed cases are prone to misuse, although that prospect should not deter their development. (shrink)

In this response, George Ellis comments on the publications of part II. He responds first to Barbara Drossel, before outlining his thoughts on Thomas Luss’s and Ulf-G. Meißner’s piece.

Philosophy and its descendents in the behavioral sciences have traditionally divided incentives into those that are sought and those that are avoided. Positive incentives are held to be both attractive and memorable because of the direct effects of pleasure. Negative incentives are held to be unattractive but still memorable (the problem of pain) because they force unpleasant emotions on an individual by an unmotivated process, either a hardwired response (unconditioned response) or one substituted by association (conditioned response). Negative incentives are (...) divided into those that are always avoided and those that are avoided only by higher mental processes—archetypically the passions, which are also thought of as hardwired or conditioned. Newer dichotomies within the negative have been proposed, hinging on whether a negative incentive is nevertheless sought (“wanted but not liked”) or on an incentive's being negative only because it is confining (the product of “rule worship”). The newer dichotomies have lacked motivational explanations, and there is reason to question conditioning in the motivational mechanism for the older ones.

Both experimental findings and the examination of common experience indicate that even the most aversive experiences, such as pain and panic, do not prevail in reflex fashion, but because of an urge to attend to them. The well-established hyperbolic curve in which prospective rewards are discounted implies a mechanism for such an urge, as well as for the “lower” incentives in the other dichotomies. The properties of these lower incentives are predicted by particular durations of temporary preferences on a continuum that stretches from fractions of a second to years. (shrink)

Some recent discussions of corporate loyalty have found it misguided, while others see it as crucial for financial success. Thereis also disagreement over the nature of loyalty. This article analyzes the concept of loyalty, arguing that it is neither a duty nor a virtue(although it has overlaps with those categories), but a passion related to various virtues (and vices). Contrary to standard accounts ofcapitalism, loyalty does not necessarily oppose self-interest. Furthermore, corporations can and should be communities, andinsofar as they are, (...) they are proper objects for loyalty. If corporations are not communities, then loyalty to them cannot exist. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in (...) the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Second Copy Thesis in Hume? George S. Pappas The copy thesis which applies to simple ideas andimpressionsin Hume is well known; every simple idea is supposed to be a copy of, that is, to exactly resemble, some simple impression. Or very nearly so, at any rate, for there is the famous missing shade ofblue to take into account. There seems to be another copy thesis in Hume, (...) however, and one on which Hume places a great deal ofweight. We find it expressed early on in the Treatise, incorporated into Hume's discussion of space and time. He says: Wherever ideas are adequate representations of objects, the relations, contradictions and agreements of the ideas are all applicable to the objects; and this we may in general observe to be the foundation of all human knowledge. But our ideas are adequate representations of the most minute parts of extension; and thro' whatever divisions and subdivisions we may suppose these parts to be arriv'd at, they can never become inferior to some ideas, which we form. The plain consequence is, that whatever appears impossible and contradictory upon the comparison of these ideas, must be really impossible and contradictory, without any farther FogeUn has recently described this as a "remarkable passage," one which is "a match for anything found in the writings of the rationalists."2 Perhaps it is such a match, perhaps not, but Fogelin is certainly right to regard this as a remarkable passage, at least for Hume. After all, Hume here seems to be endorsing some form of representationalism, a doctrine we typically do not associate with Hume's philosophy. Two important questions emerge from this passage:just what are these adequate ideas ofwhich Hume speaks; and, in what sense can it be true that they form the foundation ofall ofour knowledge? I believe that a correct answer to each of these questions has some strong imphcations for our understanding ofHume's philosophy. I. Humean Adequate Ideas So far as I can discover, the above-quoted passage is the Only place where Hume talks about adequate ideas. The only text which I have Volume XVII Number 1 51 GEORGE S. PAPPAS found which even suggests the same sentiments occurs in "Of the Passions" where Hume discusses ideas and truth (T 448-49), but no mention is made there of adequate ideas. So I think we have to concentrate on the passage from the Treatise in the attempt to understand what Hume is telling us. Hume seems to refer to adequacy as a feature ofindividual ideas, and also to groups or systems ofideas. The latter is suggested by his reference to relations, contradictions, and agreements between ideas, while the former is indicated by the first clause ofthe quoted passage, where Hume mentions adequacy but makes no reference to relations between ideas. Instead, adequacy in the relationsbetween ideas seems to be a consequence of adequacy of individual ideas. Moreover, that individual ideas are supposed to be adequate is made clear from the argument Hume immediately gives regarding the alleged infinite divisibility of space. He writes: I first take the least idea I can form ofa part ofextension, and beingcertainthatthereis nothingmoreminute than thisidea, I conclude, that whatever I discover by its means must be a real quality ofextension. (T 29) Hume's reasoning here can be interpreted in two different ways, but both rest on the adequacy of individual ideas. He might be read as saying that one starts with a least-sized idea, and infers that there are bits of extension which are the same size as the least-sized idea. The inference from the feature of the idea to the feature of the bit of extension rests on the claimed adequacy ofthe idea. The other reading of Hume's reasoning is that one starts with the least-sized idea and then infers that there is (a) a bit ofextended matter that small, and (b) that there is no smaller bit of extended matter. Ofthese two readings, I think the second is the right way to understand Hume here, for only it supports the argument's conclusion that space is not infinitely divisible.3 But notice that this second version ofHume... (shrink)

This chapter argues that the essential task of a university is not teaching students to be experts in some field of endeavor but educating them, so they might learn how to act in accord with the basic moral constraints governing any endeavor. With the help of ideas from Plato, Aristotle, and Michael Oakeshott, this argument is developed by distinguishing actions from practices and prudential from moral practices. Our moral practices, which comprise our character, cannot be taught, but they can be (...) learned—through conversations and similar educational contexts in which possible actions are imaginatively explored and critiqued in an open-ended manner, with the focus not on what we think or do but how. The difficulty for universities, amid so many practical pressures to do otherwise, to keep this essential educational task as their primary concern is acknowledged. Nevertheless it is the right thing for them to do. (shrink)

The article offers an overview of the (dis)continuities between the major Abrahamic religions (especially Christianity) and transhumanism, as well as some possibilities envisioned by scholars for their ongoing dialogue. Important points that come up along the way include: ecology vs. space exploration; the neglect of injustices suffered by past generations; the importance of bodily and mental imperfections for the development of culture; and our all-too human expectations for what posthumans may desire.Also presented is a review of various possible criticisms against (...) wildly ambitious projects, such as Frank Tipler’s attempt to fuse transhumanism with Christian eschatology. It is argued that process theology and James Gardner’s “Biocosm hypothesis” offer a more intriguing view: a salvation which is not predestined but merely possible, and whose details are being negotiated through specific historic events and even through our day-to-day decisions and deliberations. Such a view overcomes Nietzsche’s notion of eternal recurrence by stressing the importance of rethinking, redaction, and creating variations of what already exists. (shrink)

In this short article, the conditions surrounding the recent discovery of Whitehead's first lecture at Harvard University are detailed. This article is meant as an introduction to Whitehead's lecture, which is published for the first time in the present issue of Process Studies. The previous two installments of the series titled "On the Trail ofWhitehead" can be found in Process Studies issues 45.1 and 46.1.

This chapter explores the ideas of theologians who have attended to the question of theology. Classically, theology sought the subordination of technology to spiritual values. Despite some techno-optimists such as Teilhard de Chardin, the pessimism of Jacques Ellul has had most influence in recent periods, particularly on green, liberation, and feminist theologies. A narrativist approach to the question is examined but found wanting.

Ambiguities in the concept of ideology may be clarified by a history of the word and the phenomenon. "Ideology" can mean both the consciousness of an epoch and the "false consciousness" of men unaware of their true historical position. It was coined in early nineteenth-century France for a "science of ideas," knowledge of which would assure harmonious social life . For Hegel, ideology is the false consciousness necessarily arising from the partial and transitory nature of thought in its dialectical development. (...) Marx, as a materialist, went further, holding all speculative thought to be ideological defense of the status quo; Nietzsche cynically reduced all thought to ideology. Weber, Lukfics, and Mannheim made a more creative critique. For Lukdcs, the solution of the problem of ideology lay in the consciousness of the proletariate, the "identical subject-object" of history; for Mannheim, in that of the intellectuals. (shrink)

In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Third, I (...) analyze several definitions of the physician's professional obligation and discuss four conditions that morally qualify the obligation. And fourth, I explore why the views of economists and physicians differ so strikingly on the question of economic incentives. In the process of this analysis, I argue that criticisms of prospective payment systems which are premised primarily on the conflict between economic incentives to contain cost and the professional obligation of beneficence are probably as much a matter of rhetoric as serious argumentation. Keywords: autonomy, beneficence, cost containment, economic incentives, moral obligation, prospective payment CiteULike Connotea Del.icio.us What's this? (shrink)

An approach to the treatment of inference in the presence of uncertain truth values is described, based on representing uncertainties by sets of ordinary (certain) truth values. Both the algebraic and the logical aspects are studied for a variety of lattices used as truth value spaces in the domain of many-valued logic.