Arguments about the morality of the use of deception in patient care have been conducted largely in an empirical vacuum, with few data about the situations in which deception occurs. Do staff frequently deceive their patients and, if so, under what conditions? Can the consequences of deception always be foreseen? What justifications do staff use to explain their behaviour? The small-scale study reported here on the uses of deception by nurses when attempting to reassure patients provides information on these questions. (...) The results suggest that deception can have deleterious effects on trust and increase the emotional distance between patients and staff. (shrink)

This chapter discusses several kinds of reduction that are often found in the biomedical sciences, in contrast to reduction in fields such as physics. This includes reduction as a methodological assumption for how to investigate phenomena like complex diseases, and reduction as a conceptual tool for relating distinct models of the same phenomenon. The case of Parkinson’s disease illustrates a wide variety of ways in which reductionism is an important tool in medicine.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Skeptic Way: Sextus Empiricus’s “Outlines of Pyrrhonism.” by Benson MatesDavid K. GliddenBenson Mates. The Skeptic Way: Sextus Empiricus’s “Outlines of Pyrrhonism.” New York: Oxford University Press, 1996. Pp. x + 335. Cloth, $55.00, Paper, $22.95.Benson Mates’s translation and commentary of Sextus Empiricus’ Outlines of Pyrrhonism appears nearly half a century after Mates first began his pioneering work on Sextus and Hellenistic philosophy. This publication coincides with another (...) new translation of the Outlines by Annas and Barnes, who provide only an abbreviated commentary (Cambridge University Press, 1994). After decades when the only available English translation was by Bury from the Loeb, there are now choices available which allow Sextus to be taught to different sorts of English readers.In comparing the two translations, this reader found the Annas and Barnes version more mellifluous. Mates is not as sweet. His style is plain-spoken, but this approach has merits when the arguments get going. The Annas and Barnes version uses footnotes for commentary, along with a brief introduction. Their notes cite parallel passages in other works by Sextus, provide brief guidance for interpretation when it is most needed, and connect the reader with a focused list of bibliographical references, inviting readers themselves to turn toward scholarly debates over certain controversial passages. Consequently, Annas and Barnes opens out to a wide audience of classicists, historians, students of literature, general readers interested in scepticism, as well as philosophers of whatever ideology. [End Page 460]The Mates edition is directed toward philosophers alone. It is much less oriented toward historical scholarship, preferring to read Sextus as a contemporary professional philosopher might. In this way, Mates will approach a passage from the Outlines in terms of a passage in Hume or Berkeley, even though, of course, these latter-day philosophers derived their views from reading Sextus. Mates employs philosophese with ease, constructing a version of Sextus from the professional philosopher’s interpretive stance, in the language of propositions and Fregean intensions. The audience Mates is writing for and the viewpoint he is writing from more or less correspond to the “analytical” faction of the American Philosophical Association. Postmodern Foucaultians, contextualist historians, and Hellenistic scholars might find this approach unhelpful, even irritating. But busy, mainstream American philosophers could find Mates’s approach sufficiently sympathetic to actually read some Sextus, in the way Chisholm once had done, finding a passage on the Cyrenaics in Sextus which led to the reinvention of “adverbial appears locutions” and which, in turn, played for decades in the epistemological arcades.Mates begins his edition with a systematic introduction to the Outlines and follows his translation with another hundred pages of narrative, reflecting primarily what Mates finds interesting about certain selected passages. Although, like Annas and Barnes, he provides parallel passages, ancient references, and highly abbreviated accounts of scholarly disputes, his own narrative line dominates both his introductory essay and his commentary. Mates writes in a somewhat chatty style prone to the blunt Cephalean confidence that comes with considerable experience and success as a professional philosopher. His narrative line is clear, connected, often compelling, as for instance when he argues that for Sextus “dogmatizing and believing turn out to be one and the same” (61).Fashion has returned to favor Pyrrhonism in the late twentieth century, just as the cycle had come around before, toward the end of the sixteenth century, sparking a philosophical renaissance. This time around the import may be different. Both Annas and Barnes as well as Mates find Sextus worth reading as serious philosophy. This is a considerable improvement in the fortuna of the Outlines. For decades Sextus was banned in American philosophy departments, as no philosopher at all. He was not taught, he was not read. One highly prominent American philosopher was expressly forbidden to write a dissertation on him, around the time Mates and Chisholm had the courage to publish on him. Sextus is now welcome in the Canon.If Sextus now is one of us, a serious philosopher, then the dogmatists (Stoics, Epicureans, Peripatetics, etc.) he ridiculed were merely failures. The game continues. So, Mates, Annas and Barnes can embrace Sextus as ours. His readers won’t... (shrink)

OBJECTIVES: To study the resources available and resources needed for ethics teaching to medical students in UK medical schools as required by the new GMC core curriculum. DESIGN: A structured questionnaire was piloted and then circulated to deans of medical schools. SETTING: All UK medical schools. RESULTS: Eighteen out of 28 schools completed the questionnaire, the remainder either indicating that their arrangements were "under review" (4) or not responding (6). Among those responding: 1) library resources, including video and information technology (...) were found to be fairly well developed; 2) many schools had a good supply of handouts and sample cases for teaching; 3) most had a written syllabus, and 4) two-thirds examined in the subject. However, many schools indicated that there was an urgent need for: 1) full-time teachers (most ethics teaching is still by part-time and voluntary staff); funding for books and journals, and 3) additional teaching materials (including further case vignettes, handouts and sample exam questions). CONCLUSIONS: There has been a considerable overall improvement in resources for medical ethics teaching since the time of the last national survey (The Pond Report). However, provision varies widely from medical school to medical school. The particular needs identified were for full-time teachers, library resources and teaching materials. Wider use of existing organisations concerned with medical ethics could help to meet these needs. (shrink)

Although science supplies medicine's “gold standard,” knowledge exercised in the care of patients is, like moral knowing, a matter of narrative, practical reason. Physicians draw on case narrative to store experience and to apply and qualify the general rules of medical science. Literature aids in this activity by stimulating moral imagination and by requiring its readers to engage in the retrospective construction of a situated, subjective account of events. Narrative truths are provisional, uncertain, derived from narrators whose standpoints are always (...) situated, particular, and uncertain, but open to comparison and reinterpretation. Reading is thus a model for knowing in both morality and clinical medicine. While principles remain essential to bioethics and science must always inform good clinical practice, the tendency to collapse morality into principles and medicine into science impoverishes both practices. Moral knowing is not separable from clinical judgment. While ethics must be open to discussion and interpretation by patients, families, and society, it is nevertheless substantively and epistemologically an inextricable part of a physician's clinical practice. (shrink)

The effects of the vacuum electromagnetic fluctuations and the radiation reaction fields on the time development of a simple microscopic system are identified using a new mathematical method. This is done by studying a charged mechanical oscillator (frequency Ω 0)within the realm of stochastic electrodynamics, where the vacuum plays the role of an energy reservoir. According to our approach, which may be regarded as a simple mathematical exercise, we show how the oscillator Liouville equation is transformed into a Schrödinger-like stochastic (...) equation with a free parameter h′ with dimensions of action. The role of the physical Planck's constant h is introduced only through the zero-point vacuum electromagnetic fields. The perturbative and the exact solutions of the stochastic Schrödinger-like equation are presented for h′>0. The exact solutions for which h′shrink)

The topic of our discussion is extremely complex by virtue of the diversity of problems it covers, their contradictions, and their many layers. An objective analysis is complicated by the fact that we are "by origin from there," that we were all drawn into the process, and that it is difficult, if not impossible, for us to distance ourselves from this fact. Being involved in what happened is, on the one hand, a positive factor: it gives access to occurring events (...) through a knowledge of facts and details that is difficult, if not impossible, to obtain for an investigator of the events many years later. But such involvement not only discloses the truth, it also creates the illusion that one possesses the truth, because a participant in events often makes his personal beliefs about them the basis of theoretical generalizations. A participant and a witness are very different categories in terms of their objective relation to actual facts. (shrink)

t. 1. Filosofii͡a : samosoznanie cheloveka i obshchestva -- t. 2. Politika i istoriosofii͡a -- t. 3. Politika i diplomatii͡a -- t. 4. Kulʹtura i sovremennostʹ -- t. 5. Zapadnoevropeĭskai͡a filosofii͡a, politika i kulʹtura: problemy i perspektivy.

On this the following observations should be made: 1. The sigla ABCEFM are used here as in all editions from Hude onwards, H as in Hude though not universally since, and as in Bartoletti, Per la storia del testo di Tucidide ; have not been used before. 2. In positing β as ancestor of ABEFHM but not of C I follow Hude, Bartoletti, Stuart Jones, and Powell. I differ from them in leaving out of consideration G , which is normally (...) considered as descending from a congener of C; since, however, one or more ancestors of G were collated with at least one manuscript related to M and probably with manuscripts of other affinities also, there are clearly no means of deciding whether G is a descendant of C or ultimately independent of C, and I have adopted the economical hypothesis that it is a descendant and must be relegated to the recentiores. (shrink)

Structurally free logic LC was introduced in [4]. A natural extension of LC, in particular, in a sequent formulation, is by conjunction and disjunction that do not distribute over each other. We define a set theoretical semantics for these logics via constructing a representation of a lattice that we extend by intensional operations. Canonically, minimally overlapping filter-ideal pairs are used; this construction avoids the use of an equivalent of the axiom of choice and lends transparency to the structure. We also (...) discuss adapting the present semantics for substructural logics, as well as, the question of cannnonicity of LC+. (shrink)

This study analyzed 16 potential ethics-related problems associated with use and abuse of video news releases (VNRs) by public relations practitioners and electronic journalists. Causes and possible solutions to the problems were suggested and model ethics code guidelines were developed. Moral rules, moral ideals, theories of ethics, public relations theories, and electronic journalism theories were used to provide a general foundation for the analysis. A more specific foundation was provided by guidelines from a variety of media codes of ethics.

A partir de son apparemment étrange observation d'une influence cachée des étoiles sur l'action humaine une attentive reconsidération du concept de l'actus humanus de Saint Thomas dans la Prima Secundae révèle une vue plus ample des processus internes à l'agent humain qui contribuent à la spécification individuelle de l'action humaine et, donc, de la liberté humaine. Il semble que parmi les adeptes de la théorie thomiste de l'action, l'influence importante que l'appétit sensible peut exercer en cette direction, tout en restant (...) entièrement caché aux actes conscients de l'intellect et de la volonté de la personne, n'a pas été reconnue jusqu'aujourd'hui. Dans sa théorie de l'action Saint Thomas fournit un cadre solide pour une réflexion ultérieure sur l'influence de l'inconscient dynamique sur la liberté et pour une intégration critique interdisciplinaire des intuitions valides de la psychologie des profondeurs. En plus, il semble que la redécouverte de son concept plus large de l'actus humunus rende possible de repenser à profit certains éléments classique de son éthique. (shrink)

In addition to the transmission of the science of hadith from the Eastern Islamic world to the west, particularly to Andalusia, a rich literature also developed in Andalusia. Therefore, the development of the science of hadith and hadith methodology in the Andalusian region and the impact of scholars from that region on these sciences is an important issue that deserves attention. This article examines how the intellectual atmosphere of Andalusia was enriched by the hadith works that came from the East (...) and the scholarly activity these works generated. It also addresses the hadith methodology literature that emerged in the Andalusian region and the reflections of this literature in the hadith methodology works of the From this perspective, the study first briefly highlights the hadith and hadith methodology literature that reached Andalusia from the Mashriq region, followed by the works written by Andalusian scholars that contributed to the hadith methodology literature. Subsequently, the influence of hadith methodology works by hadith scholars from the Eastern Islamic world on Andalusian literature is examined. Furthermore, the study evaluates how Andalusian scholars were referenced in the Mashriq hadith methodology literature and their influence on these works. Through this analysis, the interaction between the Mashriq and Andalusian regions within the context of hadith methodology is demonstrated. The contribution of Andalusian scholars to the hadith literature by enriching the knowledge and expertise they received from the East with their interpretations and original works increased the importance of the region in the Islamic world. Additionally, the influence of the hadith methodology works written in Andalusia on Eastern literature reveals the reciprocal nature of cultural interaction. (shrink)

This anthology focuses on three areas in the theory of knowledge: epistemic justification; analyses of knowledge and scepticism; and recent development in epistemology. Each of the three sections includes a brief introduction to the readings, a series of study questions, and a list of suggested readings. Section 1 deals with coherentism, foundationalism, reliabilism, and includes articles by Chisholm, BonJour, Audi, Goldman, and Fumerton. Section 2 deals with the analysis of knowledge and Gettier problems, and a variety of forms and responses (...) to scepticism; it includes articles by Gettier, Conee, Feldman, Putnam, Nagel, and Stroud. Section 3 introduces the reader to recent developments in naturalized, feminist, and social epistemology, and includes articles by Quine, Almeder, Putnam, Anderson, Harding, Longino, Hardwig, Rorty, and Kitcher. (shrink)

The author proposes a method of verification for moral statements. (staff).

In the target article, Kirby (2014) explores conditions under which gestational surrogacy in developing countries (in this case India) may (or may not) be considered as exploitative. The author pro...

Postulating the subcortical organization of human consciousness provides a critical link for the construal of pain in patients with impaired cortical function or cortical immaturity during early development. Practical implications of the centrencephalic proposal include the redefinition of pain, improved pain assessment in nonverbal humans, and benefits of adequate analgesia/anesthesia for these patients, which certainly justify the rigorous scientific efforts required. (Published Online May 1 2007).