In this note, we explore certain aspects of “the logic of helping”; offer an account of the metaphysics of helping God; and suggest a way in which God’s help differs from human help.

The opposition in which many phenomenologists of religion stand to the above remarks is clear. Religious consciousness of the world, in being tied to the language of a particular faith, requires conceptual mastery for its emergence. Linguistic and non-linguistic skills in the use of concepts must be developed through fledgling attempts and repeated practice. In noticing this, attention has been called to the fact that such consciousness is far from being man's natural inheritance. It is acquired through instruction and (...) learning, and the concepts which generate Christian consciousness of the world make demands upon a person which go straight against his grain. Using the Christian concepts as tools in handling the various situations along life's way requires strenuous and repeatedly renewed effort. There remains a certain Christian distance from ordinary ways of doing commerce with the world. The way, after all, is said to be narrow. So to become conscious of the world in a Christian manner is to submit oneself to the rigors of the concepts. It is to permit one's life to be guided and ruled thereby in his regard for the world.In making these observations, it becomes clear, too, that the Christian life and consciousness is one in which a man chooses to be enmeshed. It is a matter of human decision. In so choosing, a man makes his life determinate; he gives it shape. The specificity or concreteness demanded in and with the language of faith should be contrasted with the rather diffuse and indeterminate character of the religious awareness thought to be so deep and abiding by phenomenologists. Because of its lack of particularity in contour, this notion of religious consciousness is virtually inconsequential. That which is increasingly common to all men begins to wane in significance within the life of the single individual. Comparatively speaking, the choice to reduplicate Christian avenues of thinking and acting is replete with ramifications and differences which are clearly discernible. By virtue of the specificity required, however, it is also the case that one must renew that decision daily, seek to nurture it, train and discipline himself in it. Making the faith one's own, abiding in it day and night--these lead down different pathways. But the distinctive patterns of living and thinking add up after a while with a cumulative effect. Through the acquisition and practice in exercising'Christian concepts, one earns a consciousness of the world which is Christian in scope and nature. (shrink)

Randomized controlled trial trial designs exist on an explanatory-pragmatic spectrum, depending on the degree to which a study aims to address a question of efficacy or effectiveness. As conceptualized by Schwartz and Lellouch in 1967, an explanatory approach to trial design emphasizes hypothesis testing about the mechanisms of action of treatments under ideal conditions, whereas a pragmatic approach emphasizes testing effectiveness of two or more available treatments in real-world conditions. Interest in, and the number of, pragmatic trials has grown substantially (...) in recent years, with increased recognition by funders and stakeholders worldwide of the need for credible evidence to inform clinical decision-making. This increase has been accompanied by the onset of learning healthcare systems, as well as an increasing focus on patient-oriented research. However, pragmatic trials have ethical challenges that have not yet been identified or adequately characterized. The present study aims to explore the views of key stakeholders with respect to ethical issues raised by the design and conduct of pragmatic trials. It is embedded within a large, four-year project that seeks to develop guidance for the ethical design and conduct of pragmatic trials. As a first step, this study will address important gaps in the current empirical literature with respect to identifying a comprehensive range of ethical issues arising from the design and conduct of pragmatic trials. By opening up a broad range of topics for consideration within our parallel ethical analysis, we will extend the current debate, which has largely emphasized issues of consent, to the range of ethical considerations that may flow from specific design choices. Semi-structured interviews with key stakeholders, across multiple jurisdictions, identified based on their known experience and/or expertise with pragmatic trials. We expect that the study outputs will be of interest to a wide range of knowledge users including trialists, ethicists, research ethics committees, journal editors, regulators, healthcare policymakers, research funders and patient groups. All publications will adhere to the Tri-Agency Open Access Policy on Publications. (shrink)

This book by Paul F. M. Zahl, Dean of Cathedral Church of the Advent (Episcopal) in Birmingham, Alabama, is billed as “an exercise in New Testament theology.” Jesus, Zahl declares, was “the First Christian,” and this can be so only because the relation between Jesus and his Judaic background is not what mainstream biblical scholars have thought. Zahl sees the historical Jesus as mainly discontinuous with his own Judaic context and (or, it seems, because) he thinks that this is (...) the only way the Christian faith can offer more than simply “Judaism for gentiles.” Despite some very good material in the book, Zahl seems unaware that the conservative Protestant reliance on Romans as a primary lens for interpreting the mission of the historical Jesus has faced serious challenges in recent decades, and though Zahl is not unaware of “higher criticism,” his book reflects only a rather limited engagement with it. (shrink)

This collection of essays provides a reassessment of the question of sexual difference, taking into account important shifts in feminist thought, post-humanist theories, and queer studies. The contributors offer new and refreshing insights into the complex question of sexual difference from a post-feminist perspective, and how it is reformulated in various related areas of study, such as ontology, epistemology, metaphysics, biology, technology, and mass-media.

Drug design methods have made significant new advances over the last ten years, mainly in the areas of molecular modelling. In more recent times important developments in theory have led to a different type of modelling becoming possible, the so‐called de novo or automated design algorithms. In this new method the programs perform much of the chemist's thinking, in finding appropriately sized chemical groups to fit into a target site. However this is a combinatoric problem which has no general analytical (...) solution; it is ripe for optimization. Other advances, such as combinatorial chemical synthesis and screening, will dramatically influence the search for new lead structures for target sites, which at present are poorly understood. Already these methods are being applied to peptide libraries. Peptides do not make good drug compounds because of their poor bioavailability; further, their flexibility reduces their affinity. In some cases peptide backbones can be removed and replaced with rigid non‐peptide scaffolds. (shrink)

A simple Weberian agglomeration is developed and then extended as an innovative fixed-charged, colocation model over a large set of locational possibilities. The model is applied to cases in which external economies (EE) arise due to colocation alone and also cases in which EE arise due to city size. Solutions to the model are interpreted in the context of contemporary equilibrium analysis, which allows Weberian agglomeration to be interpreted in a more general way than in previous analyses. Within that context, (...) the Nash points and Pareto efficient points in the location patterns derived in the model are shown to rarely coincide. The applications consider agglomeration from two perspectives: one is the colocation behavior of producers as the agents of agglomeration and the other is the interaction between government and those agents in the interest of agglomeration policy. Extending the analysis to games, potential Pareto efficiency and Hicks optimality are considered with respect to side payments between producers and with respect to appropriate government incentives toward agglomeration. (shrink)

Machine generated contents note: Introduction. -- Acknowledgments. -- The Author. -- 1 Ethical Theories and Bioethics in a Global Perspective. -- Theories of Ethics. -- Are Theories of Ethics Global? -- Can Theories of Ethics Encourage People to Do the Right Thing? -- 2 Autonomy and Informed Consent in Global Perspective. -- Ethical Principles and Practical Issues of Informed Consent. -- Does Informed Consent Really Matter to Patients? -- Is Informed Consent a Universal Principle or a Cultural Value? -- 3 (...) Withholding or Withdrawing Treatment and Physician-Assisted Suicide. -- Withholding or Withdrawing Treatment at the End of Life. -- Assisting Patients in Committing Suicide. -- 4 Ethical Issues in Reproductive Health. -- Ethics of Abortion in Different Times, Places, and Cultures. -- Current Ethical Issues in Abortion. -- Assisted Reproductive Technology and Stem Cell Research. -- Emergency Contraception. -- Ethics of Imposing Conditions on Funding. -- 5 Ethical Issues of Female Genital Mutilation. -- The Facts About FGM. -- FGM as a Challenge to Ethical Relativism. -- Ethics of FGM for Adult Women. -- 6 Ethical Issues of Research with Human Subjects. -- Background Information and the Belmont Report. -- Autonomy and Voluntary Informed Consent. -- Beneficence and Cost-Benefit Analysis. -- Issues of Justice and Fairness for Human Subjects. -- 7 The Right to Health Care, and Ethical Obligations to Provide Care. -- Is There an Ethical Right to Health Care? -- Ethical Obligations of Health Care Professionals. -- Ethical Obligations of for-Profit Health Care Providers. -- 8 Ethical Issues in Rationing and Allocation of Limited Resources. -- Levels of Allocating Resources. -- Methods of Rationing Health Resources. -- Comparative Effectiveness Research and Cost-Effectiveness Analysis. -- 9 Ethical Issues of Health Insurance and Health System Reform. -- Ethical Issues in Financing Health Services and Designing Insurance Systems. -- Fundamental Values of Health Systems. -- 10 Ethical Issues in the Movement of Patients Across National Borders. -- Ethical Duties to Provide Health Care to Undocumented Aliens. -- Ethical Issues in Medical Tourism. -- 11 Ethical Issues in the Movement of Health Care Professionals Across National Borders. -- Ethical Issues in the Migration of Health Professionals. -- Proposed Solutions and Their Ethical Implications. -- Fair Treatment of Health Care Workers from Other Countries. -- 12 Corruption and Informal Payments in Health Systems. -- Payment of Informal Fees by Patients and Their Families. -- Is Corruption Bad for Your (and Other People's) Health? -- References. -- Index. (shrink)

In China, there have been numerous reports that doctors or other health care workers have been attacked by patients or members of patient’s families. From 2000 to 2003, there were 502 reports of violence against health care workers in the city of Beijing, in which 90 health care workers were wounded or disabled. From January 1991 to July 2001, in Hubei Province, 568 attacks on health care facilities and workers were reported, and some health care workers were even killed. In (...) Jiangsu Province, from 2000 to 2002, violent events against health care facilities and workers increased by 35% every year, with an average of 177 such events occurring each year. Those acts of violence have been attributed, in part, to the inadequacy of the legal system for handling medical disputes that was in effect prior to 2002. (shrink)

This work provides a thorough index of terms found in Ludwig Wittgenstein's On Certainty. The index includes not only every philosophical term found in Wittgenstein's text, but also many non-philosophical terms when they are used in highly charged philosophical contexts. In all, there are some 575 main entries. Moreover, a concerted effort is made to indicate in what connections a given term is used by adding subordinate qualifying phrases to the main entries. For crucial terms (e.g., 'know,' 'proposition,' 'doubt,' etc.) (...) the sub-entries indicating context are quite extensive. (shrink)

It is not easy to be a materialist and yet believe that there is a way for human beings to survive death. Peter van Inwagen identifies the central obstacle the materialist faces: Namely, the need to posit appropriate “immanent-causal” connections between my body as it is at death and some living body elsewhere or elsewhen. I offer a proposal, consistent with van Inwagen’s own materialist metaphysics, for making materialism compatible with the possibility of survival.

Mayo Clinic is recognized as a worldwide leader in innovative, high-quality health care. However, the Catholic mission and ideals from which this organization was formed are not widely recognized or known. From partnership with the Sisters of St. Francis in 1883, through restructuring of the Sponsorship Agreement in 1986 and current advancements, this Catholic mission remains vital today at Saint Marys Hospital. This manuscript explores the evolution and growth of sponsorship at Mayo Clinic, defined as “a collaboration between the Sisters (...) of St. Francis and Mayo Clinic to preserve and promote key values that the founding Franciscan sisters and Mayo physicians embrace as basic to their mission, and to assure the Catholic identity of Saint Marys Hospital.” Historical context will be used to frame the evolution and preservation of Catholic identity at Saint Marys Hospital; and the shift from a “sponsorship-by-governance” to a “sponsorship-by-influence” model will be highlighted. Lastly, using the externally-developed Catholic Identity Matrix (developed by Ascension Health and the University of St. Thomas, Minnesota), specific examples of Catholic identity will be explored in this joint venture of Catholic health care institution and a secular, nonprofit corporation (Mayo Clinic). (shrink)

Three major strategies exist for the protection of endangered habitat and species: (1) land acquisition programs, (2) government legislation and regulatory agencies, and (3) "stewardship" programs that are voluntary and community-based. While all of these strategies have merit, we suggest that stewardship holds particular advantages and should be considered more often as a strategy of first choice. In this article, we examine the Municipal Wetland Stewardship program of Newfoundland, a popular and successful Canadian policy for the local protection of wetlands. (...) Important issues are at stake: competing philosophical foundations for managerial ecology, the value of "local ecological knowledge," principles of community-based conservation, the question of whether stewardship empowers local communities or controls them from afar, and ethical conflicts around American colonialism, hunting, and ecotourism. The results suggest that despite some potentially problematic ironies, the Newfoundland program provides a model for a public policy aimed both at the pragmatics of biophysical sustainability and at the ideals of environmental ethics, social justice, and democratic politics. (shrink)

ABSTRACTPresenting information in a coherent fashion has been shown to increase processing fluency, which in turn influences affective responses. The pattern of responses have been explained by two...

IntroductionHead and neck cancer diagnosis and treatment can be a significant life trauma. Some HNC survivors experience post-traumatic growth, which has been linked with better health-related quality-of-life. Empirical research on PTG, and theoretical models, point to the importance of being able to purposely make sense of the traumatic experience. Intrusive rumination, by contrast, is linked to poorer outcomes. This study explored HNC survivors’ experiences of rumination.MethodsTwenty HNC survivors between 9 months and 5 years post-diagnosis were recruited. They had a range (...) of HNC sub-types and cancer treatments. Participants underwent a semi-structured interview about their cancer diagnosis and treatment. Reflexive thematic analysis identified themes and sub-themes around rumination.ResultsFour themes with linked subthemes on the content and process of rumination were identified. Theme 1 was rumination and worry related to diagnosis. Here, survivors discussed how the HNC diagnosis and plans for treatment had dominated their initial thoughts. Theme 2 was processing the trauma of HNC. This theme reflected rumination on the traumatic experience of diagnosis and treatment and how the participant was reacting to it. Theme 3 was considering the impact. This theme encompassed retrospective thinking and comparisons between the participant now versus the early days after diagnosis. Theme 4 was continued rumination. This theme included ongoing intrusive and distressing rumination about the trauma and impact of cancer. Those who expressed ongoing rumination revisited fears or returned to negative experiences.ConclusionThis study uniquely describes the nature and content of rumination following HNC. Early intrusive rumination is common and may reflect perceptions of cancer as an existential threat. Over time, rumination can become more reflective and move towards deliberate meaning-making. Some HNC survivors may benefit from interventions to reduce barriers to this transition. The content of distressing and difficult to control rumination helps to identify those who may benefit from more directed psychological support. (shrink)

A number of animal species from different lineages live socially. One of the features of social living is the formation of dominance hierarchy. Despite its obvious benefit in the survival probability of the species, the hierarchical structureitself poses psychological and physiological burden leading to the chronic activation of stress related pathways. Considering these apparently conflicting observations, here we propose that social hierarchy can act as a selective force in the evolution of social species. We also discuss its role on social (...) psychology. (shrink)

This study examines the 3.5 m+ English-language original tweets that occurred during the 2011 Occupy Wall Street protests. Starting from previous research, we analyze how character terms such as “the banker,” “politician,” “the teaparty,” “GOP,” and “the corporation,” as well as concept terms such as “ethics,” “fairness,” “morals,” “justice,” and “democracy” were used by individual participants to respond to the Occupy Wall Street events. These character and concept terms not only allowed individuals to take an ethical stance but also accumulated (...) into a citizen’s narrative about social accountability. The analysis illustrates how the centrality of the different concepts and characters in the conversation changed over time as well as how the concepts ethics, morals, fairness, justice, and democracy participated within the conversation, helping to amplify the ethical attributes of different characters. These findings contribute to our understanding of how demands for social accountability are articulated and change over time. (shrink)

During its forty year lifespan, string theory has always had the power to divide, being called both a 'theory of everything' and a 'theory of nothing'. Critics have even questioned whether it qualifies as a scientific theory at all. This book adopts an objective stance, standing back from the question of the truth or falsity of string theory and instead focusing on how it came to be and how it came to occupy its present position in physics. An unexpectedly rich (...) history is revealed, with deep connections to our most well-established physical theories. Fully self-contained and written in a lively fashion, the book will appeal to a wide variety of readers from novice to specialist. (shrink)

My dissertation concerns the nature of linguistic understanding. A standard view about linguistic understanding is that it is a propositional knowledge state. The following is an instance of this view: given a speaker S and an expression alpha that means M, S understand alpha just in case S knows that alpha means M. I refer to this as the epistemic view of linguistic understanding. The epistemic view would appear to be a mere conceptual truth about linguistic understanding, since it is (...) entailed by the following two claims that themselves seem to be mere conceptual truths: S understands alpha iff S knows what alpha means, and---given that a means M--- S knows what alpha means iff S knows that alpha means M. I argue, however, that this is not a mere conceptual truth. Contrary to the epistemic view, propositional knowledge of the meaning of alpha is not necessary for understanding alpha. I argue that linguistic understanding does not even require belief. My positive proposal is that our understanding of language is typically realized, at least in native speakers, as a perceptual capacity. Evidence from cognitive neuropsychology suggests that our perceptual experience of language comes to us already semantically interpreted. We perceive a speaker's utterance as having content, and it is by perceiving the speaker's utterances as having the right content that we understand what the speaker says. We count as understanding language in virtue of having this capacity to understand what speakers say when they use language. This notion of perceiving an utterance as having content gets analyzed in terms of Dretske's account of representation in terms of a teleological notion of function: you perceive a speaker's utterance as having content when the utterance produces in you a perceptual state that has a certain function in your psychology. I show how this view about the nature of linguistic understanding provides an attractive account of how identity claims can be semantically informative, as opposed to merely pragmatically informative, an account that avoids the standard difficulties for Fregean views that attempt to account for the informativeness of identity claims in terms of their semantics. (shrink)

Darwin thought that the moral sense was among the most challenging aspects of human life to account for through evolutionary explanations. This article seeks to probe the question about human uniqueness primarily from a theological perspective by focusing in depth on one distinctive moral sentiment, gratitude, particularly in the thought of Thomas Aquinas. It uses that example as a case study about how to consider the validity of arguments for human uniqueness within the broader compass of the cultural evolution of (...) sociality and morality within the human sciences, including evolutionary anthropology. Further questions about the evolution of religion surface in this discussion since gratitude, from a theological perspective, necessarily includes gratitude to God as a fundamental aspect of religious faith and practice. (shrink)

I argue that the theological traditions of natural law and wisdom offer helpful meeting points in discussions about evolutionary “purpose” and contingency in relation to theological purpose, and serve to form the basis for a theology of nature. Natural law offers a way of describing the ordered action of God toward complexity in a contingent world without using the language of either “design” or “progress.” The theological tradition of wisdom as implicit in the natural world, learned in the human community, (...) and received as gift of grace offers a further means of interconnecting biological reality with spiritual experience, while retaining distinctions. Wisdom and natural law intersect inasmuch as natural law is participation in Eternal Wisdom, although the latter makes sense only from the prior perspective of faith. (shrink)

This book sets out some of the latest scientific findings around the evolutionary development of religion and faith and then explores their theological implications. This unique combination of perspectives raises fascinating questions about the characteristics that are considered integral for a flourishing social and religious life and allows us to start to ask where in the evolutionary record they first show up in a distinctly human manner. The book builds a case for connecting theology and evolutionary anthropology using both (...) historical and contemporary sources of knowledge to try and understand the origins of wisdom, humility, and grace in 'deep time'. In the section on wisdom, the book examines the origins of complex decision-making in humans through the archaeological record, recent discoveries in evolutionary anthropology, and the philosophical richness of semiotics. The book then moves to an exploration of the origin of characteristics integral to the social life of small-scale communities, which then points in an indirect way to the disposition of humility. Finally, it investigates the theological dimensions of grace and considers how artefacts left behind in the material record by our human ancestors, and the perspective they reflect, might inform contemporary concepts of grace. This is a cutting-edge volume that refuses to commit the errors of either too easy a synthesis or too facile a separation between science and religion. As such, it will be of interest to scholars of religious studies and theology - especially those who interact with scientific fields - as well as academics working in anthropology of religion. (shrink)

The starting point for discussion in this paper is a case study, namely that of the controversy surrounding the case of withdrawing feeding from Eluana Englaro who had been in a permanent vegetative state (PVS) for seventeen years. I press the case for a recovery of classical prudence or practical wisdom, as understood by Thomas Aquinas, rather than beginning with deontological or utilitarian arguments. I suggest that prudence has relevance not just for specific issues concerned with cases involving PVS, but (...) also addresses wider problems raised by secular end-of-life ethical discourse, with its emphasis on individual choice on the one hand and concerns about the slippery slope towards more liberal legislation on the other hand. Greater attention to the hospice movement is, I suggest, ambiguous in ethical terms. Finally, I argue that one of the strengths of a Thomistic understanding of prudence is its deep connection with the life of grace as that informed by consideration of the work of the Holy Spirit. This incorporates a theological element without falling into the trap of a deontology that can be dismissed by those outside the household of faith, while allowing a Christian witness to persist in such a contested public arena. (shrink)

We cannot escape Indiana Jones! (Not that we would want to, of course.) Harrison Ford deserves credit for the character's popularity. His ability to subtly play up Indy's foibles while playing down the character's heroism, makes Indiana Jones relatable. Of course, Lucas and the screenwriters are also responsible, as they magnificently depict Indy battling antagonists seeking to possess mystical objects for world domination. But Indy is no mere action hero. He also struggles with unrequited love that lingers for decades, an (...) estrangement from his over-bearing father that lasts just as long, and a life-long obsession with regaining an important object unfairly taken from him. As we know, Indy doesn't always choose wisely, and if the Young Indiana Jones Chronicles are to be trusted, he made many missteps in his youth on the way to becoming the hero we know and love. Indy loses a fight as often as he wins, and when he wins, he doesn't always fight fairly. In fact, he stumbles so often, one might wonder why he persists decade after decade toward his goals. He's not getting any younger. What's the point? And, as he inexplicably trudges on, he-in the four films and various graphic novels-has many alleged encounters with the supernatural. He's not a religious person (at all), so what should he make of those? Should he take the leap of faith and become a believer? While we often see him conducting his highly unconventional fieldwork, spending an unusual amount of time in caves, he cannot completely ignore his "day job" teaching undergraduates and aiding their pursuit of knowledge. But why should archaeologists strive to put artifacts in a museum, or search for "fact," but not "truth" (and who is Dr. Tyree, anyway)? The Indiana Jones character is expressive of the human condition, vividly illuminating our struggles and issues on the big screen. True, we don't have John Williams's orchestra filling us with pride when we manage to do the right thing or play the part of the hero. Still, no one would blame you if you imagined Indy's theme blaring in the background while rising to meet a challenge! (shrink)

The ICIJ’s release of thePanama Papersin 2016 opened up a wealth of previously private financial information on the tax avoidance, tax evasion, and wealth concealment activities of politicians, government officials, and their allies. Drawing upon prior accountability and ethics focused research, we utilize a dataset of almost 28 M tweets sent between 2016 and early 2020 to consider the microdetails and overall trajectory of this particular social accountability conversation. The study shows how the publication of previously private financial information triggered (...) a Twitter-based social accountability conversation. It also illustrates how social accountability utterances are intra-textually constructed by the inclusion of social characters, the personal pronoun ‘we,’ and the use of deontic responsibility verbs. Finally, the study highlights how the tweets from this group of participants changed over the longer-term but continued to focus on social accountability topics. The provided analysis contributes to our understanding of social accountability, including how the release of previously private accounting-based financial information can trigger a grassroots social accountability conversation. (shrink)