Informed Christians have learned in our day that Islâm is not a primitive desert religion spread by the sword, for which faith is reduced to fatalism and women have no souls. Yet Christian historians of religion who avoid such gross errors still tend to present Islâm as at best an imperfect and parochial version of Christian truth, lacking any distinctive genius truly worthy of its independent dignity among the world religions. But until modern times, when the Christianity (and Judaism) of (...) Europeans has been radically transformed along with their secular life, Christianity must long have struck an observer from Mars as, compared to Islâm, the relatively localized faith of largely backward lands. Islâm was the vehicle of a complex and sophisticated sense of social order in a varied and highly creative civilization which was expanding continuously until its field of action encompassed half mankind; it was the only one of the major historical religions which had successfully displaced in large areas other major faiths such as Christianity, Hinduism, and Buddhism. The Martian observing human history in the later Middle Ages might find it easier to understand why Muslims have looked on Christianity as merely an abortive form of Islâm, as for instance in the approach of those Şûfîs, Muslim mystics, who see the perfection of Islâm in its uniting at once the dispensation of Law, which reflects the Majesty of God, and the dispensation of Grace, which reflects his Beauty, whereas Judaism and Christianity are limited to only the one or the other. This Muslim conception is as inadequate, however, as its Christian counterpart. Probably any widespread religious system will find a place for all major types of religious insight and practice and is in its own way complete. Yet, as each system has matured, it has revealed a characteristic persistent pattern of norms in the interrelation and subordination to one another of all the elements embodied in it. If Christians are to perceive the genius of Islâm, it must perhaps be through the comparison of such persistent patterns. (shrink)

In recent years, the practices of work organizations have raised increasing concerns regarding individual privacy at work. It is clear that people expect and value privacy in their personal lives. However, the extent to which privacy perceptions influence individuals’ work attitudes is less clear. Research has explored the extent to which employee perceptions of privacy derive from characteristics of the programs themselves. However, there is a paucity of research that examines how the characteristics of the individual employee may influence perceptions (...) of these programs. In this study we seek to shed light on this issue, as we examine how the individual ethical orientation of employees influences perceptions of a variety of human resource programs that have the potential to be perceived as invasive. Results indicate that ethical orientation exerts direct effects on perceived invasiveness of programs and exerts both direct and indirect effects on perceived appropriateness of programs. Implications for research and for managers adopting privacy-related programs are discussed. (shrink)

Physicians generally recommend that patients resuscitated with naloxone after opioid overdose stay in the emergency department for a period of observation in order to prevent harm from delayed sequelae of opioid toxicity. Patients frequently refuse this period of observation despiteenefit to risk. Healthcare providers are thus confronted with the challenge of how best to protect the patient’s interests while also respecting autonomy, including assessing whether the patient is making an autonomous choice to refuse care. Previous studies have shown that physicians (...) have widely divergent approaches to navigating these conflicts. This paper reviews what is known about the effects of opioid use disorder on decision-making, and argues that some subset of these refusals are non-autonomous choices, even when patients appear to have decision making capacity. This conclusion has several implications for how physicians assess and respond to patients refusing medical recommendations after naloxone resuscitation. (shrink)

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

The US FDA currently encourages the addition of vitamin D to milk and cereals, with the aim of reducing rickets in children and osteoporosis in adults. However, vitamin D not only regulates the expression of genes associated with calcium homeostasis, but also genes associated with cancers, autoimmune disease, and infection. It does this by controlling the activation of the vitamin D receptor (VDR), a type 1 nuclear receptor and DNA transcription factor. Molecular biology is rapidly coming to an understanding of (...) the multiplicity of roles played by the VDR, but clinical medicine is having difficulty keeping up with the pace of change. For example, the FDA recently proposed a rule change that will encourage high levels of vitamin D to be added to even more foods, so that the manufacturers can claim those foods “reduce the risk of osteoporosis”. The FDA docket does not review one single paper detailing the transcriptional activity of vitamin D, even though, on average, one new paper a day is being published on that topic. Nor do they review whether widespread supplementation with vitamin D, an immunomodulatory secosteroid, might predispose the population to immune dysfunction. This BioEssay explores how lifelong supplementation of the food chain with vitamin D might well be contributing to the current epidemics of obesity and chronic disease. BioEssays 30:173–182, 2008. © 2008 Wiley Periodicals, Inc. (shrink)

Corporate psychopathy thrives perhaps as the most significant threat to ethical corporate behaviour around the world. We argue that Human Resources Management professionals should formulate strategic solutions metaphorically by balancing what strategic military planners famously call ‘Search and Destroy’ and ‘Hearts and Minds’ counter-terrorist strategy. We argue that these military metaphors offer creative inspiration to help academics and practitioners theorise CP in richer, more reflective and more balanced and complementary ways. An appreciation of both metaphors is likely to favour the (...) use of hybrid strategies comprising SD and HM elements, which may provide the best HRM solutions to CP for the same reasons as the military now considers parallel hybrid solutions optimal for combating terrorist and guerrilla insurgency. (shrink)

ABSTRACT:Although prior work has shown that employees with ethical leaders are less likely to engage in deviant or unethical behaviors, it is unknown whetherallemployees respond this way or to the same extent. Drawing on social learning theory as a conceptual framework, this study develops and tests hypotheses suggesting that two follower characteristics—conscientiousness and core self-evaluation—moderate the negative relationship between ethical leadership and workplace incivility. Data from employees of a U.S. public school district supported our predictions. Implications and future research directions (...) are discussed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:AQUINAS AS POSTLIBERAL THEOWGIAN BRUCE D. MARSHALL St. Olaf Oollege Northfield, Minnesota, 1JHE PURPOSE of this essay is to discuss the relation between Thomas Aquinas' account of religious and heological truth and a " posrtliberal " one sruch rus that sketched in George Lindbeck's The Nature of Doctrine. Most reviewers assume that Lindbeck's.app:voach is on this point incompatible with the mainstream of the tmdition, and Colman O'Neill, writing (...) :in The Thomist symposium on Lindbeck's book, thinks it oontradicts Aquinas in particular. This paper presents the case to the contr:ary. Afte'I." outlining O'Neill's problem, it argues thart he mis11eads Lindbeck 'and,.at greater length, that Aquinas''S views on t:ruth :are, as Lindbeck affirms, compatible with postliberal emphases. I O'Neill's basic problem with Lindbeck's: "cultural linguistic " understanding of truth is thwt Lindbeck " would clearly have us puTify [Christi.an] language by ridding it of extra-linguistic accretions-in particular the intrusion of reference to objective reality. In the end the only thing that matters is scriptural discourse verified by action." 1 Lindbeck may not intend this " purification," 2 but whatever the intention, his 1 Colman E. O'Neill, "The Rule Theory of Doctrine and Propositional Truth," The Thomist 49 (1985), p. 422. 2 So Lindbeck writes: "The great strength of a cognitive-propositional theory of religion is that •.. it admits the possibility of [ontological] truth claims, and a crucial theological challenge to a cultural-linguistic approach is whether it also can do so." The Nature of Doctrine: Religion a,nd Theology in a, Postlibera,l Age (hereafter ND), (Philadelphia, 1984), pp. 63-4. 353 854 BRUCE D. MARSHALL view of •religious truth entails a raidical rejection of 1any claim that Christian beliefs!are onto1ogioally true, in other words, tha;t they rre£er or correspond •to reality. The reruson rllor this putative entailment lies in Lindbeck's manifest oontention (to be explained below) that truth claims in any l'eligion, including Christianity, are subject to 1a twofold criterion of coherence: they must fit wirth the wider linguistic (especially scriptural) paradigms of the 11eligion, and also with a range of practices appropriate to the belief the truth of which is being claimed. But, says O'Neill, Christian beliefs are not true because they cohere with anything, they are true (like all true propositions) "because of their reference to the real." a By introducing ;an irreducible element of coherence into his interpl'etation of Christian truth claims, Lindbeck inevitably " attaches to the ·term ' propositional truth '.a purely pra.gmatic signification," so that " a quite precise philosophical option has: been ma.de in faV'or of the moral or pragmatic definition of truth." 4 O'NeiiH'is point is that " ontological " or " propositional " truth has here been equa,ted with nothing more than the con£ormity of one's life to the patterns narrated in the!biblical story (O'Nei1l's "·scriptural dis-·oourse verified by 1action "), •such tha;t " no claims to objective truth" need be made for the story or any a.ssociated beliefs.5 Tihis, O'Neill alleges, is ·a " novel definition of ontological truth." 6 We ought to!'eject this novelty in favor of the under- •standing of Christian beliefs and their truth articulated by 'Ihomas Aquinas, whel"e it is firmly maintained against " the moral or pmgmatic definition of truth " that " propositions are true because of their I"eference ·to.the real." In order to undevstand the issues ·raised by O'Neill's criticism, it is important to bear in mind the distinction-often made but often overlooked ais well-between truth :and justis O'Neill, "Propositional Truth," p. 430. 4 O'Neill, "Propositional Truth," p. 429. 5 O'Neill," Propositional Truth," p. 420. 6 O'Neill, "Propositional Truth," p. 431. AQUINAS AS POSTLIBERAL THEOLOGIAN 355 fica.tion. The very isisue of what it means to say that propositions 1 are true can be distinguished from the issue of ho,w one justifies, warrants, or tests the truth of propositions. So, for example, one might maintain that in regard to propositions, "true" should be defined as "oorresponds to reality," or perhaps "fitly expresses experience," or perhaps "is... (shrink)

Being inherently different from any other lifesaving organ transplant, uterine transplantation does not aim at saving lives but supporting the possibility to generate life. Unlike the kidneys or the liver, the uterus is not specifically a vital organ. Given the non-lifesaving nature of this procedure, questions have been raised about its feasibility. The ethical dilemma revolves around whether it is worth placing two lives at risk related to surgery and immunosuppression, amongst others, to enable a woman with absolute uterine factor (...) infertility to experience the presence of an organ enabling childbirth. In the year 2000, the first uterine transplantation, albeit unsuccessful, was performed in Saudi Arabia from where it has spread to the rest of the world including Sweden, the United States and now recently India. The procedure is, however, still in the preclinical stages and several ethical, legal, social and religious concerns are yet to be addressed before it can be integrated into the clinical setting as standard of care for women with absolute uterine factor infertility. (shrink)

The emergence of new obstetrical and neonatal technologies, as well as more aggressive clinical management, has significantly improved the survival of extremely low birth weight infants. This development has heightened concerns about the limits of viability. ELBW infants, weighing less than 1,000 grams and no larger than the palm of one's hand, are often described as of late twentieth century technology. Improved survivability of ELBW infants has provided opportunities for long-term follow-up. Information on their physical and emotional development contributes to (...) developing standards of practice regarding their care. (shrink)

Kolbe and de Melo-Martin’s (2023) arguments draw attention to what is most useful about moral distress—identifying its causes is at least as important as measuring its severity. Jameton’s original...

In their article “A Broader Understanding of Moral Distress,” Campbell, Ulrich, and Grady (2016) correctly assert that moral distress is well established in the nursing literature and is gaining at...

Background: Healthcare providers who are accountable for patient care safety and quality but who are not empowered to actualize them experience moral distress. Interventions to mitigate moral distress in the healthcare organization are needed. Objective: To evaluate the effect on moral distress and clinician empowerment of an established, health-system-wide intervention, Moral Distress Consultation. Methods: A quasi-experimental, mixed methods study using pre/post surveys, structured interviews, and evaluation of consult themes was used. Consults were requested by staff when moral distress was present. (...) The purpose of consultation is to identify the causes of moral distress, barriers to action, and strategies to improve the situation. Intervention participants were those who attended a moral distress consult. Control participants were staff surveyed prior to the consult. Interviews were conducted after the consult with willing participants and unit managers. Moral distress was measured using the Moral Distress Thermometer. Empowerment was measured using the Global Empowerment Scale. Results: Twenty-one consults were conducted. Analysis included 116 intervention and 30 control surveys, and 11 interviews. A small but significant decrease was found among intervention participants, especially intensive care staff. Empowerment was unchanged. Interview themes support the consult service as an effective mode for open discussion of difficult circumstances and an important aspect of a healthy work environment. Conclusions: Moral distress consultation is an organization-wide mechanism for addressing moral distress. Consultation does not resolve moral distress but helps staff identify strategies to improve the situation. Further studies including follow up may elucidate consultation effectiveness. (shrink)