At the Liverpool Ocular Oncology Centre (LOOC), patients with an eye tumour are offered rapid treatment. Procedures such as enucleation (surgical removal of the eye) are usually performed within 24 hours of initial assessment. Such expedited treatment can be challenged on the basis that it is incompatible with valid consent. We present the results of a questionnaire audit exploring the views of patients on how long they waited to undergo invasive procedures for intraocular melanoma. The findings inform a discussion of (...) three plausible reasons for doubting the validity of consent to rapid intervention: the distress of diagnosis may temporarily undermine patients' capacity to choose; the decision may be too complex to make quickly; and rapid availability of treatment may be unduly influential, undermining the voluntariness of the decision. Using the example of enucleation, we argue that, with adequate safeguards, rapid intervention does not undermine the validity of patients' consent. (shrink)

(1877). I. A Trans-African Telegraph. Transactions of the South African Philosophical Society: Vol. 1, No. 2, pp. 1-11.

Delicately and with a voluptuous spiral movement the leaf from the tall beech tree detached itself from its branch and landed on the flaming bed made by its companions.That autumn, that morning, while I was observing this unique event, I began to reflect on the emotion I felt in its probably universal connotation. Like aesthetic feeling, a great many concepts affect living beings in the deepest part of themselves, and come from the depths of the cognitive processes, those determinants that (...) are innate dispositions to feel and know. Those depths have a reality and a meta-historical, infra- and extra-verbal dimension. (shrink)

_The Hearing Impaired Child_ introduces the background issues of hearing impairment then discusses specific aspects. These include causes of hearing loss, speech and language, personality and emotional development, and careers. Appendices provide checklists for language acquisition and reading and writing skills, lists of useful addresses, a helpful glossary and references for further reading.

This article suggests that the popular western image of the Buddha of the Pali suttas has been influenced by the opening pages of Walpola Rahula’s book What the Buddha Taught. It examines two closely linked qualities postulated by Rahula as attributes of the Buddha: that he is respectful of other religions and that he encourages freedom of thought in his followers. It finds Rahula’s evidence faulty at every turn and goes on to give examples of the Buddha’s and suttas’ disrespectful (...) attitude to other faiths, suggesting that in respect of its ‘exclusivism’, the Buddhism of the Pali suttas is no different from other religions. (shrink)

Nutrition and hydration—including artificially delivered, or assisted, nutrition and hydration (ANH)—are typically considered ordinary or proportionate care in the Roman Catholic moral tradition. They are thus morally obligatory, except when the benefit to the patient does not justify the burden their administration places on the patient or when they no longer prolong life (e.g., in end-stage disease when death is imminent). A review of Church documents and the medical literature provides convincing evidence that there are cases in which ANH provides (...) little hope of benefit and may impose an excessive burden on the patient. This paper closely examines advanced dementia of the Alzheimer’s (DAT) type and shows how ANH can be properly considered extraordinary care and hence is not obligatory in patients with advanced DAT. National Catholic Bioethics Quarterly 8.2 (Summer 2008): 291–305. (shrink)