Background Although the importance of clinical ethics in contemporary clinical environments is established, development of formal clinical ethics services in the Australia health system has, to date, been ad hoc. This study was designed to systematically follow and reflect upon the first 18 months of activity by a newly established service, to examine key barriers and facilitators to establishing a new service in an Australian hospital setting. Methods: how the study was performed and statistical tests used A qualitative case study (...) approach was utilised. The study gathered and analysed data using observations of service committee meetings, document analysis of agendas and minutes, and semi-structured interviews with committee members to generate semantic themes. By interpreting the thematic findings in reference to national capacity building resources, this study also aimed to provide practice-based reflections for other health agencies. Results: the main findings An overarching theme identified in the data was a strong commitment to supporting clinicians facing difficult patient care decisions and navigating difficult discussions with patients and families. Another key theme was the role of the new clinical ethics support service in providing clinicians with a pathway to raise system-wide issues with the organisation Executive. While there was strong clinical engagement, consumer and community participation remained a challenge, as did unresolved governance issues and a need for clearer policy relationship between the service and the organisation. Conclusions: brief summary and potential implications Considering these themes in relation to the national capacity building resources, the study identifies three areas likely to require ongoing development and negotiation. These are: the role of the clinical ethics support service as a link between the workforce and the Executive; the incorporation of consumers and patients; and ethical reasoning. To improve the effectiveness of the service, it is necessary to increase clarity on the service’s role at the governance and policy level, as well as develop strategies for engaging consumers, patients and families. Finally, the capacity of the service to reflect on complex cases may be enhanced through explicit discussions of various different ethical frameworks and ways of deliberating. (shrink)

The blind bandit -- Zuko alone -- The chase -- Bitter work -- The library.

RESUMO Este artigo tem como objetivo discutir a questão da materialidade significante do corpo no enlace discursivo do político imbricado nas fronteiras com o social, a partir das obras de Dan Halter. Para tanto, proponho um diálogo teórico-analítico entre a perspectiva dialógica desenvolvida pelo russo Mikhail Bakhtin e a perspectiva do materialismo-histórico, tendo como base o dispositivo teórico da Análise do Discurso francesa, a fim de analisar o objeto de estudo em questão na relação corpo, memória e discurso. Nesse sentido, (...) ao trabalhar com a imbricação entre a materialidade verbal e não verbal, busco lançar olhar sobre duas obras do artista zimbabueano Dan Halter, considerando, desse modo, os efeitos de sentido que deslizam metafórica e metonimicamente para outros sentidos do corpo que se desdobram em diferentes imagens do sujeito, tendo em vista os processos de estruturação do conflito e da tensividade do/no social a partir dos espaços ocupados por estes corpos e atravessados que são pelo simbólico, pela ideologia e pela história. ABSTRACT This article aims to discuss the question of the signifying materiality of the body in the discursive interlacement of the political imbricated on the frontiers with the social, based on the works of Dan Halter. To this end, we propose a theoretical-analytical dialogue between the dialogical perspective developed by Russian Mikhail Bakhtin and the historical-materialism perspective, based on the theoretical assumptions of the French Discourse Analysis, in order to analyze the object of this study in its relation with body, memory, and discourse. In this sense, by working with the imbrication between verbal and non-verbal materiality, we intend to focus on two specific works by Zimbabwean artist Dan Halter, considering the meaning effects that slide metaphorically and metonymically to other senses of the body that unfold in different images of the subject, in view of the processes that structure the conflict and tensivity of the social from the spaces occupied by these bodies and crossed by the symbolic, by ideology, and history. (shrink)

This article seeks through Ejagham women’s experience in the ritual dances of Ngbokondem and Moninkim to engage the notion of patriarchal control of African women’s sexuality in ‘female genital mutilation’ discourses as postulated by second-wave feminist theorists such as Daly, Koedt, Hosken and so on. A firmly based patriarchy threatens culture, sexuality and identity; the article shows how women use varied coping mechanisms, including aid schemes, sexual insurgency and even breaking of bodies to define their place and identity in a (...) patriarchal society. However, some Ejagham women’s practices are themselves laced with patriarchal violence where women postulate as main participants. The article coins the term ‘triple patriarchy’ to capture this phenomenon. It portrays how Ejagham women, who are interrogating domination, also act in ways that reinforce patriarchy. Using womanist theological lens as the hermeneutic framework, the article concludes that women initiation practices are the foundations through which women grasp the meanings of Christian initiation rituals such as baptism, eucharist, marriage and so on. Hence, they should not be destroyed but fine-tuned; for there is more about the women’s practices that need to be engaged than labelled. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:ManifestsRachel Blau Duplessis (bio)O great classic cadences of English poetry We blush to hear thee lie Above thy deep and dreamless.—Denise Riley, Mop Mop GeorgetteThat tall white pasture clump that we call cow parsnip, Queen Anne’s lace magnified, are, in Latin, umbellifers, a flat-topped or rounded flower cluster. But sometimes people call them “umbrella flowers.” This work is closer to umbrella flowers than to umbellifers, down there on (...) the ground with bricolaged theorizing practices, folk etymologies, my poetry, and intransigent details. That was a tribute to the essay as woodsy ramble [Good xii and x].And to the essay as personal—a way of marking and mocking the professional codes and impersonal solemnities of the representation of thought. If saying “I” like a heroine will adequately undermine unsituated false universals, I’ll say “I” yes I will. “I” will report that in 1966 or so I diminished all the way down to a scant handful of one-line poems, and to gnomic statements, barely effective. The kind of development they needed was not rhetorical but historical.I, Lady, you are my true love’s lady. You stand in the middle of the room, Sunlight streaming around you. Sunlight takes hold of the seeds in you And wets them. I want to hold myself to you, But you are myself. Can I?This 1966 fragment issues directly from, and is a preternatural reminder of a passionate problematic—questions of gender, in relation to an engagement with poetry, poetry figured as a set of psychosocial and intellectual institutions imbuing a practice of writing in lines. This fragment knew and represented issues, points of political and cultural contradiction about the construction of authorship and the poetic career before their maker could see them as such. The fragment was a cognitive act, not just in autobiography. It functioned as a probe of a situation then almost invisible and always underacknowledged; to have understood it then, one would have needed the cultural apparatus precipitated (though not elaborated) by a social movement—second wave feminism, something that had not yet occurred.Despite mirroring each other in a dramatic hinged appositive, with Lady as hinge (“I, Lady, you”), the female “I” is separated by the very concept “Lady” from her addressee, one traditional addressee of poems, the female “you.” “Lady” is both hinge and barrier; she belongs to “my true love”—a charming and smug ballad turn, filled with idealizations of class and sexuality. Yet the “I” wants to hold this “you” figure to herself, actualizing in female-to-female attraction the long half-life of a Petrarchan structure of feeling in order to create female authorship. Now that gesture could be interpreted as desire (in a [End Page 31] lesbian, matrifocal, or preoedipal plot), or as self-aggrandizing forms of egoistic desire. Is the desired embrace regressive? immature? narcissistic? self-serving? greedy? masturbatory? (all these having been thought of as bad attitudes with a bad press—one might now wonder). Fueled by an ambisexual or polysexual suggestiveness, the poem makes a wobbly declaration of vocation in its desire to embrace singular, hieratic woman herself, yourself, myself. Yet as pronouns multiply, a serious problem is accosted. “But you are myself. Can I?”The fragment stops, startled, where the cultural problem began. Authorship was compromised and almost aborted; in any event, these issues, which seemed to me, in my (then commonplace) ignorance of female cultural production, to have no analogues, pointed me toward total blockage. The “can I” is not simply a personal questioning of my own powers, but concerns general contingencies of gender and female place in culture, a then invisible social horizon. Am “I” forbidden to poetry by one—but one key—law of poetry—the cult of the idealized female? Should “Lady” be ditched totally? or examined? both? and how to poke at a Petrarchanism that seems utterly belated, never uniformly hegemonic, and not, after all, the whole content of poetry? (As I bear down upon it, it recedes, is evasive.) Yet any number of writers do take “Lady” for granted as one of the institutional assumptions of poetry. Many male writers get to say Lady early and often... (shrink)

A partir del análisis de dos publicaciones de Jane Addams sobre el empleo doméstico (como una “industria atrasada” que requiere “ajuste”), en este artículo abordamos la producción teórica de científicas sociales de finales del XIX y principios del XX sobre las relaciones laborales desde una perspectiva de género y, en particular, sobre el “problema de las sirvientas.” A través de ello, exponemos la particular filosofía y epistemología de Addams y su defensa de una “ética social” por encima del “imperativo familiar.” (...) Las tesis de Addams son comparadas con las de otras teóricas sociales de la época que introdujeron “lo político, lo económico y lo social” en el hogar: las contribuciones de Jessie Taft desde el interaccionismo simbólico sobre la necesaria conciencia social de las mujeres como motor de cambio ante el conflicto subjetivo entre aspiraciones y oportunidades; los análisis sexo-económicos de Charlotte Perkins Gilman o las condiciones de la “democracia en el hogar” de Lucy Salmon. Terminamos con el cuerpo de conocimiento generado a finales del XIX sobre la “cuestión del servicio doméstico,” particularmente a partir del texto clásico de referencia, Domestic service de Salmon (1897), e investigaciones posteriores sobre las empleadas domésticas negras. Concluimos, con ello, con las limitaciones del “punto de vista feminista” cuando no estaba atravesado por la conciencia de clase y de opresión racial. (shrink)

Анотація. У статті розглянуто тісний зв´язок між зменшенням впливу Московського патріархату на суспільно-політичні процеси в Україні та відновленням українського культурно-цивілізаційного простору. А саме – поступове позбавлення православних віруючих проявів постімперського синдрому, зокрема установок, уявлень, поведінкових моделей тощо, пов´язаних із перебуванням українців у складі іншомовної та чужої за ментальністю й культурою імперії. Зазначено, що отримання православними віруючими України Томосу про визнання автокефалії і конституювання Православної Церкви України позитивно впливає не лише на розвиток самої ПЦУ, але й рівня патріотизму, відновлення і розвою (...) україномовного середовища, архетипних традицій, обрядів, поведінкових моделей тощо. Все це, у підсумку, сприяє українському поступу від азійської до європейської культурно-цивілізаційної моделі. (shrink)

Knowledge of the structure of the cosmos, Plato suggests, is important in organizing a human community which aims at happiness. This book investigates this theme in Plato's later works, the Timaeus, Statesman, and Laws. Dominic J. O'Meara proposes fresh readings of these texts, starting from the religious festivals and technical and artistic skills in the context of which Plato elaborates his cosmological and political theories, for example the Greek architect's use of models as applied by Plato in describing the making (...) of the world. O'Meara gives an account of the model of which Plato's world is an image; of the mathematics used in producing the world; and of the relation between the cosmic model and the political science and legislation involved in designing a model state in the Laws. Non-specialist scholars and students will be able to access and profit from the book. (shrink)

Calvin Blanchard (1808–1868) was a prolific, albeit repetitive, author, publisher, and printer who was identified by L. L. and Jessie Bernard as an early American sociologist who helped introduce Americans to Auguste Comte. The Bernards also said that Blanchard was mentally ill.1 The Bernards’ discussion of Blanchard is the only recognition of Blanchard that predates the reprinting of one of his novels, The Art of Real Pleasure (1864), in Arthur O. Lewis’s 1971 American Utopian Literature set of forty-two volumes. (...) The Bernards’ discussion is also unusual in that it includes works in addition to The Art of Real Pleasure, and it is one of two that, while disparaging him, take him somewhat seriously. The other work .. (shrink)

In Connectionism and the Philosophy of Psychology, Horgan and Tienson (1996) argue that cognitive processes, pace classicism, are not governed by exceptionless, “representation-level” rules; they are instead the work of defeasible cognitive tendencies subserved by the non-linear dynamics of the brain’s neural networks. Many theorists are sympathetic with the dynamical characterisation of connectionism and the general (re)conception of cognition that it affords. But in all the excitement surrounding the connectionist revolution in cognitive science, it has largely gone unnoticed that connectionism (...) adds to the traditional focus on computational processes, a new focus – one on the vehicles of mental representation, on the entities that carry content through the mind. Indeed, if Horgan and Tienson’s dynamical characterisation of connectionism is on the right track, then so intimate is the relationship between computational processes and representational vehicles, that connectionist cognitive science is committed to a resemblance theory of mental content. (shrink)

Study of Umāsvātī's Tattvārthādhigamasūtra, 2nd century aphoristic work, with autocommentary, on the basic tenets of Jaina philosophy.

In this paper, we propose and defend a theory of concepts. According to Machery (2009), psychologists and philosophers mean different things by ‘concept’. Psychologists mean bodies of knowledge used to categorise and infer; philosophers mean constituent of propositional thought. Machery’s conclusion would drive a wedge between contributions by psychologists and philosophers on concepts. Theories about the former would have no clear role to play in, and cast no light on, the latter, and vice versa. We argue that, on the contrary, (...) ‘concept’ has a single core meaning: a container of stored knowledge pertaining to a single category. This single meaning satisfies both the theories of psychologists and philosophers. The divergence in use of the term ‘concept’ on which Machery focuses arises because words for containers are often used to refer to (a) what is contained by the container and (b) the label of a container. Our account explains what a concept is, and how one might be misled by Machery’s challenge. (shrink)

Under conditions with a low level of available genetic information, mutualistic private insurance markets will often create broadly just outcomes, even if by accident rather than by design. Normatively acceptable outcomes of this kind would come under threat if insurers were to have increased access to genetic information with substantial predictive content.1 As the availability of relevant individual genetic information grows, mutualistic forms of market-based insurance face a dilemma between either sacrificing individuals’ interests in genetic privacy, or creating conditions for (...) market failure due to adverse selection. My view is therefore that we have good reason to shift towards more solidaristic forms of ‘risk-sharing institutions’ with regard to functions such as life insurance and critical illness insurance, as a way of resolving normative tensions between values of equality, privacy, non-discrimination and autonomy. Such a position, I have argued, does not depend on endorsing any particular conception of social justice, but can be defended on the basis of a number of different plausible accounts of what justice demands.1 Jonathan Pugh argues against my endorsement of a shift towards solidaristic, non-market risk-sharing institutions, and instead argues broadly in favour of the status quo. He holds that it counts against my proposals that they ‘have wide-ranging and highly revisionary implications’, and argues that my approach is mistaken in relying on ‘a single contestable theory’. Pugh offers a purportedly less contestable account of the relevant normative considerations underlying insurance regimes, composed of three …. (shrink)

One of the most striking manifestations of schizophrenia is thought insertion. People suffering from this delusion believe they are not the author of thoughts which they nevertheless own as experiences. It seems that a person’s sense of agency and their sense of the boundary between mind and world can come apart. Schizophrenia thus vividly demonstrates that self awareness is a complex construction of the brain. This point is widely appreciated. What is not so widely appreciated is how radically schizophrenia challenges (...) our assumptions about the nature of the self. Most theorists endorse the traditional doctrine of the unity of consciousness, according to which a normal human brain generates a single consciousness at any instant in time. In this paper we argue that phenomenal consciousness at each instant is actually a multiplicity: an aggregate of phenomenal elements, each of which is the product of a distinct consciousness-making mechanism in the brain. We then consider how certain aspects of self might emerge from this manifold substrate, and speculate about the origin of thought insertion. (shrink)

Jean-Jacques Rousseau was hailed by Claude Lévi-Strauss as the founder of the sciences of man. This collection of fourteen classic papers devoted to his work addresses the points of intersection between the moral and the political, the personal and the social. The volume is divided into five parts: The Critique of Progress and the Speculative Anthropology, The Naturalizing of Natural Law, The General Will and Totalitarianism, Anticipations of Game Theory and Strategies of Redemption. The articles are accompanied by an extensive, (...) detailed introduction by the editor along with a selective bibliography. (shrink)

First published in 1987. This study is an attempt to distinguish the problem of political obligation as it was formulated in the ancient world from the problem as it has presented itself in the modern world, and assesses the idealist achievement in the philosophical treatment of the problem of political obligation. This title will be of interest to students of philosophy and politics.

The problem of the place and significance of the phenomena of fear and horror in the world-view of man has a long but unexplored history in science. Since ancient philosophy, these phenomena have been regarded as feelings that depend on the object-subjective perception of the phenomena of the socio-cultural life of society. However, none of the ancient authors put forward the original scientific hypothesis of the phenomenon and its justification. In modern times, fear in scientific circulation and everyday outlook has (...) become purely natural-physiological reaction of the nervous system of man to external danger. From the period of separation of psychology into a separate science and under the influence of the achievements of experimental psychophysiology of the early twentieth century. such a dominant awareness of fear has finally established itself and dominates the contemporary Western European outlook. (shrink)

The effectiveness of a quality management program of medical care has to meet not just the quality management standards, but also has to be flexible, taking into account the features of a medical organization and the existing problems in the medical care support. The effectiveness of a quality management program is based on feedback, so the quality control of medical care is so important. The study of problems in medical care gives us the ability to improve both, the quality management (...) program of medical care and the quality and scope of medical services constantly. (shrink)

Otávio Bueno gives a positive and accurate summary of my defense of Platonism, with special emphasis on the epistemological issues. He criticizes “skeptical nominalism”, and proposes instead an “agnostic nominalism”, which treats mathematical objects as “objects of thought”, and neither rejects nor accepts abstract entities. In my response I argue that the main problem for nominalism is to account for abstract properties and relations, and that treating mathematical objects as objects of thought does not provide a satisfactory solution to that (...) end.Otávio Bueno apresenta um resumo positivo e correto de minha defesa do Platonismo, com ênfase especial nos aspectos epistemológicos. Ele critica o “nominalismo cético” e propõe um “nominalismo agnóstico” que trata os objetos matemáticos como “objetos de pensamento”, sem rejeitar ou aceitar entes abstratos. Em minha réplica argumento que o problema principal para o nominalismo é dar conta das propriedades e relações abstratas, e que tratar os objetos matemáticos como objetos de pensamento não é uma solução satisfatória para esse fim. (shrink)

In my response to Guillermo Rosado-Haddock I discuss the two main issues raised in his paper. The first is that by allowing Henkin’s general models as a legitimate model-theoretic interpretation of second-order logic, I undermine my defense of second-order logic against Quine’s views concerning the primacy of first-order logic. The second is that my treatment of logical truth and logical properties does not take into account various systems of logic and properties of systems of logic such as the Löwenheim-Skolem property.Em (...) minha réplica à Guillermo Rosado-Haddock discuto as duas questões centrais levantadas em seu artigo. A primeira é que ao permitir modelos gerais de Henkin como uma interpretação legítima da lógica de segunda ordem, desvirtuo minha defesa da lógica de segunda ordem contra a visão de Quine respeito à primazia da lógica de primeira ordem. A segunda é que meu tratamento da verdade lógica e das propriedades lógicas não leva em consideração diversos sistemas de lógica e propriedades de sistemas de lógica tais como a propriedade de Löwenheim-Skolem. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS The Logic of God Incarnate. By THOMAS V. MORRIS. Ithaca: Cornell University Press, 1986. Pp. 220. $19.95. Thomas V. Morris, Assistant Professor of Philosophy at the University of Notre Dame, has written a technical yet provocative study on the Incarnation. As a faithful Christian he believes in and desires to defend the traditional Christian doctrine of the Incarnation proclaimed in the New Testament and defined by the (...) early councils of the Church, especially Chalcedon, that is, that Jesus is the One eternal Son existing in two natures. He also holds that, while the truth of the Incarnation is revealed, it must nonetheless stand the test of logic and reason. The Incarnation cannot be illogicaJ or meaningless. " If the church has been guided by God in such matters as the formulation of its creeds, conciliar decrees, and catechisms,.... we would not expect glaring logical flaws in its central doctrinal affirmations" (p. 46). The stated purpose of Morris's study is to defend the traditional doctrine against those who would hold it to be logically incoherent and meaningless. "In the course of thinking about the Incarnation for some years now, I have come to see that a few simple metaphysical distinctions and a solid dose of logical care will suffice to explicate and defend the doctrine against all extant criticisms of a philosophical nature" (p. 9). Morris meticulously analyzes and critiques a number of arguments that oppose the possibility of coherence of the Incarnation by attempting to demonstrate that such arguments are.either false and illogical themselves, or that they do not apply to a true understanding of the Incarnation. Moreover, Morris proposes a novel understanding of the Incarnation which he believes is both logical and intelligible, and which conforms to the Christian tradition. This goal of upholding the intelligibility of the Incarnate leads Morris to a three-fold task. He first of all must refute his chief adversaries, those who would deny the sensibleness of saying God became man in Jesus. Such critics deny the validity of the Incarnation on the ground..'! that it is meaning·less, and the'l'efore impossible to juxtapose the incommensurable. attributes of divinity and humanity, e.g., perfection/imperfection, immutability/corruptibility. They hold that Jesus could not have had both these sets of properties at once (cf. p. 20). Morris refuses to capitulate to such arguments. He nevertheless insists that any solution to the issue which would undermine human logic or which would fail to uphold the Christian's belief is no solution at all (cf. p. 32). 367 368 BOOK REVIEWS Secondly, Morris's task leads him to refute any attempts at a " OneNature " solution, which would "squash" together the human and divine natures in Jesus to form a single nature. Such proposals jeopardize either the integrity of Jesus's divinity (Arianism) or his humanity (Docetism, Monophysitism), inevitably composing a mythical tertium quid (cf. pp. 33-38). Morris presents a clear case against such corruptions of the Incarnation. Thirdly, Morris's task brings him to analyze contemporary kenotic Christology. He thoroughly discusses this approach, for the reason that it is directly involved in the issue at hand, namely, the incompatibility between divine and human properties in Christ. Secondarily, however, Morris's interest in kenoticism reflects his own hope that some variation of the approach might posibly arrive at a Christological solution (cf. p. 92). While he ultimately rejects kenoticism, Morris flirts with the various alternatives, and, as we shall see, his own perception of the Incarnation remains tinged with a kenotic flavor. How then is it possible to predicate of one and the same individual divine and human attributes intelligibly and coherentlyT To use contemporary computer jargon, the question might be phrased: is it possible that God and man can he "incarnation-friendly¥" Morris believes so. Morris first of all sets out to define the terms-divine nature and human nature. He believes part of the incompatibility problem lies in attributing to Jesus's humanity unnecessarily hostile aspects. He distinguishes between being "merely human" and being "fully human"· To be " merely human " is to possess not only those properties that narrowly define one's nature or kind, such as rationality, but... (shrink)

What is wealth? -- Looking at the world from God's perspective -- Changing your attitude to bring success -- Suffering caused by desire -- Accumulating beneficial wealth -- Making progress with love and ideals -- Creating "utopian economics" -- The path to progress -- The definition of progress -- The joy of progress -- The driving force of progress -- Realizing hope -- A life filled with light -- Living with optimism -- Living lightheartedly -- Believing tomorrow will be better (...) -- Expanding the circle of happiness -- Walking with God -- A mind that invites happiness -- The laws of the mind -- A mind that brings others happiness -- In tune with God's vibration -- A humble, accepting mind -- The power of prayer -- The true nature of wealth -- Wealth as a foundation -- Wealth and competition -- Good and evil in relation to wealth -- The right way to use wealth -- Accumulating inner wealth -- The study of human nature leads to success -- Gifts and talents -- The quality and period of effort -- Conditions for receiving inspiration -- I) the basis for inspiration -- II) a loving heart -- III) a positive attitude to life -- The person who is admired -- The goal is to soar -- A steady eye -- Making progress with a loving heart -- Confidence and abilities -- The goal is to soar -- The philosophy of progress -- The pledge to God -- The truth from God's perspective -- I) male and female souls -- II) God's ideal -- III) what is death? -- The true right to know -- I) the truth God created -- II) restoring religion -- Wrongdoing without knowing -- Toward the state of Arhat -- Aim for the world of Bodhisattva -- Postscript. (shrink)

Dienes & Perner offer us a theory of explicit and implicit knowledge that promises to systematise a large and diverse body of research in cognitive psychology. Their advertised strategy is to unpack this distinction in terms of explicit and implicit representation. But when one digs deeper one finds the “Higher-Order Thought” theory of consciousness doing much of the work. This reduces both the plausibility and usefulness of their account. We think their strategy is broadly correct, but that consensus on the (...) explicit/implicit knowledge distinction is still a fair way off. (shrink)