This collection of previously unpublished essays is a celebration of the life and thought of a beloved professor who died of cancer in 1983. (pb).

A paper was published in 2003 discussing the ethics of nurses participating in executions by inserting the intravenous line for lethal injections and providing care until death. This paper was circulated on an international email list of senior nurses and academics to engender discussion. From that discussion, several people agreed to contribute to a paper expressing their own thoughts and feelings about the ethics of nurses participating in executions in countries where capital punishment is legal. While a range of opinions (...) were presented, these opinions fell into two main themes. The first of these included reflections on the philosophical obligations of nurses as caregivers who support those in times of great need, including condemned prisoners at the end of life. The second theme encompassed the notion that no nurse ever should participate in the active taking of life, in line with the codes of ethics of various nursing organisations. This range of opinions suggests the complexity of this issue and the need for further public discussion. (shrink)

Peer review is a widely accepted instrument for raising the quality of science. Peer review limits the enormous unstructured influx of information and the sheer amount of dubious data, which in its absence would plunge science into chaos. In particular, peer review offers the benefit of eliminating papers that suffer from poor craftsmanship or methodological shortcomings, especially in the experimental sciences. However, we believe that peer review is not always appropriate for the evaluation of controversial hypothetical science. We argue that (...) the process of peer review can be prone to bias towards ideas that affirm the prior convictions of reviewers and against innovation and radical new ideas. Innovative hypotheses are thus highly vulnerable to being “filtered out” or made to accord with conventional wisdom by the peer review process. Consequently, having introduced peer review, the Elsevier journal Medical Hypotheses may be unable to continue its tradition as a radical journal allowing discussion of improbable or unconventional ideas. Hence we conclude by asking the publisher to consider re-introducing the system of editorial review to Medical Hypotheses. (shrink)

There is a dangerous notion replicating itself around the world like a virus, reproducing without regard for its hosts' political views, and generally unnoticed except as a limited and purely local phenomenon. We've seen its effects in South Africa, where the brandishing of spears and shields in the streets has been defended on the grounds that such weapons are..

In the following essay, the theoretical apparatus for distinguishing various types of collectivities (aggregates and conglomerates) is described. This is followed by a consideration of how responsibility ascriptions to different types of collectivities are to be understood vis à vis those to individual group members. It is suggested that the "medical profession" (distinctly different from the "medical team" and the "hospital corporation") is an aggregate collectivity. That is, the "medical profession" consists of the "sum" of the identities of its membership, (...) which can be shown to entail that if the "profession" is held responsible for something, each of its members is responsible, in some way, for it. This is to suggest that the "medical profession" is not a shield that hides individual medical practitioners from responsibility for the general state of health care. Quite the contrary. The use of the name of the aggregate in such a responsibility ascription puts each and every one of them "on call." CiteULike Connotea Del.icio.us What's this? (shrink)

The process of obtaining informed consent in a teaching hospital in a developing country (e.g. Nigeria) is shaped by factors which, to the Western world, may be seen to be anti-autonomomous: autonomy being one of the pillars of an ideal informed consent. However, the mix of cultural bioethics and local moral obligation in the face of communal tradition ensures a mutually acceptable informed consent process. Paternalism is indeed encouraged by the patients who prefer to see the doctor as all-powerful and (...) all-knowing, and this is buttressed by the cultural practice of customary obedience to those ‘above you’: either in age or social rank. The local moral obligation reassures the patients that those in authority will always look after others placed in their care without recourse to lengthy discussions or signed documentation, while the communal traditions ensure that the designated head of a family unit has the honor and sole responsibility of assenting and consenting to an operation to be carried out on a younger, or female, member of the family. Indeed it is to only a few educated patients that the informed consent process is deemed a shield against litigation by the doctors. This paper later addresses the need for physicians to update their knowledge on the process of informed consent through the attendance of biomedical ethics courses, which should highlight socio-cultural practices that may make this process different from the Western concept, but perfectly acceptable in this setting. (shrink)

Misleading information pervades marketing communications, and is a long-standing issue in business ethics. Regulators place a heavy burden on consumers to detect misleading information, and a number of studies have shown training can improve their ability to do so. However, the possible side effects have largely gone unexamined. We provide evidence for one such side-effect, whereby training consumers to detect a specific tactic (illegitimate endorsers), leaves them more vulnerable to a second tactic included in the same ad (a restrictive qualifying (...) footnote), relative to untrained controls. We update standard notions of persuasion knowledge using a goal systems approach that allows for multiple vigilance goals to explain such side-effects in terms of goal shielding, which is a generally adaptive process by which activation and/or fulfillment of a low-level goal inhibits alternative detection goals. Furthermore, the same goal systems logic is used to develop a more general form of training that activates a higher-level goal (general skepticism). This more general training improved detection of a broader set of tactics without the negative goal shielding side effect. (shrink)

According to theological consensus at least from the thirteenth century, at the End of Times our body will be resurrected and reunited with our soul. The resurrected body, although numerically identical to our present one, will be quite different: it will possess clarity, agility, subtility, and the inability to suffer. It is the last of these characteristics that will be of most concern in the present article. There are two reasons why impassibility presents a problem in the medieval framework. The (...) first has to do with how to characterize impassibility more precisely; the second arises because at first it may seem that impassibility is not metaphysically possible at all. The article will look at three attempts to tackle these problems: those of Thomas Aquinas, Durand of St.-Pourçain, and Peter of Palude. As the article aims to show, looking at how causal powers work on the New Earth may shed some light on how medieval thinkers thought they worked on the present one. (shrink)

Inspired by Peter van Inwagen’s “simulacra model” of the resurrection, I investigate whether it could be reasonable to adopt an analogous approach to the problem of evil. Empirically Skeptical Theism, as I call it, is the hypothesis that God shields our lives from irredeemable evils surreptitiously (just as van Inwagen proposes that God shields our bodies from destruction surreptitiously). I argue that EST compares favorably with traditional skeptical theism and with eschatological theodicies, and that EST does not have the (...) negative moral consequences we might suppose. (shrink)

The concept of self-motion is not only fundamental in Aristotle's argument for the Prime Mover and in ancient and medieval theories of nature, but it is also central to many theories of human agency and moral responsibility. In this collection of mostly new essays, scholars of classical, Hellenistic, medieval, and early modern philosophy and science explore the question of whether or not there are such things as self-movers, and if so, what their self-motion consists in. They trace the development of (...) the concept of self-motion from its formulation in Aristotle's metaphysics, cosmology, and philosophy of nature through two millennia of philosophical, religious, and scientific thought. This volume contains "Self-Movers" (David Furley), "Aristotle on Self-Motion" (Mary Louise Gill), "Aristotle on Perception, Appetition, and Self-Motion" (Cynthia Freeland), "Self-Movement and External Causation" (Susan Sauvé Meyer), "Aristotle on the Mind's Self-Motion" (Michael Wedin), "Mind and Motion in Aristotle" (Christopher Shields), "Aristotle's Prime Mover" (Aryeh Kosman), "The Transcendence of the Prime Mover" (Lindsay Judson), "Self-Motion in Stoic Philosophy" (David Hahm), "Duns Scotus on the Reality of Self-Change" (Peter King), "Ockham, Self-Motion, and the Will" (Calvin Normore), and "Natural Motion and Its Causes: Newton on the 'Vis Insita' of Bodies" (J. E. McGuire). Originally published in 1994. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

One does not simply predict where the other will go, which is wherever the first predicts the second to predict the first to go, and so ad infinitum. Not "What would I do if I were she?" but "What would I do if I were she wondering what she would do if she were wondering what I would do if I were she...?".

Current epistemological orthodoxy has it that knowledge is incompatible with luck. More precisely: Knowledge is incompatible with epistemic luck . This is often treated as a truism which is not even in need of argumentative support. In this paper, I argue that there is lucky knowledge. In the first part, I use an intuitive and not very developed notion of luck to show that there are cases of knowledge which are “lucky” in that sense. In the second part, I look (...) at philosophical conceptions of luck and come to the conclusion that knowledge can be lucky in those senses, too. I also turns out that a probabilistic notion of luck can help us see in what ways a particular piece of knowledge or belief can be lucky or not lucky. (shrink)

Personality, Consciousness and Nirvana in Early Buddhism Peter Harvey. The. SELFLESS. MIND. PERSQNALITY, CONSCIOUSNESS AND NIRVANA IN EARLY BUDDHISM. PETER. HARVEY. THE SELFLESS MIND THE SELFLESS ...

Peter Frankental, Head of Business Networks, Amnesty International, explores the role of The UN Universal Declaration of Human Rights as a corporate code of conduct. Frankental observes a changing business context, which overall increases the risk to business of dealing with other parties, including countries, subcontractors, joint venture partners and their stockholders. The paper proceeds to examine the barriers to integration of human rights, and identifies dilemmas that firms need to resolve. While in the author’s view ethical behaviour does (...) not confer competitive advantages in the short run, companies that base their codes of conduct on the UN Universal Declaration of Human Rights are likely to find themselves in the stronger position to protect their reputation, brands and assets in the longer term. (shrink)

David Chalmers argues that virtual objects exist in the form of data structures that have causal powers. I argue that there is a large class of virtual objects that are social objects and that do not depend upon data structures for their existence. I also argue that data structures are themselves fundamentally social objects. Thus, virtual objects are fundamentally social objects.

This volume brings together eleven essays by the distinguished philosopher of science, Peter Achinstein. The unifying theme is the nature of the philosophical problems surrounding the postulation of unobservable entities such as light waves, molecules, and electrons. How, if at all, is it possible to confirm scientific hypotheses about "unobservables"? Achinstein examines this question as it arose in actual scientific practice in three nineteenth-century episodes: the debate between particle and wave theorists of light, Maxwell's kinetic theory of gases, and (...) J.J. Thomson's discovery of the electron. The book contains three parts, each devoted to one of these topics, beginning with an essay presenting the historical background of the episode and an introduction to the philosophical issues. There is an illuminating evaluation of various scientific methodologies, including hypothetico-deductivism, inductivism, and the method of independent warrant which combines features of the first two. Achinstein assesses the philosophical validity of both nineteenth-century and modern answers to questions about unobservables, and presents and defends his own solutions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.2 (2003) 161-167 [Access article in PDF] Social, Cognitive, and Neural Constraints on Subjectivity and Agency:Implications for Dissociative Identity Disorder Peter Q. Deeley In this commentary, I consider Matthew's argument after making some general observations about dissociative identity disorder (DID). In contrast to Matthew's statement that "cases of DID, although not science fiction, are extraordinary" (p. 148), I believe that there are natural analogs (...) of the disorder that, when considered, make it seem less puzzling and exotic. After discussing these examples, I examine the relations between social, cognitive, and neural processes supporting subjectivity and agency, to identify sources of personal identity in cases of DID that can be used as a basis for assessing Matthew's points against Behnke and Sinnott-Armstrong. I am not proposing a comprehensive theory, but rather identifying what I believe are components of such a theory. I then outline an approach to determining criminal responsibility in DID, drawing on analogies with other psychiatric disorders. Dissociative Identity Disorder DID is a disorder described in DSM-IV, which "is characterised by the presence of two or more distinct identities or personality states that recurrently take control of the individual's behaviour accompanied by an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness" (American Psychiatric Association, p. 519). Recognizing Personal Identity How is personal identity recognized in normal cognition? If we take personhood to involve recognition of continuity of social, psychological, and physical identity for a given individual, then such judgments are routinely made rapidly and automatically as an aspect of what has come to be termed social cognition (Adolphs 2003). There is likely to be considerable redundancy in [End Page 161] the types of information used to make judgments about whether a person is the same as one who was previously encountered, or perhaps heard about—for example, facial features, movement patterns, speech prosody, dress, speech content, gender, ethnicity, social role, among other features, all provide information about individual identity, and hence personhood. When uncertainty exists, it is likely to reflect a loss or alteration of cues that would ordinarily be used in a rapid, automatic, unexamined way (Adolphs 2003). In such extreme cases (for example, severe mental illness or disfigurement), the problem of identification becomes the subject of explicit reasoning (and hence of potential disagreement, because we then engage in post hoc rationalizations to establish criteria for determining personhood, whereas normally we rely on essentially automatic, implicit abilities that work in most circumstances, some of which make little use of linguistic representations and formal reasoning—for example, individual facial identity recognition, which may occur as quickly as 170 ms after stimulus onset [Adolphs 2003]). Nevertheless, examining our judgments and intuitions in cases that force us to explicitly consider whether personal identity is preserved may provide analogies and clues for how we should proceed with DID. Let us consider, then, some natural analogs of DID. Natural Analogs of DID Method Acting I suggest that method acting is an analog of DID (Manderino 1985). Method acting refers to an approach to acting training and performance in which emphasis is placed on intensely imagining and identifying with the mental life of the character being portrayed. Training courses and manuals list many techniques and practices that can be used to facilitate absorption in a role, drawing on different kinds of memory—for example, experiential memories, memories of others, general knowledge (semantic memory), and memories of sensations and feelings, to creative a vivid sense of the subjective experience and actions of the character. Manderino, a method acting teacher, comments: "it is important to investigate the way in which your own mental makeup can improperly influence a character. Insecurities, self-consciousness, shyness or self-doubts can maintain a strong hold, and permitting any of these feelings to enter a performance is to remain the actor and not enter into the mental life of the character. For some, acting allows personal problems to be left behind, and they are thankful for the complete escape that... (shrink)

Propositional quantifiers are added to a propositional modal language with two modal operators. The resulting language is interpreted over so-called products of Kripke frames whose accessibility relations are equivalence relations, letting propositional quantifiers range over the powerset of the set of worlds of the frame. It is first shown that full second-order logic can be recursively embedded in the resulting logic, which entails that the two logics are recursively isomorphic. The embedding is then extended to all sublogics containing the logic (...) of so-called fusions of frames with equivalence relations. This generalizes a result due to Antonelli and Thomason, who construct such an embedding for the logic of such fusions. (shrink)

At the end of the Middle Ages, the friar Dominican Peter Schwarz wrote The shield of the Thomists. It is a handly book of philosophy in which he presents the main thesis of thomist school, between them is the theory of active intellect.

Occurrents are entities that exist in time and, with few or no exceptions, extend over time as well, that is, they have parts corresponding to the different times at which they exist. This makes it very easy to say what makes it true that they exist at the times at which they do. Singular existential propositions, being contingent, positive and arguably atomic, stand in need of truth-makers, entities in virtue of whose existence they are true. The obvious candidate for what (...) makes it true that Tony Blair exists is the Right Honourable Member for Sedgefield himself: by virtue of his existing, it is true that he exists. Nothing could be more straightforward. However, things that exist in time, with few exceptions, exist at some times and not at others. So a proposition to the effect that a certain object exists at a certain time likewise stands in need of a truth-maker, one matching the requirements of the existential proposition in question in its temporal specificity. Take an occurrent such as a boxing match and suppose it is going on twenty minutes after starting: by virtue of what is this true? The obvious answer here is that it is by virtue of the existence of that temporal part or phase which extends just over the time in question. Other temporal parts of the same occurrent which do not extend over this time do not act as truth-maker for the temporally specific existential proposition, this one does. There is no problem because occurrents do have temporal parts which can do this job. (shrink)

RÉSUMÉLes œuvres musicales sont à la fois multiples et audibles. Dans le domaine de l'ontologie musicale, deux des principaux modèles conçus pour expliquer ces caractéristiques des œuvres musicales sont le modèle type/instanciation et le modèle étape/continuité. Julian Dodd a soutenu que le modèle type/instanciation a un avantage sur le modèle étape/continuité, car il peut offrir une explication directe de l'audibilité des œuvres musicales en termes de catégorie ontologique. Je défends le modèle étape/continuité contre l'argument de Dodd en invoquant une relation (...) de continuité qui unifie l’œuvre. (shrink)

This article is concerned with the principle of compositionality, i.e. the principle that the meaning of a complex expression is a function of the meanings of its parts and its mode of composition. After a brief historical background, a formal algebraic framework for syntax and semantics is presented. In this framework, both syntactic operations and semantic functions are partial. Using 20 the framework, the basic idea of compositionality is given a precise statement, and several variants, both weaker and stronger, as (...) well as related properties, are distinguished. Several arguments for compositionality are discussed, and the standard arguments are found inconclusive. Also, several arguments against compositionality, and for the claim that it is a trivial property, are discussed, 25 and are found to be flawed. Finally, a number of real or apparent problems for compositionality are considered, and some solutions are proposed. (shrink)

In replying to my review of The Case for Animal Rights in The New York Review of Books, Tom Regan notes that whereas I use the term ‘the animal liberation movement’ to refer to the many people and organizations around the world advocating a complete change in the moral status of animals, he prefers the label ‘animal rights movement’. There is, he says, ‘more than a verbal difference here’. For immediate practical purposes the difference may not matter very much—Regan and (...) I are plainly at one in our attempts to eliminate the atrocities now inflicted on animals in factory farms, laboratories and in the wild. I am even prepared to speak of ‘animal rights’—just as I am prepared to speak of ‘human rights’—as a shorthand reference to the way in which the needs and desires of animals give rise to moral obligations on our part. But the philosophical difference between those who, like Regan, ground their case for animals on claims about rights, and those who, like me, do not, is fundamental. In the long run it may also have practical implications. This essay explains why I do not, philosophically, accept the animal rights approach. (shrink)

Suppose you are stranded on an island and you want to get over to the nearby mainland. Your only option is to swim. But is the other shore close enough? If you embark and it isn’t, you drown. So you prefer to know before taking off. Happily, you are well equipped. You have not only a yardstick, but also a theodolite for measuring angles, and a good knowledge of trigonometry. You then determine the distance to the other shore by means (...) of triangulation. You fix two points, A and B, on your own shore, and identify a third point, C, in sight on the opposite shore. You then measure the distance between A and B with your yardstick, and the two angles ABC and CAB with your theodolite. With this information you can calculate the distances AC and BC to the other shore. (shrink)

Everyone allows that human and animal minds are distinctively (indeed, massively) different in their manifest effects. Humans have been able to colonize nearly every corner of the planet, from the artic, to deserts, to rainforests (and they did so in the absence of modern technological aids); they live together in large cooperative groups of unrelated individuals; they communicate with one another using the open-ended expressive resources of natural language; they are capable of cultural learning that accumulates over generations to result (...) in science, art, and agriculture; and they are remarkably thoughtful and inventive. There is much less agreement about how these manifest differences should be explained, however. (shrink)

Discovering a deep unity in Nietzsche's work by exploring the structure and argumentative movement of a wide range of his books, Berkowitz shows that Nietzsche is a moral and political philosopher in the Socratic sense whose governing question is, "What is the best life?".

We introduce a dynamic model for evolutionary games played on a network where strategy changes are correlated according to degree of influence between players. Unlike the notion of stochastic stability, which assumes mutations are stochastically independent and identically distributed, our framework allows for the possibility that agents correlate their strategies with the strategies of those they trust, or those who have influence over them. We show that the dynamical properties of evolutionary games, where such influence neighborhoods appear, differ dramatically from (...) those where all mutations are stochastically independent, and establish some elementary convergence results relevant for the evolution of social institutions. (shrink)

We present Birch and colleagues with a dilemma. On one interpretation, they aim to chart the distribution of a sort of minimal perceptual awareness across the animal kingdom, where that awareness can be fully characterized in third-person psychological terms. On this interpretation, the project is worthy but dull, since it doesn’t touch the question that has excited most people: whether other animals are phenomenally conscious. On an alternative interpretation, in contrast, they hope to resolve this latter question, arguing that phenomenal (...) consciousness is extremely widespread. But if this is their intention, then their argument begs the question. (shrink)

In this compelling and timely treatise, cultural theorist and educator Peter Trifonas puts forth the first book-length study of Jacques Derrida's 'educational texts:' that is, those writings most explicitly concerned with the ethics and politics of the historico-philosophical structures constituting the scene of teaching. The text examines how deconstruction allows us to re-think the socio-historical and ethico-philosophical aspects of pedagogical practices and policies, including pedagogical theories that have had direct bearing on the ethical and cultural ideals forming the reason (...) of Western educational systems and the exclusion of its 'Others.'. (shrink)

Human Quality Treatment (HQT) is a theoretical approach expressing different ways of dealing with employees within an organization and is embedded in humanistic management tenants of dignity, care, and personal development, seeking to produce morally excellent employees. We build on the theoretical exposition and present a measure of HQT-Scale across several studies including cross-culturally to enhance confidence in our results. Our first study generates the 25 items for the HQT-Scale and provides initial support for the items. We then followed up (...) with a large study of managers (n = 363) from Nigeria in study 2, which confirms the theoretical properties of the five dimensions of HQT and highlights a two-factor construct: HQT Ethically Unacceptable and HQT Ethically Acceptable using a 20-item HQT-Scale. Study 3 with a large sample of New Zealand employees (n = 452) again confirms the nature of the construct and provides construct validity tests. Finally, using time-lagged data, study 4 (n = 308) focuses on New Zealand employees and job attitudes and behaviors, and a well-being outcome. That study not only confirms the theoretically implied effects but also shows the HQT Ethically Acceptable factor mediates the detrimental effects of HQT Ethically Unacceptable. Overall, our four studies provide strong support for the HQT-Scale and highlight important understandings of HQT and humanistic management in the workplace. (shrink)

In 1936, G. Birkhoff and J. v. Neumann published an article with the title The logic of quantum mechanics'. In this paper, the authors demonstrated that in quantum mechanics the most simple observables which correspond to yes-no propositions about a quantum physical system constitute an algebraic structure, the most important proper ties of which are given by an orthocomplemented and quasimodular lattice Lq. Furthermore, this lattice of quantum mechanical proposi tions has, from a formal point of view, many similarities with (...) a Boolean lattice L8 which is known to be the lattice of classical propositional logic. Therefore, one could conjecture that due to the algebraic structure of quantum mechanical observables a logical calculus Q of quantum mechanical propositions is established, which is slightly different from the calculus L of classical propositional logic but which is applicable to all quantum mechanical propositions. This calculus has sometimes been called 'quan tum logic'. However, the statement that propositions about quantum physical systems are governed by the laws of quantum logic, which differ from ordinary classical logic and which are based on the empirically well-established quantum theory, is exposed to two serious objec tions: Logic is a theory which deals with those relationships between various propositions that are valid independent of the content of the respective propositions. Thus, the validity of logical relationships is not restricted to a special type of proposition, e. g. to propositions about classical physical systems. (shrink)

Despite considerable recent attention, important features of Schelling’s famous work, the 1809 treatise On the Essence of Human Freedom, remain under-explored. One of these is the methodological dualism which Schelling advocates at the very start of the text. Schelling aims to weld together into a coherent position a first-person phenomenology of freedom and an explanation achieved by locating freedom within a conceptual system articulating the basic structure of the world. Most interpretations of the Freiheitsschrift, however, concentrate on only one of (...) these approaches, thus foreshortening their understanding of Schelling’s enterprise. The article explores this tendency towards one-sidedness by considering two sophisticated recent interpretations of the work, taking opposite tacks. One, by Markus Gabriel, focuses on the distinctive, self-reflexive metaphysics which Schelling proposes, while the other, by Sebastian Gardner, claims that Schelling’s ontology is extrapolated entirely from his account of our moral consciousness, a procedure pioneered by Kant. The article argues that neither of these interpretations can do full justice to Schelling’s project. Furthermore, although the Freiheitsschrift is not entirely successful, and hence points towards later developments in Schelling’s thinking, its treatment of freedom is superior to the ‘soft naturalism’ pioneered by Peter Strawson, and currently influential across various philosophical traditions. (shrink)

BackgroundPatient-centred care and patient autonomy is one of the key factors to better quality of service provision, hence patient outcomes. It enables the development of patients’ trusts which is an important element to a better doctor-patient relationship. Given the increasing number of patient disputes and conflicts between patients and doctors in Chinese public hospital, it is timely to ensure patient-centred care is fully and successfully implemented. However, limited studies have examined the views and practice in different aspects of patient-centred care (...) among doctors in the Chinese public hospitals.MethodsA quantitative approach was adopted by distributing paper-based questionnaires to doctors and patients in two hospitals (Level III and Level II) in Jinan, Shandong province, China.ResultsIn total, 614 doctors from the surgical and internal medicine units of the two hospitals participated in the survey yielding 90% response rates. The study confirmed the inconsistent views among doctors in terms of their perception and practice in various aspects patient-centred care and patient autonomy regardless of the hospital where they work (category II or category III), their unit speciality (surgical or non-surgical), their gender or seniority. The high proportion of doctors (more than 20%) who did not perceive the importance of patient consultation prior to determining diagnostic and treatment procedure is alarming. This in in part due to the belief held by more than half of the doctors that patients were unable to make rational decisions and their involvement in treatment planning process did not necessarily lead to better treatment outcomes.ConclusionThe study calls for the development of system level policy and organisation wide strategies in encouraging and enabling the practice of patient-centred care and patient autonomy with the purposes of improving the quality of the service provided to patients by Chinese hospitals. (shrink)

By reference to Maxwell's kinetic theory, one feature of hypothetico-deductivism is defended. A scientist need make no inference to a hypothesis when he first proposes it. He may have no reason at all for thinking it is true. Yet it may be worth considering. In developing his kinetic theory there were central assumptions Maxwell made (for example, that molecules are spherical, that they exert contact forces, and that their motion is linear) that he had no reason to believe true. In (...) this paper I develop a position that explains why they were worth considering, and that rejects the retroductive position that a hypothesis is worth considering when, if true, it would explain the observed data. (shrink)

Among the objections to the implementation of what I will call "genome editing in human reproduction" is that it does not address any unmet medical need, and therefore fails to meet an important criterion for introducing an unproven procedure with potentially adverse consequences. To be clear: what I mean by GEHR is the use of any one of a number of related biological techniques, such as the CRISPR-Cas9 system, deliberately to modify a functional sequence of DNA in a cell of (...) a human embryo, so that the modified sequence is replicated in the cells of a resulting child and may, without further intervention, be passed on to that child's biological descendants. It is... (shrink)