We review scholarship that examines relationships - and distinctions - between religion and delusion. We begin by outlining and endorsing the position that both involve belief. Next, we present the prevailing psychiatric view that religious beliefs are not delusional if they are culturally accepted. While this cultural exemption has controversial implications, we argue it is clinically valuable and consistent with a growing awareness of the social - as opposed to purely epistemic - function of belief formation. Finally, we review research (...) on continuities between religious and delusional cognition, which reveals that religious content is quite common in delusions and which provides tentative evidence for a positive relationship between religious belief and delusion-like belief in the general population. (shrink)

Formal training in clinical ethics must become a central part of residency curricula to prepare practitioners to manage the ethical dimensions of patient care. Residency educators must ground their teaching in an understanding of the conceptual, biomedical, and psychosocial aspects of the important ethical issues that arise in that field of practice. Four aspects of professional competence in clinical ethics provide a useful framework for curricular planning. The physician should learn to: (1) recognize ethical issues as they arise in clinical (...) care and identify hidden values and unacknowledged conflicts; (2) think clearly and critically about these issues in ways that lead to ethically justifiable courses of action; (3) apply those practical skills needed to implement an ethically justifiably course of action; and (4) judge when the management of a clinical situation requires consultation with individuals or institutional bodies with additional expertise or authority. We argue that these practical goals can be accomplished with a relatively modest emphasis on the theoretical aspects of medical ethics. (shrink)

BackgroundThe introduction and wide application of non-invasive prenatal testing (NIPT) has triggered further evolution of routines in the practice of prenatal diagnosis. ‘Routinization’ of prenatal diagnosis however has been associated with hampered informed choice and eugenic attitudes or outcomes. It is viewed, at least in some countries, with great suspicion in both bioethics and public discourse. However, it is a heterogeneous phenomenon that needs to be scrutinized in the wider context of social practices of reproductive genetics. In different countries with (...) their different regulatory frameworks, different patterns of routines emerge that have different ethical implications.This paper discusses an ethics of routines informed by the perspectives of organizational sociology and psychology, where a routine is defined as a repetitive, recognizable pattern of interdependent organizational actions that is carried out by multiple performers. We favour a process approach that debunks the view – which gives way to most of the concerns – that routines are always blindly performed. If this is so, routines are therefore not necessarily incompatible with responsible decision-making. Free and informed decision-making can, as we argue, be a key criterion for the ethical evaluation of testing routines. If free and informed decision-making by each pregnant woman is the objective, routines in prenatal testing may not be ethically problematic, but rather are defensible and helpful. We compare recent experiences of NIPT routines in the context of prenatal screening programmes in Germany, Israel and the Netherlands. Notable variation can be observed between these three countries (i) in the levels of routinization around NIPT, (ii) in the scope of routinization, and (iii) in public attitudes toward routinized prenatal testing.ConclusionAn ethics of routines in the field of prenatal diagnostics should incorporate and work with the necessary distinctions between levels and forms of routines, in order to develop sound criteria for their evaluation. (shrink)

First published in 1953, this seminal introduction to political philosophy is intended for both the student of political theory and for the general reader. After an introduction which explains the nature and purpose of philosophy, Dr Murray provides a critical examination of the principle theories advanced by political philosophers from Plato to Marx, paying special attention to contemporary issues. The book also makes an attempt to define the essential issues of philosophical significance in contemporary politics, with special reference to the (...) conflict between political authority and individual rights, and to show how the different moral assumptions underlying authoritarian and democratic systems of government are ultimately based upon different theories of logic. (shrink)

Objective: Ethical guidelines are designed to ensure benefits, protection and respect of participants in clinical research. Clinical trials must now be registered on open-access databases and provide details on ethical considerations. This systematic survey aimed to determine the extent to which recently registered clinical trials report the use of standard of care and post-trial obligations in trial registries, and whether trial characteristics vary according to setting. Methods: We selected global randomized trials registered on http://www.clinicaltrials.gov and http://www.controlled-trials.com. We searched for intervention (...) trials of HIV/AIDS, malaria, and tuberculosis from 9 October 2004, the date of the most recent version of the Helsinki Declaration, to 10 April 2007. Results: We collected data from 312 trials. Fifty-eight percent (58%, 95% CI = 53 to 64) of trial protocols report informed consent. Fifty-eight percent (58%, 95% CI = 53 to 64) of trials report active controls. Almost no trials (1%, 95% CI = 0.5 to 3) mention post-trial provisions. Most trials measure surrogate outcomes. Twenty percent (20%, 95% CI = 16 to 25) of trials measure patient-important outcomes, such as death; and the odds that these outcomes are in a low income country are five times greater than for a developed country (odds ratio (OR) 5.03, 95% CI = 2.70 to 9.35, p = < 0.001). Pharmaceutical companies are involved in 28% (CI = 23 to 33) of trials and measure surrogate outcomes more often than nonpharmaceutical companies (OR 2.45, 95% CI = 1.18 to 5.09, p = 0.31). Conclusion: We found a large discrepancy in the quality of reporting and approaches used in trials in developing settings compared to wealthier settings. (shrink)

William of Malmesbury's Regesta Regum Anglorum is one of the great histories of England, and one of the most important historical works of the European Middle Ages. Although its focus is national, its scope encompasses most of Western Europe and beyond, providing a full-scale account of the First Crusade. Apart from its formidable learning, it is characterized by narrative skill and entertainment value - with topics including unpowered flight and Henry I's zoo. This edition in the Oxford Medieval Texts series (...) is the first modern translation and edition. A full historical introduction is supplied in Volume II. (shrink)

The formulas-as-types isomorphism tells us that every proof and theorem, in the intuitionistic implicational logic $H_\rightarrow$, corresponds to a lambda term or combinator and its type. The algorithms of Bunder very efficiently find a lambda term inhabitant, if any, of any given type of $H_\rightarrow$ and of many of its subsystems. In most cases the search procedure has a simple bound based roughly on the length of the formula involved. Computer implementations of some of these procedures were done in Dekker. (...) In this paper we extend these methods to full classical propositional logic as well as to its various subsystems. This extension has partly been implemented by Oostdijk. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Plato and Aristotle in Agreement? Platonists on Aristotle from Antiochus to PorphyryR. M. DancyGeorge E. Karamanolis. Plato and Aristotle in Agreement? Platonists on Aristotle from Antiochus to Porphyry. Oxford: Clarendon Press, 2006. Pp. x + 419. Cloth, $125.00.Coleridge wrote: “Every man is born an Aristotelian or a Platonist. I do not think it possible that anyone born an Aristotelian can become a Platonist; and I am sure that (...) no born Platonist can ever change into an Aristotelian. They are two classes of man, beside which it is next to impossible to conceive a third.”Ancient Platonists could not be counted on to accept this kind of dichotomy, and that is what Karamanolis’s book is about. (It may be usefully compared with Lloyd P. Gerson’s 2005 book, Aristotle and Other Platonists.) It covers Antiochus (second century BC), Plutarch [End Page 634] of Chaeronea, Numenius, Atticus, Ammonius Saccas, Plotinus, and Porphyry (third century AD). And it does so with incredible thoroughness, making it a tough read. The book began as a dissertation; it still has something of the air of one.The longest chapter is devoted to Porphyry, whom Karamanolis claims to be the first Platonist to write commentaries on books of Aristotle, and the first to adopt the view that Aristotle simply was in agreement with Plato—the founder of a tradition in scholarship to the effect that “Plato is named as the authority in metaphysics, and Aristotle in logic” (330). His concluding paragraph is this:It is this understanding of philosophizing which lies behind the formation of the Pla-tonist syllabus I described in the beginning of this book. This remains the situation until the Renaissance. When Renaissance humanists revive ancient philosophy, especially Platonism, as happened in Renaissance Florence, they re-establish this very model. Few other shifts in the history of Western philosophy are of such significance as the one which we, quite rightly, attribute to Porphyry.(330)The “Platonist syllabus” to which Karamanolis here adverts is perhaps summed up when he says that “from the third to the sixth century AD... Aristotle was appropriated by Platonists because they found his philosophy, if properly studied, a prerequisite for, and conducive to, an understanding of Plato’s thought” (4). More precisely, Karamanolis’s book is about Porphyry’s view and the background of its formation.Answering Karamanolis’s title question is not what is at stake; rather, he is concerned with how the Platonists listed above answered it. So we are not getting a history of the reading of Plato and Aristotle as agreeing or disagreeing from the very beginning. The early Academy and the skeptical Academy before Antiochus, for example, do not figure, except incidentally, in Karamanolis’s story (although there is a useful appendix on the early peripatetics). There is enough here to keep us busy without this.Dealing with any of Karamanolis’s Platonists is made more difficult by the nature of the material that remains: except for Plutarch and Plotinus, it is almost entirely fragmentary. So it is a question of interpreting not just the target authors, whose works we do not possess, but the sources we have for them, who have their own hobby-horses to ride, and hence are not always reliable. Karamanolis pays suitable attention to such details. But the back-and-forth discussion required can make it difficult to keep the larger picture in view.Karamanolis’s Platonists do not uniformly go for the agreement of Plato and Aristotle. As Karamanolis has it, Porphyry is the only one to swallow it whole: “... nowhere does Porphyry criticize Aristotle,” he concludes (322). This requires him to explain away what he regards as misunderstandings of the evidence (243–45 records some disagreements, and the Porphyry chapter throughout is dedicated to rebuttal). Karamanolis is at least prima facie convincing. At the opposite end of the spectrum are Atticus and Numenius, whose antipathy toward Aristotle is universal.For the rest, whether we are to say that Plato and Aristotle were in agreement obviously depends on what the agreement is to be about. There is, among Karamanolis’s Platonists, a good deal of interesting variation over that. Most of those who... (shrink)

Recently, Bohr’s complementarity principle was assessed in setups involving delayed choices. These works argued in favor of a reformulation of the aforementioned principle so as to account for situations in which a quantum system would simultaneously behave as wave and particle. Here we defend a framework that, supported by well-known experimental results and consistent with the decoherence paradigm, allows us to interpret complementarity in terms of correlations between the system and an informer. Our proposal offers formal definition and operational interpretation (...) for the dual behavior in terms of both nonlocal resources and the couple work-information. Most importantly, our results provide a generalized information-based trade-off for the wave–particle duality and a causal interpretation for delayed-choice experiments. (shrink)