Anesthesiology training programs are tasked with equipping trainees with the skills to become medically and ethically competent in the practice of anesthesia and to be prepared to obtain board certification, yet there is currently no standardized ethics curriculum within anesthesia training programs in the United States. To bridge this gap, and to provide a validated ethics curriculum to meet the aforementioned needs, in July 2021, a survey was sent to anesthesia scholars in the field of biomedical ethics to identify key (...) areas that should be included in such an ethics curriculum. The responses were rated on a Likert scale and ranked. This paper identifies the top ten topics identified as high priority for inclusion in an anesthesiology training program and consequently deemed most relevant to meet the educational needs of graduates of an anesthesiology residency: (1) capacity to consent; (2) capacity to refuse elective versus lifesaving treatment; (3) application of surrogate decisionmaking; (4) approach to do not resuscitate (DNR) status in the operating room; (5) patient autonomy and advance directives; (6) navigating patient beliefs that may impair care; (7) “futility” in end-of-life care: when to withdraw life support; (8) disclosure of medical errors; (9) clinical criteria for “brain death” and consequences of this definition; and (10) the impaired anesthesiologist. (shrink)

Author note: Raymond A. Belliotti is Professor of Philosophy at State University of New York at Fredonia.

Daydreaming appears to have a complex relationship with life satisfaction and happiness. Here we demonstrate that the facets of daydreaming that predict life satisfaction differ between men and women , that the content of daydreams tends to be social others , and that who we daydream about influences the relation between daydreaming and happiness variables like life satisfaction, loneliness, and perceived social support . Specifically, daydreaming about people not close to us predicts more loneliness and less perceived social support, whereas (...) daydreaming about close others predicts greater life satisfaction. Importantly, these patterns hold even when actual social network depth and breadth are statistically controlled, although these associations tend to be small in magnitude. Individual differences and the content of daydreams are thus important to consider when examining how happiness relates to spontaneous thoughts. (shrink)

The heterogeneous nature of the empathy construct demands that neuroscience investigations into this topic employ methods directed at uncovering multiple processes. This article touches upon some of the methods most appropriate for empathy research, and closes by arguing for a better distinction between perception and imagination during the initial stage of an empathic response.

(1989). BLOOD IS THICKER THAN WATER: DON'T FORSAKE THE FAMILY JEWELS. Philosophical Papers: Vol. 18, No. 3, pp. 265-280. doi: 10.1080/05568648909506323.

The frontal feedback model argues that the sudden appearance of art and advancing technologies around 40,000 years ago in the hominid archaeological record was the end result of a recent fundamental change in the functional properties of the hominid brain, which occurred late in that brain's evolution. This change was marked by the switching of the driving mechanism behind the global, dynamic function of the brain from an "object-centered" bias, reflective of nonhuman primate and early hominid brains, to a "self-centered" (...) bias, reflective of modern Homo sapiens and perhaps late Homo erectus brains. Such a change in the global-functional properties of the brain was provided for by the progressive enlargement of the primate frontal lobe throughout its evolution. In late-developing hominids, this progressive enlargement effectively succeeded in reversing the preferred direction of information flow in the highest association areas of the neocortex from a caudo-rostral bias to a rostro-caudal bias. It was this reversal specifically that provided for the ability of humans to use symbolic thought in the creative expression of art, language, and the development of advancing technologies. Part 2 discusses the specific changes in the brain that occurred as a result of the reversal and how those changes were and are manifested as human abilities and experience. (shrink)

This study analyzes a series of complex, ambivalent literary responses to the decades of civil turmoil in seventeenth-century England that simultaneously demanded public commitment and prompted private withdrawal. From their various perspectives the Royalist writers raised in the humanist tradition are shown to appreciate anew the value of patient fortitude.

The failure of medical codes to provide adequate guidance for physicians' moral dilemmas points to the fact that some rules of analysis, informed by moral theory, are needed to assist in resolving perplexing ethical problems occurring with increasing frequency as medical technology advances. Initially, deontological and teleological theories appear more helpful, but critcisms can be lodged against both, and neither proves to be sufficient in itself. This paper suggests that to elude the limitations of previous approaches, a method of moral (...) decision making must be developed incorporating both coherence methodology and some independently supported theoretical foundations. Wide Reflective Equilibrium is offered, and its process described along with a theory of the person which is used to animate the process. Steps are outlined to be used in the process, leading to the application of the method to an actual case. (shrink)

The author argues for a refined understanding of the proper roles of voluntarism, individuality, and plurality in liberal political theory. Animated by the conviction that contemporary debates between liberals and communitarians are truncated artificially, Flathman aspires to transcend the false polarities of atomism versus holism.

Training residents to become humanistic physicians capable of empathy, compassionate communication, and holistic patient care is among our most important tasks as physician educators. Narrative medicine aims to foster those highly desirable characteristics, and previous studies have shown it to be successful in fostering self-reflection, emotional processing, and preventing burnout. We aimed to evaluate pediatric residents’ perceptions of a novel narrative medicine curriculum. After the initiation of a longitudinal narrative medicine curriculum, focus groups were conducted with residents who participated in (...) at least one narrative medicine session. The curriculum was viewed positively, and residents found the sessions to be helpful in developing empathy, offering a space for reflection, and introducing new perspectives. Challenges noted were perception of relevance, timing of sessions, and interpretation by non-native English-speaking residents. With attention to linguistics and thematic undertones, narrative medicine is a feasible, replicable, and accepted teaching modality for pediatric residents to foster empathy, process emotions, and participate in self-reflection. (shrink)

Recipient of Choice Magazine's 1996 Outstanding Academic Book Award Author Raymond Morrow outlines and recounts the development of the major tenets of critical theory, exemplifying them through the works of two of their most influential, recent adherents: Jürgen Habermas and Anthony Giddens. Beginning with a comprehensive yet meticulous explication of critical theory and its history, the author next discusses it within the context of a research program; his work concludes with an examination of empirical methods. Emphasizing the connections between (...) critical theory, empirical research, and social science methodology, Morrow's volume offers refreshing insights on traditional and current material. (shrink)