Clinical trials for acute conditions such as myocardial infarction and stroke pose challenges related to informed consent due to time limitations, stress, and severe illness. Consent processes shou...

The study examines perceptions of managers, nonmanagerial employees, students, and union officers regarding the legitimacy of managerial influence over various subordinate behaviors and beliefs. The results indicate that: (1) perceived legitimacy has decreased since a comparable study by Schein and Ott in 1962, (2) perceived legitimacy is generally related to proximity to the managerial role, (3) there is a high degree of consensus on the relative legitimacy of influencing various behaviors and beliefs, and (4) only issues of direct relevance to (...) work and task performance are currently perceived as legitimate areas for managerial influence. Theoretical, research, and managerial implications are discussed. (shrink)

Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts in long-term (...) care of patients in VS/UWS. A qualitative study of transcripts on 2 Moral Deliberations (MD’s) in 2 cases of patients in VS/UWS in long-term care facilities. Six themes emerged: 1) Vision on VS/UWS; 2) Treatment and care plan; 3) Impact on relationships; 4) Feelings/attitude; 5) Communication; 6) Organizational aspects. These themes are related to professionals and to what families had expressed to the professionals. We found conflicts as well as contradictory feelings and thoughts to be a general feature in 4 of these themes, both in professionals and families. Conflicts were found in several actors: within families concerning all 6 themes, in nurse teams concerning the theme treatment and care plan, and between physicians concerning all 6 themes. Different visions, different expectations and hope on recovery, deviating goals and contradictory feelings/thoughts in families and professionals can lead to conflicts over a patient with VS/UWS. Key factors to prevent or solve such conflicts are a carefully established diagnosis, clarity upon visions, uniformity in treatment goals and plans, an open and empathic communication, expertise and understanding the importance of contradictory feelings/thoughts. Management should bridge conflicts and support their staff, by developing expertise, by creating stability and by facilitating medical ethical discourses. Shared compassion for the patient might be a key to gain trust and bridge the differences from non-shared to shared decision making. (shrink)

Volume 20, Issue 8, August 2020, Page W12-W13.

In this article, we present results from a literature review of intrinsic, instrumental, and relational values of nature conducted for the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services, as part of the Methodological Assessment of the Diverse Values and Valuations of Nature. We identify the most frequently recurring meanings in the heterogeneous use of different value types and their association with worldviews and other key concepts. From frequent uses, we determine a core meaning for each value type, which is (...) sufficiently inclusive to serve as an umbrella over different understandings in the literature and specific enough to help highlight its difference from the other types of values. Finally, we discuss convergences, overlapping areas, and fuzzy boundaries between different value types to facilitate dialogue, reduce misunderstandings, and improve the methods for valuation of nature's contributions to people, including ecosystem services, to inform policy and direct future research. © 2023 The Author(s). Published by Oxford University Press on behalf of the American Institute of Biological Sciences. (shrink)

In this paper, we report on the development and validity of the Professional Decision-Making in Research measure, a vignette-based test that examines decision-making strategies used by investigators when confronted with challenging situations in the context of empirical research. The PDR was administered online with a battery of validity measures to a group of NIH-funded researchers and research trainees who were diverse in terms of age, years of experience, types of research, and race. The PDR demonstrated adequate reliability and parallel form (...) correlation. As hypothesized, the PDR was significantly negatively correlated with narcissism, cynicism, moral disengagement, and compliance disengagement; it was not correlated with socially desirable responding. In regression analysis, the strongest predictors of higher PDR scores were low compliance disengagement, speaking English as a native language, conducting clinical research with human subjects, and low levels of narcissism. Given that the PDR was written at an eighth grade reading level to be suitable for use with English as a second language participants and that only one-fourth of items focused on clinical research, further research into the possible roles of culture and research ethics training across specialties is warranted. This initial validity study demonstrates the potential usefulness of the PDR as an educational outcome assessment measure and a research instrument for studies on professionalism and integrity in research. (shrink)

Humans are experts in cooperating with each other when trying to accomplish tasks they cannot achieve alone. Recent studies of joint action have shown that when performing tasks together people strongly rely on the neurocognitive mechanisms that they also use when performing actions individually, that is, they predict the consequences of their co‐actor’s behavior through internal action simulation. Context‐sensitive action monitoring and action selection processes, however, are relatively underrated but crucial ingredients of joint action. In the present paper, we try (...) to correct the somewhat simplified view on joint action by reviewing recent studies of joint action simulation, monitoring, and selection while emphasizing the intricate interrelationships between these processes. We complement our review by defining the contours of a neurologically plausible computational framework of joint action. (shrink)

(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 Tao Is Silent Is Raymond Smullyan's beguiling and whimsical guide to the meaning and value of eastern philosophy to westerners. "To me," Writes Smullyan, "Taoism means a state of inner serenity combined with an intense aesthetic awareness. Neither alone is adequate; a purely passive serenity is kind of dull, and an anxiety-ridden awareness is not very appealing." This is more than a book on Chinese philosophy. It is a series of ideas inspired by Taoism that treats a wide (...) variety of subjects about life in general. Smullyan sees the Taoist as "one who is not so much in search of something he hasn't, but who is enjoying what he has." Readers will be charmed and inspired by this witty, sophisticated, yet deeply religious author, whether he is discussing gardening, dogs, the art of napping, or computers who dream that they're human. (shrink)

Une sourde appréhension hante aujourd’hui les consciences : « Le christianisme survivra-t-il à la modernité ? ». S’il a été un facteur historique de civilisation, sa pertinence est-elle caduque quand cette civilisation se transforme, comme cela est le cas dans le monde contemporain ? De quelles quêtes, de quelles souffrances, les regards portés sur lui, de l’intérieur comme de l’extérieur, sont-ils symptômes ? Quels en sont les dynamismes fondamentaux ? À quelles conversions l’expérience chrétienne est-elle appelée ?Pour baliser des pistes (...) de réponses à ces questions, nous questionnerons ici l’institution culturelle du christianisme, c’est-à-dire les modes selon lesquels, dans son histoire, il a soutenu du sens et se trouve, aujourd’hui, confronté à une conjoncture inédite. Cette institution culturelle comprend davantage que la vie interne et l’action des Églises qui à la fois la débordent et en dépendent. Des actes de foi l’animent, certes, sans s’y confiner non plus. Par christianisme, nous entendons donc saisir les modes variés par lesquels se sont inscrites, historiquement, « des nappes de produit relatives à des systèmes de production » en transactions constantes avec le « monde ». A vague apprehension haunts many minds today: “Will Christianity outlive modernity?” Although Christianity was a historical factor in the development of civilisation, will its pertinence be bypassed when this civilisation is transformed, as seems to be the case in the contemporary world? What is the re-examination applied to it from inside and out symptomatic of – of what searching and what suffering? What are the fundamental dynamics underlying this? What sorts of conversion is the Christian experience called upon to undertake?In order to outline some approached to responding to these questions, we shall examine the cultural institution of Christianity, that is, the ways in which it underwrote meaning and today stands at a new crossroads in its history. This cultural institution comprises more than its internal life and the action of the Churches, which both go beyond it and depend upon it. Acts of faith are vital to this process, obviously, but also reach beyond it. By “Christianity”, we mean discerning the various modes through which “the layers of products related to systems of production” in constant interplay with the “world” are inscribed in a historical process. (shrink)

This highly regarded volume features a modern translation of all ten books of _The Republic_ along with a synoptic table of contents, a prefatory essay, and an appendix on The Spindle of Necessity by the translator and editor, Raymond Larson. Also included are an introduction by Eva T. H. Brann, a list of principal dates in the life of Plato, and a bibliography.

Raymond Polin. valeurs objectives. De l'objectivité des valeurs, n'espère-t-on pas tirer un double bénéfice, fonder la vérité d'une part, et, d'autre part, rendre possible leur universalité ? La liaison des valeurs aux normes est trop essentielle  ...

In lieu of an abstract, here is a brief excerpt of the content:UNREAL REAL,JSM RAYMOND DENNEHY University of San Francisco San Francisco,, California Contextual Realism, a Meta-Physical Framework for Modern Science. By RICHARD H. SCHLAGEL. New York: :Raragon House, 1986. Pp. xxiv + 808. $22.95 (cloth). ISBN 0-913729-20-5. The Many Faces of Realism. By HILARY PuTNAM. LaSalle, Ill.: Open Court, 1987. Pp. 98. $8.95 (paper). ISBN 0-81269043 -5. Varieties of Realism: A Rationale fo!f' the Natural Sciences. By RoM HARR.E. (...) Oxford and New York: Basil Blackwell, 1986. Pp. vii + 375. $34.95 (cloth). ISBN 0-631-12592-2. REN PASSMORE wrote his assessment of British moral philosophy, he lamented that the fifty years which :had elapsed since 1900 had produced nothing beitter than so many variations on utilitarianism. Equally, a lament seems in order over the ourrent state of epistemology. After so many years of grappling with the problem of v,aJidating epistemo1log~cail!l'eailism-consider, for example, the American scene during the first severail decades of this century: Roy Wood Sellars et al. announcing the "new realism '' and George Santayana et al. announcing,the "critical realism "one might have hoped for 1 an oiutcome more reassuring than Hie current £deistic realism. But if the fideism disappoints, its rationalizations fascinate. Take, for examp1e, the trio o.f books discussed herein. They undertake a common project: to forge a raitionaJ justification for realism. They shave other features, not so 1audatory, especiaUy :a merely fideis:tic ioommitment to what might best be deseribed as generic realism, which finally evaporaites into 631 RAYMOND DENNEHY idealism. The mo,sit thait the authors can muster on behalf of realism amounts: to no more than this: " Something (what, we don't know) must e.rist outside our minds heearuse we aict on that premise with considemhle success, not only in daily life hut in scientific prructice, aillld a~l the theories used to explruin it aDJd its successes form a logieally coherent whoJe." In other wo11ds, whait these "defenses'' of rerulism offer is a pragmatic representationalism, organized and ultimaitiely vindi!caited by the ideaJist criterion of coherence and der,iving overai11 inspiration from a blind faith in e~tmmental reality. The tip-off,fa,in the books' titles: Contextual Real-ism, The Many Fa(')es of Realism, and Varieties of Realism. How can you taJk about the "contexts," " v;arieties,'' and "many faces " of realism if__,espreiciaJJy by your own admiss:ion-you cannot identify 11eaJ,ity itself? The answer is found in fideism: you want to affirm extramentaJ reality, even though y;ou find it impossible to justify 1that affirmation,rationaHy. So, in a flush. of ega,1itarian fervur, you aooept au plausible claimants to the title of " reality "; and being unabJ:e to say that any one c~aim­ ant is more or ~ess 11eal than any other, you hope to bring matters to a happy conclusion by apperuling to "varieties," "con- :te:xJts," and "many faces" of rea1ity. Hut the imperatives of life and thought maroe,a harmoniza-,tion of ail1l these " realities'' inevitable if anything resembling tl'IUe and false assertions is to he sav;ed. If, for example, common sense tells us that the11e 1a11e,ice cubes and scienee teHs us that the11e are only indeterminate mass particles, we will want to know how these 1 asse11tions can both be true. Clearly, the V'enerahle correspondence criterion of truth won't do here, is:ince we are fruoed with two oompeting objects of correspondence. It thus becomes necessary to enlist :the aid of the pragmatic theory of tmth to deoide which of the " realities " wil,l be designated " xeal '' in a part:iou~ar set of circumstances. Anticipating PiUtnam's examp~e, we ma.y then say that ice cubes~ and pink ones aJt that__,are real when we wish to mix drinks and that iDJdeterminate mass particles,a~11e reail when we wish UNREAL REALISM 633 to produce a scientific ruoom.mt of the phenomenon caHed " ice cubes." Still,.antil(Jipating Schlagel, not even pragmatism carries us far enough because it depends on knowing which resuJtis are felicitous. We thus turn fo the cohe11ence theory of tmth as our final court of... (shrink)

How to point : a primer for Martians -- What it takes to be a pointer -- Do animals get the point? -- People who don't point -- Pinning language to the world -- Pointing and power -- Assisted pointing and pointing by proxy -- The transcendent animal : pointing and the beyond.

This volume, first published in 1954, is one of three presenting the correspondence of David Hume. It collects letters from 1737 to 1776 which do not appear in J. Y. T. Greig's two volumes of 1932, and offers a rich picture of the man and his age. The correspondents include such famous thinkers as Adam Smith, James Boswell, and Benjamin Franklin.

This book reconstructs the cornerstones of Jesus's moral teachings about how to lead a good, even exemplary, human life. It does so in a way that is compatible with the most prominent, competing versions of the historical Jesus. The work also contrast Jesus' understanding of the best way to lead our lives with that of Friedrich Nietzsche. Both Jesus and Nietzsche were self-consciously moral revolutionaries. Jesus refashioned the imperatives of Jewish law to conform to what he was firmly convinced was (...) the divine will. Nietzsche aspired to transvalue the dominant values of his time in service of a higher vision. The interplay of these radical versions of the good human life, seasoned with critical commentary from the sciences and humanities, opens lines of inquiry that can help us answer that enduring, paramoun t question, "How should we live our lives?". (shrink)

Résumé Au point de départ, l’acte théologique se constitue par la lecture des Écritures. Mais cette lecture, par laquelle se produit un sujet théologien, ne peut elle-même se résoudre que dans une écriture par laquelle ce sujet fait trace, à son tour, de son expérience. Le présent article investigue ces rapports complexes de la théologie aux Écritures et à l’écriture pour tenter d’en définir l’acte théologique comme traversée des textes et production d’un sens. La théologie, argumente-t-il, suppose que le lecteur-écrivain (...) se situe dans l’axe de l’Autre, c’est-à-dire dans un rapport au texte et à l’ordre symbolique du monde qui consiste à ne pas se laisser arrêter par leurs valeurs acquises, à continuer sans relâche à interroger ce qu’ils laissent à désirer. Cet acte, dès lors, ne peut se réaliser que dans le lieu de son impossibilité même : donner figure à l’Autre en sachant que cet Autre lui échappe.The theological work starts by reading Scriptures. This reading, which produces the theological subject, yet needs a writing by which this subject traces his own experience. The present paper investigates the complex relations that the theologian must keep up with reading and writing in order to define the specific locus of his work. Theology, it argues, supposes that the reader-writer places himself in the axis of the Other, that means, in such a relation with texts and symbolic order of the word as he will not be stopped by actual value systems and he will keep inquiring what is left open to desire by them. This act, therefore, can take place only in the context of its own impossibility : it gives a representation of the Other while knowing that the Other cannot be represented. (shrink)

Some children seem blessed, almost from birth, with a capacity for critical thinking. They won't let a fallacious argument pass unnoticed or unscathed. And some are fortunate enough to be exposed at an early age to fine examples of good reasoning. In their listening and their reading they learn, by intellectual osmosis as it were, to think logically. Yet even these fortunate ones, like the rest of us, can benefit by having their logical intuitions and reasoning skills sharpened by precept (...) and practice. (shrink)

The expressive power of logic is believed to be able to model most of the fundamental aspects of information retrieval. However, it is also understood that classical logic is ineffective for handling partiality and uncertainty in IR. Applying non-classical logics such as the AGM belief revision logic and the possibilistic logic to adaptive information retrieval is appealing since they provide a powerful and rigorous framework to model partiality and uncertainty inherent in any IR processes. The maxi-adjustment method, which is an (...) effective computational apparatus of the AGM paradigm, is applied to develop the learning components of the adaptive information agents. Essentially, maxi-adjustment allows the partial representation K of a user's information needs N to be refined gradually based on the user's relevance feedback t. Generally speaking, learning in adaptive information agents is characterised by the AGM belief revision Kt*. On the other hand, possibilistic logic supports a gradated assessment of the uncertainty arising from matching K with the imperfect characterisation d of an information object D. Information matching in adaptive information agents is underpinned by K ƕ d, where ƕ is the possibilistic inference relation. This paper illustrates how maxi-adjustment and possibilistic deduction can be applied to develop the adaptive information agents. Their impact on the agents learning autonomy and explanatory power is also discussed. (shrink)

Qu'entend-on par enchantement et désenchantement du monde? Quelles seraient les voies à suivre pour susciter un réenchantement du monde qui sera le fait de l’humain lui-même? La raison et la rationalité sont-elles les causes des maux de nos errements ou des outils pour les contrer? Suffira-t-il d’avoir « foi en la raison » pour surmonter les défis que l’humanité s’est elle-même imposés par négligence et irresponsabilité.

Okay, Professor Turner is not Rodney King. He is not responding to bioethicists and social scientists running amuck, setting automobiles aflame, and pelting each other with rocks and broken bottles. He does not come right out and ask, “Why can't we all just get along?” But in its academic way, Turner's essay is an effort to negotiate a truce in the interdisciplinary squabbles that plague bioethics, a plea to move bioethics beyond the “misleading” and “unhelpful” “demarcation of disciplinary goals” that (...) leads to “dichotomous thinking” and “polemical accusations.”. (shrink)

Die Beiträge des Bandes untersuchen Tillichs Verständnis von 'Reformation' und 'Revolution' vor dem Hintergrund seines Gesamtwerks in einer problemgeschichtlichen Perspektive. Diskutiert werden die verschiedenen Facetten und Bezüge seiner Reformations- und Revolutionsdeutung ebenso wie Perspektiven, die sich für gegenwärtige Debatten ergeben. Auf diese Weise erschließt der Band ein Themenfeld, welches bislang kaum untersucht wurde.

1. The Down Under Logical Disproof of the Theist's God 1.1 Plantinga's Attempted Refutation of the Logical Disproof 1.2 Plantinga Refuted and God Disproved: A Preview 2. Plantinga's Formal Presentation of his Free Will Defense 3. First Formal Flaw: A Non Sequitur Regarding the Consistency of (3) with (1) 4. Further Flaws Regarding the Joint Conditions of Consistency and Entailment 4.1 A Non Sequitur Regarding the Entailment Condition 4.2 Telling the Full Story in Order to Satisfy the Entailment Condition 4.3 (...) Two Non Sequiturs Involving the Consistency Condition 4.4 The Russell Scenario: A Refutation by Logical Analogy 5. Plantinga's Leibnizian Definition of Omnipotence 5.1 Logical Consequences of the Definition 5.2 Why Leibniz Didn't Lapse 5.3 A Fatal Equivocation Over the Scope of Transworld Depravity 5.4 It Was All "Up to God" 5.5 The Distinction Between Absolute and Consequential Modalities 5.6 Plantinga's Ploy 5.7 Plantinga's Modal Muddle 5.8 Interlude on the Prevalence of the Modal Muddle 5.9 Back to Plantinga's Modal Muddle 5.10 Interim Verdict 6. Judgment Day: God Almighty and All Knowing Not Morally Perfect.. (shrink)