Lowering the standard of care in a pandemic is a recipe for inferior care and discrimination. Wealthy white patients will continue to get “standard of care” medicine, while the poor and racial mino...

There is an increasing interest in how managers describe and respond to what they regard as moral versus nonmoral problems in organizations. In this study, forty managers described a moral problem and a nonmoral problem that they had encountered in their organization, each of which had been resolved. Analyses indicated that: (1) the two types of problems could be significantly differentiated using four of Jones' (1991) components of moral intensity; (2) the labels managers used to describe problems varied systematically between (...) the two types of problems and according to the problem's moral intensity; and (3) problem management processes varied according to the problem's type and moral intensity. (shrink)

Hypocretin regulates brain reward function and cocaine consumption in rats. The hypocretinergic (Hcrt) system is implicated in energy homeostasis, feeding and sleep regulation. Hypocretinergic cell bodies are located in the lateral hypothalamus (LH) and project throughout the brain. The aim of the present studies was to investigate the role of the Hcrt system in regulating brain reward function and the reinforcing properties of cocaine in rats. Intracranial self-stimulation (ICSS) thresholds provide an accurate measure of brain reward function in rats. Here (...) we show that a single injection of Hcrt-1 (5 µg icv) induced persistent, long-lasting elevations in ICSS thresholds in drug-naïve rats. Indeed, Hrct-1 elevated ICSS thresholds for 36 h, with peak elevations between 6 and 12 hours after injection. Hrct-1-induced threshold elevations were attenuated by an antibody known to neutralize the binding of hcrt-1 to its receptors. Taken together, these observations suggest that Hrct-1 negatively regulates brain reward function in rats. Because Hrct-1 negatively regulates brain reward function, we hypothesized that it may attenuate the increased brain reward function usually observed after cocaine consumption, and thereby alter cocaine self-administration behavior. A daily injection of Hrct-1 (1 µg icv), for 4 consecutive days, slightly increased cocaine self-administration (0.25 mg/infusion) in rats. Overall, these data demonstrate that Hrct-1 negatively regulates brain reward function, and as such may indirectly alter cocaine self-administration. Given the well-established role of hypocretin neurons in regulating feeding behavior and sleep, we hypothesize that hypocretinergic regulation of brain reward function may provide a mechanism by which appropriate and competing behaviors (e.g. sleep or feeding) may be engaged to maintain energy homeostasis. (shrink)

A wide-ranging collection of philosophical essays in honor of Hans-Georg Gadamer.

Since at least the advent of Jack Kevorkian’s “suicide machine” the major argument against adopting physician-assisted suicide laws has been that they will lead us down a slippery slope to state-sa...

Dreyfus examines the central ideas of Dharmakīrti, one of the most important Indian Buddhist philosophers, and their reception among Tibetan thinkers. During the golden age of ancient Indian civilization, Dharmakīrti articulated and defended Buddhist philosophical principles. He did so more systematically than anyone before his time (the seventh century CE) and was followed by a rich tradition of profound thinkers in India and Tibet. This work presents a detailed picture of this Buddhist tradition and its relevance to the history of (...) human ideas. Its perspective is mostly philosophical, but it also uses historical considerations as they relate to the evolution of ideas. (shrink)

The central aim of this essay is to analyze heidegger's conception of the work of art in his 'der ursprung des kunstwerkes', To illustrate parallels between his conception of the being of the art-Work and his description of the mode of being of 'dasein'. Although it is said that the work of art conserves and preserves the existence of an historical 'dasein' and is a showing forth of being ('das sein'), I try to show that heidegger's description of works of (...) art (which is highly dependent on representative art) tells us a great deal about the preservation of the meaning of man's past, But little about being as such. Finally, I attempt to touch upon the question of heidegger's conception of the contemporary world as nihilistic (in his own terms) and its meaning for his analysis of the meaning of art-Works. (shrink)

To the uninitiated, academic philosophy can be intimidating. Its extensive history (over two millennia) and seemingly all-encompassing breadth and depth of study makes knowing everything about philosophy impossible. Philosophers are fortunate because they are expected to specialize in specific areas, but librarians are not as fortunate. Librarians often have collection development responsibilities for a variety of academic disciplines. Collection development in philosophy can seem like a world unto itself in part because philosophical inquiry reaches into other academic disciplines. Amongst academic (...) philosophers, there are different approaches or methodologies for doing philosophy, including eastern and western philosophy, as well as a divide between analytic and continental philosophers. In addition to growing the collection, the philosophy subject librarian may be called upon by philosophers and aspiring philosophers (i.e., students) for research assistance. To make matters more intimidating, philosophers seem to think and speak differently than others. The complex ideas and esoteric terminology that rarely finds its way outside of the philosophy classroom can make collection development, research services, and even simple faculty-to-librarian communication difficult. To succeed as a librarian subject specialist, you should work hard to develop an adequate understanding of the types of materials that are most valuable to your community. Cultivating this knowledge is critical because budgets are limited. This volume will help librarians thrust into the position of philosophy subject specialist to get up to speed and begin excelling in their new roles. The goal of this guide is to simplify collection development and research assistance for philosophy. To accomplish this, I will provide a brief overview of philosophy as a field and share the information you need to succeed in your role as the new philosophy selector. This volume will help to alleviate some of the communication barriers between philosophers and librarians and will provide practical advice, recommendations, and resources for building a strong philosophy collection. (shrink)

Central to much medical ethical analysis is the concept of the role of the physician. While this concept plays an important role in medical ethics, its function is largely tacit. The present paper attempts to bring the concept of a social role to prominence by focusing on an historically recent and rather richly contextured role, namely, that of consultation liaison psychiatry. Since my intention is primarily theoretical, I largely ignore the empirical studies which purport to develop the detailed functioning of (...) the role. My limited intent is to draw attention to the theoretical complexity of the consultation liaison role as an example of the general relevance of role concepts to medical ethics. For this reason, consultation liaison psychiatry will function as an illustration of fundamental concepts of medical ethics rather than as a subject of analysis in its own right. Similarly, the concept of the social role will be developed only as is necessary to explore the general relationship between the consultation liaison role and ethical analysis. Keywords: medical ethics, consultation liaison psychiatry, social role, autonomy, institution CiteULike Connotea Del.icio.us What's this? (shrink)

With this issue George Annas contributes his last At Law to the Hastings Center Report. Since the column was inaugurated in 1976 as Law and the Life Sciences, George has charted the course of biomedical ethics in the courts, challenging readers to come to grips with an emerging body of law in provocative analyses of critical decisions. As he retires from this column we wish him well, and look forward to his continued contributions to our pages. In bidding (...) farewell to one friend we are nonetheless pleased to welcome another as Alexander Morgan Capron, Henry W. Bruce University Professor of Law and Medicine at the University of Southern California and codirector of the Pacific Center for Health Policy and Ethics, joins the Report in the September‐October issue as a regular contributor to this column. Prof. Capron, formerly executive director of The President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, is a distinguished scholar and writer well known to our readers. We welcome the opportunity to share his insights on issues before courts and legislatures nationwide. (shrink)

The authors of this article are previous or current members of the Clinical Ethics Consultation Affairs (CECA) Committee, a standing committee of the American Society for Bioethics and Humanities (ASBH). The committee is composed of seasoned healthcare ethics consultants (HCECs), and it is charged with developing and disseminating education materials for HCECs and ethics committees. The purpose of this article is to describe the educational research and development processes behind our teaching materials, which culminated in a case studies book called (...) A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care (hereafter, the Study Guide). In this article, we also enumerate how the Study Guide could be used in teaching and learning, and we identify areas that are ripe for future work. (shrink)

To the uninitiated, academic philosophy can be intimidating. Its extensive history (over two millennia) and seemingly all-encompassing breadth and depth of study makes knowing everything about philosophy impossible. Philosophers are fortunate because they are expected to specialize in specific areas, but librarians are not as fortunate. Librarians often have collection development responsibilities for a variety of academic disciplines. Collection development in philosophy can seem like a world unto itself in part because philosophical inquiry reaches into other academic disciplines. Amongst academic (...) philosophers, there are different approaches or methodologies for doing philosophy, including eastern and western philosophy, as well as a divide between analytic and continental philosophers. In addition to growing the collection, the philosophy subject librarian may be called upon by philosophers and aspiring philosophers (i.e., students) for research assistance. To make matters more intimidating, philosophers seem to think and speak differently than others. The complex ideas and esoteric terminology that rarely finds its way outside of the philosophy classroom can make collection development, research services, and even simple faculty-to-librarian communication difficult. To succeed as a librarian subject specialist, you should work hard to develop an adequate understanding of the types of materials that are most valuable to your community. Cultivating this knowledge is critical because budgets are limited. This volume will help librarians thrust into the position of philosophy subject specialist to get up to speed and begin excelling in their new roles. The goal of this guide is to simplify collection development and research assistance for philosophy. To accomplish this, I will provide a brief overview of philosophy as a field and share the information you need to succeed in your role as the new philosophy selector. This volume will help to alleviate some of the communication barriers between philosophers and librarians and will provide practical advice, recommendations, and resources for building a strong philosophy collection. (shrink)

This article presents a comparative theory of subjective argument strength simple enough for application. Using the axioms and corollaries of the theory, anyone with an elementary knowledge of logic and probability theory can produce an - at least minimally rational - ranking of any set of arguments according to their subjective strength, provided that the arguments in question are descriptive ones in standard form. The basic idea is that the strength of argument A as seen by person x is a (...) function of three values: x ’s degree of belief in the premisses of A; x ’s degree of belief in the conclusion of A under the assumption that all premisses of A are true; and x ’s belief in the conclusion of A under the assumption that not all premisses of A are true. (shrink)

This piece offers a retrospective review of a plenary speech at the 1969 Annual Meeting of the American Public Health Association by the leading environmentalist of the Nixon administration, attorney and judge Russell Train. Train's talk, titled “Prescription for a Planet,” can be seen as an early argument for uniting environmental health and public health as the two main determinants of both individual and population health and for the inclusion of these fields in the then‐new field of “bioethics.”.

In lieu of an abstract, here is a brief excerpt of the content:George J. Leonard EMERSON, WHITMAN, AND CONCEPTUAL ART The widespread abandoning of the art object at the end of the 1960s was taken as something radically, even frighteningly, new, by critics and artists alike. Objects, concept artist Joseph Kosuth was asserting by 1969, are "irrelevant" to art. Though an artist might choose, as in the past, to "employ" objects, "all art is finally conceptual." In fact it was (...) now time that the object, nothing more than the "physical residue" of the artist's mental activity, was dispensed with.1 "We / open our eyes and ears seeing life / each day excellent as it is," John Cage chanted: "This / realization no longer needs art...."2 Aestheticians as disparate as Murray Krieger and Harold Rosenberg reacted to this "transfiguration of the commonplace," as Arthur Danto has called it. Danto has gained a wide scholarly audience for his ideas about the 1960s as "the end of art," or at least as the beginning of "post-historical art."3 We know from such works as Renato Poggioli's TL· T^ry oftL· Avant-Garde that, in this century, particular movements have routinely declared themselves to be art's climax.4 Critics like Jacques Barzun and artists like Amedee Ozenfant had been saying for years that art was exhausted. Yet conceptualism's attack on the object struck most critics as something both alarming and new: Irving Sandler wrote in a special edition of the College Art Association's Art Journal devoted to the problem that it demolished "every notion of what art should be,"5 and Murray Krieger feared that this "leap beyond Pop Art" would "complete the obliteration of the realm of art, its objects, its museums...."6 But the conceptualist attacks on the art object were, in fact, not new. One can find attacks as scathing in Emerson and Whitman; so scathing, that criticism has rarely taken them seriously. The attacks the concep297 298Philosophy and Literature tualists mounted in the 1960s were only the culmination ofan intellectual tendency which appeared throughout the West one hundred and sixty years before. It has long been a scholarly commonplace that after 1800 an "intellectual tendency"—as M. H. Abrams finallytermed it—extolling the possibilities of this world emerged in all parts of Western culture. When itappears in literature we nowusually call it, withAbrams, Natural Supernaturalism; or, with Harold Bloom, the "visionary company." Man, Wordsworth decreed, can and must learn to find "Paradise" in "the common day."7 Surprisingly litde work has been done on what happened when this intellectual tendency, Natural Supernaturalism, confronted the art object. Emerson and Whitman can stand for many who were necessarily ill at ease with the idea of art objects as elite objects superior to the common things it was their mission to extol. Wordsworth works before these two; Ruskin develops similar ideas into greater complexity; but since Emerson writes clear expository prose and avoids fanciful terminology, he makes a good place to enter this dark wood. Let us begin with some straightfor-ward, overdue interdisciplinary history, reading Emerson on the art object, noticing similar passages in Whitman, and noting where Emerson has reworked Hegel for his own ends. For Emerson objects are but thought's "inert effect," as for the concept artist Kosuth they would be but the "physical residue" of the artist's activity. Emerson and Kosuth, opposite Shakespeare, do not applaud the art process as the giving to an airy nothing a local habitation and a name; rather they disdain the stuff as petrifactions, as dead mud footprints left by living thoughts diat have raced away.8 In his essay "Circles," Emerson derides our admiration for a work of architecture, directing us to the "litde waving hand" that built it, for "that which builds is better than that which is built." By the same logic, the invisible thoughts which truly wrought the object were even better than the hand and "nimbler."9 When such passages are discussed at all, they are usually considered Platonic,10 but, in his essay "Art," Emerson envisions a use for art objects Plato would have blinked at. For the time being, art objects have a particular "office" to fill. That office, Emerson wrote in... (shrink)

Underlying Husserl’s complex analyses of phenomenology, and specifically his conception of transcendental subjectivity, is a relatively unexamined description of the notion of persons. What I will be concerned with here is a critical analysis of Husserl’s concept of persons as it emerges in his various attempts to characterize the nature of constituting subjectivity and to distinguish the transcendental ego from the natural self. An attempt will be made to indicate that there is a tension in Husserl’s thought between his apparent (...) desire to avoid psychologism and the naturalistic standpoint on the one hand, and, on the other hand, his intention to preserve the notion of personal existence. This tension first presents itself in his endeavor to distinguish transcendental subjectivity from psychologistic subjectivity and, hence, it is at this point that we must begin to explore his phenomenology of persons. (shrink)

Karl Popper discovered in 1938 that the unconditional probability of a conditional of the form ‘If A, then B’ normally exceeds the conditional probability of B given A, provided that ‘If A, then B’ is taken to mean the same as ‘Not (A and not B)’. So it was clear (but presumably only to him at that time) that the conditional probability of B given A cannot be reduced to the unconditional probability of the material conditional ‘If A, then B’. (...) I describe how this insight was developed in Popper’s writings and I add to this historical study a logical one, in which I compare laws of excess in Kolmogorov probability theory with laws of excess in Popper probability theory. (shrink)

I set up two axiomatic theories of inductive support within the framework of Kolmogorovian probability theory. I call these theories ‘Popperian theories of inductive support’ because I think that their specific axioms express the core meaning of the word ‘inductive support’ as used by Popper (and, presumably, by many others, including some inductivists). As is to be expected from Popperian theories of inductive support, the main theorem of each of them is an anti-induction theorem, the stronger one of them saying, (...) in fact, that the relation of inductive support is identical with the empty relation. It seems to me that an axiomatic treatment of the idea(s) of inductive support within orthodox probability theory could be worthwhile for at least three reasons. Firstly, an axiomatic treatment demands from the builder of a theory of inductive support to state clearly in the form of specific axioms what he means by ‘inductive support’. Perhaps the discussion of the new anti-induction proofs of Karl Popper and David Miller would have been more fruitful if they had given an explicit definition of what inductive support is or should be. Secondly, an axiomatic treatment of the idea(s) of inductive support within Kolmogorovian probability theory might be accommodating to those philosophers who do not completely trust Popperian probability theory for having theorems which orthodox Kolmogorovian probability theory lacks; a transparent derivation of anti-induction theorems within a Kolmogorovian frame might bring additional persuasive power to the original anti-induction proofs of Popper and Miller, developed within the framework of Popperian probability theory. Thirdly, one of the main advantages of the axiomatic method is that it facilitates criticism of its products: the axiomatic theories. On the one hand, it is much easier than usual to check whether those statements which have been distinguished as theorems really are theorems of the theory under examination. On the other hand, after we have convinced ourselves that these statements are indeed theorems, we can take a critical look at the axioms—especially if we have a negative attitude towards one of the theorems. Since anti-induction theorems are not popular at all, the adequacy of some of the axioms they are derived from will certainly be doubted. If doubt should lead to a search for alternative axioms, sheer negative attitudes might develop into constructive criticism and even lead to new discoveries. -/- I proceed as follows. In section 1, I start with a small but sufficiently strong axiomatic theory of deductive dependence, closely following Popper and Miller (1987). In section 2, I extend that starting theory to an elementary Kolmogorovian theory of unconditional probability, which I extend, in section 3, to an elementary Kolmogorovian theory of conditional probability, which in its turn gets extended, in section 4, to a standard theory of probabilistic dependence, which also gets extended, in section 5, to a standard theory of probabilistic support, the main theorem of which will be a theorem about the incompatibility of probabilistic support and deductive independence. In section 6, I extend the theory of probabilistic support to a weak Popperian theory of inductive support, which I extend, in section 7, to a strong Popperian theory of inductive support. In section 8, I reconsider Popper's anti-inductivist theses in the light of the anti-induction theorems. I conclude the paper with a short discussion of possible objections to our anti-induction theorems, paying special attention to the topic of deductive relevance, which has so far been neglected in the discussion of the anti-induction proofs of Popper and Miller. (shrink)

Modern medicine provides unprecedented opportunities in diagnostics and treatment. However, in some situations at the end of a patient’s life, many physicians refrain from using all possible measures to prolong life. We studied the incidence of different types of treatment withheld or withdrawn in 6 European countries and analyzed the main background characteristics.

Il est une question fondamentale dont il semble pourtant qu’elle n’ait pas été posée: celle de savoir ce qui fait que le cogito soit effectivement un principe métaphysique, c’est-à-dire une vérité première. Il semble aussi que ce qui d’ordinaire tient lieu de réponse à cette question dans l’esprit des lecteurs de Descartes, c’est le sentiment vague qu’il s’agit là de la première vérité qui surgisse après la dévastation laissée par le doute universel de la Première Méditation, ou peut-être qui surgisse (...) au cœur de ce doute, puisque le doute ne s’autodétruit que pour faire place à ego sumOr s’en tenir à cela pour justifier le statut de principe métaphysique du cogito, c’est confondre priorité chronologique et primauté métaphysique ou épistémique: en effet, qu’y aurait-il dans le seul fait de se présenter ainsi qui assure que le cogito doive fonder d’autres connaissances, d’éventuelles sciences? Qu’est-ce qui empêcherait aussi qu’il ne soit lui-même assujetti à d’autres connaissances, plus fondamentales, et dont le méditant ne se serait peut-être pas encore aperçu? Il est vrai que cette confusion est compréhensible, puisque la primauté métaphysique du cogito coïncide effectivement avec sa priorité dans l’ordre des connaissancesMais dans le doute ambiant, celle-ci n’est en réalité qu’un effet de celle-là, et le simple fait de constater l’une ne revient pas à être assuré de l’autre. Il ne peut s’agir donc que d’une coïncidence, et la question se pose dès lors de savoir comment se traduit sa primauté, c’est-à-dire comment doivent se concevoir ses rapports avec le reste de nos éventuelles connaissances. (shrink)

Frank Koughan and Walt Bogdanich's response to my article, “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics,” reminds me of the Shakespearean line, “The lady protests too much, methinks.” My article was not about the specifics of the 60 Minutes April 13, 1997, story on NHBD at the Cleveland Clinic Foundation , even though the story formed the basis for the reflection. I did not attack the critics, though I do believe that bioethicists are accountable for their scholarly and public (...) pronouncements. Although I do not see why the 60 Minutes' story should be treated with deference, my article was designed to raise questions for a primarily bioethics audience about the involvement of bioethicists in media coverage of bioethics topics. I am flattered that they took notice of my piece, but think their efforts to set the record straight only obfuscate matters further. (shrink)

“Why is there something rather than nothing?” This is perhaps one of the most annoying questions posed in recent times by and to philosophers. It has troubled at least two major thinkers in the last and in this century, namely the romantic idealist Friedrich Schelling and the contemporary existentialist Martin Heidegger, since it was first formulated by Leibniz. We can easily get rid of the question as being simplistic; since although it may be true that nothing is simpler than something, (...) we have no notion of what the simplicity of nothing might consist in. Or we can say that the question is related to the theological answer of a benevolent creator, and hence is not able even to be asked within the ambient of the finite human understanding. Or we may say that the question is supremely hypothetical, in that it would presuppose what is not, in fact, the case; and philosophy can be concerned only with what is. Furthermore, to ask the question in any genuine fashion, the nonexistence of the questioner would seem to be required. The question, therefore, appears Zen-like: “What is the answer to a question posed by a nonexistent questioner?”. (shrink)

George J. Stack traces the sources of ideas and theories that have long been considered the exclusive province of Friedrich Nietzsche to the surprisingly radical writings of the American essayist and poet, Ralph Waldo Emerson. Nietzsche and Emerson makes us see Emerson's writings in a new, more intensified light and presents a new perspective on Nietzsche's philosophy. Stack traces how the rich theoretical ideas and literary images of Emerson entered directly into the existential dimension of Nietzsche's thought and hence (...) into the stream of what has been considered a distinctively European intellectual movement. Book jacket. (shrink)

The central question dealt with in this article is some of the traditional understandings of, And uses of, The idea of dialectic. It is argued that dialectical thinking is not itself 'contradictory', But is a distinctive mode of thinking which is neither strictly deductive nor inductive reasoning. As illustrated in the use of the term in kierkegaard, Hegel, And sartre, Dialectical thinking appears to be a kind of psychologistic, Impressionistic mode of thought which seems ideally suited to describing social phenomena. (...) While passing reference is made to marx's use of the term, It is suggested that the notion of dialectics is useful in other, Non-Marxian, Forms of philosophical inquiry. (shrink)

This timely work brings together a group of the nation's leading experts in genetics, medicine, history of science, health, law, philosophy of science, and medical ethics to assess the current state of modern human genetics, and to begin to chart the legal and ethical guidelines needed to prevent the misuse of human genetics from leading to the abuse of human beings. The six sections of the book, read together, map the social policy con tours of modern human genetics. The first (...) part describes the science of the Human Genome Project. The second addresses specific social policy implications, including the relevance of recombinant DNA history, the eugenics legacy, military applications, and issues of race and class in the context of genetic discrimination. Broader philosophical issues, including reductionism and determinism, the concept of disease, and using germline gene therapy to "improve" human beings are discussed in the third part. (shrink)

Over the last century, Alzheimer’s disease has proven a highly malleable concept. Initially an obscure diagnosis pertaining to rare cases of young onset dementia, by the latter half of the 20th cen...

Paul Weingartner's classification of the sciences is analyzed in detail. There is a small mistake in the definition of the set of descriptive-normative sciences, which makes the classification incorrect, but which can easily be remedied.

In the Optics, Descartes claims that telescopes and microscopes lead to morally certain knowledge. It is unclear, however, that Descartes’s expressed confidence in these instruments is warranted. In this article, I show how a limited range of telescope and microscope observations could lead to morally certain knowledge for Descartes, and how observations beyond this range admit of enough reasonable doubt to undermine moral certainty. I also explain moral certainty as a form of knowledge in Descartes’s scientific practices, his epistemic commitment (...) to optical instruments, and I offer an explanation for why Descartes never used optical instruments in his scientific endeavours. -/- ---- -/- Dans la Dioptrique, Descartes prétend que les télescopes et les microscopes donnent accès à des connaissances moralement certaines. Cependant, il n’est pas certain que la confiance accordée par Descartes à ces instruments soit justifiée. Dans cet article, je montre comment une gamme limitée d’observations effectuées à l’aide d’instruments d’optique pourraient mener aux connaissances moralement certaines pour Descartes, et comment d’autres observations allant au-delà de cette gamme introduisent suffisamment de doute raisonnable pour saper cette certitude morale. Enfin, j’interprète la certitude morale comme une forme de connaissance dans l’empirisme de Descartes, j’explique son engagement épistémique envers les instruments d’optique, et j’éclaire les raisons pour lesquelles il n’a jamais employé d’instruments d’optique dans ses propres recherches scientifiques. (shrink)

In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Third, I (...) analyze several definitions of the physician's professional obligation and discuss four conditions that morally qualify the obligation. And fourth, I explore why the views of economists and physicians differ so strikingly on the question of economic incentives. In the process of this analysis, I argue that criticisms of prospective payment systems which are premised primarily on the conflict between economic incentives to contain cost and the professional obligation of beneficence are probably as much a matter of rhetoric as serious argumentation. Keywords: autonomy, beneficence, cost containment, economic incentives, moral obligation, prospective payment CiteULike Connotea Del.icio.us What's this? (shrink)

This article discusses the approach of the Clinical Ethics Consultation Advisory Committee (CECA) in developing A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care. This article addresses the processes used by the CECA, its use of pivot questions intended to encourage critical reflection, and the target audience of this work. It first considers the salience of case studies in general education and their relevance for training ethics consultants. Second, it discusses the enfolding approach used in presenting the (...) case material designed to engage the trainee in the details of the case while stimulating critical reflection. And, third, this article briefly comments on the target audience with the caveat that even superbly developed cases are prone to misuse, although that prospect should not deter their development. (shrink)

This two-volume work bridges the gap between introductory expositions of logic or set theory on one hand, and the research literature on the other. It can be used as a text in an advanced undergraduate or beginning graduate course in mathematics, computer science, or philosophy. The volumes are written in a user-friendly conversational lecture style that makes them equally effective for self-study or class use. Volume II, on formal (ZFC) set theory, incorporates a self-contained 'chapter 0' on proof techniques so (...) that it is based on formal logic, in the style of Bourbaki. The emphasis on basic techniques will provide the reader with a solid foundation in set theory and provides a context for the presentation of advanced topics such as absoluteness, relative consistency results, two expositions of Godel's constructible universe, numerous ways of viewing recursion, and a chapter on Cohen forcing. (shrink)

Abortion stories have always played a powerful role in advancing women’s rights. In the abortion sphere particularly, the personal is political. Following the Court’s reversal of Roe v. Wade, abortion politics, and abortion storytelling, take on an even deeper political role in challenging the bloodless judicial language of Dobbs with the lived experience of women.

We address the fundamental question why we should use PageRank and similar link-based algorithms in search engines, if at all. In a legendary article from 1998, the Google founders gave an intriguing wisdom-of-crowds justification for PageRank according to which the latter tracks quality online. This striking suggestion stands in contrast to the view that PageRank merely tracks what is popular. However, Masterton and Olsson showed that web-ecologies generated by Google-like assumptions essentially fail to reflect the scale-free structure of the web. (...) They pointed to attraction to popularity or a rich-get-richer effect being the likely main cause of scalefreeness. In this article, we explore dual models of linking behavior, i.e. models that combine attraction to importance with attraction to popularity. Our results, obtained through computer simulation, indicate that there exist dual models that give rise both to a wisdom-of-crowds effect for PageRank and to scale-free web-graphs, thus giving a partial vindication of the wisdom-of-crowds thesis for the real web. Future work should explore larger web-graphs as well as other aspects pertaining to the empirical plausibility of dual linking models. (shrink)

L'absence d'une analyse quelconque du concept de vérité a de quoi surprendre dans un discours qui se propose de dire à quelles conditions s'obtient cette vérité. C'est pourtant bien de cette carence que souffrent les Méditations. A l'exception d'une brève allusion, dans la Cinquième Méditation, attribuable d'ailleurs à Clerselier, et dans une traduction remaniée par lui mais non approuvée par Descartes, le mot « vérité » n'y est défini nulle part.

Thomasma and Pellegrino''s [3] focus on the healing relationship as the way to give medical ethics a philosophical foundation contains a number of difficulties. Most importantly, their approach focuses philosophical analysis on an idealized view of the healing relationship in which the ideal of health is seen as an uncontroversial norm in the individual case. medical ethics is then characterized as an intrinsic part of the medical act itself. Philosophical inquiry seems limited to a description of the practice of medicine (...) in which ethical norms are embodied. Insufficient attention to methodology leaves unclear how this vision is to be achieved in philosophical reflection. (shrink)

This study investigated the performance of boys with psychopathic tendencies and comparison boys, aged 9 to 17 years, on two tasks believed to be sensitive to amygdala and orbitofrontal cortex func- tioning. Fifty-one boys were divided into two groups according to the Psychopathy Screening Device (PSD, P. J. Frick & R. D. Hare, in press) and presented with two tasks. The tasks were the gambling task (A. Bechara, A. R. Damasio, H. Damasio, & S. W. Anderson, 1994) and the Intradimensional/ (...) Extradimensional (ID/ED) shift task (R. Dias, T. W. Robbins, & A. C. Roberts, 1996). The boys with psychopathic tendencies showed impaired performance on the gambling task. However, there were no group differences on the ID/ED task either for response reversal or extradimensional set shifting. The implications of these results for models of psychopathy are discussed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What Emotional Responding Is to Blame It Might Not Be to ResponsibilityR. J. R. Blair (bio)Keywordsblame, responsibility, emotional responses, psychopathyIn this interesting paper, Levy argues that by failing the moral/conventional distinction task (Blair 1995), individuals with psychopathy show a fundamental inability to categorize moral harms and as such their moral responsibility for their actions is reduced. He argues that, although we might still wish to incarcerate such (...) individuals to prevent them inflicting further harm on others, we should be less enthusiastic to blame them for their actions.In many respects, I agree with much of Levy's treatise. I certainly do not regard ascriptions of blame as useful in my own work with this population. I believe that our goal should be to fully understand the nature of their emotional deficit to be able to treat it similarly to other researchers who work to treat other emotional disorders. To me, Levy's argument appears sound.However, I offer three considerations and raise questions within these considerations that might further the debate. First, not all rules involve care-based emotional responses to victims. As Levy notes, this is the origin of the moral/conventional distinction. The problem here is that we do consider someone responsible if they break a conventional transgression. The student talking in class is generally considered blameworthy for this action as long as they knew that the rule of not talking during the lesson applied to that classroom. Yet, there is no victim and no care-based emotional response. Here, the only thing necessary to ascribe blame and responsibility is that the individual knew that a rule exists. Given this holds for conventional transgressions, why must we necessarily make a special case, with respect to responsibility, for moral transgressions?I believe that Levy is fully aware of this concern. He specifically makes reference to moral responsibility and writes that:the kind and degree of wrongness, and therefore blame, which attaches to infringements of the rules [against double parking or line-jumping] is very different, and usually much less significant, than the kind and degree attaching to moral wrongs. For psychopaths, all offences are merely conventional, and therefore—from their point of view—none of them are all that serious.(2007, p. 132)But the danger here is that issues of blame and responsibility may become highly relativistic and hinge on the strength of the emotional reaction. This is a problem because, although we might judge someone as more blameworthy if he intentionally [End Page 149] runs over five people rather than one, do we really consider that there is a distinction in moral responsibility between these two cases? If not, might not responsibility relate to factual knowledge of the existence of the rule against the transgression rather than the emotional response to the transgression?Second, there is considerable debate regarding whether psychopathy represents a taxon or a continuum (e.g., Vasey et al. 2005; Edens et al. 2006). Assuming it does represent a continuum, then we have an additional concern. How little of an emotional response to the transgression reduces one's moral responsibility and blame? Is it only the very reduced (although usually not absent) levels of emotional response that are shown by individuals with psychopathy? Or should we consider moral responsibility and blame proportional to the level of the emotional response? If this latter option is adopted, then what should we do about individuals who show heightened emotional responses, for example, patients with specific anxiety disorders (Rauch, Shin, and Wright 2003)? There are already some data that inhibited children (a developmental precursor to some anxiety disorders; Kagan and Snidman 1999) show heightened conscience development (Asendorpf and Nunner-Winkler 1992). If such children commit moral transgressions, should we regard them as more morally responsible and more blameworthy than regular folks?Third, the issue of intention received little attention in this paper. I have been considered to show a similar lack of attention to intention in the past (Nichols 2002) and, moreover, in some respects the issue was of limited concern given Levy's main goals. However, I mention it because so much of whether we consider someone responsible for their actions and... (shrink)

The paper deals with the meaning of the transcendental imagination in Kant’s Critique of Pure Reason, comparing it with the productive imagination proposed by Fichte in his Wissenschaftslehre of 1794. It also presents Heidegger’s views concerning both Kant and Fichte. Regarding Kant there is also a discussion of the difference between the first and second editions of the First Critique. It may be noted that Heidegger prefers the first edition to the second, since, in his view, the latter leads into (...) German Idealism. In Fichte’s philosophy the imagination plays a considerably larger role than it does in Kant. And Heidegger early on recognizes the importance of Fichte as a philosopher in its own right, and not just, as was customary in the period, a mere transitional figure between Kant and Hegel. The paper concludes with a critique of Heidegger’s views regarding both Fichte and Kant. Though there is an addendum discussing the function of the imagination in the aesthetics of Kant, in that of Fichte, and a brief comparison with Heidegger’s own aesthetics. (shrink)

Heidegger revisits German idealism after the “turn” in his thought in the mid-1930’s. There are a couple of reasons for this. One is philosophical, if not “theological” in his sense of that term. The other is personal. This later reason is emphasized by Otto Pöggeler, who suggests that after 1945 Heidegger sought to understand what had gone wrong in the tragic European debacle. Heidegger will lay the blame at the doorstep of what he terms onto-theology and the subjectivism he sees (...) as endemic to the German idealist tradition, above all as exemplified in Hegel’s “onto-theo-ego-logy.” The article explores Heidegger’s reading of this tradi­tion of German philosophy as it begins with Leibniz and culminates in Nietzsche. It is the Event itself that makes possible the overcoming of metaphysics and its onto-theology. As Heidegger says in Contributions to Philosophy (From the Event), the ens realissimum (das Seiendste) “is” no more. It is the Event (Ereignis) that is the “most real,” since it is the Event that shows up and manifests itself as the revelation of the truth of Beinge in Da-sein, the being that is there in the Event. (shrink)

More and more, we present ourselves and encounter others through profiles. A profile shows us not as we are seen directly but how we are perceived by a broader public. As we observe how others observe us, we calibrate our self-presentation accordingly. Profile-based identity is evident everywhere from pop culture to politics, marketing to morality. But all too often critics simply denounce this alleged superficiality in defense of some supposedly pure ideal of authentic or sincere expression. This book argues that (...) the profile marks an epochal shift in our concept of identity and demonstrates why that matters. You and Your Profile blends social theory, philosophy, and cultural critique to unfold an exploration of the way we have come to experience the world. Instead of polemicizing against the profile, Hans-Georg Moeller and Paul J. D’Ambrosio outline how it works, how we readily apply it in our daily lives, and how it shapes our values—personally, economically, and ethically. They develop a practical vocabulary of life in the digital age. Informed by the Daoist tradition, they suggest strategies for handling the pressure of social media by distancing oneself from one’s public face. A deft and wide-ranging consideration of our era’s identity crisis, this book provides vital clues on how to stay sane in a time of proliferating profiles. (shrink)

In this first full treatment of the philosophy of art of Nietzsche in English, Young traces the positions that Nietzsche adopts in regard to the nature of creativity, the purpose of art, and its ideal aesthetic effects in his published writings. With a few exceptions the notes in the Nachlass are eschewed and the primary focus is on the conception of art presented in The Birth of Tragedy. From the beginning one senses that this commentary on, interpretation of, and critical (...) appraisal of Nietzsche's aesthetics is fresh, sprightly, and more than an account of what Nietzsche said about art. It is bold, insightful, and, in its denouement, irreverant. Young has taken Zarathustra-Nietzsche at his word: he is not a follower, not a disciple. (shrink)

Overshadowed by his critiques of traditional morality and Christianity, many of Nietzsche’s insightful philosophical analyses have often been neglected. Although Nietzsche as philosopher has, at long last, been recognized, his epistemological reflections are a fairly recent discovery in Anglo-American philosophy. This is curious because some of the earliest German interpreters of his thought had emphasized the link between his metaphysical views and his analyses of human knowledge. At the beginning of this century, Eisler and Rittelmeyer discussed the importance of Erkenntnistheorie (...) for a full understanding of Nietzsche’s philosophy. Despite their basic grasp of his philosophical intentions, they sometimes misunderstood or underplayed central points in his critical negations. With rare exceptions, the significance of what Nietzsche called an “internal phenomenology” has often been overlooked. Even when it is alluded to, the full meaning of this method of analysis is not brought out. My intention here is to show how the concept of causality is construed by Nietzsche and how his analysis of its origin is related to a phenomenology of human intentionality. The analysis of the derivation of the idea of causality that is presented by Nietzsche has an intrinsic interest and the issues concerning the formation of the concept and its validity are obviously still vital ones. (shrink)

There is something very flattering, to the artist, in Schelling’s view of creativity. Put simply: the creativity of the artist is like the creativity of God. There can, however, be something disturbing, not so say embarrassing, about flattery. Even if one can be certain of the complete seriousness of the flatterer—and German philosophers tend to take themselves very seriously—one may feel a little uncomfortable in the face of what could be overflattery. Of course, the creativity of the artist may tell (...) us something about the creativity of God, if, indeed, God created the artist; however, to argue successfully the similarity between the two will require at least one assumption: namely, a similarity in the concept of person or personality in God and in the artist. (shrink)

The paper's thesis is that dialogue is not an adequate model for all types of argument. The position of Walton is taken as the contrary view. The paper provides a set of descriptions of dialogues in which arguments feature in the order of the increasing complexity of the argument presentation at each turn of the dialogue, and argues that when arguments of great complexity are traded, the exchanges between arguers are turns of a dialogue only in an extended or metaphorical (...) sense. It argues that many of the properties of engaged back-and-forth exchanges of paradigmatic argument dialogues are not found in ‘solo’ arguments, and that at least some of the norms appropriate to the former type of argument, such as some of the pragma-dialectical rules of van Eemeren and Grootendorst's model, do not apply to the latter. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:366 HISTORY OF PHILOSOPHY In harmony with Glaucon or Kant, but unlike Thrasymachus, Ballard is unconvinced by Socrates' virtual identification of virtue with art (T~xpv)or expert knowledge (cf. 24f., 50-79). For the "tragic" intellectualism embraced by both Socrates and Thrasymachus precludes the "existential loyalty" prized by Ballard's Plato and Plato's Glaucon. Against "existential loyalty," Socrates' philosopher-kings, if left to themselves, would commit crimes of omission perhaps more heinous than (...) the crimes of commission perpetrated by Thrasymachus' paragon of wisdom, the perfect tyrant. Although aware that only their leadership can prevent the greatest evils in states, philosophers nevertheless refuse to rule, even in the ideal state, unless compelled (cf. Republic, 519B7-520A4). Thus neither Thrasymachus' tyrant nor Socrates' philosopher would willingly sacrifice their own pleasure and happiness for the common good. Their "epicurean" taste contrasts sharply with Ballard's more Kantian or Biblical call for "existential loyalty." No compulsion would be necessary to obtain the return of Ballard's philosophers to the political responsibilities of the "cave." For his subordination of reason to myth precludes escape from the "cave" either in the satanic direction of Thrasymachus or the divine direction of Socrates (cf. 120). However one may evaluate Ballard's solution to the central problem of Platonism, his book surely encourages the dialectic which, in spite of his intentions, may lead to the knowledge cherished by the Republic's Thrasymachus and Socrates. Against their "tragic" intellectualism, neither Ballard nor anyone else can prove more than what the Republic's Socrates admitted: The fact of infallible knowledge is incontestable only for those experiencing it within themselves, while the claim to possess it necessarily seems mere pretense or, at worst, tragic hubris to men whose introspection reveals no rational instrument (~p~,~ov) capable of apprehending the absolute good (Republic, 527D5--528A1; cf. Protagoras, 352A8-353B3; Aristotle, Nicomachean Ethics, l177B27-11791A3; Metaphysics, 982B28-98385). The following minor errors were noted: Page 6, note 1: read "Bury" for "Bary"; page 24 (line 7 from bottom): read "Prot. 358C for "Prot. 385C" ; page 28, line 4: read "Nicias" for "Nisias" ; page 66 (line 8 from bottom): read "Republic IX" for "Republic IV." HARRY NEUMANN Scripps College Plato on Immortality. By Robert Leet Patterson. (University Park, Pa.: The Pennsylvania State University Press, 1965. Pp. 141. $5.00.) In this sympathetic account of Plato's arguments for the immortality of the soul (as presented in the Phaedo and the Phaedrus) Professor Patterson has attempted to argue that Plato believed that his arguments were complete 'demonstrations' of the immortality of the soul. The author is concerned to indicate the intention, the background, and the structure of the various arguments which Socrates presents in defense of the view that the soul is immortal. In the course of his discussions Patterson seems to involve himself in a number of large issues (e.g, the problem of psycho-physical dualism, the concept of substance, the critique of materialism and epiphenomenalism, and the meaning of Plato's doctrine of Forms) which are not dealt with comprehensively and which transcend the primary concern of his book. The digressions which lead Patterson into exceedingly difficult philosophical problems and, in some cases, into the realm of exotic analogies (e.g., he at one point compares Plato's dualism to the views of Jainism, Hinayana, Samkhya, Nyaya-Vaiseshik, and Mimamsa metaphysics I) detract from the value of the book and tend to divert him from his basic intention. His defences of Plato's arguments are, on the other hand, interesting, if debatable. The basic teaching of the Phaedo is, it is said, that the soul in essence does not belong to the realm of becoming, but is a sempiternal entity. The first argument which Socrates prepublic : Utopia or Dystopia? " (The Modern Schoolman, May, 1967). On the relation of sophistry to the problem of the xwp~qp~,see Diotim~ts Concept of Love," American Journal of Philology, 86 (1965), 47-50. BOOK REVIEWS 367 sents is said to have a "Heraclitean" structure (p. 22) presumably because it appeals to a conception of "opposites." On this basis, the argument could just as well be described as Pythagorean. At any rate, the argument assumes... (shrink)

Moral leadership matters. As world politics enters a new and dangerous era, judgment, constancy, moral purpose, and a willingness to overcome partisan politicking are essential for America's leaders. Tempered Strength finds the alternative standard of leadership that Americans are seeking in the classical philosophy of prudence. Ethan Fishman's new work brings together leading American political scientists—including Ronald Beiner, Kenneth L. Deutsch, and George Anastaplo—to discuss the evolution of a standard of prudential leadership both reasonable in nature and practical in (...) scope. Section One studies the meaning of prudence and its evolution in the history of political science from Aristotelian phronesis to Xenophon, Thomas Aquinas, Edmund Burke, and Michael Oakeshott. Section Two demonstrates how the theory of prudential leadership can be applied to practical political issues. (shrink)

The French philosopher Gilles Deleuze presenting an exposition and interpretation of, and a commentary on, the variegated thought of Michel Foucault promises a great deal. Although this promise is, in large part, fulfilled, it makes for a book that is not an introduction to Foucault and not a free-wheeling interpretation of the central themes of his philosophy. Add to this that Bové's foreword points out questionable interpretive points in Deleuze's text and engages in a polemic against Charles Taylor's understanding of (...) Foucault that sounds ad hominem but is directed against Taylor's presumed pose as a neutral professional philosopher who employs the techniques of analytic philosophy, and we have an unusual philosophical brew that is almost too hot to ingest. Put another way, what Foucault said and what he meant is made contentious ab initio. Moreover, Deleuze cuts across all of Foucault's writings and, hence, presupposes an almost professional familiarity with his works. (shrink)

The DSM-IV, like its predecessors, will be a major influence on American psychiatry. As a consequence, continuing analysis of its assumptions is essential. Review of the manuals as well as conceptually-oriented literature on DSM-III, DSM-III-R, and DSM-IV reveals that the authors of these classifications have paid little attention to the explicit and implicit value commitments made by the classifications. The response to DSM criticisms and controversy has often been to incorporate more scientific diversity into the classification, instead of careful inquiry (...) and assessment of the principal values that drive the nosologic process. Implications for psychiatric science and future DSM classifications are discussed. Keywords: DSM-III, DSM-III-R, DSM-IV, Psychiatric Classification, values CiteULike Connotea Del.icio.us What's this? (shrink)

Contrairement à ce que peut suggérer l ’ expression de lumière naturelle lorsqu ’ il en est question, le cogito n ’ est pas une vérité de la raison. La raison est révoquée en doute au moment où il survient et ne saurait donc en assurer la vérité. Ce rôle est dévolu à la réflexivité de l ’ acte par lequel la pensée se constitue son propre objet lorsqu ’ elle affirme Je suis : immédiatement accessible à elle-même, c ’ (...) est une chose dans le monde, et par conséquent un existant, qu ’ elle saisit ainsi, non pas une représentation. Le cogito est ainsi inextricablement impliqué dans un acte certes, mais cet acte n ’ est pas le performatif qu ’ a voulu en faire Hintikka. La proposition qui l ’ exprime s ’ apparente en fait à une contingente : selon l ’ analyse ici proposée, il lui est en effet possible d ’ être fausse. (shrink)

Premissary relevance is a property of arguments understood as speech act complexes. It is explicable in terms of the idea of a premise's lending support to a conclusion. Premissary relevance is a function of premises belonging to a set which authoritatively warrants an inference to a conclusion. An authoritative inference warrant will have associated with it a conditional proposition which is true— that is to say, which can be justified. The study of the Aristotelian doctrine of topoi or argument schemes (...) may contribute to the task of identifying authoritative warrants. (shrink)