Futile medical interventions have virtually no chance of success. Doctors might perform such procedures because of pressure from families or patients. The doctor might also have an ulterior motive of gain or prefer to do it rather than take time to communicate with the patient about a poor prognosis. Established ways to communicate bad news to patients are not always used by managing physicians with time constraints. The SPIKES protocol method is outlined to assist in sensitive communication where further intervention (...) is futile. This review primarily explores various aspects of medical futility. It also explores strategies for effectively communicating with patients and their families regarding futility interventions. A side-effect of futile interventions is burnout in doctors and other health practitioners (HPs). The complex relationship between futility and burnout is described. (shrink)

Recent work on extended mind theory has considered whether the material realizers of phenomenally conscious states might be distributed across both body and world. A popular framework for understanding perceptual consciousness in world-involving terms is sensorimotor enactivism, which holds that subjects make direct sensory contact with objects by means of their active, exploratory skills. In this paper, I consider the case of emotional experience, and argue that although the enactivist view does not transfer neatly to this domain, there are elements (...) of emotional consciousness whose physical underpinnings include parts of the extra-bodily environment. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:"The Fittest Man in the Kingdom":Thomas Reid and the Glasgow Chair of Moral PhilosophyPaul Wood (bio)Paul Wood Paul Wood is at the Department of History, University of Victoria, PO Box 3045, MS 7381, Victoria BC V8W 3P4 Canada. email: [email protected] August 1996Revised January 1997Notes. An earlier version of this paper was delivered at a plenary session of the 23rd International Hume Conference held at the University of Nottingham. For (...) comments and/or references, the author wishes to thank Roger Emerson, Carol Gibson-Wood, Knud Haakonssen, Ian Simpson Ross, Stephen Snobelen, M. A. Stewart, and the anonymous Hume Studies referees. For permission to cite and quote from manuscripts, he is grateful to the Keeper of the Manuscripts of Scotland as well as to the Librarians of Aberdeen University Library, Edinburgh University Library, Glasgow University Archives and Business Records Centre, Glasgow University Library (Department of Special Collections), the Mitchell Library Glasgow, and Dr. Williams' Library.1. Although little information survives regarding Law's teaching, we do know that he discussed Pufendorf in his classes; see Christine Mary King [Shepherd], "Philosophy and Science in the Arts Curriculum of the Scottish Universities in the Seventeenth Century," (Unpublished Ph.D. Dissertation, University of Edinburgh, 1974), 177. Carmichael's edition of Pufendorf first appeared in Glasgow in 1718, and a second edition was published in Edinburgh in 1724 while Hume was still a student there.2. The surviving correspondence between the two men from this period is to be found in The Letters of David Hume, ed. J.Y.T. Greig, 2 vols. (Oxford: Clarendon Press, 1932), I 32-35; 36-40; 45-48 (hereafter abbreviated as HL).3. The first detailed discussion of the 1745 election appeared in the introduction to David Hume, A Letter from a Gentleman to His Friend in Edinburgh, edited by Ernest C. Mossner and John V. Price (Edinburgh: Edinburgh University Press, 1967). This account has recently been challenged in Roger L. Emerson, "The 'Affair' at Edinburgh and the 'Project' at Glasgow: The Politics of Hume's Attempts to become a Professor," in Hume and Hume's Connexions, edited by M. A. Stewart and John P. Wright (Edinburgh: Edinburgh University Press, 1994), 1-22; and M. A. Stewart, The Kirk and the Infidel (Lancaster: Lancaster University Publications Office, 1995). For historically sensitive contextual analysis of Hume's philosophical relations with Hutcheson, see inter alia James Moore, "Hume and Hutcheson," in Stewart and Wright, 23-57, and M. A. Stewart, Warmth in the Cause of Virtue (Edinburgh: Edinburgh University Press, forthcoming).4. In January 1752, "Mr. Smith read an Account of some of Mr. David Hume's Essays on Commerce" to the Society, and Hume was elected a member in 1753; see Notices and Documents Illustrative of the Literary History of Glasgow, During the Greater Part of Last Century, edited by W. J. Duncan (Glasgow: T. D. Morison, 1886), 132-133. Hume's failed candidacy is discussed in Emerson, "The 'Affair' at Edinburgh," 14-16, and Ian Simpson Ross, The Life of Adam Smith (Oxford: Clarendon Press, 1995), 112-113. Smith's Glasgow colleague from 1751 to 1755, William Cullen, was also sympathetic to Hume's philosophy, as was John Millar, who was elected Professor of Law in 1761. On Cullen and Hume see J.R.R. Christie, "Ether and the Science of Chemistry: 1740-1790," in Conceptions of Ether: Studies in the History of Ether Theories 1740-1900, edited by G. N. Cantor and M.J.S. Hodge (Cambridge: Cambridge University Press, 1981), 90-96.5. David Hume to William Strahan, 26 October 1775, HL II 301.6. See, for example, The Works of Thomas Reid, D.D., edited by Sir William Hamilton, 4th ed. (Edinburgh: Maclachlan and Stewart, 1854), 30n; James McCosh, The Scottish Philosophy, Biographical, Expository, Critical, from Hutcheson to Hamilton (London: Macmillan, 1875), 36; James Veitch, "Philosophy in the Scottish Universities," Mind 2 (1877): 207-234 (209).7. John Rae, Life of Adam Smith (London and New York: Macmillan, 1895); William Robert Scott, Francis Hutcheson: His Life, Teaching and Position in the History of Philosophy (Cambridge: Cambridge University Press, 1900); idem., Adam Smith as Student and Professor (Glasgow: Jackson... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Jean Wyatt THE CELEBRATION OF EROS: GREEK CONCEPTS OF LOVE AND BEAUTY IN TO THE LIGHTHOUSE A voracious reader all her life, Virginia Woolf stored up patterns and images which she naturally wove into the fabric of her novels.1 Integrating literature of the past into her own works was also an affirmation of her belief that "everything comes over again a little differently," as Eleanor says in The Years. (...) Acutely aware of the prevailing fluidity of human life, Virginia Woolf sought a counterbalance in the principle of eternal recurrence. The whole chain of human history forms a "gigantic pattern, momentarily perceptible." It becomes perceptible when elemental forces in human life coincide with the forms of individuals, "making them symbolical, making them representative."3 In Mrs. Ramsay, Virginia Woolf combines a personal portrait of her mother with an evocation of eternal life forces in the "symbolical outline" (p. Ill) of Aphrodite, goddess of love, beauty and marriage, that Mrs. Ramsay irradiates. Events, too, can be "symbolical, and therefore perhaps permanent," in the words of Bernard in The Waves, when they reflect the continuity of human experience. The dinner party in To the Lighthouse contains ritual elements, reminders that it is one in a series of communal feasts. The search for truth in the midst of human pleasures, by means of human love, recalls one such banquet in particular, the Symposium.'' The central concerns of the Symposium are those of To the Lighthouse: striving for knowledge through love; the desire to create that beauty arouses; the paradox of the eternal in the midst of the transitory. The figures and patterns of Greek literature were part of Virginia Woolf's mental formation. She began learning Greek at King's College in 1897, at the age of fifteen.6 For the next few years, Greek was her chief refuge from a stifling Victorian society. From 10:00 a.m. to 1:00 p.m. every day she read Greek: Homer, Aeschylus, Euripides, all of Sophocles, Plato. Twice a week she met for Greek lessons, first 160 Jean WyATT161 with Clara Pater, then with Janet Case. Her letters speak of Greek as "the greatest of comforts to me" (April, 1900), "my daily bread, and a keen delight to me" (June, 1900); it "has so much attraction for me... that I don't want to do anything else" (February, 1905).8 A diary entry from 1924 shows how Greek "worked its way" into her life. Upon meeting a herd of cattle, "I waved my stick and stood at bay; and thought of Homer.... some mimic battle. Grizzle grew more and more insolent and excited and skirmished about yapping. Ajax? That Greek, for all my ignorance, has worked its way into me." Seeing Grizzle as Ajax is not different in kind from transforming Mrs. Ramsay into Aphrodite, Mr. Carmichael into Poseidon. Greek was in the forefront of Virginia Woolf's mind in 1924 because she had been reading Greek steadily since 1922 in preparation for the article "On Not Knowing Greek." "The amount of reading... that went into the production of that essay... was remarkable," comments Quentin Bell. She published the essay in 1925, the year she began To the Lighthouse. "On Not Knowing Greek" shows that Virginia Woolf knew the Symposium well: she discusses it for four pages, not with the analytical lens of a literary critic, but with loving familiarity. She first read the Symposium when she was about sixteen, but her intimacy with it suggests that she must have read it more than once. At the center of the Symposium is Diotima's doctrine: man has to work through a series of human loves to arrive at the eternal. Lily pursues a similar quest for knowledge through love. She loves Mrs. Ramsay, but, unable to satisfy her love on a personal level, casts about for a way of reaching "the spirit in her, the essential thing" (p. 76). She finally finds a way of loving that takes her to the essence of things when, ten years after Mrs. Ramsay's death, she sees and loves a Mrs. Ramsay who transcends the individual to become the form of love and beauty. To understand the... (shrink)

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Claudian's poem In Rufinum is a historical epic with at least two unusual features: the first book contains many of the standard elements of a formal invective, and the two books were composed and recited some eighteen months apart, since Book One celebrates the death of Rufinus on 27 November 395 as a very recent event , while the preface to Book Two refers explicitly to Stilicho's expedition to Greece in 397. The interval in composition is matched by a gap (...) in content: Book One treats Rufinus' career down to 393, with some forward references to 395, explicitly marked as such , while the narrative of Book Two begins from the death of Theodosius on 17 January 395 and ends with the lynching of Rufinus on 27 November 395. Claudian thus omits any account of Rufinus' activities during the campaign of Theodosius against Eugenius in 394 and the emperor's last months in Italy. Claudian's careful chronological ordering of his material is deliberate, but since it has been obscured in recent discussions of the In Rufinum, it needs to be reinstated. (shrink)

One of the basic categories of religious consciousness, which has an inexhaustible spiritual-moral potential that is relevant to our times, is undoubtedly the category of holiness. To understand how it was rooted and developed on our native soil it is important to note that the Old Kievan and the later Ukrainian culture did not invent a separate or special theory of holiness, but rather borrowed it from the Old Testament and the Byzantine-Christian traditions. Yet, the concrete image of holiness that (...) was formed on this theoretical foundation has very distinct unique features. To explain how the inherited general theoretical foundations of the image of holiness were absorbed into the cultural context of Kievan Rus' I shall try to determine which aspects of the traditional conception of holiness were predominant there. (shrink)

Among the problems of ancient history of which no solution has yet been generally recognized as definitive is that of the battle-field where the struggle between Pompey and Caesar was decided. Colonel Leake's exposition was rejected by von Göler and Sir William Napier; and the paper in which he endeavoured to vindicate it produced little effect. Napier and von Göler constructed theories which were vitiated by the misleading maps on which they worked. M. Léon Heuzey, the chief of the Macedonian (...) mission which collected information for the contemplated final volume of Napoleon the Third's Histoire de Jules César, performed a valuable service by preparing, with the aid of an engineer officer, M. Laloy, the first trustworthy survey of the Pharsalian region; but his dissertation on the battle, published in 1886, was bitterly derided by Colonel Stoffel, who, however, appropriated his predecessor's maps without acknowledgment. About the same time Mr. Perrin published in the American Journal of Philology a valuable article, which, although it convinced many that the battle had been fought, as von Göler, Napier, and Long maintained, on the northern bank of the Enipeus, was necessarily written without any knowledge of the works of Heuzey and Stoffel. (shrink)

One of the many illuminating aspects of Bart Schultz's book is the recurrent theme of Sidgwick's Socratic inspiration. Some of Sidgwick's contemporaries at Cambridge were among those who gave new life to the study of Socrates and Plato in England. The Cambridge Apostles were self-consciously devoted both to Socratic ideals of friendship and to the Socratic aim of impartial free inquiry on fundamental questions.

Underdeveloped in historical science are pressing issues of Orthodox sectarianism. A number of scholars who pay attention to this aspect consider the features of the doctrine, the cult, the rituals of sects without a deep analysis of their ideology. On the basis of generalizing the scattered information, we conclude that the Orthodox sects had the ability to undergo the process of evolution throughout their existence.

1. Yŏnŭn kŭl -- 2. '3' wŏlli ŭi ŭimi wa kŭn'gŏ -- 3. Tong, sŏyang mit chayŏn ŭi '3' wŏlli mosŭptŭl -- 4. Hanminjok ŭi '3' wŏlli mosŭptŭl -- 5. '3' wŏlli ŭi ch'angjojŏk hwakchang mit hwaryong -- 6. Naganŭn kŭl.