This book is a comprehensive and unique text and reference in medical ethics. By far the most inclusive set of primary documents and articles in the field ever published, it contains over 100 selections. Virtually all pieces appear in their entirety, and a significant number would be difficult to obtain elsewhere. The volume draws upon the literature of history, medicine, philosophical and religious ethics, economics, and sociology. A wide range of topics and issues are covered, such as law and medicine, (...) truth-telling by the physician, research, population policy, genetics, abortion, dying, and individual rights in medical care. The selections span the centuries, beginning with material from the works of Hippocrates, continuing through Thomas Percival, John Stuart Mill, and Claude Bernard, down to modern commentators like Henry K. Beecher, Walsh McDermott, David L. Bazelon, Paul Freund, H. L. A. Hart, John Rawls, Paul Ramsey, Richard McCormick, Rashi Fein, and Bernard Barber. The text has eight major divisions, beginning with sections on the ethical dimensions of the physician-patient relationship in history; the moral bases of medical ethics; and regulation, compulsion, and protection of the consumer in clinical medicine and public health. Each of these sections includes key essays that appear for the first time. All of the book's major divisions contain primary documents: codes such as the Hippocratic Oath, Medieval Law for the Regulation of Medicine, and the first as well as the most recent code of the American Medical Association; court decisions, including those on Karen Quinlan and on abortion in the United States and West Germany; government documents such as the statement of the National Commission on the Protection of Human Subjects, the Tuskegee Syphilis Report, the British Parliamentary debate on euthanasia, and the Council of Europe on rights of the sick and dying; and various published guidelines such as the Harvard Medical School brain death criteria, the American Hospital Association on patient's rights, and Pope Pius XII on the prolongation of life. Cases that illustrate moral dilemmas are provided for discussion purposes. Each section is preceded by a succinct editor's introduction. The documents and essays are of practical value for practitioners and students in medicine, law, ethics, and counselling, and for individual patients and groups concerned with medical care. Through encompassing divergent viewpoints, the essays and primary documents were selected to encourage humane practices and deepen understanding of the multiple traditions that shaped and do shape the development of medicine. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:THE SUBSTANTIAL UNITY OF MATERIAL SUBSTANCES ACCORDING TO JOHN POINSOT JOHN D. KRONEN The University of St. Thomas St. Paul, Minnesota EVERY SUBSTANCE metaphysician must answer several difficult questions peculiar to his or her ontology. In this paper I will examine John Poinsot's answer to two of these questions, one concerning the nature of the form of substantial composites, and one concerning which material objects are substantial composites. (...) I shall argue that Poinsot's answers to these questions show the untenability of a structuralist view of substantial form and of a reductive materialist view of living beings. But before considering these questions I must briefly outline Poinsot's view of what the general nature of substance is, as explained in his treatise on material logic.1 Poinsot's Account of Substance in General In the section of his Material Logic concerned with the categories Poinsot gives a succinct account of the nature of substance 1 Cursus Philosophicus thomisticus; vol. I, Ars logicae prima et secunda pars, ed. P. Beato Reiser (Turin, Italy: Marietti, 1820), Q. XV, pp. 523-527. It should be noted that I am not concerned in this paper with describing either the psychological origin of the notion of substance, or of justifying it against phenomenalism. My only aim is to show how such a view of substance leads to a certain notion of form when it is applied, so to speak, to material objects. For an interesting account of the origin of the concept of substance in Poinsot see John Deely, Tractatus De Signis: The Semiotic of John Poinsot (Los Angeles, Berkeley, and London: The University of California Press, 1985), p. 86, n. 16. Deely takes it that Poinsot has a deeper categorial scheme than that of Aristotle from which the latter's scheme "emerges," as it were. In this article, then, I am not concerned with that deeper scheme which Deely refers to in this interesting note. 599 600 JOHN D. KRONEN in general and of its relation to the supposit and to the act of existing. He notes that by " substance " narrowly considered is meant that kind of essence to "which it is due to exist in itself as opposed to that kind to which it is due to exist in another" (i.e., an accident).2 He defends this as the primary " definition " 3 of substance against the other definition of it which is " that which stands under accidents," on the grounds that a thing must exist in itself, at least ontologically speaking, before it can support accidents 4 and that to define substance as that which supports accidents is to define it in relation to other things, not itself. This point is important because many modern and contemporary philosophers who have attacked the notion of substance have done so by arguing that there are no beings which stand under accidents. For Poinsot this attack, even if successful, would show that there are no accidents, not that there are no substances. Poinsot insists that " substance " connotes a quiddity to which to exist in itself is due since actual existence does not belong to the essence of any created thing.5 Further, Poinsot insists that to exist in itself " connotes more than a mere negation of existing in another; rather it connotes a positive perfection." This is because to exist in a dependent way is to exist in an imperfect way, so to exist independently must be to exist in a more perfect way.6 Finally, Poinsot distinguishes between the substance and the supposit. The substance is the complete nature of the thing, while 2 Ibid., p. 523. a " Substance " as a supreme genus cannot strictly be defined since it cannot be differentiated from any higher genus. 4 Haec autem proprietas existendi per se intelligitur vel secundum considerationem absolutam et in ordine ad se, et sic dicitur subsistens, quasi non indignes alio ut sustentetur, sed in se sistens; vel dicitur secundum habitudinem ad alia, quatenus ilia sustentat in esse, et sic dicitur non solum subsistens, sed etiam substans. Ibid., p. 523. 5 ••• esse actu per se vel in alio non est ipsa quidditas substantiae vel accidentis, quia esse seu existere in nulla quidditate creata... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:LANGUAGE, COMMUNICATION, AND REPRESENTATION IN THE SEMIOTIC OF JOHN POINSOT1 }AMES BERNARD MURPHY Dartmouth College Hanover, New Hampshire 1) Language and the Semiotic of John Poinsot HE SEMIOTIC of John Poinsot is to the study of gns what physics is to the study of nature. Physics is oth the most fundamental and the most general science of nature. All natural processes, from the motion of planets to the division (...) of cells, are governed by, but not only by, laws of physics. Similarly, the semiotic of John Poinsot (traditionally known by his Dominican name, John of St. Thomas) is the most fundamental and general science of signs. The actions of all signs -from natural signs such as footprints and symptoms of disease, to signs of communication, such as logical operators and linguistic signs, to signs in cognition, such as concepts and percepts -are governed by, but not only by, the fundamental relational logic of semiosis set forth in his Ars Logica [1632]. If C. S. Peirce can be said to give us a chemistry of sixty-six signcompounds, John Poinsot, suitably revised, gives us the basic physical laws of motion that bring sign, object, and mind into relation.2 i The author would like to acknowledge gratefully the fellowships received from the American Council of Learned Societies and from Dartmouth College supporting the research of this article. I also wish to acknowledge the help of my research assistant, Daniel Glazer, in hunting down many essential books and articles. John Deely assisted by correcting my discussion of some of the finer points of Poinsot's theory as well as by providing many other helpful suggestions for revision. 2 The first modern author to point this out was Jacques Maritain, especially in "Signe et symbole," Revue Thomiste 44 (April 1938), pp. 299-300 and 569 570 JAMES BERNARD MURPHY What I wish to explore here is the question: To what extent does the semiotic of John Poinsot account for the meaning of linguistic signs? In one sense, we cannot expect such a fundamental and general theory of the action of signs to tell us much about language. Language is a surpassingly complex and, in many ways, a unique sign-system. Expecting a general theory of signs to capture the meaning of the linguistic sign is like expecting physics to explain reproductive biology. In another sense, though, we ought to expect his semiotic to illuminate that preeminent system of signs, human language. For in addition to "Le Langage et la theorie du signe," Anne.:re au chapitre II of Quatre essais sur!'esprit dans sa condition charnelle (Nouvelle edition revue et augmentee; Paris: Alsatia, 1956), pp. 113-124. This latter essay appears in a modestly amplified English version, " Language and the Theory of Sign," from Language : An Enquiry into Its Meaning and Function, edited by Ruth Nanda Anshen (New York: Harper and Brothers, 1957), pp. 86-101; and, fully annotated in relation to Poinsot's Tractatus de Signis, it has been reprinted in Frontiers in Semiotics, edited by John Deely, Brooke Williams, and Felicia Kruse (Bloomington, IN: Indiana University Press, 1986), pp. 51-62. Following Maritain, a number of authors have attempted to apply Poinsot's semiotic to contemporary debates. I note the principal ones in chronological order: John A. Oesterle, " Another Approach to the Problem of Meaning," The Thomist 7 (1944), pp. 233-263; John Wild, "An Introduction to the Phenomenology of Signs," Philosophy and Phenomenological Research 8 (December 1947), pp. 217-244; Henry B. Veatch, Intentional Logic (New Haven: Yale University Press, 1952). Poinsot's Treatise on Signs was originally published in 1632 as a small part of volume 2 in the original five volumes (Alcala, Spain: 1631-1635) of his philosophical writings. These five volumes have been published as three volumes under the title Cursus Philosophicus Thomisticus in the modern edition by Beatus Reiser (Turin: Marietti, 1930, 1933, 1937). The first independent presentation of Poinsot's complete Tractatus de Signis was prepared by John Deely in consultation with Ralph A. Powell and published in bilingual critical edition (Berkeley: University of California Press, 1985). Since the publication of this edition of the Tractatus, two major critiques and reconstructions of Poinsot's analysis... (shrink)

Musing for Puncta special issue on "Critically Sick: New Phenomenologies Of Illness, Madness, And Disability.".

Cognitivism about trust says that it requires belief that the trusted is trustworthy; non-cognitivism denies this. At stake is how to make sense of the strong but competing intuitions that trust is an attitude that is evaluable both morally and rationally. In proposing that one's respect for another's agency may ground one's trusting beliefs, second-personal accounts provide a way to endorse both intuitions. They focus attention on the way that, in normal situations, it is the person whom I trust. My (...) task is to develop an account of the latter insight without the controversial theoretical commitments of the former. I propose a functional account for why the second and third-personal ‘systems’ operate not just in parallel, but in tandem, in support of a cognitivist account of trust. (shrink)

This 1979 text addresses the ways in which the dominant theories in large areas of Western social science have been subject to strong criticisms, particularly ...

Codes of ethics are directly aimed at behavioral control, but they also affect a company’s ethical culture, which in turn concerns compliance and ethical behavior. To positively influence a company’s ethical culture, employees must be familiar with its code of ethics, perceive that top management is committed to the code, and believe that their peers also comply with the code. The evidence on whether a code’s design affects a company’s ethical culture is limited. This study’s factorial survey experiment contributes to (...) this gap in two ways: first, it investigates whether a code’s design affects how easily the code can be learned and, therefore, contributes to code familiarity. Second, it examines how a code can convey expectations regarding top management’s commitment and peers’ behavior, both of which are part of ethical culture. The results indicate that a positive tone increases code familiarity, and a code signed by top managers sends a strong signal of their commitment to the code. Finally, various implications of the results for research and practice are discussed. (shrink)

Reproduction of the original: Science and Medieval Thought by Thomas Clifford Allbutt.

It has been claimed that the prototype theory of concepts supports two controversial claims in the philosophy of art: that art cannot be defined, and that the possession of a certain sort of historical narrative is a sufficient but not necessary means of determining the art status of contested works. It is argued here that two sorts of considerations undermine the thesis that prototype theory offers significant support to anti-definitionism and historical narrativism. First, there is reason to think that prototype (...) theory is as a psychological theory not the sort of view that can support philosophical theories like anti-definitionism and historical narrativism. Second, well-known objections and theoretical alternatives to prototype theory theory raise serious questions about that theory’s own credentials. (shrink)

Hanks has defended a novel account of what propositions are. His key argument against Soames' rival view is that predication is not neutral. According to Hanks, predication is essentially committal. I show that Hanks' argument for this conclusion raises problems for his own account of questions and orders.

Horwich proposes a solution to the liar paradox that relies on a particular notion of grounding—one that, unlike Kripke’s notion of grounding, does not invoke any “Tarski-style compositional principles”. In this short note, we will formalize Horwich’s construction and argue that his solution to the liar paradox does not justify certain generalizations about truth that he endorses. We argue that this situation is not resolved even if one appeals to the \-rule. In the final section, we briefly discuss how Horwich (...) might respond to the situation. (shrink)

The problem of the many poses the task of explaining mereological indeterminacy of ordinary objects in a way that sustains our familiar practice of counting these objects. The aim of this essay is to develop a solution to the problem of the many that is based on an account of mereological indeterminacy as having its source in how ordinary objects are, independently of how we represent them. At the center of the account stands a quasi-hylomorphic ontology of ordinary objects as (...) material objects with multiple individual forms. (shrink)

This issue includes a number of papers on reproductive ethics, broadly construed. In a recent book, Anja Karnein proposed that embryos created in vitro should be offered up for adoption before being discarded or used in research;1 here Timothy Murphy offers a critical response . Elsewhere, Tak Chan and Stark & Delatycki debate the role of medical professionals in providing parentage determination. Chan argues that doctors are obliged to provide parentage tests when this is requested by parents, provided there is (...) a low risk that the child will be abandoned . Stark & Delatycki discuss some difficulties raised by the ‘risk of abandonment’ condition . Finally, papers by Kate Greasley and David Lang discuss the controversy surrounding the criminal prosecution of abortion doctor Kermit Gosnell. Greasley criticises the way in which some commentators capitalised on horror at Gosnell's extreme practices to advance more general anti-abortion objectives . Lang argues, against Greasley, that the dominant pro-life response to the case was neither self-contradictory nor intellectually dishonest .The issue is dominated, however, by discussions of ‘bioenhancement’ – the use of biomedical technologies to augment human capacities. A common criticism of bioenhancements is that they are anti-social: though they may benefit the user, they will have a negative effect on society-at-large. Such concerns are perhaps well placed in relation to the most obvious contemporary examples of bioenhancement: doping in sport, aesthetic medicine, and the use of stimulants to enhance examination performance. However, two varieties of bioenhancement discussed in this issue might be thought to have more positive social effects.David Shaw discusses the possible use of cognitive enhancing drugs to improve health outcomes in disadvantaged segments of society . Such enhancements might be thought to have desirable social …. (shrink)

This paper will examine the topic of identity in Roman Catholicism from the perspective of topics contained in or absent from mission statements of 25 Catholic health care institutions. In particular, I will look at these from the perspective of social justice as well as how this and other topics such as human dignity, the sanctity of life, stewardship, pastoral care and the likelihood of mergers with other institutions will affect the healing ministry of Catholic health care providers. The article (...) will conclude that there are three key dimensions to Catholic health care: leadership in advocating reform of the current health care system, care for the marginalized and under-insured, and the provision of pastoral care in all institutions. (shrink)

For each k 1, let Γk be the countable universal homogeneous k-hypergraph. In this paper, we shall classify the closed permutation groups G such that Aut G Sym. In particular, we shall show that there exist only finitely many such groups G for each k 1. We shall also show that each of the associated reducts of Γk is homogeneous with respect to a finite relational language.

Christopher Cowley1has recently put forward three arguments against the legal accommodation of a general practitioner’s conscientious objection (CO) to abortion referrals.iHe claims that the adoption of these arguments does not undermine a more general right to CO to involvement in abortion. I argue that Cowley is seriously mistaken. His three arguments, especially the second and third, proceed on a path directed towards the outright rejection of a right to CO in healthcare contexts. A common problem with Cowley’s three arguments is (...) that they overlook the peremptory significance for CO analysis of both the internal, deliberating perspective of those with a CO and the good of moral integrity. This paper supports the view that either there are strong prima facie grounds for holding that a right to CO extends in principle to the issue of referrals or the claim of a general right to CO is easily assailable. (shrink)

T-biconditionals have often been regarded as insufficient as axioms for truth. This verdict is based on Tarski’s observation that the typed T-sentences suffer from deductive weakness. As indicated by McGee, the situation might change radically if we consider type-free disquotational theories of truth. However, finding a well-motivated set of untyped T-biconditionals that is consistent and recursively enumerable has proven to be very difficult. Moreover, some authors ) have argued that any solution to the semantic paradoxes necessarily involves ‘inflationary’ means, thus (...) spelling doom to deflationist and minimalist truth theories in particular. The situation is indeed worrisome as formal theories of minimalist truth are missing so far. This makes it very hard to properly evaluate the tenets of minimalism. In the present article, we will show how to find safe instances of the T-schema just by relying on syntactic features of the sentences of our language—in particular, we will explore Quine’s idea of stratification. Based on that, we will introduce some disquotational truth theories that are deductively very strong. (shrink)

Recently, Dollimore criticized our claim that Organizational Ecology is not a Darwinian research program. She argued that Organizational Ecology is merely an incomplete Darwinian program and provided a suggestion as to how this incompleteness could be remedied. Here, we argue that Dollimore’s suggestion fails to remedy the principal problem that Organizational Ecology faces and that there are good reasons to think of the program as deeply incompatible with Darwinian thinking.

American philosophy has been dominated by the theme of "Nature."1 From Edwards to Emerson to Dewey to Dennett, American thought has variously invoked Nature. But to articulate a philosophy of Nature is not thereby to espouse a form of "naturalism." In fact, philosophies undertaken in the name of "naturalism" seem to have a different temperament than those that begin with the thought of Nature as such. As a theme, "Nature" invites an expansive mood for reflection, while "naturalism" sounds constrictive and (...) combative. "Nature" disposes the mind to musement, "pondering," theoria, Denken—to becoming Emerson's "transparent eyeball." "Naturalism" has something of a doctrinal, even dogmatic, flavor, since every "-ism".. (shrink)

Music teachers are often inclined to advocate the aesthetic value of music that is uncritically propagated by their conservatory training.1 Consequently, a host of misleading assumptions that music is a "fine" art that exists solely to promote aesthetic experience is simply taken for granted as the benefits of art and music education—thus ignoring the differences of purpose between school music and university-level training. Just offering routine musical activities and performances is thereby assumed to kindle students' aesthetic appreciation. Whether the experiences (...) provided have led to an enriched life of playing and enjoying... (shrink)

Thomas Hobbes is one of the most important figures in the history of European thought. Although interest in his life and work has grown enomrously in recent years, this is the first complete edition of his correspondence. The texts of the letters are richly supplemented with explanatory notes and full biographical and bibliographical information. This landmark publication sheds new light in abundance on the intellectual life of a major thinker.

This is the text of The Lindley Lecture for 2006, given by Thomas E. Hill, Jr., an American philosopher.

In this paper, I will to lay down what I call an expressivist account of the pragmatics of jokes, through which I wish to shed light on the function of offensive jokes in particular. I will focus specifically on jokes, not humor more generally. Jokes are particular sorts of speech-acts; and although many may be issued in the form of declarative or interrogative sentences, they are not reducible to them. I suggest here that their analysis must be understood in terms (...) of the unique pragmatic roles that they play. Following this I turn to offensive jokes in particular, describing some of the conditions relevant to their uptake. I will argue that there is a degree of entitlement to certain jokes, and set of commitments that follow from a given joke—both of which are necessary to understand the difference between a context in which a joke is offensive and one in which a similar joke may be merely not funny. I conclude by outlining how on my account we can understand the role of offensive humor as a mode of social criticism. (shrink)

Strassburg, 1509. Facsimile. With 53 woodcuts of playing cards in the text. Edition limited to 500 copies. Thomas Murner attempted to teach logic by means of playing cards.

Mnoge biološke funkcije dopuštaju stupnjevanje. Na primjer, lučenje određenog hormona u organizmu može biti na višoj ili nižoj razini, u usporedbi s istim organizmom drugom prilikom ili u usporedbi s drugim organizmima. Koje razine funkcioniranja predstavljaju slučajeve disfunkcije; gdje da povučemo crtu? To je kvantitativni problem za teorije disfunkcije i bolesti. Cilj mi je braniti verziju bioloških teorija disfunkcije kako bih se uhvatio u koštac s ovim problemom. Međutim, također ću dopustiti da evaluativna razmatranja uđu u teoriju bolesti. Moj argument (...) se temelji na razlikovanju između biološke i kliničke perspektive. Prema mom mišljenju, bolest je ograničena na slučajeve koji spadaju u granice bioloških disfunkcija. Odgovor na kvantitativni problem ne zahtijeva proizvoljne odluke ili društveno vrijednosne sudove. Stoga se zalažem za nearbitrarnu metodu koja se temelji na činjenicama kako bi se riješio kvantitativni problem. Ipak, nisu sve biološke disfunkcije instance bolesti. Dodavanje kliničke perspektive omogućuje nam da spriječimo potencijalnu preveliku uključenost biološke perspektive, zato što postavlja dodatna ograničenja za određivanje granica bolesti. (shrink)

In _Georg Wilhelm Friedrich Hegel – A Propaedeutic_, Thomas Sören Hoffmann invites the philosophically interested reader to converse with, to work with, and to think with the “master philosopher of German Idealism,” the last great system builder of European philosophy.