ABSTRACT This paper explores one of the most politically sensitive and intellectually neglected issues in bioethics – the interface between the history of contemporary end‐of‐life ethics and the economics of life and death. It suggests that contrary to general belief, economic impulses have increasingly become part of the conditions in which contemporary end‐of‐life ethics continues to evolve. Although this conclusion does not refute the philosophical justifications provided by the ethics for itself, it may cast new light upon its social role.

An educated guess about the future of academic bioethics can only be made on the basis of the historical conditions of its success. According to its official history, which attributes its success primarily to the service it has done for the patient, it should be safe at least as long as the patient still needs its service. Like many other academic disciplines, it might suffer under the present economic downturn. However, in the plausible assumption that its social role has not (...) been exhausted yet, it should recover as soon as the economy does. But if, as this paper tries to argue, the success of academic bioethics should be attributed first and foremost to the service it has done for the neoliberal agenda, then its future would have to depend on the fate of the latter. The exact implications of the downturn for the neoliberal agenda are obviously impossible to predict. Among the various options, however, the one of going back to 'normal' seems to be the least likely. The other options suggest that the future of academic bioethics, as we have known it, is bleak. (shrink)

The aim of this study was to explore the obligations of nurses and physicians in providing end-of-life care. Nineteen nurses and 11 physicians from a single newborn intensive care unit participated. Using content analysis, an overarching obligation of creating the best possible experience for infants and parents was identified, within which two categories of obligations (decision making and the end of life itself) emerged. Obligations in decision making included talking to parents and timing withdrawal. End-of-life obligations included providing options, preparing (...) parents, being with, advocating, creating peace and normalcy, and providing comfort. Nurses and physicians perceived obligations in both categories, although nurse obligations centered on the end of life while physician obligations focused on decision making. The findings demonstrate that, although the ultimate goal is shared by both disciplines, the paths to achieving that goal are often different. This has important implications for collaboration, communication, and improving the end of life. (shrink)

This groundbreaking work by one of the world's foremost theoreticians of Russian literature, culture, and thought gives for the first time an extensive and detailed examination of the development of Russian thought during the late Soviet period. Countering the traditional view of an intellectual wilderness under the Soviet regime, Mikhail Epstein offers a systematic account of Russian thought in the second half of the 20th century. In doing so, he provides new insights into previously ignored areas such as Russian (...) liberalism, personalism, structuralism, neo-rationalism, and culturology. Epstein shows how Russian philosophy and culture has long been trapped in an intellectual prison of its own making as it sought to create its own utopia. However, he demonstrates that it is time to reappraise Russian philosophical thought and cultural theory, now freed from the bonds of totalitarianism. We are left with not only a new and exciting interpretation of Russian thought, but also an opportunity to rethink our own intellectual heritage. (shrink)

The design of new constitutions is fraught with challenges on both issues of structural design and individual rights. As both a descriptive and normative matter it is exceedingly difficult to believe that one structural solution will fit all cases. The high variation in nation size, economic development, and ethnic division can easily tilt the balance for or against a Presidential or Parliamentary system, and even within these two broad classes the differences in constitutional structure are both large and hard to (...) measure. The only confident claim is that some system of separation of powers coupled with checks and balances is needed. Deciding which system, however, is far harder. In contrast, that same level of doubt does not arise in connection with the correct specification of individual right. Strong systems of negative rights on matters of liberty, property, religion, and speech are preferable across a wide range of social organizations. On the other hand, any effort to create systems of positive entitlements will fail because of the negative effects that they have on wealth creation and the inability to define or limit the scope of the relevant entitlements. (shrink)

Zusammenfassung Die 1890 von Reinach aufgestellte Chronologie der Ereignisse beim Ausbruch des Ersten Mithridatischen Krieges wurde über 80 Jahre lang nicht hinterfragt, ehe sie von Badian und Sherwin-White zu Recht widerlegt wurde. Worüber die beiden Forscher keine Einigkeit erzielten, ist, ob Mithridates die römische Provinz Asia vor oder nach dem Winter 89/88 v. Chr. eroberte. Der Zweck dieses Artikels ist es, diese Frage zu klären. Da die antiken Quellen uns nicht explizit sagen, wo der Winter in der Reihenfolge der Ereignisse (...) zu platzieren ist, muss man die Erzählung der antiken Autoren, ebenso wie die Argumente der modernen Historiker, genau überprüfen. Das Ergebnis ist, dass Mithridates die Provinz Asia höchstwahrscheinlich nicht vor dem Winter erobert hat. (shrink)

The paper presents a preliminary study on the linguistic elements and the diversity of Jerome’s Latin, with examples taken from some of his most notable works, his letters, biblical translations, Vita Malchi, and De viris illustribus, to demonstrate his particular contribution to the oft-discussed and problematized domain, namely the Latinitas Christianorum. The article offers a general overview of Jerome’s literary formation, discussing the influence by classical Latin writers. To illustrate the kaleidoscope of Jerome’s writing style, the analysis presents various genres (...) of his writings, ranging from his biblical to non-biblical translation, from reference books and dictionaries to letters and biographies. The conclusion presents some of the linguistic characteristics of his writings to show the nuance in his mastery of Latin. (shrink)

This groundbreaking work by one of the world's foremost theoreticians of culture and scholars of Russian philosophy gives for the first time a systematic examination of the development of Russian philosophy during the late Soviet period. Countering the traditional view of an intellectual wilderness under the Soviet regime, Mikhail Epstein provides a comprehensive account of Russian thought of the second half of the 20th century that is highly sophisticated without losing clarity. It provides new insights into previously mostly ignored (...) areas such as late Soviet Russian nationalism and Eurasianism, religious thought, cosmism and esoterism, and postmodernism and conceptualism. Epstein shows how Russian philosophy has long been trapped in an intellectual prison of its own making as it sought to create its own utopia. However, he demonstrates that it is time to reappraise Russian thought, now freed from the bonds of Soviet totalitarianism and ideocracy but nevertheless dangerously engaged into new nationalist aspirations and metaphysical radicalism. We are left with not only a new and exciting interpretation of recent Russian intellectual history, but also the opportunity to rethink our philosophical heritage. (shrink)

When We Collide is a landmark reassessment of the significance of sex in contemporary Jewish ethics. Rebecca Epstein-Levi offers a fresh and vital exploration of sexual ethics and virtue ethics in conversation with rabbinic texts and feminist and queer theory. Epstein-Levi explores how sex is not a special or particular form of social interaction but one that is entangled with all other forms of social interaction. The activities of sex-doing it, talking about it, thinking about it, regulating it-are (...) sites of ongoing moral formation on individual, interpersonal, and communal levels. When We Collide explores the development of Jewish sexual ethics, and represents an opportunity to move beyond the usual heteronormative accounts that are presented as though they were neutral representations of what "Judaism teaches about sex.". (shrink)

This book uses the body to peel back the layers of time and taken-for-granted ideas about the two defining political forms of modernity, the state and the subject of rights. It traces, under the lens of the body, how the state and the subject mutually constituted each other since their original crafting in the seventeenth century. Considering multiple sites of theory and practice, Charlotte Epstein analyses the fundamental rights to security, liberty, and property respectively as the initial knots where (...) the state-subject relation was first sealed. (shrink)

A theoretical platform for a much‐needed change in the provision of healthcare based on restoring the autonomy of doctor–patient relationships.

The inner ecology: Buddhist ethics and practice -- A Buddhist perspective on animal rights -- Pollution and the environment: some radically new ancient views -- Animals for dinner: a Karmic tale -- Our relationship with nature: a Buddhist exploration -- Environmental issues: a Buddhist perspective -- Human spiritual potential and the environmental crisi -- The need for ethical guidelines to protect us from the very real dangers of a technological world -- Looking at hi-tech through the lens of the five (...) moral precepts -- Science and Buddhism: a critical comparison -- Genetic engineering: a Buddhist assessment -- Redesigning the world: ethical questions about genetic engineering -- Some ethical challenges posed by the Internet and digital social media: a Buddhist perspective -- Where are we going - digitally? (shrink)

I am focusing on the following questions that were raised in the commentaries: How to (re)awaken reflexive thinking? How to understand hallucinations as voices of sanity? How to become an effective therapist? How could the pattern that connects be described? How can psychotherapy contribute to psychological well-being?

We provide an overview of the life and work of Graham Barnes, who was strongly influenced by Gregory Bateson, and who collaborated with several other cyberneticians and constructivists, in particular, Gordon Pask and Heinz von Foerster. After having left the USA for Sweden, he commuted between Stockholm and Belgrade, Zagreb, Ljubljana and Rijeka, where he taught his own integration of second-order cybernetics and psychotherapy.

Since the late 1960s, the legal doctrine of consent has occasionally been subject to severe criticism from within the bioethical discourse. The criticism was often based on observations indicating that consents and refusals, which had been considered valid from legal or institutional points of view, had frequently failed to reflect genuinely autonomous decision making, hence genuinely autonomous choices.This has led several critics to conclude that informed consent is a legal fiction. To clarify the concept, a legal fiction is a supposition (...) of fact taken to be true by the courts of law, irrespective of whether it is true or not, and even though it might not be true .1 What these critics probably meant to say was that the law deems any person who has given a legally valid consent to be genuinely task specifically autonomous, regardless of whether this is true or not and even though it might not be true. In other words, informed consent is a legal fiction, since it presupposes—that is, claims to reflect—genuine task specific autonomy, however baselessly.It was precisely this potentially embarrassing conclusion that prompted Faden and Beauchamp to develop a brilliant and remarkably effective argument in defence of the legal doctrine of consent. In their seminal work, AHistory and Theory of Informed Consent, they indeed acknowledged that effective consent often fails to be compatible with autonomous authorisation . Indeed, they recognised that effective consent does not necessarily entail autonomous authorisation. They argued, however, that the former is not a legal fiction, since it does not presuppose the …. (shrink)

From their inception, the social issues in management (SIM) field and the SIM Division within the Academy of Management have provided venues to examine the complex, dynamic, two-way relation between economic institutions of our society and the social systems in which they operate. They have blended the normative with the scientific, the speculative with the empirical, and the philosophical with the pragmatic. The field and the Division have served, perhaps most importantly, as the conscience of management education and the Academy. (...) Their enduring quest and raison d’étre is to foster corporate capitalism that is accountable, ethical, and humane. (shrink)

In this article we examine the association between national welfare regime and the propensity of middle–aged and older individuals with adult children of their own to provide social support to aged parents. Using data from mature adults (50+) in 26 European countries, we examine whether older and younger generations compete for the time resources of the middle “sandwiched” generation, and whether national policy context shapes this competition. Contrary to expectations, we found that sandwich generation members were less likely to provide (...) support to their parents in Conservative–Mediterranean and East European regimes, but more likely to do so in universalistic Social–Democratic regimes. This evidence supports the hypothesis that well–developed welfare states “crowd–in” family support to older individuals. Middle generation members who provided social support to their adult children tended to provide to their older parents as well. This was particularly true in the two regimes where resources and public benefits tend to be more generous and may be interpreted as state benefits that reduce intergenerational competition. Findings are discussed in terms of the capacity of state policies to shape the allocation of family resources to older adults where extended family lineages have become the norm. (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. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

The recently published Report of theAHAG on the Operation of NHS Research Ethics Committees advocates major reforms of the NHS research ethics committees system. The main implications of the proposed changes and their probable effects on the major stakeholders are described.The Ad Hoc Advisory Group on the operation of NHS research ethics committees, set up in November 2004 by Lord Warner on behalf of the Department of Health, submitted its report in June 2005.1 The report advocates major reforms of the (...) research ethics committee system. The primary aim of the report is to streamline the processes around the approval of research projects and to pursue conformity of governance across Europe. Implicit in the report is the contention that failure to achieve this objective would be harmful to everyone with vested interests in improving health and social care. Moreover, it is stated that the reforms will enhance the mechanisms that protect the interests of all parties concerned.1Being mindful of two published critiques of the Warner Report, we suggest that its alleged benefits should not be taken at face value.2,3 In fact, the reformed system will give rise to moral failings akin to those of the existing system, but will differ from the existing system in its effect on the stakeholders. Thus, whereas the outgoing system has given each stakeholder a unique mixture of benefit and harm, the incoming system offers benefit only to sponsors and researchers and nothing but detriment to participants in research and consumers of its products.In the light of this conclusion, we finally suggest that the Warner Report be construed not merely as an ill-considered document, but rather as an ideological reflection of a long-established hegemonic contract fine-tuning itself to contemporary global challenges.To avoid …. (shrink)

Slovenian philosopher Miran Bozovic's An Utterly Dark Spot examines the elusive status of the body in early modern European philosophy by examining its various encounters with the gaze. Its range is impressive, moving from the Greek philosophers and theorists of the body (Aristotle, Plato, Hippocratic medical writers) to early modern thinkers (Spinoza, Leibniz, Malebranche, Descartes, Bentham) to modern figures including Jon Elster, Lacan, Althusser, Alfred Hitchcock, Stephen J. Gould, and others. Bozovic provides startling glimpses into various foreign mentalities haunted (...) by problems of divinity, immortality, creation, nature, and desire, provoking insights that invert familiar assumptions about the relationship between mind and body. The perspective is Lacanian, but Bozovic explores the idiosyncrasies of his material (e.g., the bodies of the Scythians, the transvestites transformed and disguised for the gaze of God; or Adam's body, which remained unseen as long as it was the only one in existence) with an attention to detail that is exceptional among Lacanian theorists. The approach makes for engaging reading, as Bozovic stages imagined encounters between leading thinkers, allowing them to converse about subjects that each explored, but in a different time and place. While its focus is on a particular problem in the history of philosophy, An Utterly Dark Spot will appeal to those interested in cultural studies, semiotics, theology, the history of religion, and political philosophy as well. Miran Bozovic is Associate Professor of Philosophy at the University of Ljubljana, Slovenia. He is the author of Der grosse Andere: Gotteskonzepte in der Philosophie der Neuzeit (Vienna: Verlag Turia & Kant, 1993) and editor of The Panopticon Writings by Jeremy Bentham (London: Verso, 1995). (shrink)

The paper considers the multiplication of speech organs in Diderot's first novel Les Bijoux indiscrets. The main plot device of the novel—the talking "jewels" or female sex organs— enables Diderot to confront two different conceptions of the soul, the spiritual and material, in one and the same body. The voice coming from the head, traditionally held to be the seat of the soul, is contradicted by a voice that comes from that part of the body which is traditionally considered as (...) to be the least submissive to the head or mind. When the body rebels against the women who believe themselves to be spiritual substances in command of the body to which they are united, it is in fact the soul which is identical with the body or with its organization that really rebels against them, and objects to the false portrayal of its seat—and function— in the body. Strictly speaking, by unmasking the testimony of the women as a lie, the jewels expose the very spiritualist position itself as a lie. The paper then argues that, unlike the spiritualism propounded by the head, the spontaneous philosophy of the "indiscreet jewels" is one of forthright materialism. (shrink)

The article examines Diderot’s view of the inconstancy of nature and its corollaries, the most obvious of which is the recognition of the impossibility of philosophy and natural history. For, if everything in nature is in a state of flux, no theory can keep up with its changes, reflect on them and capture anything more than an isolated moment. Diderot’s conception of nature has important consequences for his aesthetic theory. If the goal of the fine arts is to imitate nature, (...) and if everything in nature undergoes constant change, does it not mean that art—no less than philosophy and natural history—is also impossible? By focusing on Diderot’s novel Rameau’s Nephew, I argue that the lesson of the numerous mimes its eponymous hero performs in the novel is that the dynamics of nature can perhaps only be captured by mime rather than on canvas or in stone, both of which, as Diderot puts it, can represent only a fleeting moment. (shrink)

The paper discusses the metaphysical theory developed in the early eighteenth century in France by the so-called égoïstes, and explores some of its ramifications. In the eighteenth century French, the term égoïsme was used not only in the ethical sense, but also in the metaphysical sense, that is, to denote the extremist view that only oneself exists. The paper focuses primarily on Jean Brunet's work Projet d'une nouvelle métaphysique, published in 1703, which has since been lost, analyzing its fundamental principle (...) that the egoist's thought is the cause of the existence of all creatures, as found in a contemporary review of the book. Examining Brunet's "new metaphysics" within the framework of its own epistemology, the paper shows that the egoist philosopher himself was not trulyconvinced of the central tenet of his own metaphysical theory, that is, he did not sincerely believe that other minds were nothing other than modes of his thought or ideas that refer to nothing outside his mind, and argues that the very existence of Projet d'une nouvelle métaphysique in the form of a book in the mind of its author was contrary to the metaphysical theory expounded in it. (shrink)

Knjiga obravnava nekatera pojmovanja odnosa med telesom in filozofijo v 17. in 18. stoletju, natančneje v okazionalizmu, francoskem materializmu in britanskem utilitarizmu. Razdelek o okazionalizmu med drugim obravnava Malebranchevo pojmovanje telesa prvega človeka, ki je določalo njegova filozofska prepričanja, to pa celo do te mere, da je sprememba v njegovi fiziologiji, do katere je prišlo ob grehu, usodno zaznamovala ves nadaljnji potek zgodovine filozofije. Razdelek o materializmu poskuša rekonstruirati filozofijo, ki jo razvija sámo telo, ki je pri Diderotu dobesedno prišlo (...) do besede. Trdno prepričan, da telo ve o samem sebi več, kot ve duh o njem, Diderot razvije filozofijo materializma kot govor telesa o samem sebi. Razdelek o utilitarizmu pa med drugim obravnava Benthamovo filozofijo telesa po smrti in sámo telo, katerega posmrtna usoda je rezultat te filozofije, namreč filozofovo lastno ohranjeno telo oziroma tako imenovano avto-ikono, ki je bilo v očeh utilitarističnega modreca tisto, ki bo po smrti »njegov lastni jaz«. (shrink)

Knjiga obravnava nekatera pojmovanja odnosa med telesom in filozofijo v 17. in 18. stoletju, natančneje v okazionalizmu, francoskem materializmu in britanskem utilitarizmu. Razdelek o okazionalizmu med drugim obravnava Malebranchevo pojmovanje telesa prvega človeka, ki je določalo njegova filozofska prepričanja, to pa celo do te mere, da je sprememba v njegovi fiziologiji, do katere je prišlo ob grehu, usodno zaznamovala ves nadaljnji potek zgodovine filozofije. Razdelek o materializmu poskuša rekonstruirati filozofijo, ki jo razvija sámo telo, ki je pri Diderotu dobesedno prišlo (...) do besede. Trdno prepričan, da telo ve o samem sebi več, kot ve duh o njem, Diderot razvije filozofijo materializma kot govor telesa o samem sebi. Razdelek o utilitarizmu pa med drugim obravnava Benthamovo filozofijo telesa po smrti in sámo telo, katerega posmrtna usoda je rezultat te filozofije, namreč filozofovo lastno ohranjeno telo oziroma tako imenovano avto-ikono, ki je bilo v očeh utilitarističnega modreca tisto, ki bo po smrti »njegov lastni jaz«. (shrink)

Razprava se ukvarja z analizo prvega pisma iz Hieronimove korespondence. Avtor je imel do njega očitno ambivalenten odnos, kar kliče k iskanju večplastne sporočilnosti spisa. Po poskusu datacije, retorični in slogovni analizi ter predstavitvi osnovne zgodbe, ki je vključena vanj, se pokaže, da je pismo kljub navidezni hagiografski šablonskosti vsebinsko bogato. Analiza se zato nadaljuje na dveh področjih. Kraj dogajanja, poznoantično mesto, ne more preživeti brez nove vodilne osebnosti, škofa. Je s pismom Hieronim želel tlakovati pot na vercelski škofovski sedež (...) prijatelju Evagriju iz Antiohije? Ob analizi nejasnih spolnih identitet obeh glavnih oseb iz zgodbe, nemoškega mladeniča in moško neuklonljive ženske, se pokaže, da je Hieronim v novem času iskal nov krščanski ideal, meništvo, ki ga je preko te zgodbe umestil v kontinuiteto z mučeništvom. (shrink)

Moral distress has been well reviewed in the literature with established deleterious side effects for all healthcare professionals, including nurses, physicians, and others. Yet, little is known about the quality and effectiveness of interventions directed to address moral distress. The aim of this integrative review is to analyze published intervention studies to determine their efficacy and applicability across hospital settings. Of the initial 1373 articles discovered in October 2020, 18 were appraised as relevant, with 1 study added by hand search (...) and 2 after a repeated search was completed in January and then in May of 2021, for a total of 22 reviewed articles. This review revealed data mostly from nurses, with some studies making efforts to include other healthcare professions who have experienced moral distress. Education-based interventions showed the most success, though many reported limited power and few revealed statistically lowered moral distress post intervention. This may point to the difficulty in adequately addressing moral distress in real time without adequate support systems. Ultimately, these studies suggest potential frameworks which, when bolstered by organization-wide support, may aid in moral distress interventions making a measurable impact. (shrink)