The twenty‐six‐year‐old patient requested a prophylactic bilateral mastectomy with reconstruction because of an extensive family history of cancer. She reported that she had developed melanoma at twenty‐five; that her mother, sister, aunts, and a cousin all had breast cancer; that a cousin had ovarian cancer at nineteen; and that a brother was treated for esophageal cancer at fifteen. The treating team was skeptical about this history, and they could find no documentation of the patient's reported melanoma. The surgeon wrote the (...) patient's primary care physician, explaining that he had seen the patient and planned to proceed with the bilateral mastectomy and reconstruction. The primary care physician responded that he was unable to substantiate several of the patient's claims; some of his colleagues believed the family history to be fabricated. Trying to make sense of the discrepancies, the genetic counselor called a counselor colleague who had met with this patient. The colleague suggested that the in‐house genetic counselor “google” the patient. The search revealed two Facebook pages linked to the patient. In one, apparently a personal profile, the patient stated that in addition to battling stage four melanoma, she had recently been diagnosed with breast cancer. She provided a link to a site where she solicited donations to attend a summit for young cancer patients. The other Facebook page featured numerous pictures of her with a bald head, as though she has been through chemotherapy. The genetic counselor showed the Facebook pages to the surgeon, who then decided not to operate. Should health care professionals “google” their patients? (shrink)

Green, Michael The Marists were one of the ecclesial families to emerge from the extraordinary spiritual and missionary renewal currents flowing through the nineteenth-century French Church, and more specifically its Lyonnais fervour. Their founders imagined a new way of being Church, one that was self-consciously Marian both in its intent and in its character. They saw themselves sharing in the eternal 'work of Mary', as they called it, of mothering Christ-life to birth, of nurturing its growth in themselves and in (...) others, and of standing with the Church as it came to be. Their spirituality emphasised the mercy of God, which they sought to incarnate in affective, relational and immanent ways. They wanted especially to go to people whose circumstances caused them to be furthest from the knowledge of God and the care of the Church and, taking the 'Magnificat' as their charter, they were fired to make real for them the closeness of a loving, faithful and just God. They imagined themselves as a broad movement of people-lay, clergy and religious-structured in a fairly non-hierarchical, complementary and interdependent way. Disappointingly for them, however, the Vatican authorities of the time did not warm to their proposed sense of 'communio'. But now, two centuries later, in a post-Vatican II context, Marists are being afforded the opportunity to be creatively faithful to their founding vision. (shrink)

The view that social justice takes priority over both global justice and the demands of sub-groups faces two critics. Particularist critics ask why societies should have fundamental significance compared with other groups as far as justice is concerned. Cosmopolitan critics ask why any social unit short of humanity as a whole should have fundamental significance as far as justice is concerned. One way of trying to answer these critics is to show that members of societies have special obligations to one (...) another. This paper considers voluntarist and liberal nationalist accounts of such special obligations. It is especially concerned with developing a strong, sympathetic case for the less familiar nationalist position. Nonetheless, in each case the best arguments against the cosmopolitan critic require important concessions to the particularist critic. This suggests that there is a general problem with defending social justice against both critics at the same time. (shrink)

This book is written primarily for psychology and education students whose programs include a course in child psychology, child development, or theories of development. The text may also be used to supplement courses on child development organized thematically or chronologically. Instructors of graduate courses in child development may wish to consider this text as a primary synthesis containing more source material and source citations than others of its kind. The primary aim of the book is to describe what developmental theories (...) are, what they can do, where they come from, how they work, and how they can be used to explain human nature. (shrink)