Patient-Centered Care and Cultural Practices: Process and Criteria for Evaluating Adaptations of Norms and Standards in Health Care Institutions Content Type Journal Article Pages 327-339 DOI 10.1007/s10730-009-9115-8 Authors Matthew R. Hunt, McMaster University Department of Clinical Epidemiology and Biostatistics Montreal Canada Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737 Journal Volume Volume 21 Journal Issue Volume 21, Number 4.
Hunt asks a series of related questions about time in history. Why is time now again on the agenda, for historians and more generally in Western culture?
Victorian physics meets industrial capitalism Content Type Journal Article Pages 1-6 DOI 10.1007/s11016-011-9554-0 Authors Bruce J. Hunt, History Department, University of Texas at Austin, 1 University Station B7000, Austin, TX 78712-0220, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.
The Tractatus de Anima of John Blund was a discovery of Father Daniel Callus, but he did not live to complete the edition. The treatise was written c. 1200, and is the earliest known philosophical work by an Oxford Master. It grafts the new learning derived from Avicenna and Aristotle onto older stocks. Its great interest is that it enables us to study the way in which the first generation of scholars used the translations of Greek and Arabic philosophical and (...) scientific texts which had just become available in Western Europe. The edition was completed by Dr R. W. Hunt, Keeper of Western Manuscripts at the Bodleian Library, Oxford. (shrink)
This book examines major ethical issues in nursing practice. Eschewing the abstract approaches of bioethics and medical ethics, it takes as its point of departure the difficulties nurses experience practicing within the confines of a bioethical model of health and illness and a hierarchical, technocratic health care system. The book's contributors discuss the role of the nurse in relation to issues of informed consent, privacy, dignity and confidentiality. The book also considers nursing accountability in relation to the contemporary Western health (...) care system as a whole. New and critical essays examine the nature of professional codes, care, medical judgement, nursing research and the law. The contributors also deal openly and honestly with controversial issues faced by nurses such as euthanasia, the epidemiology of HIV and the care of the elderly. (shrink)
Gerald Cohen's critique of John Rawls's theory of justice is that it is concerned only with the justice of social institutions, and must thus arbitrarily draw a line between those inequalities excluded and those allowed by the basic structure. Cohen claims that a proper concern with the interests of the least advantaged would rule out 'incentives' for 'talented' individuals. I argue that Rawls's assumption that the subject of justice is the basic structure of society does not arbitrarily restrict the concerns (...) of political justice, as Cohen claims. Further, I argue that it does not allow 'deep' inequalities within a just basic structure. When properly understood, Rawls's theory of justice is strongly egalitarian, taken as a theory of fairness in the way the burdens and benefits of social cooperation are distributed, even if it is not as egalitarian as Cohen wishes. (shrink)
The principle of alternate possibilities (PAP), making the ability to do otherwise a necessary condition for moral responsibility, is supposed by Harry Frankfurt, John Fischer, and others to succumb to a peculiar kind of counterexample. The paper reviews the main problems with the counterexample that have surfaced over the years, and shows how most can be addressed within the terms of the current debate. But one problem seems ineliminable: because Frankfurt''s example relies on a counterfactual intervener to preclude alternatives to (...) the person''s action, it is not possible for it to preclude all alternatives (intervention that is contingent upon a trigger cannot bring it about that the trigger never occurred). This makes it possible for the determined PAPist to maintain that some pre-intervention deviation is always available to ground moral responsibility.In reply, the critic of PAP can examine all the candidate deviations and argue their irrelevance to moral responsibility (a daunting prospect); or the critic can dispense with counterfactual intervention altogether. The paper pursues the second of these strategies, developing three examples of noncounterfactual intervention in which (i) the agent has no alternatives (and a fortiori no morally relevant alternatives), yet (ii) there is just as much reason to think that the agent is morally responsible as there was in Frankfurt''s original example. The new counterexamples do suffer from one liability, but this is insufficient in the end to repair PAP''s conceptual connection between moral responsibility and alternate possibilities. (shrink)
The most serious challenge to Frankfurt-type counterexamples to the Principle of Alternate Possibilities (PAP) comes in the form of a dilemma: either the counterexample presupposes determinism, in which case it begs the question; or it does not presuppose determinism, in which case it fails to deliver on its promise to eliminate all alternatives that might plausibly be thought to satisfy PAP. I respond to this challenge with a counterexample in which considering an alternative course of action is a necessary condition (...) for deciding to act otherwise, and the agent does not in fact consider the alternative. I call this a “buffer case,” because the morally relevant alternative is “buffered” by the requirement that the agent first consider the alternative. Suppose further that the agent’s considering an alternative action—entering the buffer zone—is what would trigger the counterfactual intervener. Then it would appear that PAP-relevant alternatives are out of reach. I defend this counterexample to PAP against three objections: that considering an alternative is itself a morally relevant alternative; that buffer cases can be shown to contain other alternatives that arguably satisfy PAP; and that even if the agent’s present access to PAP-relevant alternatives were eliminated, PAP could still be satisfied in virtue of earlier alternatives. I conclude that alternative possibilities are a normal symptom, but not an essential constituent, of moral agency. (shrink)
In a number of earlier papers I have attempted to defend the providential utility of simple foreknowledge as a via media between the accounts of divine providence offered by Molinists, on the one hand, and ‘open theists’, on the other. In the current issue of this journal, Michael Robinson argues that my response to one of the standard difficulties for simple foreknowledge – that its providential employment would generate explanatory loops – is inadequate. In the following paper I answer Robinson's (...) charge. (shrink)
Frankfurt cases are purported counterexamples to the Principle of Alternative Possibilities, which implies that we are not morally responsible for unavoidable actions. A major permutation of the counterexample strategy features buffered alternatives; this permutation is designed to overcome an influential defense of the Principle of Alternative Possibilities. Here we defend the buffering strategy against two recent objections, both of which stress the timing of an agent’s decision. We argue that attributions of moral responsibility aren’t time-sensitive in the way the objectors (...) suppose. We then turn to the crucial question of when an action is relevantly avoidable—when, in the parlance of the literature, an alternative possibility is robust. We call attention to two plausible tests for robustness that merit further consideration, showing that the agents in buffered Frankfurt cases don’t pass these tests, despite being morally responsible for their actions. (shrink)
The concept of approximate truth plays a prominent role in most versions of scientific realism. However, adequately conceptualizing ?approximate truth? has proved challenging. This article argues that the goal of articulating the concept of approximate truth can be advanced by first investigating the processes by which science accords theories the status of accepted or rejected. Accordingly, this article uses a path diagram model as a visual heuristic for the purpose of showing the processes in science that are involved in determining (...) a theory's status. This ?inductive realist? model of theory status then serves as a starting point for explicating an inductive realist view of approximate truth that, it is argued, can explain instances of the success of science, but does not (1) require science's theories to be strictly true in any world or (2) require a metric for measuring how close an approximately true theory is to some strictly true theory. To show the advantages of the inductive realist approach to approximate truth, an example of a major success story of science, the successful eradication of smallpox, is reviewed and then explained. (shrink)
Teaching ethics poses a dilemma for professors of business. First, they have little or no formal training in ethics. Second, they have established ethical values that they may not want to impose upon their students. What is needed is a well-recognized, yet non-sectarian model to facilitate the clarification of ethical questions. Gestalt theory offers such a framework. Four Gestalt principles facilitate ethical clarification and another four Gestalt principles anesthetize ethical clarification. This article examines each principle, illustrates that principle through current (...) business examples, and offers exercises for developing each principle. (shrink)
What I would like to try to show here, to the extent that I can do so briefly, is that Nietzsche's doctrine of the eternal recurrence of the same things is - whatever else it might be in addition to this - an ethical idea. Considering it as such, I will argue, promises to shed light both on the content of Nietzsche's ethics and on the idea of recurrence.
Kenneth Goodpaster has criticized ethicists like Feinberg and Frankena for too narrowly circumscribing the range of moral considerability, urging instead that “nothing short of the condition of being alive” is a satisfactory criterion. Goodpaster overlooks at least one crucial objection: that his own “condition of being alive” may aIso be too narrow a criterion of moral considerability, since “being in existence” is at least as plausible and nonarbitrary a criterion as is Goodpaster’s. I show that each of the arguments that (...) Goodpaster musters in support of his criterion can be used equally weIl to bolster “being in existence” as a test of moral considerability. Moreover, I argue that “being in existence” appears to be a stronger criterion overall, since it is broader. Until or unless a fuller justification is forthcoming of “being alive” as a satisfactory criterion of moral considerability-a justification which must demonstrate that “mere things,” included under the condition of “being in existence,” do not deserve moral consideration--Goodpaster’sthesis is confronted with a serious problem. (shrink)
The authors empirically examine the nature and extent of ethical problems confronting senior level AICPA members (CPAs) and examine the effectiveness of partner actions and codes of ethics in reducing ethical problems. The results indicate that the most difficult ethical problems (frequency reported) were: client requests to alter tax returns and commit tax fraud, conflict of interest and independence, client requests to alter financial statements, personal-professional problems, and fee problems. Analysis of attitudes toward ethics in the accounting profession indicated that (...) (1) CPAs perceive that opportunities exist in the accounting profession to engage in unethical behavior, (2) CPAs, in general, do not believe that unethical behavior leads to success, and (3) when top management (partners) reprimand unethical behavior, the ethical problems perceived by CPAs seem to be reduced. (shrink)
Bans on guns are typically considered a "liberal" policy, if only because those who support them generally consider themselves to be politically liberal in some sense or other.(1) We will argue, however, that broad bans on firearms are in fact not liberal policies at all. The policy of a state that disarms its citizenry conflicts with more than one of the fundamental principles of liberalism.
Ian Carter argues against what he calls the ?specific freedom thesis?, which claims that in asking whether our society or any individual is free, all we need or can intelligibly concern ourselves with is their freedom to do this or that specific thing. Carter claims that issues of overall freedom are politically and morally important and that, in valuing freedom as such, liberals should be committed to a measure of freedom overall. This paper argues against Carter?s further claim that rejection (...) of the specific freedom thesis requires rejection of morally based determinations of degrees of overall freedom. Using a concept of freedom as a capacity to pursue one?s interests, it is argued that the value of freedom overall is not reducible to the value of specific freedoms, and that conditions of action can be determined as constraints only within the context of their impact on freedom overall. Taking the case of coercive proposals, it is argued that we must evaluate the morality of the circumstances in which conditional proposals are made if we are to weigh the opportunities and constraints contained in the proposal to determine whether its recipient suffers a loss of overall freedom. We must therefore appeal to values other than that of liberty itself to determine degrees of liberty overall, which we require in turn to determine whether threats or offers are coercive. (shrink)
This paper assesses Brian Barry's attempt in Why Social Justice Matters to argue the importance of social justice. Barry seeks to dismiss the ideological misunderstandings that have prevented recognition of the importance of social justice. He also suggests that a robust conception of social justice will be needed to guide policies that solve the problems of the modern world. I argue that the issue of social justice has suffered neglect because of the influence of different ideas of social justice than (...) Barry's rather than a misunderstanding among politicians and media pundits of generally shared intuitions of justice. These different ideas of justice must be shown to be wanting. In doing this, I argue that any adequate theory of social justice must address the issue of the fairness of starting points in peoples' lives. I point out that any such theory requires such revolutionary change that it contradicts the presuppositions of public policy and thus cannot serve to guide public policy solutions to the problems that Barry wants addressed. I argue that a 'non-ideal' theory of justice and principles for making unjust societies fairer, with more modest proposals for change, will better serve as a guide to public policy. (shrink)
In Poetic Justice Martha Nussbaum undertakes to explain how “story-telling and literary imagining” can supply “essential ingredients in a rational argument” and thereby improve public discourse regarding important ethical, political, and legal issues.
Book Information Hegel's Idea of Freedom. Hegel's Idea of Freedom Alan Patten Oxford University Press 1999 xiii + 216 Hardback £30 By Alan Patten. Oxford University Press. Pp. xiii + 216. Hardback:£30.
Although previous ethical analyses of management buyouts have presented useful insights, they have been flawed in three major ways. First, they define the transaction too narrowly, emphasizing the going private aspect and ignoring the leveraged aspect. Leveraging alters the nature of the transaction substantially and warrants additional ethical analysis. Second, these previous analyses ignore the impact of buyouts on non-stockholder constituents of the firm, an omission which renders their implicit utilitarian approach incomplete. Third, these analyses do not include Rawlsian, libertarian, (...) or Kantian perspectives on ethics. This paper addresses these shortcomings and finds the ethical status of leveraged management buyouts to be highly suspect. (shrink)
Can mystics intuit something of what modern physicists calculate? And if so, how? The question of the relation between the classical mysticisms and modern science is approached in Part I in terms of the multiple forms and definitions of 'truth value'. Intuition/epiphany, pragmatism, coherence, and correspondence are considered as forms of truth that have also been proposed for unitive mystical experience. Since 'correspondence' or 'representation' has been the definition at the core of modern science, it in particular is approached by (...) combining Lakoff and Johnson on the roots of all abstract knowledge in physical metaphor and Gibson on the ecological array of perception as the template from which such metaphors must be drawn. A series of similarities between the maximally inclusive metaphors underlying unitive mystical experience and cosmological physics, as abstracted from an ecological array already resonant with multiple levels of physical reality, suggests a basis for the correspondence between these otherwise distinct cognitive domains. Part II extends this approach to widely posited cross cultural values of spiritual or mystical realization, in terms of gratitude, compassion, faith, and inner freedom. When fully embodied as forms of personal conduct, these are also ultimately derivable from the openness and flow patternings of the ecological array itself. The possibility that the more abstract spiritual values of the major world mysticisms exemplify not only revelatory and pragmatic forms of truth, but are also broadly correspondent with both the principles of immediate concrete perception and modern physics, may eventually allow a contemporary re- formulation of the microcosm-macrocosm unities basic to traditional cultures. (shrink)
Martin Luther King, Jr drew upon his early grounding in family and church to forge a praxis of egalitarian justice in the rigidly segregated American South of his youth. King?s ethical outlook was eclectic, reflecting the influence of such figures as Mays, Davis, Rauschenbusch, Niebuhr, Thurman and Gandhi, alongside such doctrines as personalism and liberalism, nationalism and realism. Yet King?s subsequent academic study more nearly enhanced than restructured his early, formative exposure to black church and community. King became committed to (...) nonviolence, not as passive resistance, but as an active, aggressive, individual and self?improving solution to problems of gross injustice in society. Nonviolence for King was not an end, but a means, to the achievement of what he called ?Beloved Community? (shrink)
The five authors vary in the degree to which the recent neuroscience of the REM state leads them towards multiple dimensions and forms of dreaming consciousness (Hobson et al.; Nielsen; Solms) or toward all-explanatory single factor models (Vertes & Eastman, Revonsuo). The view of the REM state as a prolongation of the orientation response to novelty fits best with the former pluralisms but not the latter monisms. [Hobson et al.; Nielsen; Revonsuo; Solms; Vertes & Eastman].
This article explores whether theory-ladenness makes empirical testing an inse cure foundation for objectivity. Specifically, this article uses path diagrams as visual heuristics to assist in (1) developing a parsimonious representation of the traditional empiricist view of empirical testing, (2) showing how the "New Image" view ostensibly threatens the objectivity of science, (3) proposing a unified, realist theory of empirical testing, (4) developing a representation of the unified theory, (5) exploring several potential threats to objectivity, (6) discussing the proposed theory's (...) implications for social science, and (7) adumbrating three foundational premises for scientific realism. (shrink)
Health professionals are involved in humanitarian assistance and development work in many regions of the world. They participate in primary health care, immunization campaigns, clinic- and hospital-based care, rehabilitation and feeding programs. In the course of this work, clinicians are frequently exposed to complex ethical issues. This paper examines how health workers experience ethics in the course of humanitarian assistance and development work. A qualitative study was conducted to consider this question. Five core themes emerged from the data, including: tension (...) between respecting local customs and imposing values; obstacles to providing adequate care; differing understandings of health and illness; questions of identity for health workers; and issues of trust and distrust. Recommendations are made for organizational strategies that could help aid agencies support and equip their staff as they respond to ethical issues. (shrink)
Early in Peter Abelard's Dialogue Between a Philosopher, a Jew, and a Christian, the philosopher (that is, the ancient Greek) and the Christian easily come to agreement about what the point of ethics is: "the culmination of true ethics ... is gathered together in this: that it reveal where the ultimate good is and by what road we are to arrive there." Further, they also agree that, since the enjoyment of this ultimate good "comprises true blessedness," ethics "far surpasses other (...) teachings in both usefulness and worthiness. (1) As Abelard understood them, both fundamental elements of his twelfth century ethical culture, both Greek philosophy and Christian religion, held a common view of the nature of ethical inquiry, one that was so obvious to them that his characters do not even state it in a fully explicit way. They take for granted, as we take the ground we stand on, the premise that the most important function of ethical theory is to tell you what sort of life is most desirable, or most worth living. That is, the point of ethics is that it is good for you, that it serves your self-interest. (shrink)
Indeed, to a layperson reading the relevant case law, it almost seems that the courts sometimes try to make this principle seem as shocking as possible. In one decision that is often cited, a unanimous state supreme court held that, not only did an eight year old boy have no right to be rescued by the defendant from having his hand caught in a machine in the defendant's factory, but he (the boy, as a trespasser) would even have been liable (...) for damages to the defendant in this case had his hand, in being ground up by the defendant's machine, damaged the machine. (shrink)
As a means of conveying difficult personal experiences, illness narratives and their analysis have the potential to increase awareness of patients’ lives and circumstances. Becoming sensitised to the linguistic texture of narrative offers readers a means of increasing narrative understanding. Using the fictional narrative of The Bell Jar , this paper outlines a novel method for exploring the language of illness narratives. Corpus stylistics provides new insights into narrative texture and demonstrates the importance of recurrent linguistic features in shaping meaning. (...) The paper concludes by proposing the application of a similar methodology to non-fictional illness narratives in therapeutic contexts. (shrink)
           1. My thesis. The point I wish to make here is actually fairly simple. As my title suggests, I wish to argue for the idea that the state is an institution that requires a justification. Some readers will no doubt feel that the fact that the state needs a justification is so obvious that arguing for it is a waste of time: it is best to move on forthwith to (...) the real issue, which is what that justification (if there is one) might be. To others, the very idea that there is an issue here might seem baffling: why should government be any more in need of a justification than anything else? I would like to put forth a reason, a rather simple one actually, for thinking that it does need a justification; that it stands more in such need, perhaps, than any human institution of comparable longevity and persistence. (shrink)
I sometimes entertain my non-academic friends by telling them that, at the end of each course I teach, before I compute my students’ grades, I pause nervously while I wait to be graded by my students. This process can be described less paradoxically, but surely no more truthfully, as follows. In my department, and as far as I know all the departments at my university, each course ends with students anonymously filling out forms in which they evaluate the teacher and (...) the course. The form includes several questions in which the student is asked to rate the teacher in various respects (such as clarity and organization, availability outside the classroom, and so forth) along a numbered scale (in our case, from one to five); they are also asked one very general question in which they are told to rate the instructor’s overall effectiveness. They are also invited to write comments on these matters. Mean scores (in effect, grades) are calculated for each question and published by the university. In addition, these student evaluations of teaching (often called SETs for short) are used each year by the committee that decides merit pay increases for faculty. When the faculty member is being considered for advancement to tenure or promotion to the rank of Full Professor, these evaluation forms are supplemented by faculty evaluation of teaching, in which faculty members visit the candidate’s classes and report on her or his effectiveness as a teacher. Except for these two once-in-a-lifetime events, the student evaluation forms are the only way in which we judge the quality of teaching. In other words, teaching is for the most part evaluated by students and not by faculty. (shrink)
Brian Ellis has argued that the assigning of forces is, in the final analysis, a matter of convention. This conclusion is backed by the premises (1) that forces and force-effects are necessary and sufficient for each other, and (2) that the classification of some state of affairs as a force-effect is at least partly conventional. We argue that the first premise is false, that the second premise is ambiguous as between several senses of "conventional," and finally that he has not (...) established that force-effects are conventional in the sense required for the conclusion he wishes to draw. (shrink)
One strategy in recent discussions of theological fatalism is to draw on Harry Frankfurt’s famous counterexamples to the principle of alternate possibilities (PAP) to defend human freedom from divine foreknowledge. For those who endorse this line, “Frankfurt counterexamples” are supposed to show that PAP is false, and this conclusion is then extended to the foreknowledge case. This makes it critical to determine whether Frankfurt counterexamples perform as advertised, an issue recently debated in this journal via a pair of articles by (...) David Widerker and John Martin Fischer. I suggest that this debate can be avoided: divine foreknowledge is itself aparadigmatic counterexample to PAP, requiring no support from suspect Frankfurt counterexamples. (shrink)
One strategy in recent discussions of theological fatalism is to draw on Harry Frankfurt’s famous counterexamples to the principle of alternate possibilities (PAP) to defend human freedom from divine foreknowledge. For those who endorse this line, “Frankfurt counterexamples” are supposed to show that PAP is false, and this conclusion is then extended to the foreknowledge case. This makes it critical to determine whether Frankfurt counterexamples perform as advertised, an issue recently debated in this journal via a pair of articles by (...) David Widerker and John Martin Fischer. I suggest that this debate can be avoided: divine foreknowledge is itself aparadigmatic counterexample to PAP, requiring no support from suspect Frankfurt counterexamples. (shrink)
This paper seeks to rehabilitate St. Augustine’s widely dismissed response to the alleged incompatibility of divine foreknowledge and free will. This requires taking a fresh look at his analysis in On Free Choice of the Will, and arguing its relevance to the current debate. Along the way, mistaken interpretations of Augustine are rebutted, his real solution is developed and defended, a reason for his not anticipating Boethius’s a temporalist solution is suggested, a favorable comparison with Ockham is made, rival solutions (...) are rejected, and the aporetic nature of the problem is explained. (shrink)
"Virtue has all the instincts of the average man against it: it is unprofitable, imprudent, it isolates; it is related to passion and not very accessible to reason; it spoils the character, the head, the mind - according to the standards of mediocre men; it rouses to enmity toward order, toward the lies that are concealed in every order, institution, actuality - it is the worst of vices, if one judges by its harmful effects on others.".
Although access to medicines is a vital feature of the right to the highest attainable standard of health (“right to health”), almost two billion people lack access to essential medicines, leading to immense avoidable suffering. While the human rights responsibility to provide access to medicines lies mainly with States, pharmaceutical companies also have human rights responsibilities in relation to access to medicines. This article provides an introduction to these responsibilities. It briefly outlines the new UN Guiding Principles on Business and (...) Human Rights and places the human rights responsibilities of pharmaceutical companies in this context. The authors draw from the work of the first UN Special Rapporteur on the right to the highest attainable standard of health, in particular the Human Rights Guidelines for Pharmaceutical Companies in Relation to Access to Medicines that he presented to the UN General Assembly in 2008, and his UN report on GlaxoSmithKline (GSK). While the Guiding Principles on Business and Human Rights are general human rights standards applicable to all business entities, the Human Rights Guidelines for Pharmaceutical Companies consider the specific human rights responsibilities of one sector (pharmaceutical companies) in relation to one area of activity (access to medicines). The article signals the human rights responsibilities of all pharmaceutical companies, with particular attention to patent-holding pharmaceutical companies. Adopting a right-to-health “lens,” the article discusses GSK and accountability. The authors argue that human rights should shape pharmaceutical companies' policies, and provide standards in relation to which pharmaceutical companies could, and should, be held accountable. They conclude that it is now crucial to devise independent, accessible, transparent, and effective mechanisms to monitor pharmaceutical companies and hold them publicly accountable for their human rights responsibilities. (shrink)
This collection of original essays by leading philosophical scholars focuses on particular episodes or examines broader philosophical themes raised in the ...
Over the past decade, patient-centered care has become increasingly prominent in discussions of health-care practice, policy, and organization. Patient-centered care is a holistic concept whereby health professionals individualize their encounters with each patient (Stewart 2001). Decision-making strategies, recommendations, and plans of care are all devised and acted upon in relation to the particular patient. The patient is assumed to have a unique configuration of elements comprising her identity, illness experience, and physical, social, and environmental context. While partnership is understood as (...) essential for the therapeutic encounter in a patient-centered approach, the patient herself is seen as guiding .. (shrink)
Although a number of articles have addressed ethical perceptions and behaviors, few studies have examined ethics across cultures. This research focuses on measuring the job satisfaction, customer orientation, ethics, and ethical training of automotive salespersons in the U.S. and Taiwan. The relationships of these variables to salesperson performance were also investigated. Ethics training was found to be negatively related to perceived levels of ethicalness and performance. High performance U.S. salespeople reported high ethical behavior, while the opposite was true in Taiwan. (...) Customer orientation in both countries was influenced by ethics training. Managers should evaluate current ethics training programs to insure correct ethical behavior is taught and rewarded. (shrink)
Health care professionals who travel from their home countries to participate in humanitarian assistance or development work experience distinctive ethical challenges in providing care and services to populations affected by war, disaster or deprivation. Limited information is available about organizational practices related to preparation and support for health professionals working with non-governmental organizations. In this article, we present one component of the results of a qualitative study conducted with 20 Canadian health care professionals who participated in international aid work. The (...) findings reported here relate to expatriate clinicians’ experiences and perceptions of ethics preparation, training and support. The strategies examined include pre-departure training and preparation, in-field supports and retrospective debriefing of ethical issues. Participants experienced a range of training and supports as beneficial for addressing ethical challenges in humanitarian assistance and development work. Participants also expressed ambivalence or scepticism about the benefits offered by specific modalities. This analysis can contribute to informing discussions of how organizations and individual practitioners can best develop, implement and utilize ethics training and support for international aid work. (shrink)
Nietzsche and the Origin of Virtue : This book is a discussion of Nietzsche's ethical and political ideas. It is an attempt to be both scholarly and, in a sense, activist. The ultimate point is to see how believers in liberal democracy (like me and most of my readers) should respond to the challenge that Nietzsche represents. As with any profound challenge, one is never the same again after it is overcome. In particular, I suggest that liberals can learn something (...) very important from the ideas that grow out of Nietzsche's early discussion of Homer's notion of agon or Wettkampf (roughly, conflict or competition). (shrink)
The interrelationships among a number of variables and their effect on ethical decision making was explored. Teams of students and managers participated in a competitive management simulation. Based on prior research, the effects of performance, environmental change, team age, and type of team on the level of ethical behavior were hypothesized. The findings indicate that multiple variables may interact in such a fashion that significance is lost.
This collection of essays by leading patristic scholars of the U.K. and Germany illuminates aspects of the relation between Christian faith and Greek philosophy.
Stanovich & West claim that the positive correlation between reasoning tasks negates the view that errors in reasoning are due to failures in information processing. This is not correct. They conjecture that errors in reasoning are associated with conflicts between intentional and associative reasoning. This interesting proposition suggests studies relating situational characteristics to the quality of human reasoning.
