Most writing on informed consent in Africa highlights different cultural and social attributes that influence informed consent practices, especially in research settings. This review presents a composite picture of informed consent in Nigeria using empirical studies and legal and regulatory prescriptions, as well as clinical experience. It shows that Nigeria, like most other nations in Africa, is a mixture of sociocultural entities, and, notwithstanding the multitude of factors affecting it, informed consent is evolving along a purely Western model. Empirical studies (...) show that 70–95% of Nigerian patients report giving consent for their surgical treatments. Regulatory prescriptions and adjudicated cases in Nigeria follow the Western model of informed consent. However, adversarial legal proceedings, for a multiplicity of reasons, do not play significant roles in enforcing good medical practice in Nigeria. Gender prejudices are evident, but not a norm. Individual autonomy is recognized even when decisions are made within the family. Consent practices are influenced by the level of education, extended family system, urbanization, religious practices, and health care financing options available. All limitations notwithstanding, consent discussions improved with increasing level of education of the patients, suggesting that improved physician's knowledge and increasing awareness and education of patients can override other influences. Nigerian medical schools should restructure their teaching of medical ethics to improve the knowledge and practices of physicians. More research is needed on the preferences of the Nigerian people regarding informed consent so as to adequately train physicians and positively influence physicians' behaviors. (shrink)
Some experiences of the natural world bring a sense of unity, knowledge, self-transcendence, eternity, light, and love. This is the first detailed study of these intriguing phenomena. Paul Marshall explores the circumstances, characteristics, and after-effects of this important but relatively neglected type of mystical experience, and critiques explanations that range from the spiritual and metaphysical to the psychoanalytic, contextual, and neuropsychological. The theorists discussed include R. M. Bucke, Edward Carpenter, W. R. Inge, Evelyn Underhill, Rudolf Otto, Sigmund Freud, Aldous (...) Huxley, R. C. Zaehner, W. T. Stace, Steven Katz, and Robert Forman, as well as contemporary neuroscientists. The book makes a significant contribution to current debates about the nature of mystical experience. (shrink)
Wynn's claims are, in principle, entirely reasonable; although, as always, the devil is in the details. With respect to Wynn's discussion of the cultural evolution of artifactual symmetry, we provide a few more arguments for the utility of mirror symmetry and extend the enquiry into the tacit and explicit processing of natural and artifactual symmetry.
I argue that, contrary to how he is often read, Spinoza did not believe that the mind and the body were numerically identical. This means that we must find some alternative reading for his claims that they are 'one and the same thing' (I describe three such alternative readings).
This article looks at social entrepreneurs that operate for - profit and internationally , offering that international for-profit social entrepreneurs (IFPSE) are of a unique type. Initially, this article utilizes the entrepreneurship, social entrepreneurship, and international entrepreneurship literatures to develop a definition of the IFPSE. Next, a proposed model of the IFPSE is built utilizing the dimensions of mindset, opportunity recognition, social networks, and outcomes. Case studies of three IFPSE are then used to examine the proposed model. In the final (...) section, findings from the case studies are used to examine the proposed model and more fully elucidate the dimensions of the IFPSE. (shrink)
We outline some ways in which motor neglect (the underutilization of a limb despite adequate strength) and hysterical paralysis (failure to move a limb despite no relevant structural damage or disease) may throw light on the pathophysiology of catatonia. We also comment on the manifold inadequacies of distinguishing too firmly between symptoms of “neurologic origin” and of “psychiatric origin.”.
Demographic differences among consumer groups have become increasingly important to the development of marketing strategies. Marketers depend heavily on the sales force to implement strategies at the consumer level and, not surprisingly, different groups may view the salesperson’s role differently. Unfortunately, unethical sales practices targeted at various consumer groups, and especially at seniors, have been utilized as well. The purpose of this study is to provide initial empirical evidence of the ethical ideological make-up of four age segments outlined by Strauss (...) and Howe (1991, Generations: The History of America’s Future 1584–2069, Morrow, New York) and to examine the propensity for these groups (seniors, in particular) to respond differentially to potentially unethical sales tactics. Data were collected from 179 respondents representing the four generational age groups. MANOVA revealed that the seniors in this study were distinct with respect to ethical ideology and less accepting of unethical sales tactics. Managerial implications are discussed for sales organizations to maximize their effectiveness across consumer groups. (shrink)
Addressing the ways in which and the grounds on which types of conduct can be justifiably criminalized, the first four chapters of this volume focus on the questions that arise from a consideration of the political constitution of the ...
I argue that R.A. Duff’s and Sandra Marshall’s liberal-communitarian justification for punishment doesn’t account for a troubling kind of subordination that results from communicative punishment. Communicative punishment requires a specific interpretation of the nature of the wrong. I focus on victims with incorrect but plausible interpretations of the wrong they’ve suffered to illustrate how a victim’s view a community or other’s view. In the end, I suggest that conceptualizing wrongs as against individuals in relations, rather than as members of (...) communities with shared values, minimizes this kind of subordination. (shrink)
Drawing on signaling theory, we suggest that a supplier’s enforcement of ethical codes sends signals about the supplier that affect a buyer’s decision to continue their commitment to the supplier. We then draw on side-bet theory to hypothesize how switching costs influence the importance of a supplier’s enforcement of ethical codes in predicting a buyer’s continuance commitment to a supplier. We empirically test our model with data from 158 purchasing managers across three manufacturing industries. Results confirm the connection between ethical (...) code enforcement and continuance commitment, but suggest that a supplier’s enforcement of ethical codes matter less when switching suppliers is perceived as too costly. (shrink)
Hacker, P. M. S. Hart's philosophy of law.--Baker, G. P. Defeasibility and meaning.--Dworkin, R. M. No right answer?-Lucas, J. R. The phenomenon of law.--Honoré, A. M. Real laws.--Summers, R. S. Naïve instrumentalism and the law.--Marshall, G. Positivism, adjudication, and democracy.--Cross, R. The House of Lords and the rules of precedent.--Kenny, A. J. P. Intention and mens rea in murder.--Mackie, J. L. The grounds of responsibility.--MacCormick, D. N. Rights in legislation.--Raz, J. Promises and obligations.--Foot, P. R. Approval and disapproval.--Finnis, J. (...) M. Scepticism, self-refutation, and the good of truth.--Barry, B. M. Justice between generations.--Feinberg, J. Harm and self-interest. (shrink)
Notes on stratification, education, and mobility in industrial societies, by E. Hopper.--Social selection in the welfare state, by T. H. Marshall.--Domination and assertion in educational systems, by M. Scotford-Archer and M. Vaughan.--Sponsored and contest mobility and the school system, by R. H. Turner.--A typology for the classification of educational systems, by E. Hopper.--The management of knowledge: a critique of the use of typologies in educational sociology, by I. Davies.--Selection and knowledge management in education systems, by D. Smith.--Systems of education (...) and systems of thought, by P. Bourdieu.--On the classification and framing of educational knowledge, by B. Bernstein.--The political functions of the educational system, by H. Zeigler.--Power, ideology, and the transmission of knowledge: an exploratory essay, by D. Smith.--Theoretical advance and empirical challenge, by A. H. Halsey.--A cross-cultural outline of education, by J. Henry.--Educational systems and selected consequences of patterns of mobility and non-mobility in industrial societies: a theoretical discussion, by E. Hopper. (shrink)
Nós tentamos mostrar neste ensaio que as propostas anulabilistas de Peter Klein e de Marshall Swain não resolvem o problema de Gettier. Klein postula que, para qualquer contra-exemplo de tipo-Gettier, há uma proposição verdadeira que, ao ser conjugada com a evidência e de S, anula de modo legítimo a justificação de p para S. Swain postula que, para qualquer contra-exemplo de tipo-Gettier, há uma proposição verdadeira que, ao ser conjugada com o conjunto de razões R de S, anula de (...) modo ulterior a justificação de S para crer que p. Para provarmos que essas propostas não resolvem aquele problema, apresentamos dois contra-exemplos de tipo-Gettier para os quais não há anuladores legítimos da justificação de p por e para S, nem anuladores da justificação da crença de S de que p por R que não sejam ulteriormente anulados. Após a discussão em torno dos anulabilismos de Klein e de Swain, tentamos mostrar que as conclusões nela obtidas podem ser corretamente aplicadas a qualquer proposta anulabilista de conhecimento. DOI:10.5007/1808-1711.2010v14n2p175. (shrink)
This paper discusses a philosophical issue in taxonomy. At least one philosopher has suggested thc taxonomic principle that scientific kinds are disjoint. An opposing position is dcfcndcd here by marshalling examples of nondisjoint categories which belong to different, cocxisting classification schcmcs. This dcnial of thc disjoinmcss principle can bc recast as thc claim that scientific classification is "int<-:rcst—rclativc". But why would anyone have held that scientific categories arc disjoint in the first place'? It is argued that this assumption is nccdcd (...) in one attempt t0 dcrivc csscntialism. This shows why the csscntialist and intc-:rcst—r<-zlativc approaches to classification arc in conflict. (shrink)
In Enchanted Looms , Rodney Cotterill defends the hypothesisthat conscious sensory experience depends on motor response. Thepositive evidence for this hypothesis is inconclusive, andnegative evidence can be marshaled against it. I present analternative hypothesis according to which consciousness involvesintermediate level sensory processing, attention, and workingmemory. The circuitry of consciousness can be dissociated fromaction systems and may mark an evolutionary advance from a priorphylogenetic stage in which motor outputs and sensory inputswere more intimately bound.
Metaphysics is an essential part of philosophy of medicine, providing the background for further methodological work.Current accounts of the ontology of particular diseases may be classified as realist or anti-realist. Because strong arguments can be marshaled by both of these positions, an approach to medical ontology that draws support from both sides of this divide would be desirable. Abstract models, as described by Ronald Giere, provide such an approach.After a review of Giere’s account of mechanics, I show how abstract models (...) can provide an account of the ontology of diseases. (shrink)
