Background: Low rates of participation of adolescents and young adults (AYAs) in clinical oncology trials may contribute to poorer outcomes. Factors that influence the decision of AYAs to participate in health research and whether these factors are different from those that affect the participation of parents of children with cancer. Methods: This is a secondary analysis of data from validated questionnaires provided to adolescents (>12 years old) diagnosed with cancer and parents of children with cancer at 3 sites in Canada (...) (Halifax, Vancouver, and Montreal) and 2 in the United States (Atlanta, GA, and Memphis, TN). Respondents reported their own research participation and cited factors that would influence their own decision to participate in, or to provide parental authorization for their child to participate in health research. Results: Completed questionnaire rates for AYAs and parents were 86 (46.5%) of 185 and 409 (65.2%) of 627, respectively. AYAs (n = 86 [67%]) and parents (n = 409 [85%]) cited that they would participate in research because it would help others. AYAs perceived pressure by their family and friends (16%) and their physician (19%). Having too much to think about at the time of accrual was an impediment to both groups (36% AYAs and 47% parents). The main deterrent for AYAs was that research would take up too much time (45%). Nonwhite parents (7 of 56 [12.5%]) were more apt to decline than white parents (12 of 32 [3.7%]; P < .01). Conclusions: AYAs identified time commitment and having too much to think about as significant impediments to research participation. Addressing these barriers by minimizing time requirements and further supporting decision-making may improve informed consent and impact on enrollment in trials. (shrink)
PURPOSE: There is an increasing demand for researchers to provide research results to participants. Our aim was to define an appropriate process for this, based on needs and attitudes of participants. METHODS: A multicenter survey in five sites in the United States and Canada was offered to parents of children with cancer and adolescents with cancer. Respondents indicated their preferred mode of communication of research results with respect to implications; timing, provider, and content of the results; reasons for and against (...) providing results; and barriers to providing results. RESULTS: Four hundred nine parents (including 19 of deceased children) and 86 adolescents responded. Most parents (n = 385; 94.2%) felt that they had a strong right to research results. For positive results, most wanted a letter or e-mail summary (n = 238; 58.2%) or a phone call followed by a letter (n = 100; 24.4%). If the results were negative, phone call (n = 136; 33.3%) or personal visits (n = 150; 36.7%) were preferred. Parents wanted the summary to include long-term sequelae and suggestions for participants (n = 341; 83.4%), effect on future treatments (n = 341; 83.4%), and subsequent research steps (n = 284; 69.5%). Understanding the researcher was a main concern about receiving results (n = 145; 35.5%). Parents felt that results provide information to support quality of life (n = 315; 77%) and raise public awareness of research (n = 282; 68.9%). Adolescents identified similar preferences. CONCLUSION: Parents of children with cancer and adolescents with cancer feel strongly that they have a right to be offered research results and have specific preferences of how and what information should be communicated. (shrink)
Machine generated contents note: 1. Socrates, Plato and the invention of the ancient quarrel; 2. Aristotle, poetry and ethics; 3. Plotinus, Augustine and strange sweetness; 4. Boethius, Dionysius and the forms; 5. Thomas, and some Thomists; 6. Vico's new science; 7. Kant and His Students on the Genius of Nature; 8. Hegel and the owl of Minerva; 9. Kierkegaard: a poet, alas; 10. Dilthey: poetry and the escape from metaphysics; 11. Nietzsche, Heidegger and the saving power of poetry; 12. Mikhail (...) Bakhtin and novelistic consciousness. (shrink)
Abstract This review discussion outlines Justin Barrett’s Preparedness Model. This evolutionary model for belief in God is shown to posit a maladaptive mind for infants. Questions about its implications and the supporting data are considered. Content Type Journal Article Pages 1-3 DOI 10.1007/s11841-012-0300-x Authors Dwayne Raymond, Department of Philosophy, Texas A&M University, College Station, TX, USA Journal Sophia Online ISSN 1873-930X Print ISSN 0038-1527.
: In this essay, I examine the arguments against physician-assisted suicide (PAS) Susan Wolf offers in her essay, "Gender, Feminism, and Death: Physician-Assisted Suicide and Euthanasia." I argue that Wolf's analysis of PAS, while timely and instructive in many ways, does not require that feminists reject policy approaches that might permit PAS. The essay concludes with reflections on the relationship between feminism and questions of agency, especially women's agency.
Modern logicians have sought to unlock the modal secrets of Aristotle's Syllogistic by assuming a version of essentialism and treating it as a primitive within the semantics. These attempts ultimately distort Aristotle's ontology. None of these approaches make full use of tests found throughout Aristotle's corpus and ancient Greek philosophy. I base a system on Aristotle's tests for things that can never combine (polarity) and things that can never separate (inseparability). The resulting system not only reproduces Aristotle's recorded results for (...) the apodictic syllogistic in the Prior Analytics but it also generates rather than assumes Aristotle's distinctions among 'necessary', 'essential' and 'accidental'. By developing a system around tests that are in Aristotle and basic to ancient Greek philosophy, the system is linked to a history of practices, providing a platform for future work on the origins of logic. (shrink)
Corballis seems to have not considered two points: (1) the importance of direct selection pressures for the evolution of handedness; and (2) the evolutionary significance of the polymorphism of handedness. We provide arguments for the need to explain handedness in terms of adaptation and natural selection.
This article evaluates the phenomenon of sexual reorientation therapy from the standpoint of Orthodox Christian theology. It is argued that homosexual desire is the product of the fall of mankind and cannot be considered “normal.” At the same time, however, reorientation therapies, whether secular or Christian, are inherently reductionistic and fail to address the underlying spiritual pathologies involved in homosexual desire (or any other deep-seated passion). The purpose of therapeia in the Orthodox Church is the psychosomatic transfiguration of the whole (...) person into the image of Christ, not merely the cessation of homosexual activity or the “reidentification” of one's “lifestyle.”. (shrink)
This article demonstrates, by use of specific theological paradigms, how medicine functions as religion. In doing so, medicine promotes anti-feminist beliefs, symbols, social memories, and churchly structures. The essay then examines the enhancement of women's health from a feminist philosophical perspective. It argues against fetishizing in health promotion to the extent that everything comes to be regarded as therapeutic. Medicine has advanced the ideology that life itself is a disease to be cured or, at best, prevented. Alternative ethics of health (...) promotion could revise this tendency of regular medicine to appropriate all of life into the medical domain, advocating that all sorts of simple daily activities are profoundly therapeutic in some way. Rather, health must be viewed as the constant attempt to re-create a female environment that is Self-defined on the boundary of an environment that is man-made. CiteULike Connotea Del.icio.us What's this? (shrink)
Our commentary focuses on the functional link between the ventral and dorsal systems implied by Norman, as they relate to overt movement. While issues relating to space perception and size constancy are the primary justification for this dual-process theory, the philosophical extensions of this approach are less consistent with examination of motor control and, in particular, motor learning.
As guidelines for neonatal resuscitation evolve from a growing evidence base, clinicians must ensure that practice is closely aligned with the available evidence, based on methodologically sound and ethically conducted research. This paper reviews ethical, legal and risk-management issues arising during the design of a quality-assurance project to make video recordings of neonatal resuscitations after high-risk deliveries. The issues, which affect patients, researchers, staff and the hospital at large, include the following: 1) Informed consent for research involving emergency procedures is (...) often not possible, for lack of time to provide sufficient information. The mental capacity of the subject or parent may be compromised by the impending emergency, and freedom of choice is threatened by the time pressure to consent. 2) Video recording of the inevitable medical errors raises issues of whether participating staff may be identifiable and accountable, affecting their willingness to participate in such research. The approach to staff participation and identification is reviewed. 3) The use of video data for education threatens the privacy of research subjects. The ethics of maintaining privacy is balanced with the ethics of using the data to improve practice of resuscitation. 4) The research subjects (patients, or the staff whose performance is being monitored) must be defined. 5) There are legal and ethical aspects of management and ownership of data. 6) The role of the Human Research Ethics Committee in protecting the research subject and possibly the medicolegal interests of the hospital is discussed. This paper reviews the literature and discusses the issues. (shrink)
The semantic approach to history and the historical approach to the study of meaning -- Imagery in language and metaphor in poetry -- The psychology of inspiration and of imaginationn -- Subject and object in the history of meaning.
The rediscovery of meaning -- Dream, myth, and philosophical double vision -- The meaning of 'literal' -- Poetic diction and legal fiction -- The harp and the camera -- Where is fancy bred? -- The rediscovery of allegory (I) -- The rediscovery of allegory (II) -- Imagination and inspiration -- Language and discovery -- Matter, imagination, and spirit -- Self and reality -- Science and quality -- The coming trauma of materialism -- Participation and isolation: a fresh light on present (...) discontents -- Form and art in society -- Philology and the incarnation -- The Psalms of David -- The "Son of God" and the "Son of Man". (shrink)
Can political theory be action-guiding without relying on pre-political normative commitments? I answer that question affirmatively by unpacking two related tenets of Raymond Geuss’ political realism: the view that political philosophy should not be a branch of ethics, and the ensuing empirically-informed conception of legitimacy. I argue that the former idea can be made sense of by reference to Hobbes’ account of authorization, and that realist legitimacy can be normatively salient in so far as it stands in the correct (...) relation to a theory of justice and problematizes its sources of value through what Geuss terms ‘political imagination’. (shrink)
There is an analogy between a scientific approach to medicine in which the patient ultimately becomes an object of study rather than a whole person, and a post/modern aesthetic in literature in which the subject has little or no agency in a chaotic linguistic universe. Raymond Carver died of cancer in 1988, and in both his pre- and post-diagnostic poetry there is humanistic lyricism that contributes to re-establishing empathic bonds between readers and characters, and to re-humanizing the patient as (...) a whole person in the context of contemporary health institutions. Close readings of poems with descriptions of the autopsy room and of patient-doctor relations bring out the medical humanism in Carver's verse. (shrink)
This is the outline: Introduction : le praticien d’une science-philosophie; Épiphénoménisme retourné et subjectivité délocalisée; Dieu est-il jamais inféré par la science ?; La question du panthéisme; Le pilotage axiologique et la parabole mécaniste; L'unité domaniale comme ce qui reste en dehors de la science.
The Raymond Tallis Reader provides a comprehensive survey of the work of this passionate, perceptive, and often controversial thinker. Key selections from Tallis's major works are supplemented by Michael Grant's detailed introduction and linking commentary. From nihilism to Theorrhoea, from literary theory to the role of the unconscious, The Raymond Tallis Reader guides us through the panoptic sweep of Tallis's critical insights and reveals a way of thinking for the 21st century.
Clark Carlton brings a much-needed theological sensitivity to the issues surrounding current debates about homosexuality and the ethics of sexual reorientation therapy. Yet, Carlton's portrayal seems to mischaracterize and unnecessarily dismiss reorientation therapy on etiological and other theoretical grounds. It is suggested that for most therapists engaged in sexual reorientation therapy the role of developmental factors in homosexual attraction is neither overstated nor minimized.
This review of JaniceRaymond's A Passion for Friends focuses on her strong sense of the individual and of individuality. However, and this is the central contention of my paper, her perspective is quite distinct from liberal individualism. It is also a complex variation on the feminist concern with selves in relationships.
Raymond Aron (1905–1983) assumed many guises over a long and fruitful career: journalist, polemicist, philosopher of history, counselor to political leaders and officials, theorist of nuclear deterrence and international relations. He was also France’s most notable sociologist. While Aron had especially close ties with Britain, a result of his days in active exile there during the Second World War, he was widely appreciated in the United States too. His book Main Currents in Sociological Thought was hailed a masterpiece; more (...) generally, Aron’s books were extensively reviewed in the American Journal of Sociology, the American Sociological Review (in earlier days, it hosted a review section), Contemporary Sociology, and Social Forces. And he was admired and cited by sociologists of the stature of Daniel Bell, Edward Shils, and David Riesman. Yet despite appearing well poised to become a major force in international sociology, analogous to his younger collaborator, Pierre Bourdieu, Aron has almost vanished from the sociological landscape. This article explains why, offering in the process some observations on the conditions—conceptual and motivational—of reputational longevity in sociological theory and showing how Aron failed to meet them. Special attention is devoted to a confusing equivocation in Aron’s description of sociology and to the cultural basis of his ambivalence toward the discipline. (shrink)