Medical tourism (MT) can be conceptualized as the intentional pursuit of non-emergency surgical interventions by patients outside their nation of residence. Despite increasing popular interest in MT, the ethical issues associated with the practice have thus far been under-examined. MT has been associated with a range of both positive and negative effects for medical tourists' home and host countries, and for the medical tourists themselves. Absent from previous explorations of MT is a clear argument of how responsibility for the harms (...) of this practice should be assigned. This paper addresses this gap by describing both backward looking liability and forward looking political responsibility for stakeholders in MT. We use a political responsibility model to develop a decision-making process for individual medical tourists and conclude that more information on the effects of MT must be developed to help patients engage in ethical MT. (shrink)
Background: Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing (...) surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns. Methods: An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature. Results: Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites. Conclusion: Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists. (shrink)
In this essay, James Scott Johnston claims that a dispute over moral teleology lies at the basis of the debate between John Dewey and Robert M. Hutchins. This debate has very often been cast in terms of perennialism, classicism, or realism versus progressivism, experimentalism, or pragmatism. Unfortunately, casting the debate in these terms threatens to leave the reader with the impression that Dewey and Hutchins were simply talking past each other, that one was wrongheaded while the other correct, or (...) that they held incommensurable ideological standpoints. Such an understanding obscures a deeper conflict that divided these two men and overlooks the depth of the differences in their moral outlooks. Johnston argues that both thinkers knew very well what morally significant principles and practices were at stake in the debate and, further, that this awareness, rather than the question of which foundation for education was better for students, informed their responses to one another. (shrink)
INTRODUCTION: EXPLORING THE FUTURE OF GEOGRAPHY RJ Johnston Geographers, not for the first time, are undertaking a critical reappraisal of their discipline ...
The idea of the inner is central to our conception of a person and is at the heart of all interaction. But how should we understand this concept, and what do we mean when we wonder what is going on inside our heads? This accessible and non-technical guide to Wittgenstein provides insight into his work in this area and on the problem of the inner. Using Wittgenstein's recently published writings on the philosophy of psychology, together with unpublished material, Paul (...) class='Hi'>Johnston presents a thorough account of a subject that was central to Wittgenstein's later work. He shows that Wittgenstein's arguments involve a radical re-thinking of our understanding of the inner and present a challenge to contemporary views which has yet to be fully appreciated or understood. Wittgenstein demonstrates how a Wittgensteinian approach can dissolve age-old problems about the nature of consciousness and the relationship between the mind, the body, and the soul. The resulting picture of the inner, with its stress on the crucial role of language, sheds light on the direction of Wittgenstein's work and presents a stimulating and controversial alternative to more fashionable positions on the subject. (shrink)
The Contradictions of Modern Moral Philosophy is a highly original and radical critique of contemporary moral theory. Johnston skillfully demonstrates how much of recent moral philosophy runs aground on the issue of whether we can make correct moral judgements. His analysis begins with an insightful discussion of the divisions within moral philosophy. On one hand many philosophers deny that it is possible to make correct judgements on other peoples actions; on the other, they remain preoccupied with distinguishing between what (...) is "right" and "wrong". Paul Johnston shows how much recent moral philosophy consists of unsuccessful attempts to eliminate this contradiction. (shrink)
Revisiting the history of relativity Content Type Journal Article DOI 10.1007/s11016-010-9466-4 Authors Lewis Pyenson, Department of History, Western Michigan University, Kalamazoo, MI 49008-5242, USA Sean F. Johnston, School of Interdisciplinary Studies, University of Glasgow, Rutherford-McCowan Building, Dumfries, Glasgow, Scotland G2 0RB, UK Alberto A. Martínez, Department of History, University of Texas at Austin, 1 University Station B7000, Austin, TX 78712-0220, USA Richard Staley, Department of the History of Science, University of Wisconsin-Madison, 226 Bradley Memorial Building, 1225 Linden Drive, Madison, (...) WI 53706-1528, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796 Journal Volume Volume 20 Journal Issue Volume 20, Number 1. (shrink)
Reply to Dan Robins’s Review Content Type Journal Article Pages 1-3 DOI 10.1007/s11712-012-9275-0 Authors Ian Johnston, GPO Box 811, Hobart, Tasmania, Australia 7001 Journal Dao Online ISSN 1569-7274 Print ISSN 1540-3009.
Like dreaming, hallucination has been a formative trope for modern philosophy. The vivid, often tragic, breakdown in the mind’s apparent capacity to disclose reality has long served to support a paradoxical philosophical picture of sensory experience. This picture, which of late has shaped the paradigmatic empirical understanding the senses, displays sensory acts as already complete without the external world; complete in that the direct objects even of veridical sensory acts do not transcend what we could anyway hallucinate. Hallucination is thus (...) the mother of Representationalism, which insists that it is mental intermediaries that make other.. (shrink)
Preface -- Is heaven a place we can get to? -- On the impossibility of my own death -- From anatta to agape -- What is found at the center? -- A new refutation of death.
Immanuel Kant is one of Alain Badiou’s principle philosophical enemies. Kant’s critical philosophy is anathema to Badiou not only because of the latter’s openly aired hatred of the motif of finitude so omnipresent in post-Kantian European intellectual traditions—Badiou blames Kant for inventing this motif—but also because of its idealism. For Badiou-the-materialist, as for any serious philosophical materialist writing in Kant’s wake, transcendental idealism must be dismantled and overcome. In his most recent works (especially 2006’s Logiques des mondes), Badiou attempts to (...) invent a non-Kantian notion of the transcendental, a notion compatible with the basic tenets of materialism. However, from 1988’s Being and Event up through the present, Badiou’s oeuvre contains indications that he hasn’t managed fully to purge the traces of Kantian transcendental idealism that arguably continue to haunt his system—with these traces clustering around a concept Badiou christens “counting-for-one” (compter-pour-un). The result is that, in the end, Kant’s shadow still falls over Badiouian philosophy—this is despite Badiou’s admirable, sophisticated, and instructive attempts to step out from under it—thus calling into question this philosophy’s self-proclaimed status as materialist through and through. (shrink)
Machine generated contents note: Introduction. -- Prologue: From the Standard Model to a Sense of Justice. -- 1: The Terrain of Justice. -- 2: Teleology and Tutelage in Plato's Republic. -- 3: Aristotle's Theory of Justice. -- 4: From Nature to Artifice: Aristotle to Hobbes. -- 5: The Emergence of Utility. -- 6: Kant's Theory of Justice. -- 7: The Idea of Social Justice. -- 8: The Theory of Justice as Fairness. -- Epilogue: From Social Justice to Global Justice? -- (...) Source Notes. -- Glossary of Names. -- Index. (shrink)
Is your God really God? -- Believing in God -- On the "names" of God -- The meaning of "God" and the common conception of God -- What is salvation? -- Salvation versus spiritual materialism -- The idolatrous religions -- The ban on idolatry -- Idolatry as perverse worship -- Graven images and the highest one -- Idolatry as servility -- The rhetoric of idolatrousness -- The same God -- The Pharisees' problem with Jesus -- Could we be idolaters? -- (...) Supernaturalism and scientism -- Scientism and superstition -- Supernaturalism -- Legitimate naturalism -- Scientism versus science -- The argument for naturalism from true religion -- The phenomenological approach -- The method and the question -- Yahweh's use of the method -- A criterion or an enclosed circle -- Yahweh's criterion applied to himself -- Forgiving the God -- A reply to yahweh's answer to job -- Is there an internal criterion of religious falsehood? -- The pope's criterion of religious falsehood -- A consequence of the pope's criterion -- Religious and scientific fallibilism -- Why God? -- Doesn't substantive reasonableness suffice? -- The fall -- Homo incurvatus in se -- The redeemer? -- After monotheism -- The highest one -- The tetragrammaton -- The paradox of the highest one -- Speaking of the highest one -- Existents as dependent aspects of existence itself -- An alternative to the thomistic interpretation of the highest one -- Process panentheism -- The goodness of the highest one -- The analogy of logos -- Process panentheism -- The self-disclosure of existence itself -- The problem is with the pantheon -- Panentheism not pantheism -- Distinguishing panentheism and pantheism -- Presence -- Presence as disclosure -- Is being almost entirely wasted? -- Ubiquitous presence -- Against natural representation -- Representation and "carrying information" -- Can causation account for aboutness? -- What could replace the representationalist tradition? -- A diagnosis of the representationalist's mistake -- A transformed picture of "consciousness" and reality -- Confirming the surprising hypothesis -- The mind of God -- The objectivity of the realm of sense -- How the structure of presence might impose evolutionary constraints -- Objective mind and the mind of the highest one -- The doubly donatory character of reality -- Does God exist? -- The highest one -- Christianity without spiritual materialism -- Religion and violence -- The Gospel according to Girard -- Where is original sinfulness? -- Original sinfulness as self-will and false righteousness -- Christ destroys the kingdom of self-will and false righteousness -- The afterlife as an idolatrous conceit -- Against "man's quest for meaning" -- The afterlife as resistance to Christ -- Naturalism's gift : resurrection without the afterlife. (shrink)
Organizations that believe they should "give something back" to the society have embraced the concept of corporate social responsibility (CSR). Although the theoretical underpinnings of CSR have been frequently debated, empirical studies often involve only limited aspects, implying that theory may not be congruent with actual practices and may impede understanding and further development of CSR. The authors investigate actual CSR practices related to five different stakeholder groups, develop an instrument to measure those CSR practices, and apply it to a (...) survey of 401 U.S. organizations. Four different clusters of organizations emerge, depending on the CSR practice focus. The distinctive features of each cluster relate to organizational demographics, perceived influence of stakeholders, managers' perceptions of the influence of CSR on performance, and organizational performance. (shrink)
It has been much debated whether Tractarian objects are what Russell would have called particulars or whether they include also properties and relations. This paper claims that the debate is misguided: there is no logical category such that Wittgenstein intended the reader of the Tractatus to understand his objects either as providing examples of or as not providing examples of that category. This is not to say that Wittgenstein set himself against the very idea of a logical category: quite the (...) contrary. However, where Russell presents his logical variety of particulars and the various types of universal, and Frege presents his of objects and the various types of function, Wittgenstein denies the propriety of such a priori expositions. Wittgenstein envisages a variety of logical types of entity but insists that the nature of these types is something to be discovered only through analysis. (shrink)
In this paper I examine a controversy ongoingwithin current Deweyan philosophy of educationscholarship regarding the proper role and scopeof science in Dewey's concept of inquiry. Theside I take is nuanced. It is one that issensitive to the importance that Dewey attachesto science as the best method of solvingproblems, while also sensitive to thosestatements in Dewey that counter a wholesalereductivism of inquiry to scientific method. Iutilize Dewey's statements regarding the placeaccorded to inquiry in aesthetic experiences ascharacteristic of his method, as bestconceived.
This paper is concerned with the status of a symbol in Wittgenstein’s Tractatus. It is claimed in the first section that a Tractarian symbol, whilst essentially a syntactic entity to be distinguished from the mark or sound that is its sign, bears its semantic significance only inessentially. In the second and third sections I pursue this point of exegesis through the Tractarian discussions of nonsense and the context principle respectively. The final section of the paper places the forgoing work in (...) a secondary context, addressing in particular a debate regarding the realism of the Tractatus. (shrink)
The thesis presents a development of J. L. Austin's analysis of truth and its accompanying analysis of sentence structure. This involves a discussion and refinement of Austin's notions of the demonstrative and descriptive conventions of language and of the demonstrative and descriptive devices of sentences. The main point of the thesis is that ordinary language must be treated as an historical phenomenon: one that has evolved its more complex features through a long series of variations upon a small number of (...) rudimentary conventions and locutions. The utility of Austin's analysis is shown to lie in the description that it provides of the functions of these rudimentary conventions and locutions. The analysis is used to illuminate a number of problematic sentences and expressions of ordinary language, including identity sentences, definite descriptions, existential sentences, and conditionals. (shrink)
It is not immediately clear from Wittgenstein’s Tractatus how to connect his idea there of an object with the logical ontologies of Frege and Russell. Toward clarification on this matter, this paper compares Russell’s and Wittgenstein’s versions of the thesis of an atomic fact that it is a complex composition. The claim arrived at is that whilst Russell (at times at least) has one particular of the elements of a fact – the relation – responsible for the unity of the (...) whole, for Wittgenstein the unity of a fact is the product of copulative powers inherent in all its elements. All kinds of constituents of Tractarian facts – all kinds (forms) of object – are, to use Fregean terminology, unsaturated. (shrink)
The subjective effects and therapeutic potential of the shamanic practice of journeying is well known. However, previous research has neglected to provide a comprehensive assessment of the subjective effects of shamanic-like journeying techniques on non-shamans. Shamanic-like techniques are those that demonstrate some similarity to shamanic practices and yet deviate from what may genuinely be considered shamanism. Furthermore, the personality traits that influence individual susceptibility to shamanic-like techniques are unclear. The aim of the present study was, thus, to investigate experimentally the (...) effect of shamanic-like techniques and a personality trait referred to as "ego boundaries" on subjective experience including mood disturbance. Forty-three non-shamans were administered a composite questionnaire consisting of demographic items and a measure of ego boundaries (i.e., the Short Boundary Questionnaire; BQ-Sh). Participants were randomly assigned to one of three conditions: listening to monotonous drumming for 15 minutes coupled with one of two sets of journeying instructions; or sitting quietly with eyes closed for 15 minutes. Participants' subjective experience and mood disturbance were retrospectively assessed using the Phenomenology of Consciousness Inventory (PCI) and the Profile of Mood States-Short Form, respectively. The results indicated that there was a statistically significant difference between conditions with regard to the PCI major dimensions of visual imagery, attention and rationality, and minor dimensions of imagery amount and absorption. However, the shamanic-like conditions were not associated with a major reorganization of the pattern of subjective experience compared to the sitting quietly condition, suggesting that what is typically referred to as an altered state of consciousness effect was not evident. One shamanic-like condition and the BQ-Sh subscales need for order, childlikeness, and sensitivity were statistically significant predictors of total mood disturbance. Implications of the findings for the anthropology of consciousness are also considered. (shrink)
Education is oftentimes understood as a deeply ethical practice for the development of the person. Alternatively, education is construed as a state-enforced apparatus for inculcation of specific codes, conventions, beliefs, and norms about social and political practices. Though holding both of these beliefs about education is not necessarily mutually contradictory, a definite tension emerges when one attempts to articulate a cogent theory involving both. I will argue in this paper that Habermas’s theory of discourse ethics, when combined with his statements (...) on constitutional democracy and law, manifests this tension for formal education. Through a contrast with Dewey’s social-liberal view of education on the one hand, and the procedural liberalism and its associated view of education, common to Rawls and others writing in the contemporary Anglo-American tradition on the other, the questions of what this means for education and why it matters are raised and addressed. (shrink)
WITTGENSTEIN, PHILOSOPHY, AND ETHICS Our task is only to be impartial, ie we have only to show up the ways philosophy is biased and to correct them, ...
: In this article I examine Dewey's critique of Kant in light of recent interpretations of Dewey's early works, as well as of his 1915 work, German Philosophy and Politics. My aim is to bring the earlier criticisms of Kant in line with the later ones. I make three claims in this paper: first, that Dewey's critique of Kant was indebted to Hegel as much as to the neo-Hegelians; second, that there is a continuous thread between the early criticisms and (...) the later ones, as represented by German Philosophy and Politics; third, that Dewey's critique of Kant portrays Kant as more of a transitional philosopher, one wedded to experience over and against absolute idealism, than is commonly recognized. (shrink)
Ramon Llull (1232-1316), born on Majorca, was one of the most remarkable lay intellectuals of the thirteenth century. He devoted much of his life to promoting missions among unbelievers, the reform of Western Christian society, and personal spiritual perfection. He wrote over 200 philosophical and theological works in Catalan, Latin, and Arabic. Many of these expound on his "Great Universal Art of Finding Truth," an idiosyncratic dialectical system that he thought capable of proving Catholic beliefs to non-believers. This study offers (...) the first full-length analysis of his theories about rhetoric and preaching, which were central to his evangelizing activities. It explains how Llull attempted to synthesize commonplace advice about courtly speech and techniques of popular sermons into a single program for secular and sacred eloquence that would necessarily promote love of God and neighbor. Llull's work is remarkable testimony to the diffusion of clerical culture among educated lay-people of his era, and to their enthusiasm for applying that knowledge in the pursuit of learning and piety. This book should find a place on the shelf of every scholar of medieval history, religion, and rhetoric. (shrink)
The article provides an example of the application of the techniques and results of historical linguistics to traditional problems in the philosophy of language. It takes as its starting point the dispute about the nature of facts that arose from the 1950 Aristotelian Society debate between J. L. Austin and P. F. Strawson. It is shown that, in some cases, expressions containing the noun fact refer to actions and events; while in (...) other cases, such expressions do not have a referring function at all. Thus, nothing corresponding to Strawson's 'pseudomaterial correlate' need be postulated in order to account for the reference of the noun fact . It is suggested that many philosophically problematic expressions may be better understood by tracing their historical evolution in natural language. (shrink)
Spaces of Geographical Thought examines key ideas – like space and place - which inform the geographic imagination. The text: discusses the core conceptual vocabulary of human geography: agency: structure; state: society; culture: economy; space: place; black: white; man: woman; nature: culture; local: global; and time: space; explains the significance of these binaries in the constitution of geographic thought; and shows how many of these binaries have been interrogated and re-imagined in more recent geographical thinking. A consideration of these binaries (...) will define the concepts and situate students in the most current geographical arguments and debates. The text will be required reading for all modules on the philosophy of geography and on geographical theory. (shrink)
My task in this paper is to demonstrate, contra Nel Noddings, that Kantian ethics does not have an expectation of treating those closest to one the same as one would a stranger. In fact, Kantian ethics has what I would consider a robust statement of how it is that those around us come to figure prominently in the development of one's ethics. To push the point even further, I argue that Kantian ethics has an even stronger claim to treating those (...) closest to oneself as imperative than Noddings and sentiment-based ethical theory in general, proposes. (shrink)
The case for inquiry -- The case for Deweyan inquiry -- An account of general inquiry -- Inquiry in science education -- Inquiry in social science education -- Inquiry in art and art education -- Inquiry, embodiment, and kinaesthetics in education -- Conclusion.
Abstract Hayek assailed the idea of social justice by arguing that any effort to realize it would transform society into an oppressive organization, stißing liberty. Hayek's view is marred by two omissions. First, he fails to consider that the goal of social justice, like the goal of wealth generation, might be promoted by strategies of indirection that do not entail oppressive organization. Second, he underestimates the tendency of the market order itself to generate oppressive organization, and consequently sees advantages in (...) the market order that it may not possess. (shrink)
In this article, I examine anew the moral philosophy of Immanuel Kant and its contributions to educational theory. I make four claims. First, that Kant should be read as having the Categorical Imperative develop out of subjective maxims. Second, that moral self-perfection is the aim of moral education. Third, that moral self-perfection develops by children habituating the results of their moral maxims in scenarios and cases. Fourth, that character and culture, Kant’s highest aims for humanity, are the ultimate beneficiaries of (...) this process. (shrink)
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)
In this paper I claim that Hegel's emergent and dialectical understanding of self-consciousness occurs in the thought of John Dewey, albeit in naturalized form. Hegel's Phenomenology of Spirit and Dewey's talk of the self, consciousness, and self-consciousness as it is developed in Experience and Nature together with some attention to Dewey's other great experiential text Art as Experience, will form the contexts for my claim. I do not argue that Dewey reproduces Hegel's dialectic or that Dewey's notion of self-consciousness emerges (...) as isomorphic with Hegel's own. In fact, Dewey's understanding of consciousness and self-consciousness lead me to conclude that for Dewey these are roughly equivalent to experimental .. (shrink)
This study employs a pretest-posttest experimental design to extend recent research pertaining to the effects of teaching business ethics material. Results on a variety of perceptual and attitudinal measures are compared across three groups of students — one which discussed the ethicality of brief business situations (the business scenario discussion approach), one which was given a more philosophically oriented lecture (the philosophical lecture approach), and a third group which received no specific lecture or discussion pertaining to business ethics. Results showed (...) some significant differences across the three groups and demonstrated that for a single lecture, the method used to teach ethics can differentially impact ethical attitudes and perceptions. Various demographic and background variables did not moderate the relationship between the teaching method and the dependent variables, but the sex of the student was strongly associated with the ethical attitude and perception measures. (shrink)
Medical tourism is a practice, whereby individuals travel across national borders with the intention of receiving medical care. Medical tourists are motivated to travel abroad by a number of factors, including the affordability of care abroad, access to treatments not available at home, and wait times for care at home. In this article, we share the findings of interviews conducted with 32 Canadian medical tourists with the aim of developing a better understanding of medical tourism, the ethical issues it raises (...) for public health within Canada and other source countries for medical tourists, and to identify research gaps and policy responses to this practice. While patient and academic perspectives overlap in several regards, we suggest areas in which academic consideration of the ethical issues raised by medical tourism can be informed by patient perspectives. (shrink)
The nuclear engineer emerged as a new form of recognised technical professional between 1940 and the early 1960s as nuclear fission, the chain reaction and their applications were explored. The institutionalization of nuclear engineering—channelled into new national laboratories and corporate design offices during the decade after the war, and hurried into academic venues thereafter—proved unusually dependent on government definition and support. This paper contrasts the distinct histories of the new discipline in the USA and UK (and, more briefly, Canada). In (...) the segregated and influential environments of institutional laboratories and factories, historical actors such as physicist Walter Zinn in the USA and industrial chemist Christopher Hinton in the UK proved influential in shaping the roles and perceptions of nuclear specialists. More broadly, I argue that the State-managed implantation of the new subject within further and higher education curricula was shaped strongly by distinct political and economic contexts in which secrecy, postwar prestige and differing industrial cultures were decisive factors. (shrink)
In this paper. we attempt to view a long-held assumption in nursing as mistaken. That is, that patient suffering is something to be overcome. Utilizing Nietzsche’s statements on Amor Fati, we carefully examine the cultural assumptions behind our denigration of suffering, look at specific nursing examples of this situation, and attempt the beginnings of a discourse on what it would take for nurses to overcome their own predetermined views of suffering in order to better help their patients “own” their own (...) suffering. (shrink)
