Checklists have been used to improve quality in many industries, including healthcare. The use of checklists, however, has not been extensively evaluated in clinical ethics consultation. This article seeks to fill this gap by exploring the efficacy of using a checklist in ethics consultation, as tested by an empirical investigation of the use of the checklist at a large academic medical system (Cleveland Clinic). The specific aims of this project are as follows: (1) to improve the quality of ethics consultations (...) by providing reminders to ethics consultants about process steps that are important for most patient-centered ethics consultations, (2) to create consistency in the ethics consultation process across the medical system, and (3) to establish an effective educational tool for trainers and trainees in clinical ethics consultation. The checklist was developed after a thorough literature review and an iterative process of revising and testing by a group of experienced ethics consultants. To pilot test the checklist, it was distributed to 46 ethics consultants. After a six-month pilot period in which ethics professionals used the checklist during their clinical activities, a survey was distributed to all of those who used the checklist. The 10-item survey examined consultants’ perceptions regarding the three aims listed above. Of the 25 survey respondents, 11 self-reported as experts in ethics consultation, nine perceived themselves to have mid-level expertise, and five self-reported as novices. The majority (68 percent) of all respondents, regardless of expertise, believed that the checklist could be a “helpful” or “very helpful” tool in the consultation process generally. Novices were more likely than experts to believe that the checklist would be useful in conducting consultations. The limitations of this study include: reduced generalizability given that this project was conducted at one medical system, utilized a small sample size, and used self-reported quality outcome measures. Despite these limitations, to the authors’ knowledge this is the first investigatation of the use of a checklist systematically to improve quality in ethics consultation. Importantly, our findings shed light on ways this checklist can be used to improve ethics consultation, including its use as an educational tool. The authors hope to test the checklist with consultants in other healthcare systems to explore its usefulness in different healthcare environments. (shrink)

My mother is a lousy cook. She has many other fine talents, but creating an attractive, tasty meal has always been beyond her reach. Even so, breakfast and dinner were daily rituals in my childhood home for which attendance was required. Just as we kids had no end of complaints about having to show up for meals (instead of getting to sleep in before school or hang with friends in the evening), we also took it for granted that my mother (...) made every one of those meals, day after day, year after year. Much later, I came to realize that not only did she make the food, but by constructing these gatherings at the kitchen table, she made our family. Like most mothers in the world, her daily work at the stove created the food-centered events around which our family grew, bonded, fought, and shared, and to which we return periodically to get reacquainted. Even as “women’s work” is expanded and redefined, feeding the family remains a central responsibility in families of all kinds. Lang Bui, owner of the Ypsilanti-based Vietnamese restaurant, Da Lat, knows all about the value of food and cooking to the creation of family. She does most all of the wonderful cooking for this low-priced, high-quality restaurant, while her two daughter-in-laws wait on the tables. (Lately, her one-year-old granddaughter also adds to the family atmosphere, toddling quietly about the front of the dining area.) Their efforts have.. (shrink)

Le motif de la réconciliation traverse toute l’œuvre de Hegel. En effet, de ses écrits théologiques de jeunesse, jusqu’à ses différents cours de la période de Berlin, en passant par la Phénoménologie de l’esprit et ses ouvrages systématiques de la maturité, Hegel a maintes fois évoqué ce motif, et ce, dans des contextes aussi divers que des analyses portant sur la logique, l’esthétique, la philosophie de l’histoire, l’histoire de la philosophie et, bien sûr, la religion et la politique. Pourtant, aussi (...) nombreuses que soient les études qui, d’une façon ou d’une autre, s’intéressent à ce motif ou à ce thème, il reste, nous semble-t-il, qu’un peu moins d’attention a été portée au sens ou à la signification exacte que recouvre la notion ou le concept de réconciliation chez Hegel. C’est ce sens qui nous servira de fil conducteur dans ce qui suit. Ainsi, dans la première partie de notre présentation, nous nous emploierons à rendre compte de ce terme en montrant comment il est à comprendre en regard des notions clés de la logique hégélienne telles que celles de « sursomption » (Aufhebung), « d’effectivite » (Wirklichkeit) et de vérité. En un deuxième temps, nous nous attacherons à démontrer en quel sens, Hegel, dans les Principes de la philosophie du droit et dans les Lecons sur la philosophie de la religion, pense les rapports entre la religion et la politique en termes de réconciliation et d’unité. (shrink)

The Methodist Church in Zimbabwe was established in 1891. In 1977, it was granted autonomy by the British Methodist Church. From 1891, top church leadership has been dominated by male clergy. This article explores three instances of a challenge to this trend. The first occurred in 1994 when there was a leadership crisis in one of the districts, and for the first time, a woman was appointed district chairperson. The second followed the election in August 2004 of a male presiding (...) bishop. However, allegations of moral impropriety were made against him. He approached the secular courts, and it led to his withdrawal from the position. The church appointed a woman to the position of acting presiding bishop. When the time came for the substantive post to be filled in August 2005, she was not confirmed in the position; a man was elected instead. The third relates to the controversial appointment in 2017 of a woman to one of the five vacant positions of district bishops. The aim of the research was to analyse the way in which these three women rose to positions of leadership in a male-dominated church. A qualitative research methodology was followed, with data being collected through open-ended interviews. The study highlighted that to be a female clergy leader in the MCZ entails rising against all odds. The study concluded by encouraging the MCZ to support women on their path to leadership rather than overlooking or, worse still, undermining them.Contribution: In spite of the challenges female clergy face in their quest for leadership roles, this feminist ecclesiological study shows stories of rising against all odds, describing the momentum-gaining progress of the ecclesiastical effort in the MCZ to accommodate female leaders, despite slow-moving processes. (shrink)

This article develops Celia Britton's insights into community in French Caribbean writing in two ways. First, it considers Jacques Roumain's Gouverneurs de la rosée and its image of community in the broader context of modern and contemporary Haitian fiction; and second it discusses representations of community in two Haitian works written after the earthquake of 2010, an event that literally destroyed many communities and has forced Haitian authors to rethink relationships between different groups in Haiti and between human life, the (...) cities, nature and the land. (shrink)

In this compelling narrative of antisemitism in German thought, Paul Rose proposes a fresh view of the topic. Beginning with an examination of the attitudes of Martin Luther, he challenges distinctions between theologically derived (medieval) and secular, "racial" (modern) antisemitism, arguing that there is an unbroken chain of antisemitic feeling between the two periods. Originally published in 1992. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of (...) Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

In this compelling narrative of antisemitism in German thought, Paul Rose proposes a fresh view of the topic. Beginning with an examination of the attitudes of Martin Luther, he challenges distinctions between theologically derived (medieval) and secular, "racial" (modern) antisemitism, arguing that there is an unbroken chain of antisemitic feeling between the two periods. Originally published in 1992. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of (...) Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

Im Rahmen des von Hellmut Flashar konzipierten Vorhabens einer Gesamtübersetzung der Fragmente des Stageiriten in drei Teilbänden wird hier ein erster Teil vorgelegt. Grundlage dieser deutschen Ausgabe der Fragmente des Aristoteles bildet die Sammlung von Valentin Rose. Der hier vorgelegte Band ist den Fragmenta historica gewidmet, der VIII. Abteilung bei Rose. Übersetzt und kommentiert werden die Fragmente 472-603 R3 der Städte-Verfassungen. Die Verfassung der Athener, von der seit 1891 der größte Teil des Textes bekannt ist, liegt in dieser (...) Werkausgabe als Band 10/I: Staat der Athener bereits vor, ebenso die Fragmente 604-630. Nicht berücksichtigt wurden die Fragmente aus den Hypomnemata historica und dem Peplos, deren Zuordnung bereits in der Antike als unsicher galt, und die Sammlung von Epitaphien auf griechische Helden, die deutlich nachträglich Aristoteles zugeordnet worden sind. Hingegen wurden die bei Rose nicht den Historica zugeordneten Brieffragmente 651-670 hier mit aufgenommen, da diese in einem weiteren Sinn zu den historischen gehören. (shrink)

Among the countries of the Warsaw Pact, Hungary may be the one in which radical critique has developed most strongly, particularly in regard to theory. This New Left originates from two different sources. One is critical social theory based on Marxism. During the sixties, this critical theory was allowed to develop, the leading ideas could be formulated and published—of course, within certain limits which, however, were rather broad if compared with the Soviet Union. The second area of critique is less (...) well defined, a lot more vague: it is the spirit of Marxist values that rose from the ashes of reified official ideology which conceives of itself as "Marxism.”. (shrink)

This study is devoted to examining the introduction of the Content and Language Integrated Learning classes that combine the history of religion philosophy and English language education within the Ph.D. programme. New global challenges and the BRICS development require the implementation of the CLIL programmes for organizing and improving intercultural cooperation, to give it a more profound value-grounded character. In this regard, it is necessary not only to introduce the teaching of the English language but also to improve the discursive (...) possibilities of postgraduate students, in order to promote their discussions skills. This article, written under the supervision of practicing CLIL educators, is based on the best practices of these programs and describes an example of one session in English. (shrink)

Biological individuality is a notoriously thorny topic for biologists and philosophers of biology. In this paper we argue that biological individuality presents multiple, interconnected questions for biologists and philosophers that together form a problem agenda. Using a case study of an interdisciplinary research group in ecology, behavioral and evolutionary biology, we claim that a debate on biological individuality that seeks to account for diverse practices in the biological sciences should be broadened to include and give prominence to questions about uniqueness (...) and temporality. We show that broadening the problem agenda of biological individuality draws attention to underrecognized philosophical issues and discussions and thereby organizes and enriches the existing debate. (shrink)

Does the Ship of Theseus present a genuine puzzle about persistence due to conflicting intuitions based on “continuity of form” and “continuity of matter” pulling in opposite directions? Philosophers are divided. Some claim that it presents a genuine puzzle but disagree over whether there is a solution. Others claim that there is no puzzle at all since the case has an obvious solution. To assess these proposals, we conducted a cross-cultural study involving nearly 3,000 people across twenty-two countries, speaking eighteen (...) different languages. Our results speak against the proposal that there is no puzzle at all and against the proposal that there is a puzzle but one that has no solution. Our results suggest that there are two criteria—“continuity of form” and “continuity of matter”— that constitute our concept of persistence and these two criteria receive different weightings in settling matters concerning persistence. (shrink)

Online supplement, "Mulsow: Additions to Notes drawn from the 2002 edition of Moderne aus dem Untergrund" full versions of nearly 300 notes that were truncated in the print edition. Hosted on H. C. Erik Midelfort's website. Martin Mulsow's seismic reinterpretation of the origins of the Enlightenment in Germany won awards and renown in its original German edition, and now H. C. Erik Midelfort's translation makes this sensational book available to English-speaking readers. In Enlightenment Underground, Mulsow shows that even in (...) the late seventeenth century some thinkers in Germany ventured to express extremely dangerous ideas, but did so as part of a secret underground. Scouring manuscript collections across northern Europe, Mulsow studied the writings of countless hitherto unknown radical jurists, theologians, historians, and dissident students who pushed for the secularization of legal, political, social, and religious knowledge. Often their works circulated in manuscript, anonymously, or as clandestinely published books. Working as a philosophical microhistorian, Mulsow has discovered the identities of several covert radicals and linked them to circles of young German scholars, many of whom were connected with the vibrant radical cultures of the Netherlands, England, and Denmark. The author reveals how radical ideas and contributions to intellectual doubt came from Socinians and Jews, church historians and biblical scholars, political theorists, and unemployed university students. He shows that misreadings of humorous or ironic works sometimes gave rise to unintended skeptical thoughts or corrosively political interpretations of Christianity. This landmark book overturns stereotypical views of the early Enlightenment in Germany as cautious, conservative, and moderate, and replaces them with a new portrait that reveals a movement far more radical, unintended, and puzzling than previously suspected. (shrink)

We live, according to some, in the century of biology, where we now understand ourselves in radically new ways as the insights of genomics and neuroscience have opened up the workings of our bodies and our minds to new kinds of knowledge and intervention. Is a new figure of the human, and of the social, taking shape in the 21st century? With what consequences for the politics of life today? And with what implications, if any, for the social, cultural and (...) human sciences? These are the issues that are discussed in this article, which argues that a new relation is requred with the life sciences, beyond commentary and critique, if the social and human sciences are to revitalize themselves for the 21st century. (shrink)

Judaism and Modernity: Philosophical Essays challenges the philosophical presentation of Judaism as the sublime 'other' of modernity. Here, Gillian Rose develops a philosophical alternative to deconstruction and post-modernism by critically re-engaging the social and political issues at stake in every reconstruction.

A standard view in contemporary philosophy is that belief is involuntary, either as a matter of conceptual necessity or as a contingent fact of human psychology. We present seven experiments on patterns in ordinary folk-psychological judgments about belief. The results provide strong evidence that voluntary belief is conceptually possible and, granted minimal charitable assumptions about folk-psychological competence, provide some evidence that voluntary belief is psychologically possible. We also consider two hypotheses in an attempt to understand why many philosophers have been (...) tempted to view belief as involuntary: that belief is a prototype concept and that belief is a dual character concept. Altogether, our findings contribute to longstanding philosophical debates about the relationship between the will and the intellect, while also advancing scientific understanding of important social judgments. (shrink)

L’addition, dans la cinquième édition en 1683 de La Logique ou L’Art de penser, d’un chapitre consacré à la définition générale du signe et de plusieurs chapitres relevant spécifiquement d’une analyse des signes linguistiques, a été parfois interprétée comme une apparition tardive du “problème du langage” dans le traité d’Arnauld et Nicole. Parce que la plupart de ces chapitres supplémentaires sont la transposition de passages auparavant destinés dans la Perpétuité de la foi (1669-1674) à réfuter le sens calviniste de Ceci (...) est mon corps, on a été enclin à attribuer l’importance de la question du signe et du “problème du langage” dans l’édition de 1683 à une origine théologique. J’essaie au contraire de montrer que, dès la première édition de L’Art de penser en 1662, la problématisation des écarts des expressions linguistiques avec une correspondance terme à terme entre les mots et les idées a été indissociable pour Port-Royal de l’analyse des opérations de l’esprit. Selon moi, dans la Perpétuité de la foi, la critique du sens calviniste de la formule eucharistique constitue elle-même une application de cette analyse logique du langage : les passages incorporés ensuite dans L’Art de penser sont dans le prolongement des réflexions de 1662 sur les difficultés d’adéquation entre le dire et le vouloir-dire. Je montre pour finir que la définition générale du signe à Port-Royal suppose une restructuration de la définition augustinienne du De doctrina christiana, et fonde en 1683 une identification de la relation de signification linguistique à un rapport de représentation des mots aux idées, qui vient redoubler le rapport de représentation des idées aux choses établi en 1662. (shrink)

In Mourning Becomes the Law, Gillian Rose takes us beyond the impasse of post-modernism or 'despairing rationalism withour reason'. Arguing that the post-modern search for a 'new ethics' and ironic philosophy are incoherent, she breathes new life into the debates concerning power and domination, transcendence and eternity. Mourning Becomes the Law is the philosophical counterpart to Gillian Rose's highly acclaimed memoir Love's Work. She extends similar clarity and insight to discussions of architecture, cinema, painting and poetry, through which (...) relations between the formation of the individual and the theory of justice are connected. At the heart of this reconnection lies a reflection on the significance of the Holocaust and Judaism. Mourning Becomes the Law reinvents the classical analogy of the soul, the city and the sacred. It returns philosophy, Nietzsche's 'bestowing virtue', to the pulse of our intellectual and political culture. (shrink)

We have a mentalistic view of objects. This is due to the interdependence of folk psychology and folk physics, where these are interconnected by what I call Teleological Commingling. When considering events that don’t involve agents, we naturally default to tracking intentions, goal-directed processes, despite the fact that agents aren’t involved. We have a deep-seated intentionality bias which is the result of the pervasive detection of agency cues, such as order or non-randomness. And this gives rise to the Agentive Worldview: (...) we view nature as a whole as being infused with agency and purpose. Teleological Commingling and the Agentive Worldview it gives rise to are at the core of our conception of objects. I maintain that the ordinary view of material objects is rooted in an implicit, false theory. It should be given no weight in metaphysical debates about the nature of material objects. And this problematizes the central methodological assumption that metaphysical theories of material objects should be beholden to common sense. (shrink)

Many philosophers and psychologists argue that out everyday ability to predict and explain the actions and mental states of others is grounded in out possession of a primitive 'folk' psychological theory. Recently however, this theory has come under challenge from the simulation alternative. This alternative view says that human beings are able to predict and explain each other's actions by using the resources of their own minds to simulate the psychological aetiology of the actions of the others. This book and (...) the companion volume Folk Psychology: The Theory of Mind Debate together offer a richly woven fabric of philosophical and psychological theory, which promises to yield real insights into the nature of our mental lives. (shrink)