In 2008 the United Kingdom Nursing and Midwifery Council (NMC) published the latest version of its code of conduct (The code: standards of conduct, performance and ethics for nurses and midwives). The new version marked a significant change of style in the Code compared with previous versions. There has been considerable controversy and the accrual of an extensive body of literature over the years in the UK and Europe criticizing nursing codes of ethics and questioning their ethical standing and their (...) usefulness. In this article we review the current NMC Code. We argue that the NMC has been misguided in labelling the Code as a code of ethics, and suggest that the new document falls short in many respects. (shrink)
This special issue of Health Care Analysis originated in an conference, held in Birmingham in 2014, and organised by the group Think about Health. We introduce the issue by briefly reviewing the understandings of the concept of ‘flourishing’, and introducing the contributory papers, before offering some reflections on the remaining issues that reflection on flourishing poses for health care provision.
The purpose of this paper is to offer an account of ‘flourishing’ that is relevant to health care provision, both in terms of the flourishing of the individual patient and carer, and in terms of the flourishing of the caring institution. It is argued that, unlike related concepts such as ‘happiness’, ‘well-being’ or ‘quality of life’, ‘flourishing’ uniquely has the power to capture the importance of the vulnerability of human being. Drawing on the likes of Heidegger and Nussbaum, it is (...) argued that humans are at once beings who are autonomous and thereby capable of making sense of their lives, but also subject to the contingencies of their bodies and environments. To flourish requires that one engages, imaginatively and creatively, with those contingencies. The experience of illness, highlighting the vulnerability of the human being, thereby becomes an important experience, stimulating reflection in order to make sense of one’s life as a narrative. To flourish, it is argued, is to tell a story of one’s life, realistically engaging with vulnerability and suffering, and thus creating a framework through which one can meaningful and constructively go on with one’s life. (shrink)
This paper raises some issues about understanding religion, religions and spirituality in health care to enable a more critical mutual engagement and dialogue to take place between health care institutions and religious communities and believers. Understanding religions and religious people is a complex, interesting matter. Taking into account the whole reality of religion and spirituality is not just about meeting specific needs, nor of trying to ensure that religious people abandon their distinctive beliefs and insights when they engage with health (...) care institutions and policies. Members of religious groups and communities form an integral part of the structure and fabric of health care delivery, whether as users or in delivery capacities. Religion is both facilitator and resistor, friend and critic, for health care institutions, providers and workers. (shrink)
This article aims to challenge and expand notions of health, health care and health promotion, particularly in relation to smoking, via a consideration of the autobiographical literary work of the English playwright, Simon Gray. Gray died in 2008, having written a series of reflective autobiographical books, The Smoking Diaries. Gray was a lifelong smoker, perpetually trying to give up his habit. This article introduces Gray’s diaries and their reflections on life, death, health care and smoking. It then enquires what can (...) be learned about contemporary health care practices and assumptions from Gray’s work. Finally, it reflects on the limits of views of health and health promotion when considered in the light of a fully lived life. In the life under consideration, health care risks are very differently understood to those prevalent in the medical community. Literary approaches to thinking about smoking are thus seen to place health and health care in broader, richer, and less instrumental perspectives than those that are common amongst contemporary health professionals and institutions. (shrink)
The whole subject of values is surrounded by partiality, ignorance, confusion and ambiguity from the conceptual level down to the nitty gritty level of everyday practice. Some of these problems have been exposed in a preliminary way in this paper. A great deal more, and more detailed, work at conceptual and practical levels needs to be undertaken before we can really start to talk intelligibly and in a non-confusing way about value and values. One thing is clear. We will never (...) completely escape from the relativity and conceptual slipperiness that inheres in the very nature of valuing some things over others. Values are created in an ongoing dynamic process, not revealed. In the short-term, however, this knowledge will not convince politicians and other ideologues that values may not be in and of themselves a wholly desirable thing! (shrink)
When we compare a thinker as complex and many–sided as Søren Kierkegaard with a cultural phenomenon as significant as Zen Buddhism it is unlikely that we will be able to come up with any simple formula by which to summarize the results of the comparison. But the value of such comparative studies need not in any case lie in the conclusions we reach but in the intrinsic interest and importance of the material itself, in the questions and insights raised by (...) both similarities and dissimilarities. All this is still true if we confine the field of comparison to a very specific area, as here, where we are concerned with the relationship between art and religion in Kierkegaard and Zen. For this is of course no marginal issue: the distinction between the aesthetic and the religious is fundamental to the whole structure of Kierkegaard's authorship while the arts provde one of the main manifestations of the spirit of Zen. Our line of enquiry may be narrow but it takes us straight to the heart of the matter and the questions which it raises are crucial to the overall assessment of both Kierkegaard and Zen and of the relationship between them. (shrink)
StephenPattison outlines his vision for medical humanities and then offers cautionary notes on what might go wrong with the movement. These notes are based on what he holds has already gone wrong with medical ethics, dramatically described as the “death course of a discipline”. I have a great deal of sympathy both with his anxieties about the future development of medical humanities and with his critique of medical ethics. My reasons in both cases are a little different (...) from his, and indeed part of his vision for medical humanities constitutes part of my worries about its future! I shall begin with some comments on Pattison’s views on medical humanities, and then more briefly comment on his diagnosis of the ills of medical ethics. (shrink)
Stephen Morse seems to have adopted a controversial position regarding the mindbody relationship: John Searle’s non-reductivism, which claims that conscious mental states are causal yet not reducible to their underlying brain states. Searle’s position has been roundly criticized, with some arguing the theory taken as a whole is incoherent. In this paper I review these criticisms and add my own, concluding that Searle’s position is indeed contradictory, both internally and with regard to Morse's other views. Thus I argue that (...) Morse ought to abandon Searle’s non-reductive theory. Instead, I claim Morse ought to adopt a non-eliminative reductive account that can more easily support his realism about folk psychological states, and the existence of causally effective mental states in a purely physical world. (shrink)
Kalam cosmological arguments have recently been the subject of criticisms, at least inter alia, by physicists---Paul Davies, Stephen Hawking---and philosophers of science---Adolf Grunbaum. In a series of recent articles, William Craig has attempted to show that these criticisms are “superficial, iII-conceived, and based on misunderstanding.” I argue that, while some of the discussion of Davies and Hawking is not philosophically sophisticated, the points raised by Davies, Hawking and Grunbaum do suffice to undermine the dialectical efficacy of kalam cosmological arguments.
According to Stephen Finlay, ‘A ought to X’ means that X-ing is more conducive to contextually salient ends than relevant alternatives. This in turn is analysed in terms of probability. I show why this theory of ‘ought’ is hard to square with a theory of a reason’s weight which could explain why ‘A ought to X’ logically entails that the balance of reasons favours that A X-es. I develop two theories of weight to illustrate my point. I first look (...) at the prospects of a theory of weight based on expected utility theory. I then suggest a simpler theory. Although neither allows that ‘A ought to X’ logically entails that the balance of reasons favours that A X-es, this price may be accepted. For there remains a strong pragmatic relation between these claims. (shrink)
Alvin Plantinga’s evolutionary argument against naturalism argues that the probability of our possessing reliable cognitive faculties, given the truth of evolution and naturalism, is low, and that this provides a defeater for naturalism, if the naturalist in question holds to the general truths of evolutionary biology. Stephen Law has recently objected to Plantinga’s evolutionary argument against naturalism by suggesting that there exist conceptual constraints governing the content a belief can have given its relationships to other things, including behaviour . (...) I show that Law’s objection fails, since it offers an auxiliary hypothesis to naturalism which is itself improbable. I consider multiple variants of the CC thesis, demonstrating that each is improbable, and that any weaker version with greater prior probability is compromised by a failure to render the relevant datum – the reliability of our cognitive faculties – probable. Thus, Law’s objection to Plantinga’s argument fails. (shrink)
Stephen Davis has argued that the second ontological argument fails as a theistic proof because it ignores the logical possibility of what he calls an ontologically impossible being. By an “ontologically impossible being” he means a being that does not exist, logically-possibly exists, and would exist necessarily if it existed. In this brief essay, I argue, first, that even if an OIB is logically possible, its logical possibility is irrelevant to the OA at issue; and second, that an OIB (...) is in fact logically impossible, because the predicates which define it are inconsistent. The concept of an OIB may be coherent if necessity is understood as ontological self-sufficiency, but even so the OIB is irrelevant to the OA. (shrink)
This review commemorates the 20th anniversary of Stephen Clark’s explication of ecological thought. After appraising both philosophical and theological perspectives, Clark argues that society must awaken to Earth’s “Otherness.” I describe Clark’s ecological consciousness and highlight the significance of his book for 21st-century readers.
Stephen Mulhall has distinguished himself as one of the most rigorous and constructive contemporary thinkers on European philosophy and its complicated relationship to Christian theology. A prominent locus of that relationship in his work is the Christian doctrine of original sin, and its criticism but also structural recapitulation in the work of Nietzsche, Heidegger, Sartre and others. This article begins with an overview of relevant themes and their development in Mulhall's writings. I then offer an account of the internal (...) tensions Mulhall identifies in Heidegger et al's ambivalent contestation of original sin, and of his own response. The centre of this response is a reconfiguration of the character of the divine, and of human participation in that divine, as radical self-abnegation. I conclude with an appreciative critique of Mulhall's proposal as insufficiently responsive to the eschatological framework within which original sin has its doctrinal and ontological place in Thomist thought. (shrink)
Stephen Hetherington é um dos mais proeminentes epistemólogos a defender que é possível ter conhecimento segundo as condições de crença verdadeira e justificada, apesar dos contraexemplos elaborados por Edmund Gettier. Ele fundamentou sua perspectiva no pressuposto de falibilidade do conhecimento e naquilo que ele chamou de "falácia de contrafactuais epistêmicos", segundo a qual não se deve assumir impossibilidade do conhecimento factual apenas em virtude da sua impossibilidade contrafactual - o que é reiterado por Anthony Booth. As críticas apresentadas por (...) Brent Madison, John Turri e Duncan Prtichard apontaram para a relevância das suas ideias, mas também para o fato de que Hetherington ignorou que há diferentes tipos de sorte que podem interferir no processo de aquisição de conhecimento. Palavras-chave: Falácia de contrafactuais epistêmicos. Falibilismo. Infalibilismo. Sorte epistêmica. Stephen Hetherington. (shrink)
Heidegger’s Being and Time is often cited as one of the most important philosophical works of the last century. This outstanding collection examines the major themes of Division Two of Being and Time , which has received relatively little attention compared to Division One. Leading philosophers examine important topics such as authenticity, death, guilt and time, the influence of Kierkegaard, and the relationship between Heidegger’s work and ancient and medieval philosophy. Essential reading for scholars and students of Heidegger’s thought and (...) anyone interested in key debates in phenomenology. Contributors: William Blattner, Clare Carlisle, Taylor Carman, Steven Galt Crowell, Daniel O. Dahlstrom, Hubert Dreyfus, Charles Guignon, Jeffrey Haynes, Stephan Käufer, Denis McManus, Stephen Mulhall, George Pattison, Peter Poellner, Katherine Withy, Mark A. Wrathall. (shrink)
Though Heidegger’s Being and Time is often cited as one of the most important philosophical works of the last hundred years, its Division Two has received relatively little attention. This outstanding collection corrects that, examining some of the central themes of Division Two and their wide-ranging and challenging implications. An international team of leading philosophers explore the crucial notions that articulate Heidegger’s concept of authenticity, including death, anxiety, conscience, guilt, resolution and temporality. In doing so, they clarify the bearing of (...) Division Two’s reflections on our understanding of intentionality, normativity, responsibility, autonomy and selfhood. These discussions raise important questions about how we may need to rethink the morals of Division One of Being and Time , the broader project to which that book was devoted, the shaping influence of figures such as Aristotle and Kierkegaard, as well as Heidegger’s relationship with his contemporaries and successors. Essential reading for students and scholars of Heidegger’s thought, and anyone interested in key debates in phenomenology, ethics, metaphilosophy and philosophy of mind. Contributors: William Blattner, Clare Carlisle, Taylor Carman, Steven Galt Crowell, Daniel O. Dahlstrom, Sophia Dandelet, Hubert Dreyfus, Charles Guignon, Jeffrey Haynes, Stephan Käufer, Denis McManus, Stephen Mulhall, George Pattison, Peter Poellner, Katherine Withy, Mark A. Wrathall. (shrink)
[Stephen Makin] Aristotle draws two sets of distinctions in Metaphysics 9.2, first between non-rational and rational capacities, and second between one way and two way capacities. He then argues for three claims: [A] if a capacity is rational, then it is a two way capacity [B] if a capacity is non-rational, then it is a one way capacity [C] a two way capacity is not indifferently related to the opposed outcomes to which it can give rise I provide explanations (...) of Aristotle's terminology, and of how [A]-[C] should be understood. I then offer a set of arguments which are intended to show that the Aristotelian claims are plausible. \\\ [Nicholas Denyer] In De Caelo 1: 11-12 Aristotle argued that whatever is and always will be true is necessarily true. His argument works, once we grant him the highly plausible principle that if something is true, then it can be false if and only if it can come to be false. For example, assume it true that the sun is and always will be hot. No proposition of this form can ever come to be false. Hence this proposition cannot be false. Hence it is necessarily true, and so too is anything that follows from it. In particular, it is necessarily true that the sun is hot. Moreover, if the sun not only is and always will be hot, but also always has been, then it follows by similar reasoning that the sun not only cannot now fail to be hot, but also never could have failed. Anything everlastingly true is therefore, in the strictest sense of the term, necessarily true. (shrink)
Is there a contradiction in Stephen Colbert’s attitudes towards race? How can he consistently claim to be colorblind and yet hold a national search for a new "black friend"? I argue that Stephen is trying to claim rights and shirk responsibilities on matters of race relations in America, and that his famous notion of "truthiness" is an extension of this attitude to other areas of social and political discourse.
The fundamental question of political reparation is: why should a state provide redress for an injustice? The predominant answer justifies redress in terms of debts—the perpetration of an injustice creates a debt, and a state is required to make redress for the same reasons that it is required to repay its debts . Other approaches justify redress on the grounds that it will facilitate the achievement of some broader political goal, like the fair distribution of social resources or political reconciliation.In (...) Transitional Justice in Established Democracies, Stephen Winter provides a novel answer to this fundamental question in terms of political legitimacy. On Winter’s “legitimating account,” the state’s perpetuation of certain injustices compromises its political legitimacy. Redress is a required for a (liberal, democratic) state to bolster its legitimacy and to live up to its political commitments.Winter’s book makes a number of contributions to thinking about redress and transitional .. (shrink)