An earlier, abbreviated version was presented as remarks for the inaugural symposium of the Molinari Society, at the American Philosophical Association Eastern Division meeting, on 27 December 2004. Replies and comments on matters of style, content, and argument in this essay are welcome.

Rural, remote, and northern Indigenous communities in Canada frequently face limited access to healthcare services with ongoing physician and staff shortages, inadequate infrastructure, and resource challenges. These healthcare gaps have produced significantly poorer health outcomes for people living in remote communities than those living in southern and urban regions who have timely access to care. Telehealth has played a critical role in bridging long-standing gaps in accessing healthcare services by connecting patients and providers across distance. While the adoption of telehealth (...) in Northern Saskatchewan is growing, its initial implementation faced several barriers related to limited and stretched human and financial resources, infrastructure challenges such as unreliable broadband, and a lack of community involvement and engaged decision-making. Emerging ethical issues during the initial implementation of telehealth in community contexts have been wide ranging including concerns around privacy that have also shaped patients’ experiences and particularly the need to consider place and space within rural contexts. Drawing from a qualitative study with four Northern Saskatchewan communities, this paper offers critical perspectives on the resource challenges and place-based considerations that are shaping telehealth in the Saskatchewan context and provides recommendations and lessons learned that could inform other Canadian regions and countries. This work responds to the ethics of tele-healthcare in rural communities in Canada and contributes perspectives of community-based service providers, advisors, and researchers. (shrink)

The following statement is a report of the Committee on Philosophy in Education of the American Philosophical Association and was approved by the Association's Board of Officers in September, 1959. The Committee was composed of the following: C. W. Hendel, Chairman, H. G. Alexander, R. M. Chisholm, Max Fisch, Lucius Garvin, Douglas Morgan, A. E. Murphy, Charner Perry, and R. G. Turnbull. Primary responsibility for the preparation of this report belonged to a subcommittee composed of Roderick M. Chisholm, Chairman, (...) H. G. Alexander, Lewis Hahn, Paul C. Hayner, and Charles W. Hendel. (shrink)

These essays showcase the value of the narrative arts in investigating complex conflicts of value in moral and political life, and explore the philosophical problem of moral dilemmas as expressed in ancient drama, classic and contemporary novels, television, film, and popular fiction. From Aeschylus to Deadwood, from Harriet Beecher Stowe to Harry Potter, the authors show how the narrative arts provide some of our most valuable instruments for complex and sensitive moral inquiry.

If literature isn’t everything, it’s not worth a single hour of some-one’s trouble.whenever we discuss literature, it is likely that at some point, we find the conversation turning to its sister discipline, philosophy. Both forms of expression offer interpretations of our experience delivered through the performance of language. Moreover, the relationship between philosophy and literature is reinforced by the obvious but seldom-stated fact that philosophers are not just thinkers; they are also writers. And our finest storytellers, the ones who transform (...) and deepen our understanding of the world, are not just writers; they, too, are engaged in the adventure of ideas, to borrow a phrase from Alfred North Whitehead.... (shrink)

A collection of classical and contemporary sources highlighting the radical potential of the individualist anarchist tradition.

Whitehead's Philosophy of Science By VICTOR LOWE BOTH AS AN INVESTIGATOR of the foundations of mathematics and as a philosopher, Alfred North Whitehead ...

Preview: “America does not think much of its philosophers,” Douglas Anderson writes in his introduction to Philosophy Americana. “We do not teach philosophy in our high schools. A majority in America have no idea what philosophy is about or why it might be interesting, if not important.” Perhaps that lack of appreciation for philosophy is coeval with its beginnings when the ancient Athenians put Socrates to death. Anderson’s lament is clearly present from the supposed birth of Western philosophy, and vividly (...) so in 1486 in Italian humanist Giovanni Pico della Mirandola’s discourse known as The Dignity of Man, where he states, “The whole of philosophy is occasion for contempt and contumely, rather than honor and glory. The deadly and monstrous persuasion has invaded practically all minds, that philosophy ought not to be studied at all or by very few people; as though it were a thing of little worth to have before our eyes and at our fingertips....Thus,” Pico said six centuries ago, “we have reached a point, it is painful to recognize, where the only persons accounted wise are those who can reduce the pursuit of wisdom to a profitable traffic.” So it seems today in America and so it has apparently been and will ever be. Nevertheless, Anderson hopes to open a discussion about how philosophy does and does not manifest itself in American culture, how its practitioners remain “invisible,” and largely misunderstood “in rural, laboring, underclassed, and unschooled settings.” It is not his intention, at least in this book, to take up the issue of race in a discipline as overwhelmingly white as Western philosophy. Yet this has been for me, a black American philosopher, a lifelong meditation, which I will attempt to address in this essay. (shrink)

Buddhism-influenced essays, stories, and reviews by National Book Award winner Charles R. Johnson. This wide and varied collection of essays, reviews, and short stories by the renowned author Charles Johnson offers incisive views on politics, race, and Buddhism. Johnson notes that in his life the two activities that have anchored him and reinforce each other are creative production and spiritual practice. This book is a crystallization of what he has learned during his passage through American (...) literature, the visual arts, and the Buddha dharma. Essays include: "And if Peace Is Their Goal" on the principles of enlightened politics, "The King We Need" on the deep and sophisticated moral philosophy of Dr. Martin Luther King Jr., and why King's teachings and example are important to all Americans, "Why Buddhists Should Vote"--Johnson posits that voting can be seen as a way to reduce suffering, "The Meaning of Barack Obama"--an appreciation of the man who became one of the most historic US presidents, even before his first 100 days were through, "Why Buddhism for Black America Now?"--what Buddhism can offer the African-American community in the post-MLK era. (shrink)

This response to Richard Shusterman's Philosophy and the Art of Writing focuses on his concern that philosophy is, first and foremost, a way of life, illustrated in the West by the Socratic ideal of the philosopher and in the East by the example of the scholar-artist-gentleman. This paper examines the process of Buddhist meditation and the process of creating novels, supplementing the authors Shusterman carefully examines with examples from Black American literature, the author's own teacher John Gardner, and artistic colleagues (...) the author has known. The basic thrust of the response is that the skillful means used in writing can indeed be a form of self-creation, but it can also be a means of liberation from the self. (shrink)

Following a clarification of the nature of the “sightedness” and “blindness” which Wittgenstein associated with religious and mystical apprehenson, I argue that his account fails in both its visual and its religious senses. I close with an assessment of the extent to which descriptive language can be used to induce a religious perspective in someone who presently lacks it.

Following a clarification of the nature of the “sightedness” and “blindness” which Wittgenstein associated with religious and mystical apprehenson, I argue that his account fails in both its visual and its religious senses. I close with an assessment of the extent to which descriptive language can be used to induce a religious perspective in someone who presently lacks it.

Argumentation theory is a distinctly multidisciplinary field of inquiry. It draws its data, assumptions, and methods from disciplines as disparate as formal logic and discourse analysis, linguistics and forensic science, philosophy and psychology, political science and education, sociology and law, and rhetoric and artificial intelligence. This presents the growing group of interested scholars and students with a problem of access, since it is even for those active in the field not common to have acquired a familiarity with relevant aspects of (...) each discipline that enters into this multidisciplinary matrix. This book offers its readers a unique comprehensive survey of the various theoretical contributions which have been made to the study of argumentation. It discusses the historical works that provide the background to the field and all major approaches and trends in contemporary research. Argument has been the subject of systematic inquiry for twenty-five hundred years. It has been graced with theories, such as formal logic or the legal theory of evidence, that have acquired a more or less settled provenance with regard to specific issues. But there has been nothing to date that qualifies as a unified general theory of argumentation, in all its richness and complexity. This being so, the argumentation theorist must have access to materials and methods that lie beyond his or her "home" subject. It is precisely on this account that this volume is offered to all the constituent research communities and their students. Apart from the historical sections, each chapter provides an economical introduction to the problems and methods that characterize a given part of the contemporary research program. Because the chapters are self-contained, they can be consulted in the order of a reader's interests or research requirements. But there is value in reading the work in its entirety. Jointly authored by the very people whose research has done much to define the current state of argumentation theory and to point the way toward more general and unified future treatments, this book is an impressively authoritative contribution to the field. (shrink)

As a 2006 Institute of Medicine report highlights, surprisingly little empirical attention has been paid to how prisoners arrive at decisions to participate in modern research. With our study, we aimed to fill this gap by identifying a more comprehensive range of factors as reported by prisoners themselves during semistructured interviews. Our participants described a diverse range of motives, both favoring and opposing their eventual decision to join. Many are well-recognized considerations among nonincarcerated clinical research participants, including a desire for (...) various forms of personal benefit, altruism, and concern about study risks and inconveniences. However, a number of influences seem unique to prisoners. Participants did not report that they were not coerced into enrolling, and they have even been under pressure not to enroll. However, many sought to enroll in order to obtain access to better health care, raising a concern about whether they were unfairly exploited. (shrink)

The focus on translational research in clinical trials has the potential to generate clinically relevant genetic data that could have importance to patients. This raises challenging questions about communicating relevant genetic research results to individual patients. An exploratory pharmacogenetic analysis was conducted in the international ovarian cancer phase III trial, AGO-OVAR 16, which found that patients with clinically important germ-line BRCA1/2 mutations had improved progression-free survival prognosis. Mechanisms to communicate BRCA results were evaluated, because these findings may be beneficial to (...) patients and their families. Communicating individual BRCA results was not anticipated during clinical trial design. Consequently, options were not available for patients to indicate their preference for receiving their individual results when they signed pharmacogenetic informed consent. Differences in local requirements, clinical practice, and opinion regarding the ethical aspects of how to convey genetic results to patients are all potential barriers to returning individual BRCA results to patients. Communicating the aggregate BRCA result from this study provided clinical investigators with a mechanism to disseminate the overall study finding to patients while taking individual circumstances, local guidelines and clinical practice into account. This study illustrates the importance of increasing the clarity and scope of informed consent and the need for patient engagement to ensure clinical trial participants can indicate their preference regarding receipt of potentially important individual pharmacogenetic results. This study was registered in the NCT Clinical Trial Registry under NCT00866697 on March 19, 2009, following approval from participating ethics committees. (shrink)

Background: Therapeutic misconception, the misunderstanding of differences between research and clinical care, is widely prevalent among non-incarcerated trial participants. However, little attention has been paid to its presence among individuals who participate in research while incarcerated. Methods: This study examined the extent to which 72 incarcerated individuals may experience therapeutic misconception about their participation in one of six clinical trials, and its correlation with participant characteristics and potential influences on research participation. Results: On average, participants endorsed 70% of items suggestive (...) of therapeutic misconception. The tendency toward therapeutic misconception was significantly higher among African Americans and Latinos compared to Whites, among older and less educated participants, and among enrollment in a substance-abuse-related trial; it was also correlated with a belief that the trial was the only way to obtain needed treatment. Conclusions: Therapeutic misconception may be particularly high among select incarcerated individuals and is associated with a perceived lack of treatment options. Further examination of therapeutic misconception among incarcerated research participants is needed. (shrink)

Do the rich descriptions and narrative shapings of literature provide a valuable resource for readers, writers, philosophers, and everyday people to imagine and confront the ultimate questions of life? Do the human activities of storytelling and complex moral decision-making have a deep connection? What are the moral responsibilities of the artist, critic, and reader? What can religious perspectives—from Catholic to Protestant to Mormon—contribute to literary criticism? Thirty well known contributors reflect on these questions, including iterary theorists Marshall Gregory, James Phelan, (...) and Wayne Booth; philosophers Martha Nussbaum, Richard Hart, and Nina Rosenstand; and authors John Updike, Charles Johnson, Flannery O'Connor, and Bernard Malamud. Divided into four sections, with introductory matter and questions for discussion, this accessible anthology represents the most crucial work today exploring the interdisciplinary connections between literature, religion and philosophy. (shrink)