BackgroundConsent for data research in acute and critical care is complex as patients become at least temporarily incapacitated or die. Existing guidelines and regulations in the European Union are of limited help and there is a lack of literature about the use of data from this vulnerable group. To aid the creation of a patient-centred framework for responsible data research in the acute setting, we explored views of patients and next-of-kin about the collection, storage, sharing and use of genetic and (...) health-related data for observational research.MethodsWe conducted qualitative interviews with Dutch sudden cardiac arrest survivors who donated clinical and socio-economic data and genetic samples to research. We also interviewed their next-of-kin. Topics were informed by ethics literature and we used scenario-sketches to aid discussion of complex issues.ResultsSudden cardiac arrest survivors displayed limited awareness of their involvement in health data research and of the content of their given consent. We found that preferences regarding disclosure of clinically actionable genetic findings could change over time. When data collection and use were limited to the medical realm, patients trusted researchers to handle data responsibly without concern for privacy or other risks. There was no consensus as to whether deferred consent should be explicitly asked from survivors. If consent is asked, this would ideally be done a few months after the event when cognitive capacities have been regained. Views were divided about the need to obtain proxy consent for research with deceased patients’ data. However, there was general support for the disclosure of potentially relevant post-mortem genetic findings to relatives.ConclusionsSudden cardiac arrest patients’ donation of data for research was grounded in trust in medicine overall, blurring the boundary between research and care. Our findings also highlight questions about the acceptability of a one-time consent and about responsibilities of patients, researchers and ethics committees. Finally, further normative investigation is needed regarding the use of participants’ data after death, which is of particular importance in this setting. Our findings are thought to be of relevance for other acute and life-threatening illnesses as well. (shrink)

First Published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.

In The March of Unreason, Dick Taverne expresses his concern that irrationality is on the rise in Western society, and argues that public opinion is increasingly dominated by unreflecting prejudice and an unwillingness to engage with factual evidence. Discussing topics such as genetically modified crops and foods, organic farming, the MMR vaccine, environmentalism, the precautionary principle, and the new anti-capitalist and anti-globalization movements, he argues that the rejection of the evidence-based approach nurtures a culture of suspicion, distrust, and cynicism, (...) and leads to dogmatic assertion and intolerance. Science, with all the benefits it brings, is an essential part of a civilized and democratic society: it offers the most hopeful future for humankind. (shrink)

Clifford, Dick The world outlook is rather grim. Greece is bankrupt, the efforts to cure the problem by making new loans to the banks and cutting living standards is likely only to postpone the date when bankruptcy is declared. Italy and Spain are in a similar position. Britain, Europe and the USA are loaded with debt, only a few countries like Iceland are adopting methods which are the reverse of what conventional economics requires and seem to be recovering from (...) their problems slowly. (shrink)

Moby-Dick as Philosophy is at base a chapter-by-chapter commentary on Herman Melville’s masterwork, Moby-Dick. The commentary form of the book subserves a higher end, the presentation of an ideal of the type philosopher. Superimposing portraits of Plato, Melville, and Nietzsche—the thinkers themselves, their ideas and their lives—it generates a composite image from the overlaying and interblending of figures. At a higher level still, the book is a meditation on the nature of philosophy and its relation to wisdom, and (...) the relation of creative artistry to both. It explores these themes in the context of the history of philosophy conceived as the rise and fall of a certain influential variety of Platonism—in Nietzschean terms, the life and death of God—and it proceeds with reference to the different reactions, as exemplified particularly by Melville and Nietzsche, to the nihilism that looms on the horizon of these intellectual and spiritual revolutions. (shrink)

For 150 years Africans have been longing for a Christianity which is not the -White man's religion.- Missionaries have often failed to strip the Western cultural -garb- from their presentation of the gospel. Emerging African theologians in rapidly expanding congregations are beginning to formulate an explicitly African theology. The Christian message must be contextualized within the local culture if it is to be communicated effectively in the daily life of the African Christian. This book shows how missionaries and African Christians (...) can work together to find timeless biblical principles and allow those principles to directly impact African culture.". (shrink)

The Intellectual as Stranger explores the historical association between images of the intellectual and those of the stranger, or the outsider to society. Using detailed case-studies, Pels examines the ambiguous strangerhood of political intellectuals such as Marx, Durkheim, Sorel, Freyer and Hendrik de Man.

In this article, I assess the prospects for the limitarian thesis that someone has too much wealth if they exceed a specific wealth threshold. Limitarianism claims that there are good political and/or ethical reasons to prevent people from having such ‘surplus wealth’, for example, because it has no moral value for the holder or because allowing people to have surplus wealth has less moral value than redistributing it. Drawing on recent literature on distributive justice, I defend two types of limitarian (...) principles of justice. First, limitarian midlevel principles draw on the limitarian thesis to specify normative commitments for guiding institutional design and individual actions. Second, the limitarian presumption draws on that thesis to specify what a just allocation of wealth requires under epistemic constraints. Such a presumption says that without substantive reasons to the contrary, we should regard a distribution as unjust if some people’s wealth exceeds the limitarian threshold. Furthermore, I will argue that we must reject a possible but implausible interpretation of limitarianism as an ideal distributive pattern. Yet both as a midlevel principle and as a presumption, limitarianism can play an important role in theorizing about justice in the real world. (shrink)

The article uses the ideal of a New Left to conceptualize the underlying unity of diverse political experiences during the past half century. Although Marx is not the direct object of this reconstruction, his specter is a recurring presence at those “nodal points” where the imperative to move to “another element” becomes apparent. These are moments when the spirit that has animated a movement can advance no further; it is faced with new obstacles, which may be self-created. The article analyzes (...) from a participant’s perspective the development of the New Left in the U.S., France and West Germany as it tried to articulate what is dubbed the "unknown dimension" of Marx’s theoretical project. (shrink)

Despite the prominence of thresholds in theories of distributive justice, there is no general account of what sort of role is played by the idea of a threshold within such theories. This has allowed an ongoing lack of clarity and misunderstanding around views that employ thresholds. In this article, I develop an account of the concept of thresholds in distributive justice. I argue that this concept contains three elements, which threshold views deploy when ranking possible distributions. These elements are (i) (...) the level of the threshold, (ii) what constitutes the value of the threshold, and (iii) how benefits above and below the threshold must be allocated. I highlight three contributions that this particular account of thresholds makes: it clarifies the nature of the shift that occurs at the threshold; it resolves a common misunderstanding about headcount principles; and it shows how the arbitrariness objection can be met. (shrink)

RESUMO O pensamento de Bakhtin, dos primeiros e dos últimos textos, se concentrou nas imagens do corpo humano. Entende-se o corpo ao contemplá-lo: ver é saber. Esse “contemplar” não tem nenhuma das qualidades objetivantes do que hoje é conhecido como “olhar”. A filosofia inicial de Bakhtin é baseada em um compromisso compassivo pelo qual uma pessoa ajuda a outra a ver e a se conhecer como um todo e, além disso, como um todo amado. Por mais limitante que seja, argumentarei (...) que sua concepção inicial de corpo ainda tem muito valor. O argumento então se volta para as imagens posteriores e muito mais familiares de Bakhtin sobre o corpo grotesco. Enquanto, inicialmente, suas ideias voltam-se para um corpo estático, agora vemos o corpo envolvido em uma interação tumultuada e interminável com seu ambiente social e natural. Seria essa uma alegoria antissoviética ou uma visão alternativa do corpo humano que remonta à pré-história? Ofereço duas ilustrações em defesa da ideia de que esta era, na verdade, uma filosofia do corpo. ABSTRACT Bakhtin's thinking, early and late focused upon images of the human body. A body is a thing understood by looking at it: to see is to know. This 'looking' has nothing of the objectivising qualities of what is known today as the 'gaze'. Bakhtin's early philosophy is based on a compassionate engagement whereby one person helps another see and know themselves as a whole, and moreover, as a loved whole. As limiting as it is, I shall argue his early conception of the body still has much value. The argument then turns to Bakhtin's later and much more familiar images of the grotesque body. While his early body is static, now we see the body engaged in a tumultuous and unending interaction with its social and natural environment. Was this an anti-Soviet allegory, or an alternative vision of the human body that reaches back into pre-history? I offer two illustrations in defence of the idea that this was indeed a philosophy of the body. (shrink)

This paper discusses some of the anthropological andphilosophical features of the use of self-managementplans by patients with a chronic disease, focusing onpatients with asthma. Characteristics of thistechnologically mediated form of self-care arecontrasted with the work of Mauss and Foucault on bodytechniques and techniques of self. The similaritiesand differences between self-management of asthma andFoucault's technologies of self highlight some of theways in which self-management contributes tomodifications in the definitions of patients andphysicians. Patients, in measuring their lungfunction, first come to rely on (...) measurements more thanon felt disturbances, but next, felt disturbancesbecome modified by previous measurements. Physicians,on the other hand, see their role changed from expertto being a participant in a joint treatment. It isargued that the concept of agency is more appropriatefor describing the advantage of self-management forpatients than autonomy. (shrink)

The American Indian Movement, founded in 1968 in Minneapolis, burst into that turbulent time with passion, anger, and radical acts of resistance. Spurred by the Civil Rights movement, Native people began to protest the decades--centuries--of corruption, racism, and abuse they had endured. They argued for political, social, and cultural change, and they got attention. The photographs of activist Dick Bancroft, a key documentarian of AIM, provide a stunningly intimate view of this major piece of American history from 1970 to (...) 1981. Veteran journalist Laura Waterman Wittstock, who participated in events in Washington, DC, has interviewed a host of surviving participants to tell the stories behind the images. The words of Russell Means, Dennis Banks, Clyde Bellecourt, Eddie Benton Banai, Pat Bellanger, Elaine Salinas, Winona LaDuke, Bill Means, Ken Tilsen, Larry Leventhal, Jose Barreiro, and others tell the stories: the takeovers of federal buildings and the Winter Dam in Wisconsin, the founding of survival schools in the Twin Cities, the Wounded Knee trials, international conferences for indigenous rights, the Trail of Broken Treaties Caravan and the Longest Walk for Survival, powwows and camps and United Nations actions. This is the inside record of a movement that began to change a nation. Dick Bancroft has been the unofficial photographer for the American Indian Movement since 1970. He has traveled the world to take these photographs. Laura Waterman Wittstock, a writer and media consultant, covered the early years of the American Indian Movement as a journalist. Rigoberta Menchú Tum, recipient of the 1992 Nobel Peace Prize, is an activist for indigenous rights in Guatemala. (shrink)

_The Intellectual as Stranger_ explores the historical association between images of the intellectual and those of the stranger, or the outsider to society. Using detailed case-studies, Pels examines the ambiguous strangerhood of political intellectuals such as Marx, Durkheim, Sorel, Freyer and Hendrik de Man.

In this paper, I argue that limitarian policies are a good means to further political equality. Limitarianism, which is a view coined and defended by Robeyns, is a partial view in distributive justice which claims that under non-ideal circumstances it is morally impermissible to be rich. In a recent paper, Volacu and Dumitru level two arguments against Robeyns’ Democratic Argument for limitarianism. The Democratic Argument states that limitarianism is called for given the undermining influence current inequalities in income and wealth (...) have for the value of democracy and political equality. Volacu and Dumitru’s Incentive Objection holds that limitarianism places an excessive and inefficient burden on the rich in ensuring political equality. The Efficacy Objection holds that even if limitarianism limits excessive wealth it still fails to ensure the preservation of political equality. In this paper, I will argue that both of these objections fail, but on separate grounds. I argue that the Incentive objection fails because one could appeal to limitarian policies that are different from the ones discussed by Volacu and Dumitru and which escape the problem of reduced productivity. I argue against the Efficacy Objection that limitarian policies are a partial but highly valuable step towards establishing political equality, and that they can and should complement or be complemented by other strategies. (shrink)

The strange thing about Dick Pels' claim about the conventional view of knowledge in “Strange Standpoints” is that, in order for knowledge to be true, it must be “value-free, disinterested and universal.” Allegedly, the challenge to this conventional view comes from “standpoint epistemologies” which, to use the opposite terms descriptive of “true knowledge,” are value-laden, interested, and particular. In short, “standpoint epistemologies” is an inflated term for what used to be and still is called subjectivism. Standpoint epistemologies are theories (...) about knowledge claims. According to these epistemologies, any knowledge claim is always made from the perspective of the speaker (the view from somewhere in contrast to the view from everywhere or nowhere), whereby time, place, gender, race and class count as determinative of its truth-value. (shrink)

Cultural Writing. This classic of alternative art theory is available again in this second edition. Dick Higgins was co-founder of Happenings and later Fluxus. He was active in music, studying with John Cage and Henry Cowell and is the author of many books of poetry including Buster Keaton Enters Into Paradise (Left Hand) and Book About Love And Death (Something Else), also available from SPD. From his early (1964) essay on Intermedia, which gave the term to the language, up (...) through the his influential essay on the concept of an allusive referential, the impulse of his work was to describe rather than to prescribe. These essays continue to offer tools which may be useful in developing theories and opinions for the next generation of artists, writers and critics. A Dialectic Of Centuries is book to work within the new century. (shrink)

In this paper we explore the extent to which implicit learning is subtended by somatic markers, as evidenced by skin conductance measures. On each trial subjects were asked to decide which ‘word’ from a pair of ‘words’ was the ‘correct’ word. Unknown to subjects, each ‘word’ of a pair was constructed using a different set of rules (grammar ‘A’ and grammar ‘B’). A (monetary) reward was given if the subject choose the ‘word’ from grammar ‘A’. Choosing the grammar ‘B’ word (...) resulted in (monetary) punishment. Skin conductance was measured during each of 100 trials. After each set of 10 trials subjects were asked how they selected the ‘correct word’. Task performance increased long before the subjects could even formulate a single relevant rule. In this ‘pre-conceptual’ phase of the experiment, skin conductance was larger before incorrect than before correct choices. Thus it was shown that artificial grammar learning is accompagnied by a somatic marker, possibly ‘warning’ the subject for the incorrect decision. (shrink)

This memoir provides the personal story of a tenured poet who initially walked the picket line during the 1990 University of Bridgeport faculty strike. During the strike's second week, he made the difficult decision to cross the picket line of a union he helped create seventeen years earlier. He continually relives his strike experience.

Here P is the density operator of the system under consideration, and σ ± and σ 3 are the usual Pauli matrices, acting on atom i whose states are |1 > or |0 >, representing, respectively, the atom being in an excited state or in the ground state. B and C are appropriate decay constants and s has been called the pumping parameter [1]. It varies from s = 0 for pure damping to s = 1 for full laser action. (...) To solve the corresponding quantum master equations, three approaches have been taken: First, one focuses on the case of one atom. Second, one truncates eq. (1) and derives semi-classical models. Third, one employs numerical simulation methods such as the quantum trajectory method. While the latter method is very popular, it should be noted that the numerical complexity of the problem increases exponentially with the number of atoms, and so numerical methods soon become unfeasible. (shrink)

On November 9, 2002, Richard Jeffrey died in Princeton at the age of 76. Jeffrey - Dick to all who knew him - was Emeritus Professor of Philosophy at Princeton University, where he obtained his Ph. D. in 1957. After a long struggle against cancer, which allowed him extended periods of well-being, Dick had to surrender, but before the final defeat he was able to finish a book called Subjective Probability: the Real Thing, on the web at //www.princeton.edu/-bayesway/, (...) to be published by Cambridge University Press. This book, completed the day before Dick died, can be seen as his philosophical legacy, the point of arrival of the long intellectual journey he embarked on while studying under Rudolf Carnap in Chicago in the years 1946-51. (shrink)

In chapter 1 of Sovereign Virtue Ronald Dworkin argues against the claim that insofar as we care about distributive equality (equality in the distribution of resources to be privately owned), what we should care about is equality of welfare. This says that a distribution of resources in a society is equal just in case it results in all members of society having the same level of welfare (utility, well-being, personal good).

On November 9, 2002, Richard Jeffrey died in Princeton at the age of 76. Jeffrey - Dick to all who knew him - was Emeritus Professor of Philosophy at Princeton University, where he obtained his Ph. D. in 1957. After a long struggle against cancer, which allowed him extended periods of well-being, Dick had to surrender, but before the final defeat he was able to finish a book called Subjective Probability: the Real Thing, on the web at //www.princeton.edu/-bayesway/, (...) to be published by Cambridge University Press. This book, completed the day before Dick died, can be seen as his philosophical legacy, the point of arrival of the long intellectual journey he embarked on while studying under Rudolf Carnap in Chicago in the years 1946-51. (shrink)

Because the notions of "anthropomorphism" and "sentimentality" often are used pejoratively to dismiss research in human-animal studies, there is much to be gained from ongoing and detailed analysis of the changing "structures of feeling" that shape representations and treatments of nonhuman animals. Literary criticism contributes to this project when it pays due attention to differences in historical and cultural contexts. As an example of this approach, a reading of the humanization of cetaceans in Herman Melville's Moby-Dick - and more (...) broadly in nineteenth-century whaling discourse - demonstrates how radically human feelings for nonhuman species are affected by shifting material and ideological conditions. (shrink)

Originally published in 1970 this title commemorates the men and ideas that started, inspired and established a pioneer institution in British psychiatry. Based on the impetus of Freudian and related innovations after the First World War, the Tavistock Clinic offered treatment, training and research facilities in the field of neurosis, child guidance and later on group relations. Dr Dicks, who had been associated for nearly forty years with the work and personalities that helped to develop the Tavistock venture, describes the (...) struggles and capacity for survival of the clinic. He shows how, belonging neither to the older classical psychiatry nor to orthodox psychoanalysis, and suspect to both, the Clinic nevertheless became increasingly used by the rest of the profession as a psychotherapeutic resource. Dr Dicks describes the influence of the Tavistock on the medical, psychological and social work scene both before and after the Second World War, and assesses its achievements as a centre of psycho- and socio-dynamic thinking. The Tavistock is shown as a pioneer _sui generis_, launching psychosomatic research and initiating the exciting ventures in social psychiatry associated with the Army in the Second World War. As the Tavistock was the outcome of work with shell-shock victims in the first war, so its offspring, the Institute of Human Relations, was the natural continuation of the military effort in man-management, morale and group dynamic studies. The book includes an account of the inter-relationship between the Clinic, now part of the National Health Service, and the Institute, a private corporation. Still going strong as part of the Tavistock and Portman NHS Foundation Trust today this is an opportunity to revisit its early history. (shrink)

The issue of the relation between financial derivatives, money and crisis remains one of on-going debate within Marxism. This paper takes issue with a recent contribution to this debate by Tony Norfield. We contend that the relationship between financial derivatives and the concept of ‘money’ needs to be framed in the context of a changing understanding of liquidity, and that issues of crisis and renewed accumulation are better understood though this path than via debates about speculative versus real investment and (...) productive versus unproductive capital. Indeed these latter taxonomies are being superseded by current developments within finance, and Marxian analysis needs to be attuned to these current developments. (shrink)