RationaleSurrogates of critically ill patients often have inaccurate expectations about prognosis. Yet there is little research on how intensive care unit clinicians should discuss prognosis, and existing expert opinion-based recommendations give only general guidance that has not been validated with surrogate decision makers.ObjectiveTo determine the perspectives of key stakeholders regarding how prognostic information should be conveyed in critical illness.MethodsThis was a multicenter study at three academic medical centers in California, Pennsylvania, and Washington. One hundred eighteen key stakeholders completed in-depth semistructured (...) interviews. Participants included 47 surrogates of adult patients with acute respiratory distress syndrome; 45 clinicians working in study ICUs, including physicians, nurses, social workers, and spiritual care providers; and 26 experts in health communication, decision science, ethics, family-centered care, geriatrics, healthcare disparities, palliative care, psychology, psychiatry, and critical care.Measurements and main resultsThere was broad support among surrogates for existing expert recommendations, including truthful prognostic disclosure, emotional support, tailoring the disclosure strategy to each family's needs, and checking for understanding. In addition, stakeholders offered suggestions that add specificity to existing recommendations, including: In addition to conveying prognostic estimates, clinicians should help families "see the prognosis for themselves" by showing families radiographic images and explaining the clinical significance of physical manifestations of severe disease at the bedside. Many physicians did not support using numeric estimates to convey prognosis to families, whereas many surrogates, clinicians from other disciplines, and experts believed numbers could be helpful. Clinicians should conceptualize prognostic communication as an iterative process that begins with a preliminary mention of the possibility of death early in the ICU stay and becomes more detailed as the clinical situation develops. Although prognostic information should be initially disclosed by physicians, other members of the multidisciplinary team-nurses, social workers, and spiritual care providers-should be given explicit role responsibilities to reinforce physicians' prognostications and help families process a poor prognosis emotionally.ConclusionsFamily members, clinicians, and experts identified specific communication behaviors that clinicians should use to discuss prognosis in the critical care setting. These findings extend existing opinion-based recommendations and should guide interventions to improve communication about prognosis in ICUs. (shrink)

This inquiry analyzed the extent to which television commercials used mature models, relative to younger models. It also analyzed the extent to which commercials portrayed the elderly in a favorable or an unfavorable manner. The study used content analysis to test twelve hypotheses. The authors arrived at conclusions relating to the depiction of mature individuals in television commercials and set forth various recommendations to advertisers, based on the analysis.

The objective of this paper is to suggest types of analysis that can help managers effectively choose NGO partners that help them meet their international corporate sustainability and social responsibility goals. NGO partner choices should offer a good fit to corporate goals/objectives and create opportunities to reap the benefits of social responsibility and sustainability efforts, which include public image, environmental protection, customer and stakeholder satisfaction, employee morale, and the completion of work that serves a social responsibility or sustainability goal. Examples (...) of this type of goal include providing income generation activities for persons with HIV/AIDS, and educational opportunities for people who would not normally get them. The paper exploresthree lenses through which partner choice may be viewed: agency theory, transaction cost economics, and resource dependency. Areas for further exploration are suggested, and a comprehensive research agenda/model is discussed. (shrink)

The objective of this paper is to suggest types of analysis that can help managers effectively choose NGO partners that help them meet their international corporate sustainability and social responsibility goals. NGO partner choices should offer a good fit to corporate goals/objectives and create opportunities to reap the benefits of social responsibility and sustainability efforts, which include public image, environmental protection, customer and stakeholder satisfaction, employee morale, and (most importantly) the completion of work that serves a social responsibility or sustainability (...) goal. Examples of this type of goal include providing income generation activities for persons with HIV/AIDS, and educational opportunities for people who would not normally get them. The paper exploresthree lenses through which partner choice may be viewed: agency theory, transaction cost economics, and resource dependency. Areas for further exploration are suggested, and a comprehensive research agenda/model is discussed. (shrink)

This book presents the first systematic typological analysis of applicatives across African, American Indian, and East Asian languages. It is also the first to address their functions in discourse, the derivation of their semantic and syntactic properties, and how and why they have changed over time.Applicative constructions are typically described as transitivizing because they allow an intransitive base verb to have a direct object. The term originates from the seventeenth-century missionary grammars of Uto-Aztecan languages. Constructions designated as prepositional, benefactive, and (...) instrumental may refer to the same or similar phenomena. Applicative constructions have been deployed in the development of a range of syntactic theories which have then often been used to explain their functions, usually within the context of Bantu languages. Dr Peterson provides a wealth of cross-linguistic information on discourse-functional, diachronic, and typological aspects of applicative constructions. He documents their unexpected synchronic variety and the diversity of diachronic sources about them. He argues that many standard assumptions about applicatives are unfounded, and provides a clear guide for future language-specific and cross-linguistic research and analysis. (shrink)

This book sets Gaudda in historical context and develops a commentary that makes the meaning and significance of the Alatasaanti text clear. In the Alatasaanti , Gaudda uses terms made familiar by Buddhism in order to expound his Vedantic philosophy. It places him at the watershed between Mahayana Buddhism and Vedanta. Among the important issues discussed are Gaudda's radical doctrine of non-production (ajati), that is, the view that despite appearances nothing is ever actually brought into existence; his notion of the (...) illusory nature of sensory experience; his conviction that reality is "not two" (and certainly not more than two); his theory of knowledge; and the "touchless yoga" he hoped would dispel our illusions about ourselves and our world. His logic and the content of his arguments are examined critically. "This is a very useful and valuable work. The topic is a central one in Indian philosophy, yet not many books and none in recent times, have ventured to explore it. The author does a persuasive job, especially given the controversial nature of the topic. The book's chief merit is its clear and readable style. The format clearly elucidates the Ajativada of Gaudda through critical and historical introduction, summaries, translations and commentary. This is a work which will not only draw general readers who are interested in Indian philosophy but also serious scholars who are concerned about textual interpretations. The translation of the text is very well done, both in terms of readability and authenticity." -- Deen K. Chatterjee, University of Utah. (shrink)

This article considers six types of Platonic Innatism and compares them to the nativisms of early modern writers. I first dismiss a type of innatism similar to the target of the first book of Locke’s Essay concerning Human Understanding and then discuss four types of innatism that might be considered “live options” for the one Plato employs in his theory of recollection: a Kantian “constructivist” innatism, a Cartesian “dispositional” innatism, a Leibnizian “content” innatism, and a Malebranchian “transcendent” innatism. Finally, in (...) closing, I discuss “condition innatism”. Though this last position is frequently referenced in Platonic scholarship, I argue that the position is incoherent. (shrink)

This article examines inequality from a framework of justice that attends to the socially situated nature of market activity, including exchange. I argue that accounts of unsituated exchange—accounts of market exchange that abstract from social situations, such as philosopher Robert Nozick’s influential libertarian account of justice—overlook various factors that contribute to growing economic inequality in contemporary society. Analyses of market exchange must incorporate the role of “third parties” who play a role in shaping and/or who are affected by economic transactions. (...) The involvement of these additional parties, including the government and future generations, is not interference but, instead, an integral part of the economic and moral accounting of exchange. An approach to justice and inequality which embeds exchange within multiple dimensions of economy and society is needed; the latter part of this article traces such a socially situated approach. (shrink)

Market-based social governance schemes that establish standards of conduct for producers and traders in international supply chains aim to reduce the negative socioenvironmental effects of globalization. While studies have examined how characteristics of social governance schemes promote socially responsible producer behavior, it has not yet been examined how these same characteristics affect consumer behavior. This is a crucial omission, because without consumer demand for socially produced products, the reach of the social benefits is likely to be limited. We develop a (...) comprehensive model that links twocharacteristics of market-based social governance schemes—(1) stringency and enforcement of requirements, and (2) promotion—to two conditions required for governance schemes to generate significant social benefits: (1) socially responsible behavior of participating firms; and (2) consumer demand for socially produced products which, in turn, expands products produced according to social governance schemes, and thus, the quantity of social benefits. We discuss market-based social governance schemes in the context of fair trade coffee. (shrink)

Although the similarities between the trial of Socrates and the trial of Jesus have been discussed since the age of the Apologists, the same cannot be said about the anonymously written Trial of Maximus the Confessor and Plato’s Apology. My paper seeks to start this discussion. First I look at the historical context of each trial, finding that each was preceded by a rebellion that the accused was suspected of inciting. Then I summarize the Trial, noting numerous similarities between it (...) and the Apology. After this, I examine some of these similarities in detail. In particular, I show that the defense speeches of both Socrates and Maximus reveal a layer of duplicity endemic to the text: while both Socrates and Maximus appear to exonerate themselves, their defense speeches actually contain harsh mockeries of their accusers. Next, I elucidate the consanguinity between the defendants’ opposition to their cities’ god, whom they feel compelled to reject, and their introduction of new gods into their cities —a charge for which both defendants were tragically convicted. Finally, I examine the manner in which both figures play gadfly to their city. (shrink)

This article provides a rigorous defense of innate true belief in the Meno, to my knowledge, the first of its kind. While several commentators have proposed innate true belief in the past, the position has never been defended or explained in detail. Instead, the most thorough discussions of Plato’s innatism have opted for different innate objects. I defend my proposal against these recent alternatives by showing that the passages often thought to imply innate knowledge can arguably be better read in (...) other ways. I then argue that they should be so read, because of an “awareness condition” Plato had on knowledge at the time. (shrink)

Believing that there is still something to be said about the early history of clausulae in Latin prose, I set myself to trace the practice of the early orators, then that of the Rhetorica ad Herennium, accepting its conventional dating to 86–82 B.C., and lastly that of Cicero in De Inventione, assuming it to be roughly contemporary with the ad Herennium, and in his early speeches. But clausula-study itself, besides shedding light on the methods of composition used by the still (...) unidentifiable Auctor ad Herennium, cast doubts on the conventional dating of his work. I gave a brief outline of my conclusions in C.R., N.S. vi , 134–6.1 propose to attempt here a detailed justification of those relating to the date of the work, with a few modifications of some points. (shrink)

This article seeks to answer why there are two different versions of Meno’s Paradox. I argue that the dilemma contained in Socrates’s version is a pre-existing puzzle, familiar to both Meno and Socrates before their discussion. The two versions of the paradox are thus different because Meno’s version is a mistaken attempt to remember the puzzle contained in Socrates’s version. Although Meno’s version is a mistaken attempt to state Socrates’s version, it is a philosophically richer puzzle that makes three interesting (...) points about inquiry and recognition. After arguing that Socrates’s version is unsound and that Meno’s version is an attempt to recollect or remember it, I analyze Meno’s version in detail. In closing, I consider the relationship between the notion of recognition, which figures prominently in Meno’s version, and the theory of recollection, suggesting that the latter may have arisen as an attempt to explain the origin of moral intuitions. (shrink)

This article examines the theory of recollection in Plato's Meno and attempts to unravel some long-standing puzzles about it. What are the prenatal objects of the soul's vision? What are the post-natal objects of the soul's recollection? What is innate in the Meno? Why does Socrates (prima facie) suggest that both knowledge and true opinion are innate? The article pays particular attention to the ana- prefix in the verbs aneuriskô, anakineô and analambanô, and suggests that they are used for two (...) distinct stages of recollection: a phenomenological stage of ‘finding again’ or ‘awakening’ our innate content, which Plato calls doxa, and an epistemic stage of ‘getting it back’ as epistêmê. Thinking of the verbs with this ‘back/again’ sense of the ana- prefix (instead of as ‘up’, in the common translation of analambanô as ‘take up’) allows us to understand why Plato would simultaneously imply that our souls had prenatal epistêmê, have post-natal innate true opinion and have the potential to analambanein epistêmê. He is not talking about ‘taking up’ epistêmê that he also calls doxa, but about ‘getting back’ the epistêmê we had prenatally. The article concludes with an examination of what this innate content is, suggesting that it is a type of ‘principle’ and ‘essential’ mental content. (shrink)

IN THIS ESSAY I ENGAGE THE DEBATE AMONG THEOLOGIANS, PHILOSOphers, and economists on the proper role of self-interest in the pursuit of economic well-being. Often, neither economists' use of self-interest nor critics' rejection of it is carefully specified. I consider conditions under which acting in one's self-interest is theologically and morally proper. Specifically, I argue that for socioeconomically disadvantaged persons, increased exercise of self-interest should not be regarded as sinful but as a fitting expansion of agency and well-being. Contextual factors (...) of distribution and the quality of social relations must inform any analysis of self-interest. I introduce a theological perspective on self-interest within an egalitarian Christian framework and suggest ways in which this approach enables further theological and ethical reflection on the proper role of self-interest. (shrink)

Although the similarities between the trial of Socrates and the trial of Jesus have been discussed since the age of the Apologists, the same cannot be said about the anonymously written Trial of Maximus the Confessor and Plato’s Apology. My paper seeks to start this discussion. First I look at the historical context of each trial, finding that each was preceded by a rebellion that the accused was suspected of inciting. Then I summarize the Trial, noting numerous similarities between it (...) and the Apology. After this, I examine some of these similarities in detail. In particular, I show that the defense speeches of both Socrates and Maximus reveal a layer of duplicity endemic to the text: while both Socrates and Maximus appear to exonerate themselves, their defense speeches actually contain harsh mockeries of their accusers. Next, I elucidate the consanguinity between the defendants’ opposition to their cities’ god, whom they feel compelled to reject, and their introduction of new gods into their cities —a charge for which both defendants were tragically convicted. Finally, I examine the manner in which both figures play gadfly to their city. (shrink)

Though the relation of spirituality to self has long been recognized in established spiritual and religious systems, serious scientific interest in spirituality and its relation to identity has only started to grow in the past 20 years. This paper overviews the literature on spirituality and identity. Particular attention is given to describing and critiquing conventional and transpersonal perspectives with emphasis given to empirically testable theories. Using MacDonald’s five dimensional model of spirituality, a structural model of spirituality is proposed as is (...) a model of spiritual identity formation. (shrink)

Growing international trade has helped lift living standards around the world, and yet free trade is always under attack. Critics complain that trade forces painful economic adjustments, such as plant closings and layoffs of workers, and charge that the World Trade Organization serves the interests of corporations, undercuts domestic environmental regulations, and erodes America's sovereignty. Why has global trade become so controversial? Does free trade deserve its bad reputation? In Free Trade under Fire, Douglas Irwin sweeps aside the misconceptions (...) that litter the debate over trade and gives the reader a clear understanding of the issues involved. This third edition has been thoroughly updated to include the latest developments in world trade--including the practice of off-shoring services, the impact of trade on wages, and the implications of trade with China-based on the latest research. (shrink)

Extraterrestrial Altruism examines a basic assumption of the Search for Extraterrestrial Intelligence (SETI): that extraterrestrials will be transmitting messages to us for our benefit. This question of whether extraterrestrials will be altruistic has become increasingly important in recent years as SETI scientists have begun contemplating transmissions from Earth to make contact. Technological civilizations that transmit signals for the benefit of others, but with no immediate gain for themselves, certainly seem to be altruistic. But does this make biological sense? Should we (...) expect altruism to evolve throughout the cosmos, or is this only wishful thinking? Is it dangerous to send messages to other worlds, as Stephen Hawking has suggested, or might humankind benefit from an exchange with intelligence elsewhere in the galaxy? Would extraterrestrial societies be based on different ethical principles, or would we see commonalities with Earthly notions of morality? Extraterrestrial Altruism explores these and related questions about the motivations of civilizations beyond Earth, providing new insights that are critical for SETI. Chapters are authored by leading scholars from diverse disciplines—anthropology, astronomy, biology, chemistry, computer science, cosmology, engineering, history of science, law, philosophy, psychology, public policy, and sociology. The book is carefully edited by Douglas Vakoch, Director of Interstellar Message Composition at the SETI Institute and professor of clinical psychology at the California Institute of Integral Studies. The Foreword is by Frank Drake. This interdisciplinary book will benefit everybody trying to understand whether evolution and ethics are unique to Earth, or whether they are built into the fabric of the universe. (shrink)

In this paper, we analyze some of the ethical dimensions of going private transactions (GPTs), wherein publicly traded firms are taken private. Financial theory suggests that efficiencies may be realized in these transactions such that outside shareholders are made better off. Empirical evidence supports this theory. We therefore argue that GPTs are not inherently exploitive or unethical. The issues of the fiduciary duty of corporate managers to shareholders and their obligations to non-shareholders are also explored.

Psychiatrists should refrain from treating mentally ill prisoners on death row in order to restore their “competency to be executed.” Such “treatment” renders them double agents, in the service of the state as well as the prisoner. Participation in an act that will bring about a prisoner's death is expressly forbidden by the AMA Code of Ethics. It recalls the behavior of Nazi physicians, who used their professional skills not to heal but to kill.

Regional integration over the past decade has facilitated a huge flow of foreign direct investment (FDI) into Latin America. Less is known, however, about why these newforeign enterprises decided to enter specific markets. This study investigates three recent investments in Costa Rica: two by U.S.-based multinational corporations (MNCs) and another by an MNC based in Spain. The behavior of these MNCs is examined in their initial bargaining and subsequent operations. Through the lens of political economy, this study concludes that Costa (...) Rica’s stable democratic institutions and formalized economic links through multilateral and regional trade and investment accords constitute an advanced factor of comparative advantage that attracted foreign investment to Costa Rica and induced the MNCs to become responsive to host country interests. (shrink)

Joseph Heath defends competitive markets and conceptualizes business ethics with reference to Pareto efficiency, which he takes to be the “implicit morality of the market.” His justification for markets is that they generate Pareto efficient outcomes, meaning that markets optimally satisfy consumer preferences. And, for Heath, business ethics is the set of normative constraints—regulation and beyond-compliance norms—needed to preserve that outcome. The present paper accepts Heath’s claim that the economic justification for markets is ethical, in that satisfying consumer preferences is (...) a good. But, contra Heath, the ethical consideration at work is a consequentialist one; and acknowledging this consequentialism exposes limitations of Heath’s “market failures” approach to business ethics. We suggest two limitations, and we expect many will accept our argument that Heath’s conception of business ethics is too narrow. The present paper outlines two broader implications. First, acknowledging that the justification for markets is ethical eliminates the apparent—and false—conflict between purportedly amoral economic activity on one hand and ethical considerations on the other; instead, business ethics is a matter of weighing the consequentialist ethical benefit of economic activity and markets against other moral arguments/other ethical considerations. Second, Heath restricts business ethics to the constraints needed to protect the market’s ability to efficiently satisfy consumer preferences, constraints he calls “efficiency imperatives”; this restriction supports the widespread tendency to think that all social problems are economic; and, a business ethics so-conceived diminishes the perceived importance of noneconomic values—this attitude is dangerous. (shrink)