Latin America - its people, its politics, its economy - has burst upon the world scene with powerful images that have captured the curiosity of many English-speaking North Americans. The strategic importance of this vast region to the stability of the Wes.

It is not uncommon to hear that poor school performance, welfare dependancy, youth unemployment, and criminal activity result more from shortcomings in the personal makeup of individuals than from societal forces beyond their control. Are American values declining as so many suggest? And are those values at the root of many social problems today?Shaped by experience and public policies, people's values and social norms do change. What role can or should a democratic government play in shaping values? And how do (...) these values conditon the efficacy of public policy?In this book, six distinguished social scientists identify trends in America's values and their consequences, and consider public policy tools with which some of those values might be changed.Daniel Yankelovich begins with a discussion of how American values have shifted in the last half-century, and argues that affluence is the driving force behind these changes in values. James Q. Wilson argues that destructive habits which can lead to social pathologies, like crime and drug use, are set early in life; he examines how public policy might intervene when children are young to promote better values. David Popenoe maintains that America has veered too far towards industrialist values, and explores the resulting decline of families and many attendant social ills. Nathan Glazer describes the history and present status of the dispute over multicultural education. Jane Mansbridge examines the process of building cooperation, consensus, and public spirit. And George Akerlof and Janet L. Yellen discuss the problem of gang criminality.Inthe past, social scientists have often sidestepped questions about values as undefinable, unquantifiable, and somehow unscientific. The essays in this volume address these questions at last.Henry J. Aaron, director of the Economic Studies program at Brookings, is the authorof numerous books, including most recently Serious and Unstable Condition: Financing America's Health Care (1991), and coeditor of Setting Domestic Priorities (1992). Thomas E. Mann is director of the Brookings Governmental Studies program, coeditor of Media Polls in American Politics (1992), and coauthor of the Renewing Congress series (1993). Timothy Taylor is managing editor of the Journal of Economic Perspectives at Stanford University. (shrink)

Employment and Employee Rights addresses the issue of rights in the workplace. Although much of the literature in this field focuses on employee rights, this volume considers the issue from the perspective of both employees and employers. Considers the rights of both employees and employers. Discusses the moral and legal landscape and traditional assumptions about right in employment. Investigates arguments for guaranteeing rights, particularly for employees, which are derived from relational, developmental, and economic bases. Explores new dimensions of employment including (...) a model that incorporates growing workplace diversity, builds upon our understanding of the legal landscape, and expands upon our justifications for recognizing and protecting rights. (shrink)

This paper argues that the Food and Drug Administration’s (FDA) policy for health and wellness apps is ethically problematic. Currently, the FDA does not regulate health and wellness apps that are not intended for medical use. As a result of this hands‐off policy, preventing harm to consumers is left primarily to developers and app marketplaces. We argue that the FDA’s duties to prevent harm and maintain accountability to the American public require that they play a much stronger role. We also (...) discuss concerns about efficiency and fostering innovation, and argue that while they should help shape FDA regulation of health and wellness apps, they do not justify complete absence of FDA involvement. -/- . (shrink)

In lieu of an abstract, here is a brief excerpt of the content:176 BOOK REVIEWS tianity came into being. To take one example: God's involvement with and reaction to genuine novelties introduced into the world as a result of the initiatives of human freedom, rightly renders suspect the conception of God as immutable. But what immutability really claimed was not anything like inertia or unconcern, but only that God was not mutable in any of the ways characteristic of finite realities (...) striving to transcend their limitations. Immutability was predicated as a property of deity whose essence was Pure Actuality-the consummation of all mutation. What this meant to preclude from God was only change that amounted to some sort of further perfecting of his intrinsic being-leaving the way clear for the possibility at least of relational change vis-a-vis a world of creatures. There is no reason why contemporary experiences of God's saving activity in Christ must be articulated only in the conceptual and linguistic categories of the past. But seemingly there ought to be some means of showing that such newer articulations do not repudiate truths achieved in the past and handed on in authentic living tradition. The Catholic University of America Washington, D.C. WILLIAM J. HILL, 0.P. The Church: Communion, Sacrament, Communication. By ROBERT KRESS. New York: Paulist Press, 1985. Pp. iv + 217. $9.95. One of the results of the recent synod is certain to be more attention to deepening our understanding of the church as communion. Robert Kress's fine volume cannot help but be a useful contribution to that discussion. As he succinctly states, "the Church is the communion of believers who exist as the sacrament of Christ, who is the sacrament of God, who is the communion of Father, Son, and Holy Spirit" (p. 59). For Kress any ecclesiology that does not root the church in the triune, perichoretic (a favored word) life of God is a radically truncated one. As a theandric (another favored word) reality, the Church must mirror its ground or source. If that ground is a dynamic, joyous unity-in-diversity, this should be reflected in the life and structures of the ecclesial community. Such is the context in which the author reflects on a variety of themes that are reflective of the post-Vatican II agenda: the relationship among local, regional, and universal churches; the understanding of the church as sacrament; the tension between holiness and office; the meaning of leadership in a community best understood as a perichoretic communion of gifted members. To each of these topics Kress brings a grasp of the BOOK REVIEWS 177 tradition, a wide acquaintance with the relevant theological literature, and a willingness to make provocative judgments ("yes" to the ordination of women; " no " to the new egalitarianism-a church conceived without administrative, pastoral authority.) Kress particularly cherishes the church as "the memory and tradition of Christ." His commitment to this tradition has both rooted him and freed him. He draws knowledgeably on Aquinas and Augustine, Rahner and Heidegger, von Balthasar and the Shepherd of Hermas. Lawrence Cunningham is correct: this book is radically conservative. There is one area where I felt that there was a certain lack. Kress's treatment of the church as sacrament and of the seven sacraments contained much that was valuable: his stress on the sacramentality of ecclesial life as such, his historical analysis of "sacrament", his phenomenolog·y of the nature of Christian worship. Yet all of this seemed strangely abstracted from the liturgical praxis of the Christian community. This lack is especially visible in his admittedly tentative salvation-historical correlation of the sacraments with our sharing in the religious experience of Jesus (pp. 147-148). To make that correlation, especially in the case of Baptism, Confirmation, and Eucharist, without an exp1icit reference to the initiatory, communal dimension of these sacraments is certainly problematic. I would like to make a final comment, not on the substance of the book, but on its editing and proofing. There are a number of errors, the most obvious of which is the elimination of the umlaut from Heribert Miihlen's name. (There is a curious inconsistency, too, in the use of the umlaut. It is used in... (shrink)

Background and objectives: Physicians are exposed to matters of existential character at work, but little is known about the personal impact of such issues. Methods: To explore how physicians experience and cope with existential aspects of their clinical work and how such experiences affect their professional identities, a qualitative study using individual semistructured interviews has analysed accounts of their experiences related to coping with such challenges. Analysis was by systematic text condensation. The purposeful sample comprised 10 physicians (including three women), (...) aged 33–66 years, residents or specialists in cardiology or cardiothoracic surgery, working in a university hospital with 24-hour emergency service and one general practitioner. Results: Participants described a process by which they were able to develop a capacity for coping with the existential challenges at work. After episodes perceived as shocking or horrible earlier in their career, they at present said that they could deal with death and mostly keep it at a distance. Vulnerability was closely linked to professional responsibility and identity, perceived as a burden to be handled. These demands were balanced by an experience of meaning related to their job, connected to making a difference in their patients’ lives. Belonging to a community of their fellows was a presupposition for coping with the loneliness and powerlessness related to their vulnerable professional position. Conclusions: Physicians’ vulnerability facing life and death has been underestimated. Belonging to caring communities may assist growth and coping on exposure to existential aspects of clinical work and developing a professional identity. (shrink)

This paper discusses a number of different aspects of Moore’s reading of Hume as engaged in the metaphysics of ‘sense-making’. After a brief discussion of the semantic strains, I turn to consider Moore’s views of Hume on epistemic ‘sense-making’ where I criticize Moore’s reading of Hume’s epistemology as assimilated to the more basic natural process of human beings. I consider some of the ways in which Moore thinks that Hume is involved in a positive metaphysical project.

I am extremely grateful to all my commentators for their very careful engagement with my book.1 Some disagreements, I think, may stem from my failure to be sufficiently clear and so are only apparent. Other objections are not and seem to be spot on. I will not be able to give fully adequate answers to all the objections, since some require sustained discussion of some very fundamental issues that is simply impossible in this forum.Schliesser's comments concern my discussion of philosophical (...) and natural relations and their connection with reason, and my reading of Hume's attitude regarding the external world.In my reading of "reason" in Hume I make some abstract distinctions. We can think of reason as a. (shrink)

In the footsteps of Betty Mahmoody's book Not Without My Daughter, a raft of other western women wrote books about their mixed marriages with men from other continents. The men are mainly orientals. All these women have seen their marriages fail. Although most of them admit they made a wrong choice, they do not necessarily portray their former husbands as unreliable characters and themselves as heroines. The life stories cannot be read from such a narrow perspective. These authors should take (...) credit for supplying valuable information about family life in oriental culture, as well as the dynamics of cross-cultural marriages. (shrink)