A limiting factor in ethics education in medical training has been difficulty in assessing competence in ethics. This study was conducted to test the concept that content analysis of pediatric residents’ personal reflections about ethics experiences can identify changes in ethical sensitivity and reasoning over time. Analysis of written narratives focused on two of our ethics curriculum’s goals: 1) To raise sensitivity to ethical issues in everyday clinical practice and 2) to enhance critical reflection on personal and professional values as (...) they affect patient care. Content analysis of written reflections was guided by a tool developed to identify and assess the level of ethical reasoning in eight domains determined to be important aspects of ethical competence. Based on the assessment of narratives written at two times (12 to 16 months/apart) during their training, residents showed significant progress in two specific domains: use of professional values, and use of personal values. Residents did not show decline in ethical reasoning in any domain. This study demonstrates that content analysis of personal narratives may provide a useful method for assessment of developing ethical sensitivity and reasoning. (shrink)

Inducing the rubber hand illusion (RHI) requires that participants look at an imitation hand while it is stroked in synchrony with their occluded biological hand. Previous explanations of the RHI have emphasized multisensory integration, and excluded higher cognitive functions. We investigated the relationship between the RHI and higher cognitive functions by experimentally testing task switch (as measured by switch cost) and mind wandering (as measured by SART score); we also included a questionnaire for attentional control that comprises two subscales, attention-shift (...) and attention-focus. To assess experience of RHI, the Botvinick and Cohen (1998) questionnaire was used and illusion onset time was recorded. Our results indicate that rapidity of onset reliably indicates illusion strength. Regression analysis revealed that participants evincing less switch cost and higher attention-shift scores had faster RHI onset times, and that those with higher attention-shift scores experienced the RHI more vividly. These results suggest that the multi-sensory hypothesis is not sufficient to explain the illusion: higher cognitive functions should be taken into account when explaining variation in the experience of ownership for the rubber hand. (shrink)

Physiological investigation has demonstrated that the central nervous system monitors body composition and adjusts energy intake and expenditure to stabilize total adipose tissue mass. Genetic variations in the signalling molecules involved in this regulatory system account for the heritable component of body fat content. The application of molecular techniques to rodent models of Mendelian obesity has resulted in the characterization of five loci at which mutations produce an abnormal accumulation of body fat. The genes at these loci include agouti, which (...) encodes a molecule that antagonizes the binding of alpha melanocyte‐stimulating hormone to its receptor; fat, which encodes carboxypeptidase E; tubby, which encodes a putative phosphodiesterase; obese, which encodes a circulating satiety protein; and diabetes, which encodes the receptor for the obese gene product. A more detailed understanding of the functional interrelationships of these genes should lead to important new insights into the causes and potential therapies for human obesity. (shrink)

Already an admired senior poet to Virgil in the Eclogues , Varius by the mid-thirties, B.C. had established himself as the leading epic writer of his day . It is a sobering thought that we do not know even the titles of the serious hexameter works which had won him so high a reputation, except for de Morte, quoted four times by Macrobius.

Suppose an accountant discovers evidence of shady practices while ex amining the books of a client. What should he or she do? Accountants have a professional obligation to respect the confidentiality of their cli ents' accounts. But, as an ordinary citizen, our accountant may feel that the authorities ought to be informed. Suppose a physician discov ers that a patient, a bus driver, has a weak heart. If the patient contin ues bus driving even after being informed of the heart (...) condition, should the physician inform the driver's company? Respect for patient confidentiality would say, no. But what if the driver should suffer a heart attack while on duty, causing an accident in which people are killed or seriously injured? Would the doctor bear some responsibility for these consequences? Special obligations, such as those of confidentiality, apply to any one in business or the professions. These obligations articulate, at least in part, what it is for someone to be, say, an accountant or a physician. Since these obligations are special, they raise a real possibility of con flict with the moral principles we usually accept outside of these spe cial relationships in business and the professions. These conflicts may become more accentuated for a professional who is also a corporate employee-a corporate attorney, an engineer working for a construction company, a nurse working as an employee of a hospital. (shrink)

This book explains why Tocqueville saw the central task of modern statesmanship as combating 'individualism,' a type of civic apathy that he thought capable of robbing modern citizens of human virtue and issuing in a historically unprecedented form of despotism. It looks in depth at the mechanisms he proposed for avoiding the perils and securing the promise of democracy in his own day, and discusses how Tocqueville's insights might be applied in our own time.

Tout s’est passé très vite, prenant l’Église au dépourvu. Le mouvement pour la reconnaissance des mariages et des unions civiles entre personnes du même sexe a connu un succès extraordinaire. La hiérarchie de l’Église catholique oppose une fin de non-recevoir à toute reconnaissance positive des couples homosexuels, en invoquant une morale sexuelle qu’on dit ancienne et invariable,..

Law, Morality and Society Essays in Honour of H.L.A Hart.

This collection of essays, offered in honor of the distinguished career of prominent political philosophy professor Clifford Orwin, brings together internationally renowned scholars to provide a wide context and discuss various aspects of the virtue of “humanity” through the history of political philosophy.

This collection of essays, offered in honor of the distinguished career of prominent political philosophy professor Clifford Orwin, brings together internationally renowned scholars to provide a wide context and discuss various aspects of the virtue of “humanity” through the history of political philosophy.

This paper argues that the mode of statesmanship recommended in Utopia provides the framework for the Epigrams. While Utopia demonstrates the need for artful indirection by exposing the vices of a man too proud to adopt it, the Epigrams exhibit More's preparation for and practice of a tactfully philosophic statesmanship.

_The first comprehensive examination in English of Kant’s Anthropology from a Pragmatic Point of View._.

Introduction The goal of this project was to develop and validate a new tool to evaluate learners' knowledge and skills related to research ethics. Methods A core set of 50 questions from existing computer-based online teaching modules were identified, refined and supplemented to create a set of 74 multiple-choice, true/false and short answer questions. The questions were pilot-tested and item discrimination was calculated for each question. Poorly performing items were eliminated or refined. Two comparable assessment tools were created. These assessment (...) tools were administered as a pre-test and post-test to a cohort of 58 Indian junior health research investigators before and after exposure to a new course on research ethics. Half of the investigators were exposed to the course online, the other half in person. Item discrimination was calculated for each question and Cronbach's α for each assessment tool. A final version of the assessment tool that incorporated the best questions from the pre-/post-test phase was used to assess retention of research ethics knowledge and skills 3 months after course delivery. Results The final version of the REKASA includes 41 items and had a Cronbach's α of 0.837. Conclusion The results illustrate, in one sample of learners, the successful, systematic development and use of a knowledge and skills assessment tool in research ethics capable of not only measuring basic knowledge in research ethics and oversight but also assessing learners' ability to apply ethics knowledge to the analytical task of reasoning through research ethics cases, without reliance on essay or discussion-based examination. These promising preliminary findings should be confirmed with additional groups of learners. (shrink)

Kant's views of human animality are consistent with his belief in human freedom.

Kant's theory of animals is based on his belief that animals have presentations and consciousness and in this are like human beings. When we abuse animals then we are more likely to abuse human beings. But animals are organic beings that have internal purposiveness and hence are ends for which other things are means. In this limited sense animals have intrinsic value.

Dr. Wilson explores how Kant 's views of marriage are really developmental and how he foresees marriage evolving to become more egalitarian under the impetus of unsociable-sociability.

In this essay I show that Kant intended his anthropology lectures and book, Anthropology from a Pragmatic Point of View, to be a Klugheitslehre (theory of prudence). The essay draws on many quotes from these sources to show that Kant wanted to develop a theory of how to use other people for one’s own ends. Although so much of the lectures and book are in conversation with Baumgarten’s empirical psychology, there are enough references to Klugheit (prudence) and klug (clever) action (...) to support this thesis. Prudence is a skill that human beings should develop and hence is not excluded from human life even though it is not the basis of morality. The purpose of Klugheit is to achieve happiness but the means to that happiness involves using other people for one’s own ends. In order to use others as a means to one’s own ends, a person must in someway satisfy the inclinations of the other person so that they cooperate in one’s ends. However it is also possible to dominate another person and use them as well if they are dominated by a passion but this is not prudent since it does not achieve happiness except in the case of a husband and wife. Kant’s distinction between Weltklugheit and Privatklugheit also appears to be confirmed in that he advances the idea that sociable means of gaining the cooperation of others (Privatklugheit) leads to the lasting happiness of a person and to the development of civilization. (shrink)

Kant's theory of animals is based on his belief that animals have presentations and consciousness and in this are like human beings. When we abuse animals then we are more likely to abuse human beings. But animals are organic beings that have internal purposiveness and hence are ends for which other things are means. In this limited sense animals have intrinsic value.

Christian Thomasius and his school, including Andreas Rüdiger and Christian Crusius influenced Kant in the development of his Pragmatic Anthropology. They all shared a common concern that philosophy ought to be useful to students who have a role to play in the world.

_Review of Louden, Robert, _Kant’s Anthropology, _Cambridge, Cambridge University Press, 2021, pp. 1-53, 9781108742283._.

Kant holds in his works on morality that prudence is not free, because only action under the moral law is free. He also holds that acting on prudent reasons is incompatible with the moral law. If one explores his lectures on anthropology, however, one has reason to believe that not only is prudent action free in some sense as freedom of choice, but it is also not incompatible with moral action, since it does not necessitate using other human beings as (...) mere means, even though it is about using other human beings as ends to one’s happiness. This article will show how Kant holds these positions in his lectures on anthropology. (shrink)

Kant gave lectures on physical geography and anthropology and called them cosmopolitan philosophy. His physical geography lectures were intended to teach students not just facts but also how to have practical judgment and were to prepare students for their place in the world. This article shows how the physical geography lectures were organized for that purpose.

Analyzes Schelling's arguments for his idealism and pieces together a description of his theory of nature from among the large number of his writings in this area. It also traces the influence of Naturphilosophie on 19th-century science and connects it with recent System Theory.

In lieu of an abstract, here is a brief excerpt of the content:540 BOOK REVIEWS automatically without requiring the intervention of human beings who are convinced of its validity" (p. 356). If, however, a representative legislature, acting according to proper constitutional procedures, should decide to effect a strict egalitarian redistribution of property, then on Kant's theory this decision of the general will would be perfectly rightful and legitimate. The wealthy could not complain that their rightful property was being taken from (...) them because their actual or peremptory right to any property whatever is conditional on submitting themselves to the general will and to whatever laws of distribution it might choose to give. The state's only responsibility here would be to make sure that each citizen's right to freedom, equality, and independence is pro· tected; and Kant was even aware to some extent (if not as much as he might have been) that under a genuinely republican system, it is always the unequal distribution of property in society which poses the most serious threat to these rights. In spirit, therefore, Kant's theory is at the very opposite end of the political spectrum from theories of the minimal or nightwatchman state. Cornell University Ithaca, New York ALLEN W. Wooo History Making History: The New Historicism in American Religious Thought. By WILLIAM DEAN. Albany: State University of New York Press, 1988. Pp. xiv + 175. $57.50 (hardcover) ; $18.95 (paper). This hook sets out to explicate, not historicism generally, hut a particular local and American variety thereof. Indeed one of Dean's major points concerns the importance of " local knowledge." He is addressing readers located, for better or worse, in American institutions, in a time and space shaped by American experience. These, he argues, need to cultivate a distinctively American way of knowing in philosophy and religion, a way of knowing that will be historicist, pragmatic, and empirical in character; adopting it would require important revisions in how we conceive and practice theology. Like all good historicists, Dean presents his argument by telling a story, creating a narrative context for the understanding of ideas. The story is most immediately about a group of contemporary thinkers that includes secular philosophers (Richard Bernstein, Nelson Goodman, Hilary Putnam, Richard Rorty), philosophers of religion and ethics (Jeffrey Stout, Corne! West), theologians (Gordon Kaufman, Mark C. Taylor), and a lone literary critic, Frank Lentriccia. By treating these writers together as " the new American historicists," Dean hopes to BOOK REVIEWS 541 show that they exemplify a distinctive style of thought that is both locally valid (because rooted in American traditions and practices) and religiously interesting. At the same time, the new historicists suffer from an ironic case of intellectual amnesia. While they consistently stress the inevitability of tradition and context in shaping thought, these writers often seem oblivious to the uniquely American tradition in which they stand. Thus Dean reaches back to recover elements of an older American historicism with roots in pragmatism, religious naturalism, and the liberal Protestantism of the prewar " Chicago School." The thought of these illustrious precursors, he argues, can help save today's historicists from the formalism that is their constant temptation. But what is historicism? Dean makes an emphatic distinction be· tween the historicism that grows out of the German idealist tradition and the historicism that " can be traced to the classical era in Ameri· can philosophy," e.g., to the thought of the pragmatists (p. 2). When Dean speaks of the older, idealist-influenced historicism he does not mean simply Ernst Troeltsch's famous proposal for a form of cultural and religious relativism; he is painting with a much broader brush. " Continental " historicism means for him something more like the idealist conviction concerning the " historicity " of the subject. After Kant, we do not simply apprehend the world, we construe it; and ever since Kant we have become more and more aware that we do so from particular, contingent perspectives. " Historicism" in this wide sense might be taken as a thesis about the inevitability of hermeneutics. But belief in the necessity of interpretation or hermeneutics is com· patible with affirming the reality of certain universal anthropological structures, e.g., of "reason" or "subjectivity" or "understanding". It is just such structures, Dean argues... (shrink)

This article examines women who have been antinuclear activists at the Three Mile Island nuclear power plant for two decades. Qualitative interviews focus on their perceived transformations over time that are based on gender and everyday experiences. They perceive gender as both a barrier and a facilitator to activism, even after 20 years. Women describe their technological education as one strategy to overcome the barrier of gender. On the other hand, they consider the gendered role of motherhood as a primary (...) catalyst for action. In addition, they discuss individual everyday experiences focused on the health concerns for family members that influenced their political activity. Over time, women linked personal transformations with increased political understanding and involvement. (shrink)

Behind the global climate change debate are views of divine sovereignty. Those who believe that God is in charge of everything believe there is no change in the climate, but those who believe that God's sovereignty entails that we are responsible for working with the divine are willing to admit there is global climate change.