Educational efforts in bioethics are prevalent, but little is known about their efficacy. Although previous work indicates that courses in bioethics have a demonstrable effect on medical students, it has not examined their effect on health care professionals. In this report, we describe a study designed to investigate the effect of bioethics education on health care professionals. At the Intensive Bioethics Course, a six-day course held annually at Georgetown University, we administered a questionnaire requiring open-ended responses to vignettes both before (...) and after the course. Following the course, respondents defended their responses more carefully and articulated their thoughts more clearly. In addition, after the course respondents seemed to have a more subtle understanding of the relevant issues in the cases and applied theory to these cases more frequently. These findings help to formulate an understanding of the effect of bioethics education on health care professionals. (shrink)

This is an examination of the significance of Gandhi's social philosophy for development. It is argued that, when seen in light of Gandhi's social philosophy, the concepts of appropriate technology and basic needs take on new meaning. The Gandhian approach can be identified with theoriginal "basic needs" strategy for international development. Gandhi's approach helps to provide greater equity, or "distributive justice," by promoting technology that is appropriate to "basic needs". Gandhi's social philosophy has been neglected by most development specialists, with (...) only a few exceptions. This analysis attempts to draw out some aspects of M.K. Gandhi's background and his thinking aboutswadeshi andswaraj. Gandhi's ideas, which emerged out of an "Indic" meta-cultural background, are based on an emphasis on equity. Gandhi's syncretic Indic background includes a belief in what Bateson, writing about Bali, Indonesia, has called the "steady state." Development activities should be carried out in a phased manner that does not disturb the beneficial aspects of dynamic equilibrium, but that does promote "positive development." A.T. is particularly useful within the context of a basic needs approach to international development because use of A.T. is probably more likely to lead to equitable growth. The "economic growth" strategy, utilizing "advanced technology" exclusively, has caused unemployment and has not led to effective "trickle down," much less "high mass consumption." In many developing countries the poorest 20% of the population are worse off in 1990 than they were in 1980. By making use of the "advantage of backwardness" and viewing development in terms of long-term impacts, a basic needs approach using A.T. is more likely to lead to a positive impact on third world food systems than a pure "economic growth" strategy. (shrink)

The object of this paper is to argue that the relationship between intentions and meaning has been misconstrued by some influential recent theories of meaning. The theories I have in mind derive from earlier work by H. P. Grice, but have undergone extensive development and modification in the hands of Grice himself,, Stephen Schiffer, Jonathan Bennett and others. There have been, during much the same period, developments of Austin’s work on speech acts in which the same Gricean influence is unmistakable; (...) indeed, such influence has affected interpretations of Austin’s work itself, by such writers as Strawson, Searle, and Vendler. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:45. HUME'S DIFFICULTIES WITH THE SELF One of the more baffling and apparently inconclusive parts of the Treatise is the section on personal identity. Hume himself, when he takes a backward glance at it in those notorious passages in the Appendix, singles it out as representing an unresolved problem in his philosophy. It is a matter of fairly general agreement among recent writers on the subject that one of (...) Hume's chief difficulties -- though not one he recognizes — is his assigning to the mind (or, sometimes, the "imagination") certain activities, which he claims are instrumental in generating belief in, and awareness of, the very mind or self whose activities they are said to be. Hume talks about customs and habits of the mind and the expectations arising out of these, of the acts of observing, noticing and associating, of believing, of feigning, and so on, acts which the mind is required to perform in order for us to be able to explain along acceptable empiricist lines how the idea of an abiding self arises. Such talk, it seems, already presupposes the existence of a self and our possession of the idea thereof. So does, of course, the talk involved in Hume's accounts of the external world and of causality. Insofar as these involve his theory of belief, they, too, seem to presuppose a self which is more than a fiction, more than a product of the imagination. Yet the account he gives of the self seems to yield precisely a fiction in just the sense in which our ideas of the external world and of its causal connections are ideas of fictions. Quite generally, then, if Hume's theory of belief presupposes a continually existing self, what sense can be made of his arguments to show that our belief in such a self is the belief in a fiction? I want to argue that Hume can be defended against such criticisms and that the appearance of circularity here is just that: an appearance. It results largely from 46. two features of the Treatise. The first is that since at different points in the Treatise Hume is obviously concerned with different problems, his language reflects this. It is for this reason only that at times he talks in ways which make it seem that a continually existing self is being presupposed. The second feature responsible for the appearance of circularity is that while Hume draws a distinction between "perfect" and 'imperfect" identity, he fails to make that distinction explicit enough, so that one may easily miss the all-important point that it is only the former sort of identity which is being denied of the self, and the latter sort which is being explained and accounted for along Humean empiricist lines. If we keep this in mind, we shall see that the references in his account of the identity of the self to the activities of the self are not questionbegging, and that the attribution of these activities to the very same "fiction" whose existence is being accounted for carries no absurdity. II One way to bring out the differences between the kind of self which is alleged to be presupposed by Hume's account and that which, as I shall argue, is really involved in that account, is to put pressure on Hume's doctrine of 2 association. It is frequently urged by commentators that the notion of association which is so fundamental for much of Hume's philosophy is ambiguous, showing as it does the influence of two very different models, deriving from Hutcheson and Newton respectively. On the first model, a continuing self is presupposed as the agent of the various sorts of associative acts he invokes; on the second it is the items associated (perceptions) which are themselves the entities doing the associating. Clearly, the question whether Hume's theory of belief involves the assumption that a continuing self exists (harmless in the uses of that 47. theory in other contexts, but possibly fatal in its use in a theory of personal identity) may be seen to resolve into the question, which model of association is fundamental for Hume? It is, of course, an undeniable... (shrink)

Ashley and Stack couple their claim that Hume holds a logical-construction theory with the remarkable suggestion that, so understood, his views yield "... at least a recognizable facsimile of the identity most of us believe in." The highly implausible suggestion that the non-philosopher regards his self as a logical construct should be enough to provide a motive for re-examining the arguments Ashley and Stack offer for their interpretation. These arguments make use of the distinction Hume develops between perfect and imperfect (...) identity and lead, first of all, to the conclusion that, contrary to some interpretations, Hume does not refuse the self all identity, but only perfect identity, that is, identity defined as the "idea of an object, that remains invariable and uninterrupted through a supposed variation of time." Finding the self to be not such an object, Hume says it cannot be said to have such identity. It can, however, be said to have imperfect identity, constituted by the "uninterrupted progress of thought" over a succession of objects, namely our perceptions. (shrink)

For over 40 years, J. I. Packer's classic has been an important tool to help Christians around the world discover the wonder, the glory and the joy of knowing God. Explaining both who God is and how we can relate to him, this thought-provoking work seeks to transform and enrich the Christian understanding of God.