Abstract:In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system. Through this discussion we highlight how processes of institutional reflection, such (...) as Mission Discernment, can help health care organizations, as well as corporations, make critical choices in turbulent environments that further the core mission and values and fulfill institutional responsibilities to a broad range of stakeholders. (shrink)

American health care is in the process of a significant social, institutional, and economic restructuring of the manner in which health services are provided in local communities. The Catholic health care ministry is undergoing the same sort of restructuring. The history of American health care demonstrates that the ministry has experienced at least two similar major restructurings of its institutional framework. The principle of cooperation has been the customary tool to assess the moral propriety of evolving social structures in which (...) the health care ministry has been housed. A process of discernment can lead to the conclusion that the central issue is not moral agency but rather how the ministry engages the secular culture of American society and American medicine. National Catholic Bioethics Quarterly 13.2 (Summer 2013): 263–274. (shrink)

The sex aetates mundi was the central framework of Early Christian, Late Antique, and early medieval Christian eschatology and historiography. This article is the second part of a study of the development and history of this motif. Part I summarised the emergence of this framework in biblical and patristic writings up to the late fourth-century, concluding with the work of the North African theologian, Tyconius. The second part of this study investigates the treatment of this subject in the writings of (...) Augustine of Hippo, Dionysius Exiguus, Isidore of Seville, and the Venerable Bede. The majority of the examination is devoted to tracing Augustine’s understanding of the six ages – which was strongly influenced by Tyconius – since Augustine is frequently credited with being the main proponent of this conceptualisation of sacred history. This investigation of Augustine’s writings is mostly focused on De civitate Dei, the work that addresses the six ages framework most thoroughly, but analyses references to this historiography throughout his corpus. The conclusion of this examination argues that Augustine engaged with this commonplace view of history, but only insofar as it points mankind towards reflection of the world to come. This study argues that Isidore is the scholar who should be credited with popularising this notion in the early medieval Latin West. How the developments in calendrical reckoning put forward by Dionysius Exiguus and Bede intersect with and influence the six ages model is also charted. Overall, this study provides an in-depth examination of the six ages of history model in the thought of the fathers of Late Antique and early medieval Latin exegesis, pinpointing key moments in the evolution of the sex aetates model. (shrink)

In 1578, the Anglo-Italian author, translator, and teacher John Florio wrote that English was 'a language that wyl do you good in England, but passe Dover, it is woorth nothing'. Learning Languages in Early Modern England is the first major study of how English-speakers learnt a variety of continental vernacular languages in the period between 1480 and 1720. English was practically unknown outside of England, which meant that the English who wanted to travel and trade with the wider world in (...) this period had to become language-learners. Using a wide range of printed and manuscript sources, from multilingual conversation manuals to travellers' diaries and letters where languages mix and mingle, Learning Languages explores how early modern English-speakers learned and used foreign languages, and asks what it meant to be competent in another language in the past. Beginning with language lessons in early modern England, it offers a new perspective on England's 'educational revolution'. John Gallagher looks for the first time at the whole corpus of conversation manuals written for English language-learners, and uses these texts to pose groundbreaking arguments about reading, orality, and language in the period. He also reconstructs the practices of language-learning and multilingual communication which underlay early modern travel. Learning Languages offers a new and innovative study of a set of practices and experiences which were crucial to England's encounter with the wider world, and to the fashioning of English linguistic and cultural identities at home. Interdisciplinary in its approaches and broad in its chronological and thematic scope, this volume places language-learning and multilingualism at the heart of early modern British and European history. (shrink)