Clinical ethics consultations exist to support patients, families and clinicians who are facing ethical or moral challenges related to patient care. They provide a forum for open communication, where all stakeholders are encouraged to express their concerns and articulate their viewpoints. Ethics consultations can be requested by patients, caregivers or members of a patient’s clinical or supportive team. Although patients and by extension their families are the common denominators in most ethics consultations, these constituents are the least likely to request (...) them. At many healthcare organisations in the USA, ethics consultations are overwhelmingly requested by physicians and other clinicians. We believe it is vital that healthcare institutions bridge the knowledge gaps and power imbalances over access to ethics consultation services through augmented policies, procedures and infrastructure. With enhanced education and support, patients and families may use ethics consultation to elevate their voices and prioritise their unique characteristics and preferences in the delivery of their healthcare. Empowering patients and families to request ethics consultation can only strengthen the patient/family–clinician relationship, enhance the shared decision-making model of care and ultimately lead to improved patient-centred care. (shrink)

In a healthcare setting, a multitude of ethical and moral challenges are often present when patients and families direct uncivil behavior toward clinicians and staff. These negative interactions may elicit strong social and emotional reactions among staff, other patients, and visitors; and they may impede the normal functioning of an institution. Ethics Committees and Clinical Ethics Consultation Services (CECSs) can meaningfully contribute to organizational efforts to effectively manage incivility through two distinct, yet inter-related channels. First, given their responsibility to promote (...) a humane, respectful, and professional climate, many CECSs and Ethics Committees may assist institutional leadership in evaluating and monitoring incivility policies and procedures. Second, when confronted with individual incidents of patient/family incivility, Ethics Consultants can and often do work with all stakeholders to address and mitigate potentially deleterious impacts. This manuscript presents an overview of the multifaceted ethical implications of incivility in the healthcare environment, discusses the inherent qualifications of Ethics Consultants for assisting in the management of incivility, and proposes specific mitigating actions within the purview of CECSs and Ethics Committees. We also invite healthcare organizations to harness the skills and reputation of their CECSs and Ethics Committees in confronting incivility through comprehensive policies, procedures, and training. (shrink)

It is a widely held belief that one can will to believe, disbelieve, and withhold belief concerning propositions. It is sometimes said that we have a duty to believe certain propositions. These theses have had a long and respected history. In one form or another they receive the support of a large number of philosophers and theologians who have written on the relationship of the will to believing. In the New Testament Jesus holds his disciples responsible for their beliefs, reprimands (...) them for doubting, and speaks of the ability to believe as if it were optional. Paul makes it clear that he thinks propositional belief is a necessary condition for salvation. If a man confesses Christ as Lord with his lips and believes in his heart that God has raised him from the dead, he shall be saved . The writer of Hebrews implies that unless we have certain propositional beliefs we cannot please God . In the New Testament most cases of pistis involve more than a propositional attitude. They involve the idea of trust and faithfulness. Nevertheless, a prima facie case for saying that the volitional theses can be found in the New Testament can be made. Forms of volitionalism can be found stated more explicitly in the writings of the early Church, in the writings of Irenaeus, in the Athanasian Creed, and in Augustine. Acquinas describes faith as an act of the intellect moved by the will. Descartes is perhaps the classic example of a volitionalist, holding that if we were not responsible for our beliefs , then God would be - which is tantamount to blasphemy in that it makes God into a deceiver. (shrink)

In debate on faith and reason two opposing positions have dominated the field. The first position asserts that faith and reason are commensurable and the second position denies that assertion. Those holding to the first position differ among themselves as to the extent of the compatibility between faith and reason, most adherents relegating the compatibility to the ‘preambles of faith’ over against the ‘articles of faith’ . Few have maintained complete harmony between reason and faith, i.e. a religious belief within (...) the realm of reason alone. The second position divides into two sub-positions: that which asserts that faith is opposed to reason , placing faith in the area of irrationality; and that which asserts that faith is higher than reason, is transrational. Calvin and Barth assert that a natural theology is inappropriate because it seeks to meet unbelief on its own ground . Revelation, however, is ‘self-authenticating’, ‘carrying with it its own evidence’. 1 We may call this position the ‘transrationalist’ view of faith. Faith is not so much against reason as above it and beyond its proper domain. Actually, Kierkegaard shows that the two sub-positions are compatible. He holds both that faith is above reason and against reason . The irrationalist and transrationalist positions are sometimes hard to separate in the incommensurabilist's arguments. At least, it seems that faith gets such a high value that reason comes off looking not simply inadequate but culpable. To use reason where faith claims the field is not only inappropriate but irreverent or faithless. (shrink)

This book offers a concise yet comprehensive overview of the fundamental objectives and outlooks of ethical theory.

Part I: WHAT IS ETHICS? Plato: Socratic Morality: Crito. Suggestions for Further Reading. Part II: ETHICAL RELATIVISM VERSUS ETHICAL OBJECTIVISM. Herodotus: Custom is King. Thomas Aquinas: Objectivism: Natural Law. Ruth Benedict: A Defense of Ethical Relativism. Louis Pojman: A Critique of Ethical Relativism. Gilbert Harman: Moral Relativism Defended. Alan Gewirth: The Objective Status of Human Rights. Suggestions for Further Reading. Part III: MORALITY, SELF-INTEREST AND FUTURE SELVES. Plato: Why Be Moral? Richard Taylor: On the Socratic Dilemma. David Gauthier: Morality (...) and Advantage. Gregory Kavka: A Reconciliation Project. Derek Parfit: Later Selves and Moral Principles. Bernard Williams: Persons, Character, and Morality. Suggestions for Further Reading. Part IV: VALUE. Jeremy Bentham: Classical Hedonism. Robert Nozick: The Experience Machine. Richard Taylor: Value and the Origin of Right and Wrong. Friedrich Nietzsche: The Transvaluation of Values. Derek Parfit: What Makes Someone’s Life Go Best? Thomas Nagel: Value: The View from Nowhere. Suggestions for Further Reading. Part V: UTILITARIANISM AND CONSEQUENTIALISM. John Stuart Mill: Utilitarianism. J.J.C. Smart: Extreme and Restricted Utilitarianism. Kai Nielsen: Against Moral Conservatism. Bernard Williams: Against Utilitarianism. John Hospers: Rule-Utilitarianism. Robert Nozick: Side Constraints. Peter Singer: Famine, Affluence and Morality. Suggestions for Further Reading. Part VI: KANTIAN AND DEONTOLOGICAL SYSTEMS. Immanuel Kant: Foundation for the Metaphysic of Morals. W. D. Ross: What Makes Right Acts Right? Onora O’Neill: Kantian Formula of the End in Itself and World Hunger. Thomas Nagel: Moral Luck. Philippa Foot: Morality as a System of Hypothetical Imperatives. Judith Jarvis Thomson: Killing, Letting Die, and the Trolley Problem. Suggestions for Further Reading. Part VII: CONTRACTARIAN ETHICAL SYSTEMS. Thomas Hobbes: The Leviathan. David Gauthier: Why Contractarianism? John Rawls: Contractualism: Justice as Fairness. T.M. Scanlon: Contractualism and Utilitarianism. Suggestions for Further Reading. Part VIII: VIRTUE-BASED ETHICAL SYSTEMS. Aristotle: The Ethics of Virtue. Bernard Mayo: Virtue and the Moral Life. William Frankena: A Critique of Virtue-Based Ethics. Walter Schaller: Are Virtues No More than Dispositions to Obey Moral Rules? Alasdair MacIntyre: The Nature of the Virtues. Susan Wolf: Moral Saints. Louis P. Pojman: In Defense of Moral Saints. Suggestions for Further Reading. Part IX: THE FACT/VALUE PROBLEM: METAETHICS IN THE TWENTIETH CENTURY. David Hume: On Reason and the Emotions: The Fact/Value Distinction. G. E. Moore: Non-Naturalism. A. J. Ayer: Emotivism. R. M. Hare: Prescriptivism: The Structure of Ethics and Morals. Geoffrey Warnock: The Object of Morality. Suggestions for Further Reading. Part X: MORAL REALISM AND THE CHALLENGE OF SKEPTICISM. J.L. Mackie: The Subjectivity of Values. Jonathan Harrison: A Critique of Mackie’s Error Theory. Gilbert Harman: Moral Nihilism. Nicholas Sturgeon: Moral Explanations. Bernard Williams: Ethics and the Limits of Philosophy. Bruce Russell: Two Forms of Ethical Skepticism. Michael Smith: A Defense of Moral Realism. Suggestions for Further Reading. Part XI: RELIGION AND ETHICS. Plato: Morality and Religion. Immanuel Kant: God and Immortality as Necessary Postulates of Morality. George Mavrodes: Religious and the Queerness of Morality. Kai Nielson: Ethics Without God. Suggestions for Further Reading. Part XII: CONTEMPORARY CHALLENGES TO CLASSICAL ETHICAL THEORY. Part A. Sociobiology and the Question of Moral Responsibility. Charles Darwin: Ethics and the Descent of Man. E.O.Wilson: Sociobiology and Ethics. Michael Ruse: Evolution and Ethics: The Sociobiological Approach. Elliot Sober: Prospects for an Evolutionary Ethics. J.L. Mackie: The Law of the Jungle, Evolution and Morality. Suggestions for Further Readingon Sociobiology. Part B. The Challenge of Determinism to Moral Responsibility and Desert. Galen Strawson: The Impossibility of Moral Responsibility. Louis Pojman: Free Will, Determinism, and Moral Responsibility:A Response to Galen Strawson. Richard Taylor: A Libertarian Defense of Free Will and Responsibility. Suggestions for Further Reading on Moral Responsibility. Glossary of Ethical Terms. (shrink)

One of the nation's leading military ethicists, Louis P. Pojman argues that globalism and cosmopolitanism motivate the need for greater international cooperation based on enforceable international law. The best way to realize the promises of globalism and cogent moral arguments for cosmopolitanism, Pojman contends, is through the establishment of a World Government.

The purpose of this study was to examine the nature and extent to which cultural differences bear on perceptions of ethical Organizational Development consulting behaviors. U.S. (n=118) and Taiwanese (n=267) business students evaluated eleven vignettes depicting potential ethical dilemmas. Respondents judged the ethicality of each vignette, the likelihood of the event's occurrence and the party responsible for the event's occurrence. Multivariate Analyses of Variance revealed significant cultural differences in perceptions of ethicality, and group differences in perceptions of the events' likelihood (...) of occurrence. U.S. subjects provided higher ethicality ratings than the Taiwanese, and lower ratings on the likelihood of occurrence. Response distributions resulting from the identification of the responsible party were similar for six of the eleven vignettes. When differences did occur, it appeared that the Taiwanese were more inclined than the U.S. subjects to view responsibility as shared by the client and the consultant. The results suggest the need for the incorporation of cultural differences in a code of ethics for the profession and the need for cross-cultural ethics training for partitioners. (shrink)

Now in a third edition, Introduction to Philosophy: Classical and Contemporary Readings is a highly acclaimed, topically organized collection that covers five major areas of philosophy--theory of knowledge, philosophy of religion, philosophy of mind, freedom and determinism, and moral philosophy. Editor Louis P. Pojman enhances the text's topical organization by arranging the selections into a pro/con format to help students better understand opposing arguments. He also includes accessible introductions to each chapter, subsection, and individual reading, a unique feature for (...) an anthology of this depth. While the book focuses on a compelling sampling of classical material--including selections from Plato, Aristotle, Descartes, Locke, Berkeley, Hume, and Kant--it also incorporates some of philosophy's best twentieth-century and contemporary work, featuring articles by Bertrand Russell, Richard Taylor, John Searle, Thomas Nagel, and others. This third edition contains an expanded glossary, more extensive section introductions, and twelve new selections: Karl Popper: "Epistemology without a Knowing Subject" Richard Rorty: "Dismantling Truth: Solidarity Versus Objectivity" Daniel Dennett: "Postmodernism and Truth" Bruce Russell: "The Problem of Evil: Too Much Suffering" David Chalmers: "Against Materialism: Can Consciousness Be Reductively Explained?" Baron Paul Henri d'Holbach: "A Defense of Determinism" Michael Levin: "A Compatibilist Defense of Moral Responsibility" Plato: Socratic Morality: "Crito" Herodotus: "Custom Is King" J. L. Mackie: "The Subjectivity of Values" Louis P. Pojman: "A Critique of Mackie's Theory of Moral Subjectivism" Thomas Nagel: "Moral Luck". (shrink)

Praised for its accessibility and comprehensiveness, Philosophy: The Quest for Truth provides an excellent selection of classical and contemporary readings on nineteen key problems in philosophy. Louis P. Pojman has carefully organized the essays in each section so that they present pro/con dialogues that allow students to compare and contrast the philosophers' positions. Topics covered include the nature of philosophy, the existence of God, immortality, knowledge, the mind-body question, personal identity, free will and determinism, ethics, political philosophy, and the (...) meaning of life. The sixth edition offers selections from Plato, Reni Descartes, John Locke, David Hume, William James, Bertrand Russell, John Hick, John Hospers, and James Rachels--as well as essays by Aristotle, Thomas Aquinas, Blaise Pascal, Thomas Hobbes, George Berkeley, Immanuel Kant, Gilbert Ryle, Albert Camus, Jean-Paul Sartre, Alvin Plantinga, and many others. In Philosophy: The Quest for Truth, Sixth Edition, Pojman offers substantial introductions to each of the nineteen philosophical problems. In addition, each of the seventy-six readings is accompanied by an individual introduction with a biographical sketch of the philosopher, study questions, and reflective questions that challenge students to analyze and critique the material. Short bibliographies following each major section and a detailed glossary further enhance the text's pedagogical value. Invaluable for introductory courses in philosophy, this highly acclaimed text inspires and guides students' quest for wisdom. New to the Sixth Edition:: * Six selections: William Lane Craig: The Kalam Cosmological Argument and the Anthropic Principle William Rowe: An Analysis of the Ontological Argument Daniel Dennett: Postmodernism and Truth William James: The Dilemma of Determinism Harry Frankfurt: Freedom of the Will and the Concept of a Person John Rawls: The Contemporary Liberal Answer * A student companion website -- http://www.oup.com/us/quest -- featuring study and review questions, discussion questions, chapter overviews and summaries, topical links, suggestions for further reading, and PowerPoint lecture aids * More exercises in the excursus on logic. (shrink)

Louis Pojman and Robert Westmoreland have compiled the best material on the subject of equality, ranging from classical works by Aristotle, Hobbes and Rousseau to contemporary works by John Rawls, Thomas Nagel, Michael Walzer, Harry Frankfurt, Bernard Williams and Robert Nozick; and including such topics as: the concept of equality; equal opportunity; Welfare egalitarianism; resources; equal human rights and complex equality.

Covering the major issues of the field succinctly and lucidly, this text takes an analytically rigorous approach and makes it accessible in presentation. Pojman writes from an impartial perspective, presenting various options and points of view while guiding students in their own search for truth over these often emotion-laden, crucial issues.

It is widely held that we can obtain beliefs and withhold believing propositions directly by performing an act of will. This thesis is sometimes identified with the view that believing is a basic act, an act which is under our direct control. Descartes holds that the will is limitless in relation to belief acquisition and that we must be directly responsible for our beliefs, especially our false beliefs, for otherwise we could draw the blasphemous conclusion that God is responsible for (...) them. For Descartes and his followers judgment and assent are acts of the will which may be made both when they ought and when they ought not to be made. They are expressions of freedom of the will and as such we are directly responsible for the beliefs we acquire. Other philosophers who seem to espouse volitionalism include Aquinas, Locke, Kierkegaard, Newman, James, Pieper, Chisholm and Meiland. (shrink)

Affirmative Action is becoming the most controversial social issue of our day. In this essay I examine nine arguments on the moral status of Affirmative Action. I distinguish between weak Affirmative Action, which seeks to provide fair opportunity to all citizens from strong Affirmative Action, which enjoins preferential treatment to groups who have been underrepresented in social positions. I conclude that while weak Affirmative Action is morally required, strong Affirmative Action is morally wrong.

We define ethical system infrastructure as being composed of three major factors – means, motivation, and opportunity. Means are defined as organizational rules, policies, and procedures. Motivation focuses upon the values and the interests being pursued by the position occupant and the organizational value system, while opportunity is discussed in terms of the environment in which the dilemma occurs, proposing that position in the hierarchy presents its own unique set of ethical dilemmas. Ethical breeches are discussed in terms of the (...) interactional processes among means, motivation, and opportunity. Finally, a sequential process is suggested to use the infrastructural components to institutionalize organizational ethics training and subsequent behavior. (shrink)

It is widely held that we can obtain beliefs and withhold believing propositions directly by performing an act of will. This thesis is sometimes identified with the view that believing is a basic act, an act which is under our direct control. Descartes holds that the will is limitless in relation to belief acquisition and that we must be directly responsible for our beliefs, especially our false beliefs, for otherwise we could draw the blasphemous conclusion that God is responsible for (...) them. For Descartes and his followers judgment and assent are acts of the will which may be made both when they ought and when they ought not to be made. They are expressions of freedom of the will and as such we are directly responsible for the beliefs we acquire. Other philosophers who seem to espouse volitionalism include Aquinas, Locke, Kierkegaard, Newman, James, Pieper, Chisholm and Meiland. (shrink)

Ideal for introductory ethics courses, The Moral Life: An Introductory Reader in Ethics and Literature, Fifth Edition, brings together an extensive and varied collection of ninety-one classical and contemporary readings on ethical theory and practice. Integrating literature with philosophy in an innovative way, this unique anthology uses literary works to enliven and make concrete the ethical theory or applied issues addressed. It also emphasizes the personal dimension of ethics, which is often ignored or minimized in ethics anthologies. The readings are (...) enhanced by chapter introductions, study questions, suggestions for further reading, and biographical sketches. The fifth edition adds ten new readings, eight of which appear in two new chapters: Feminist Ethics and the Ethics of Care and Global Economic Justice. An updated Companion Website at www.oup.com/us/pojman provides self-quizzes, essay questions, and helpful links for students and reading summaries, a test bank, and PowerPoint-based lecture slides for instructors. (shrink)

What is our nature? What is this enigma that we call human? Who are we? Since the dawn of human history, people have exhibited wildly contradictory qualities: good and evil, love and hate, strength and weakness, kindness and cruelty, aggressiveness and pacifism, generosity and greed, courage and cowardice. Experiencing a sense of eternity in our hearts--but at the same time confined to temporal and spatial constraints--we seek to understand ourselves, both individually and as a species. In Who Are We? Theories (...) of Human Nature, esteemed author Louis P. Pojman seeks to find answers to these questions by exploring major theories in Western philosophy and religion, along with several traditions in Eastern thought. The most comprehensive work of its kind, the volume opens with chapters on the Hebrew/Christian view of human nature and the contrasting classical Greek theories, outlining a dichotomy between faith and reason that loosely frames the rest of the book. The following chapters cover the medieval view, Hindu and Buddhist perspectives, conservative and liberal theories, Kant's Copernican revolution, Schopenhauer's pessimistic idealism, and Karl Marx's theory. Freud's psychoanalytic view, the existentialist perspective, the Darwinian view, and scientific materialism are also discussed. Pojman concludes with a discussion of the question of free will, ultimately asserting that each one of us must decide for ourselves who and what we are, and, based on that answer, how we shall live. (shrink)

The concept of desert, which once enjoyed a central place in political and ethical theory, has been relegated to the margins of much of contemporary theory, if not excluded altogether. Recently a renewed interest in the topic has emerged, and several philosophers have argued that the notion merits a more central place in political and ethical theory. Some of these philosophers contend that justice exists to the extent that people receive exactly what they deserve, while others argue that desert should (...) replace such considerations as rights, need, and equality as the basis for distributions. Still others argue that morality involves a fitting match between one's moral character and a degree of happiness. All of these positions have encountered opposition from egalitarians, libertarians, and those who are skeptical about the coherence of the concept of desert. The first anthology of its kind, What Do We Deserve? is a balanced collection of readings that brings sharply opposing positions and arguments together and stimulates debate over the meaning and significance of desert in current thought. The book begins with eight classical readings on desert (by Plato, Aristotle, Hobbes, Smith, Kant, Mill, Sidgwick, and Ross), and later turns to contemporary interpretations of the issue. The selections examine the concept itself, analyze its relationship to the ideas of freedom and responsibility, engage in the debate between John Rawls and his critics on the merits of desert, and, finally, study the wider role and significance of desert in political and ethical theory. (shrink)

Theories of equal human rights have experienced an exponential growth during the past thirty or forty years. From declarations of human rights, such as the United Nations' Universal Declaration of Human Rights, to arguments about the rights of fetuses versus the rights of women, to claims and counter claims about the rights of minorities to preferential hiring, the rights of animals to life and well-being, and the rights of trees to be preserved, the proliferation of rights affects every phase of (...) our socio-political discourse. Hardly a month goes by without a new book appearing on the subject. (shrink)

This collection of classic and contemporary readings in ethics presents sharp, competing views on a wide range of fundamentally important topics: moral relativism and objectivism, ethical egoism, value theory, utilitarianism, deontological ethics, virtue ethics, ethics and religion, and applied ethics. The Fourth Edition dramatically increases the volume’s utility by expanding and updating the selections and introductions while retaining the structure that has made previous editions so successful.

With its thematic focus on “ecolacy,” the understanding of the natural environment and our relationship to it, Pojman’s text strikes a balance between theoretical and applied issues in environmental ethics.

Capturing the inimitable enthusiasm of Louis Pojman's much acclaimed teaching, PHILOSOPHY: THE PURSUIT OF WISDOM introduces students to all of the core topics in philosophy. Beginning with an inquiry into the nature and purpose of philosophy, this text moves through many traditional discussionssuch as the existence of God, the problems of knowledge, the freewill/determinism debate, and the foundations of ethicsand concludes with an exploration into existentialism and the meaning of life.

In 1941 Father Maximilian Kolbe, a Polish friar from Warsaw was arrested for publishing anti-Nazi pamphlets and sentenced to Auschwitz. There he was beaten, kicked by shiny leather boots, and whipped by his prison guards. After one prisoner successfully escaped, the prescribed punishment was to select ten other prisoners who were to die by starvation. As ten prisoners were pulled out of line one by one, Fr. Kolbe broke out from the ranks, pleading with he Commandant to be allowed to (...) take the place of one of the prisoners, a Polish worker with a wife and children dependent upon him. "I'm an old man, sir, and good for nothing. My life will serve no purpose," the 45 year old priest pleaded. He was taken, thrown down the stairs into a dank dark basement with the other nine prisoners and left to starve. Usually, prisoners punished like this spent their last days howling, attacking each other and clawing the walls in a frenzy of despair. (shrink)

[Christianity] has enriched philosophy with far more definite and purer concepts than it had been able to furnish before; but which, once they are there, are freely assented to by Reason and are assumed as concepts to which it could well have come of itself and which it could and should have introduced…. Even the Holy One of the Gospel must first be compared with our ideal of moral perfection, before we can recognize him as such [Immanuel Kant, Critique of (...) Judgement, tr. Bernard; p. 410n and Foundations of the Metaphysics of Morals, tr. Lewis White Beck; p. 30]. (shrink)