Building Better Health Care Leadership for Canada explains the development and implementation of the Executive Training in Research Application program. Managed and funded by the Canadian Health Services Research Foundation in partnership with the Canadian Medical Association, the Canadian Nursing Association, and the Canadian College of Health Care executives, EXTRA is a two-year national fellowship program that uses the principles of adult learning theory as well as practical projects to educate senior health care leaders in making more consistent use of (...) research evidence in their management roles. Fellows apply the theory learned in residency sessions and educational activities to projects within their home organizations. The authors identify the imperative for better use of evidence, outline the core elements of the curriculum, and capture the real-world experience of regional leaders and fellows involved in making specific changes informed by research-based evidence within their organization. Contributors include Jean-Louis Denis, Terrence Sullivan, Owen Adams, Malcolm Anderson, Lynda Atack, Robert Bell, Sam G Campbell, Sylvie Cantin, Ward Flemons, Dorothy Forbes, J. Sonja Glass, Paula Goering, Karen Golden-Biddle, Jeffrey S. Hoch, Paul Lamarche, Ann Langley, John N. Lavis, Jonathan Lomas, Margo Orchard, Raynald Pineault, Brian D. Postl, Christine Power, Trish Reay, Jean Rochon, Denis A. Roy, Andrea Seymour, Samuel B. Sheps, Micheline Ste-Marie, Nina Stipich, David Streiner, Carl Taillon, and Muriah Umoquit. (shrink)

Content Description The origins and uses of the classical moral theories / Roger Sullivan -- Wisdom as foundational ethical theory in Thomas Aquinas / Lawrence Dewan -- Descartes and the ethics of generosity / Leslie Armour -- Is pity the basis of ethics? : Nietzsche versus Schopenhauer / T.L.S. Sprigge -- Jacques Maritain and Karol Wojtyla : approches to modernity / Kenneth Schmitz -- On the foundations of ethics / Hugo Meynell -- Ethics, the humanities, and the formation of (...) persons / Thomas De Koninck -- Personal identity and the sense of duty / Elizabeth Trott -- Passing through : women's experiences and ethics / Monique Dumais -- Ladri'ere's eschatology of reason and the foundations of ethics / Louis Perron -- The foundations of ethics and moral practices / William Sweet. (shrink)

The “father of skyscrapers” and “father of modernist architecture” Louis Henry Sullivan (1856–1924) wrote that “[a]ll things in nature have a shape, … a form, an outward semblance, that tells us what they are, that distinguishes them from ourselves and from each other,” adding “Form follows from function.” But structure shapes function too.The biological world offers a myriad of examples where this is apparent. One such example, perhaps not the most intuitive, is the brain: a network with a (...) complex architecture made of billions of neurons connected by trillions of synapses that shape such functions as movement, perception, imagination, volition, emotion, reasoning, and so on. Olaf Sporns’s Discovering the Human Connectome is an enthusiastic and honest journey through the forms, structures, and network architecture that can ground our understanding of how brains work, and how they produce cognition and behavior.In his previous book, Networks of the Brain, Sporns documented the encounter .. (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)

For several centuries prior to the founding of the Theosophical Society in 1875, individual 'theosophers' in Britain and Europe were quietly in touch with one another all seekers of the inward way. Theosophic Correspondence (1792 1797) is a series of inspiring letters, personal and philosophic, exchanged during the climactic days of the French Revolution between Kirchberger, member of the Sovereign Council at Berne, Switzerland, and Saint-Martin, whom Kirchberger regarded as 'the most eminent writer . . . and most profound of (...) his age'. (shrink)

This note corrects a lemma in the recent paper 1] of one of the authors by rst correcting problems with Poole's rule for speci city of arguments. It also responds to the criticism of Touretzky, et al. 9].

Define ‘het’ as a predicate that truly applies to itself if and only if it does not truly apply to itself and which also truly applies to any predicate that does not truly apply to its own name. We know that the attempted definition of ‘hes’ is a failure, and so a fortiori is that of ‘het’. Similarly, there is no Qussell class which contains itself as a member if and only if it does not contain itself as a member, (...) so a fortiori there is no Russell Class which contains itself as a member if and only if it does not contain itself as a member and which also contains all and only non-self-membered classes (such as the class of dogs). The second conjunct in both the definition of ‘het’ and of the Russell class cannot revive a definition doomed to failure. Likewise, the ‘definition’ of n as ‘n > 1 iff n < 1’ fails, and the attempted definition of m as ‘m > 1 iff m < 1 and m is prime’ is hopeless too; its final clause buys it no respectability. (shrink)

RÉSUMÉ: Cet article examine l'argumentation de Sullivan en faveur du principe que toute chose a une cause. On soutient que les critiques de Smith et d'Allen ne lui rendent pas justice et que Sullivan est justifié de maintenir que nous n'avons pas de bonnes raisons de nier la vérité de ce principe. Sa défense finale, cependant, qui semble basée sur une approche thomiste, échoue. Être contingent et être causé sont séparables. Il semble au bout du compte que nous (...) n'ayons pas non plus de bonnes raisons de nier la fausseté du principe en question. (shrink)

For more than 20 years, Western science education has been incorporated into Tibetan Buddhist monastics’ training. In this time, there have been a number of fruitful collaborations between Buddhist monastics and neuroscientists, neurologists, and psychologists. These collaborations are unsurprising given the emphasis on phenomenological exploration of first-person conscious experience in Buddhist contemplative practice and the focus on the mind and consciousness in Buddhist theory. As such, Tibetan monastics may have underappreciated intuitions on the intersection of science, medicine, and ethics. Yet (...) despite their overlapping interests, Buddhist perspectives are largely absent in contemporary neuroethical analysis, apart from conceptual arguments for their relevance. This article attempts to fill this gap by presenting the results of eleven semi-structured interviews with Tibetan Buddhist monastics in India on three issues in neuroethics: identity and authenticity, enhancement, and disorders of consciousness. The results of this empirical study reinforce the conclusions of theoretical work on Buddhism and neuroethics while also identifying future areas of inquiry, including the importance of community, the challenges in acting from compassion, and the value of self-directed mental cultivation. (shrink)

Offers an analysis of Jacques Lacan's thought for the English-speaking world. Using empirical data as well as Lacan's texts, this title demonstrates how Lacan's teachings constitute a new epistemology that goes far beyond conventional thinking in psychoanalysis, psychology, philosophy, and linguistics.

Recent studies have explored the effectiveness of open-label placebos for a variety of conditions, including chronic pain, cancer-related fatigue and irritable bowel syndrome. OLPs are thought to sidestep traditional ethical worries about placebos because they do not involve deception: with an OLP, patients or subjects are told outright that they are not given an active substance. As deception is framed as the primary hurdle to ethical placebo use, the door is ostensibly opened to ethical studies of OLPs. In this article, (...) I suggest that even though OLPs seemingly do not involve deception, there are other ethical considerations in their clinical investigation and subsequent use. Research ethics often focusses on informed consent—of which, deception and honesty are a piece—as a means to justify research practices with human subjects. Yet, it is but one of the ethical considerations that should be taken into account. With research into placebo effects in particular, I argue that the history of clinical placebo use grounds special considerations for OLP research that go beyond respect for the autonomy of individual patients through informed consent and encompass structural concerns about the type of patient for whom a placebo has historically been thought appropriate. (shrink)

RésuméCet article examine l'argumentation de Sullivan en faveur du principe que toute chose a une cause. On soutient que les critiques de Smith et d'Allen ne lui rendent pas justice et que Sullivan est justifié de maintenir que nous n'avons pas de bonnes raisons de nier la vérité de ce principe. Sa défense finale, cependant, qui semble basée sur une approche thomiste, échoue. Être contingent et être causé sont séparables. Il semble au bout du compte que nous n'ayons (...) pas non plus de bonnes raisons de nier la fausseté du principe en question. (shrink)

This paper argues that the concept of paternalism is currently overextended to include a variety of actions that, while resembling paternalistic actions, are importantly different. I use the example of Japanese physicians’ non-disclosures of cancer diagnoses directly to patients, arguing that the concept of maternalism better captures these actions. To act paternalistically is to substitute one's own judgement for that of another person and decide in place of that person for his/her best interest. By contrast, to act maternalistically is to (...) decide for another person based on a reasonable understanding of that person's own preferences. The concept of maternalism allows for a more thorough assessment of the moral justification of these types of actions. I conclude that it is possible, at least in principle, to justify Japanese physicians’ non-disclosures, and that this justification must be based on an understanding of these actions as maternalistic. (shrink)