Our aims are to set forth a multiprinciple system for selecting among clinical trials competing for limited space in an immunotherapy production facility that supplies products under investigation by scientific investigators; defend this system by appealing to justice principles; and illustrate our proposal by showing how it might be implemented. Our overarching aim is to assist manufacturers of immunotherapeutic products and other potentially breakthrough experimental therapies with the ethical task of prioritizing requests from scientific investigators when production capacity is limited.

Robustness has long been recognized as an important parameter for evaluating game-theoretic results, but talk of ‘robustness’ generally remains vague. What we offer here is a graphic measure for a particular kind of robustness (‘matrix robustness’), using a three-dimensional display of the universe of 2 × 2 game theory. In such a measure specific games appear as specific volumes (Prisoner’s Dilemma, Stag Hunt, etc.), allowing a graphic image of the extent of particular game-theoretic effects in terms of those games. The (...) measure also allows for an easy comparison between different effects in terms of matrix robustness. Here we use the measure to compare the robustness of Tit for Tat’s well-known success in spatialized games (Axelrod, R. (1984). The evolution of cooperation . New York: Basic Books; Grim, P. et al. (1998). The philosophical computer: Exploratory essays in philosophical computer modeling . Cambridge, Mass: MIT Press) with the robustness of a recent game-theoretic model of the contact hypothesis regarding prejudice reduction (Grim et al. 2005. Public Affairs Quarterly, 19 , 95–125). (shrink)

Problem: Medical student mistreatment, as well as patient and staff mistreatment by all levels of medical trainees and faculty, is still prevalent in U.S. clinical training. Largely missing in interventions to reduce mistreatment is acknowledgement of the abuse of power produced by the hierarchical structure in which medicine is practiced. Approach: Beginning in 2001, Yale School of Medicine has held annual “Power Day” workshops for third year medical students and advanced practice nursing students, to define and analyse power dynamics within (...) the medical hierarchy and hidden curriculum using literature, guest speakers, and small groups. During rotations, medical students write narratives about the use of power witnessed in the wards. In response to student and small group leader feedback, workshop organizers have developed additional activities related to examining and changing the use of power in clinical teams. Outcome: Emerging narrative themes included the potential impact of small acts and students feeling “mute” and “complicit” in morally distressing situations. Small groups provided safe spaces for advice, support, and professional identity formation. By 2005, students recognized residents that used power positively with Power Day awards and alumni served as keynote speakers on the use of power in medicine. By 2010, departments including OB/GYN, surgery, psychiatry, and paediatrics, had added weekly team Power Hour discussions. Next Steps: The authors highlight barriers, benefits, and lessons learned. Barriers include the notion of clinical irrelevance and resistance to the word “power” due to perceived accusation of abuse. Benefits include promoting open dialogue about power, fostering inter-professional collaboration, rewarding positive role modelling by residents and faculty, and creating a network of trainee empowerment and leadership. Furthermore, faculty have started to ask that issues of power be addressed in a more transparent way at their level of the hierarchy as well. (shrink)

Ecofeminism refers to feminist theory and activism informed by ecology. Ecofeminism is concerned with connections between the domination of women and the domination of nature. Although ecofeminism is a diverse movement, ecofeminist theorists share the presuppositions that social transformation is necessary for ecological survival, that intellectual transformation of dominant modes of thought must accompany social transformation, that nature teaches nondualistic and nonhierarchial systems of relation that are models for social transformation of values, and that human and cultural diversity are values (...) in social transformation. Ecofeminist theology, ethics, and religious perspectives are particularly concerned with the integration of science and religion. Examples of religious or spiritual ecofeminisms are North American Christian ecofeminism, North American womanist Christian theology, neopagan Wiccan ecofeminism, Native American ecofeminism, and Third World ecofeminism. (shrink)

In this timely, thoughtful book, which goes to the heart of feminist concerns in the context of larger social, ecological, and theological issues, Nancy R. Howell proposes an ecofeminist worldview based on the organic-relational philosophy of Alfred North Whitehead. In particular, the book explores the ways in which Whitehead's philosophy can help to establish interrelationships among various women's communities, the relationship between humanity and nature, and the theological process of relating the world to God. Howell strives to develop principles (...) that are compatible with the wide spectrum of women's voices from different racial backgrounds and social strata. Specifically, she moves beyond mere acknowledgment of differing perspectives within the woman's movement and seriously engages criticisms of race-privileged white feminism by African American and Latin American activists. A Feminist Cosmology calls for a self-critical reformation of feminist thought based on a more inclusive framework, one that takes into account the diversity of relationships among women, the deep interdependence of humanity and the ecosystem, and ultimately the variety of theological perspectives relating the world to God. (shrink)

The purpose of this text is to give physical therapy students and clinicians a lens through which to analyze contemporary ethical challenges.

Wentzel van Huyssteen's Gifford Lectures, published as Alone in the World? Human Uniqueness in Science and Theology, accomplish critical and constructive thinking about interdisciplinary reflection on science and religion and about the meaning of human uniqueness. One approach to discussion of van Huyssteen's text entails consideration of three issues: the contextual character of research on humans and animals, the difficult problem of defining uniqueness, and the important consequences of exploring human uniqueness. Evolutionary biology and primatology contribute specific scientific insights.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Buddhist-Christian Dialogue in an Age of ScienceNancy R. HowellBuddhist-Christian Dialogue in an Age of Science. By Paul O. Ingram. Lanham, MD: Rowman and Littlefield, 2008. 155 pp.To my knowledge, Paul Ingram’s Buddhist-Christian Dialogue in an Age of Science undertakes a new project: Systematic and methodological analysis of how Buddhist-Christian dialogue can be shaped by focus on the natural sciences, or, alternatively, how science-religion dialogue can be enhanced through (...) interreligious dialogue. Either description is appropriate and remarkable in light of the accomplishments of a modestly brief book. While I have participated in multireligious dialogue on science, never have I seen a cogent guide for undertaking the conversation until Ingram’s book appeared.The thesis of Ingram’s argument is that bringing the natural sciences into Buddhist-Christian dialogue promises mutual creative transformation of Buddhism, Christianity, and the natural sciences (p. 2). In such a compact sentence is much to be explained, and Ingram unfolds the meaning of the thesis particularly in chapters 2 and 6. Ingram describes both Christian and Buddhist understandings of the relationship of science and religion, as well as approaches to dialogue between the religions. Ingram’s book is focused on conceptual interreligious dialogue, which engages theological and philosophical worldviews and self-perceptions and how the religions can learn from each other (p. 10). (Not surprisingly, the Whiteheadian Ingram names John B. Cobb Jr. as an exemplar for conceptual dialogue.) Ingram proposes that Buddhism and Christianity enter conceptual dialogue with the natural sciences, with the goal of mutual creative transformation (p. 15). Creative transformation is a Whiteheadian concept defined as “a process of growth and novelty,” “the essence of life itself,” and “a process that alters the nature of...elements without suppressing or destroying them” (p. 120). Creative transformation is possible when all participants in the dialogue Ingram proposes have some particularity to contribute, so the challenge in Ingram’s book is to describe how Buddhism and Christianity have particular contributions to make to dialogue about the natural sciences, as well as whether the sciences can be creatively transformed by encounter with world religions (p. 121).The structure of the book, which includes chapters on Buddhist and Christian encounter with cosmology, evolutionary biology, and cognitive sciences, provides specific awareness of the literature about how the religions have individually engaged the natural sciences. Ingram presupposes and names the awe, wonder, and reverence generated by the natural sciences, whose insights shape our worldviews and inform understanding of ourselves. Scientific insights, according to Ingram, generate “an urgent cultural need to reflect thoughtfully and critically on these changes and challenges in a constructive dialogue involving the world’s religious traditions” (p. 130). Ultimately the dialogue must overcome compartmentalized, disciplinary knowledge and engage in integrative, inclusive, multireligious dialogue (p. 130). Ingram envisions that the “purpose of interdisciplinary and interreligious dialogue is mutual creative transformation” (p. 130), which can occur only when the complex details of the sciences and Buddhist and Christian traditions are honored. [End Page 209]Following Ian Barbour, Ingram recommends a critical realist stance, which he adopts as his approach. He understands critical realism to mean that scientific, Christian, and Buddhist conclusions, practices, and worldviews intend to correspond with reality. However, correspondence to reality, “the way things really are,” (p. 37) must be understood provisionally, so that conclusions and worldviews must always be subjected to correction and reformulation. In Ingram’s view, the need for reformulation is the justification for Buddhist–Christian–natural science dialogue because no single view “possesses the final truth about the natural order or ultimate reality” (p. 37). Buddhism, Christianity, and the natural sciences offer distinctive expressions of the search for truth, which (Ingram avers) “requires...some form of mutual critical integration” in the process of dialogue (p. 37).Concentrating more on the constructive methodology of the book (rather than the three chapters with examples of engagement of the natural sciences with Buddhism and Christianity), I want to address one feature of the argument. Chapter 1, “A Common Cosmology,” proposes appropriately that “[while] scientific cosmology cannot simply replace the basic content of religious creation myths, current scientific cosmology can clarify and transform religious creation myths” (p... (shrink)

Multiple dimensions and textures of transcendence are evoked not just by reflection on humans in their relationship with God and community but also by encounter with bonobos—primates that are very close genetic kin with humans. The promise for theological reflection is rooted in bonobo social adaptation as a highly cooperative species. Bonobo sexual behavior accompanies and expresses a high level of social intelligence. The point of my project is not a scientific one intended to argue persuasively for individual self-awareness or (...) self-transcendence in bonobos. Instead, it emphasizes connectedness, interdependence, and sociality as windows on transcendence. Such a view does not require consciousness or intellectual recognition of self-in-relation, but it certainly presumes embodiment of self-in-relation. Various textures of transcendence reflect multidirectional relationships among Pan paniscus (bonobos), Homo sapiens , and the Sacred. (shrink)

Accession Number: ATLA0001713221; Hosting Book Page Citation: p 945-961.; Language(s): English; General Note: Bibliography: p 961.; Issued by ATLA: 20130825; Publication Type: Essay.

A Case-Based Approach to Learning Ethics in Physical Therapy. Ethics in Physical Therapy utilizes a unique case-based approach to teach students and clinicians how to apply theoretical concepts to real-world situations. The cases were carefully selected to encourage thinking and discussion. The accompanying text provides a framework to answer the "should" questions, such as "What should I do?" and "How should I act?" The format provides the opportunity to move beyond the individual realm, when appropriate, resolving issues within an institutional (...) or societal perspective. The text is divided into two sections: "Ethics for the Physical Therapist" and "Types of Ethical Decisions: Case Analysis." They are designed to integrate with one another, but, each section can also be used separately. Part I provides more didactic, foundational material, while Part II strives to apply ethical decision-making tools to relevant cases in physical therapy practice, with the second section focusing on case analyses. The purpose of Ethics in Physical Therapy is to give students and clinicians a lens through which to analyze contemporary ethical challenges. Philosophical theory within the text is limited to that which can be applied practically in the clinical setting. This book is not intended to be a work on ethical behavior, rather, it is designed to provide students and clinicians with a framework in which to approach the uncertainty of ethical decision making with tools to aid their inherent judgment. (shrink)

ABSTRACT:Good science fiction can be a successful vehicle for portraying justice. Science fiction can stimulate moral imagination in much the same way as the most effective justice theories, connecting the world in which we live with a range of alternative futures deliberately and creatively made plausible. A selective examination of classic and recent science fiction stories and novels provides contextual framing for considering questions of climate justice, virtuous personal action in the face of structural injustice, and the problem of what (...) justice means when some people are regarded as “other.” By connecting compelling images of individual responsibility with the complex challenges posed by striving for social justice, science fiction can also help render justice work appealing and achievable—an essential step that is reinforced in closing by a brief set of maxims. (shrink)

Calls are increasing for American health care to be organized as a learning health care system, defined by the Institute of Medicine as a health care system “in which knowledge generation is so embedded into the core of the practice of medicine that it is a natural outgrowth and product of the healthcare delivery process and leads to continual improvement in care.” We applaud this conception, and in this paper, we put forward a new ethics framework for it. No such (...) framework has previously been articulated. The goals of our framework are twofold: to support the transformation to a learning health care system and to help ensure that learning activities carried out within such a system are conducted in an ethically acceptable fashion. (shrink)