A cost analysis of the utilization of new expensive vascular grafts is performed, applying the methodology of decision analysis to the theoretical case of a sixty year old male patient undergoing femoropopliteal grafting for limb threatening ischemia. The problem is presented graphically as a decision tree, uncertainties are quantified in terms of probabilities and end outcomes are evaluated in monetary terms. This informations is then utilized to calculate cost values associated with alternative actions.Based on initial cumulative patency figures of the (...) new more expensive grafts and the known performance of the older grafts, the initial high expense for the new grafts is justified economically, if the saphenous vein is not available. This analysis, apart from giving an answer to a specific clinical problem, can be viewed as a general model for cost analysis of surgical procedures. (shrink)
In the introductory chapter of his essay on Utilitarianism, John Stuart Mill says his aim is to contribute towards the understanding of utilitarianism and towards ‘such proof as it is susceptible of’. He immediately adds that ‘this cannot be proof in the ordinary and popular meaning of the term’ because ‘ultimate ends are not amenable to direct proof’. A proof that something is good has to show that it is ‘a means to something admitted to be good without proof’. But, (...) he goes on, this does not imply that a formula of ultimate ends can only be accepted on ‘blind impulse, or arbitrary choice’. It can be rationally discussed and subjected to proof in a wider sense of that word. ‘Considerations may be presented capable of determining the intellect either to give or withhold its assent to the doctrine; and this is equivalent to proof.’. (shrink)
Everybody supports freedom—even authoritarians, though what they call freedom looks suspiciously like bondage. Rousseau begins The Social Contract with a flourish: ‘Man is born free, and everywhere he is in chains.’ He ends up by trying to persuade us that the chains, the restraints of law and organized society, are necessary for true freedom. He wants us to believe that true freedom, the freedom essential for human existence, is not the happy-go-lucky freedom of Liberty Hall, do as you like, but (...) the straight and narrow path of duty, of conformity to law. The universal popularity of the idea of freedom does not mean that everybody is really agreed about it. Plato, Rousseau, Hegel and his followers—they all talk of a true or genuine freedom, but they oppose this to Liberty Hall, to doing as you please. (shrink)
What darkness was the ‘Enlightenment’ supposed to have removed? The answer is irrational forms of religion. Most of the ‘enlightened’ took the view that revealed religion was irrational and that natural religion could be rational; but some were sceptical about natural religion too. Hume was the most honest and the most penetrating thinker of the latter group. His biographer, Professor E. C. Mossner, is not alone in believing that the Dialogues concerning Natural Religion is ‘his philosophical testament’.
We hear nowadays in literary criticism of a type of novel that is an ‘anti-novel’ and of a type of hero who is an ‘anti-hero’. I recently read an article which argued, rather well in my opinion, that the later philosophy of Wittgenstein is an anti-philosophy. One could say the same of the philosophie positive of Auguste Comte, who is often called the father of sociology. The principle with which Comte starts off his philosophy, ‘the fundamental law of mental development’, (...) would put an end to philosophy as traditionally conceived, and would replace it by science. According to Comte, human inquiry goes through three stages. In the first stage, the theological or fictive, men try to give explanations in terms of supernatural beings. At the second stage, the metaphysical or abstract, theological explanation has given way to explanation in terms of abstract entities such as Absolute Motion or Absolute Justice. In the third stage, the scientific or positive, metaphysical explanations have given way to scientific explanations, that is to explanations which do not refer to any unobservable entities but instead simply correlate observable phenomena with each other. This is a picture of intellectual history in which philosophy takes the place of theology and then science takes the place of philosophy. (shrink)
Professor Maurice Cranston, who died suddenly on 5 November 1993, was a man of many talents. Pre-eminent as a biographer of Locke and Rousseau, he was also distinguished for his own contribution to political philosophy and for his capacity to expound the political thought of others in clear, simple language. He did this with great success not only in the lecture room but also in numerous broadcast talks and discussions, notably on the Third Programme of the BBC. In his academic (...) work he was particularly well informed on French political thought, contemporary as much as classical, and he wrote extensively on Sartre and more briefly on Camus and Foucault. He was himself fluent in the French language and he translated Rousseau's Social Contract and Discourse on Inequality for the Penguin Classics series. He was proficient in German and Italian too, and he knew enough Danish to translate a book on Wittgenstein written in that language. His love of literature often led him to illustrate philosophical points with apt examples from classical novels. He even wrote a couple of novels himself in his youth. It will be plain from this brief catalogue that he was an eminently civilized person. He was, in addition, an exceptionally friendly man and engagingly modest about his own abilities. (shrink)
D. D. Raphael examines the moral philosophy of Adam Smith (1723-90), best known for his famous work on economics, The Wealth of Nations, and shows that his thought still has much to offer philosophers today. Raphael gives particular attention to Smith's original theory of conscience, with its emphasis on the role of 'sympathy' (shared feelings).
In this fascinating exploration of justice, eminent philosopher D. D. Raphael presents the culmination of a lifetime's study of its evolution, from ancient times to the late twentieth century. His aim is not just historical but philosophical: to illuminate our true understanding of justice. His unique approach examines not only classic texts by such philosophers as Plato, Aristotle, Hume, Mill, and Rawls but also the Bible and Greek tragedy, as well as some neglected but important thought from the modern (...) era. Lucid and stimulating, this work can be enjoyed by anyone interested in moral and political thought, even by those with little to no knowledge of political theory or philosophy. (shrink)
In this new and enlarged edition of a standard introduction to moral philosophy, Raphael shows in clear and simple language the connections between abstract ethics and practical problems in law, government, medicine, and the social sciences in general. Moral Philosophy deals with six main areas. First, it looks at the two opposed traditions of naturalism and rationalism, and considers more recent discussion in terms of logic and language. Next, it explores the attractions and defects of Utilitarianism, and then turns (...) to its main rival, Kantian ethics, which Raphael favors in a modified form. The third section shows how different moral views are related to different theories about justice and liberty. The fourth examines the problem of free will and determinism in the context of the presuppositions of science, especially in the social sciences. This second edition enlarges the relation of moral philosophy to other concerns, with two new chapters: one on ethics and evolution, the other on medical ethics. (shrink)
Selected and edited with comparative notes and analytical index by Raphael. The British Moralists of the seventeenth and eighteenth centuries form a remarkable tradition of continuous philosophical debate, reaching its high point in the ethical writings of Hume. Many of the works included in this collection are unavailable in modern editions, and those that are available can be seen to better advantage here, in the context of their historical development. This new selection differs appreciable from its predecessor, Selby-Bigge's British (...) Moralists, in the choice of authors and excerpts, in extending the scope of the authors included, and in adding comparative notes. The analytical index enables the reader to trace influences and locate notable arguments and positions. (shrink)
This book introduces the student to active philosophical thinking about political ideas, offering a more stimulating approach to the subject than traditional chronological surveys. The first edition was hailed by The Times Literary Supplement as 'the best introduction to political philosophy for a long time'. This thoroughly revised second edition brings its coverage up-to-date for the 1990s, with material reorganised to be fully accessible for the beginner.
This article suggests that second-wave feminist theology between around 1968 and 1995 undertook the quintessentially religious and task of theology, which is to break its own idols. Idoloclasm was the dynamic of Jewish and Christian feminist theological reformism and the means by which to clear a way back into its own tradition. Idoloclasm brought together an inter-religious coalition of feminists who believed that idolatry is not one of the pitfalls of patriarchy but its symptom and cause, not a subspecies of (...) sin but the primary sin of alienated relationship. The first moment of feminist theology’s criticism of patriarchal power is not that it is socially unjust, but that it has licence to be unjust because it is idolatrous. Yet, neither opponents of feminist theology who dismiss it on the grounds that it is a secular import into the tradition, nor feminist students of theology and religion, have paid sufficient attention to feminist theology’s counter-idolatrous turn as the religious ground of women’s liberation. Here, the freedom and becoming of women is dependent on the liberation of the religious imagination from captivity to a trinity of idols: the patriarchal god called God who is no more than an inference from the political dispensation that created him; the idol of the masculine that created God in his own image and the idol of the feminine worshipped as an ideational object of desire only as the subordinated complement of the masculine and as a false image that becomes a substitute for the real, finite women whose agency and will it supplants. (shrink)
A scholarly edition of a work by Adam Smith. The edition presents an authoritative text, together with an introduction, commentary notes, and scholarly apparatus.
Brief, accessible, and affordable, these pocket-sized volumes offer the essential introductions to the great philosophers of the Western tradition-from Plato to Wittgenstein.
Mill's Utilitarianism is widely used to introduce elementary students to Moral Philosophy. One reason for this, I trust, is a recognition that Mill's doctrines and interests have an immediate attraction for most people. But certainly another reason is the belief that Mill's arguments contain a number of obvious fallacies, which an elementary student can be led to detect, thereby learning to practise critical philosophy.
In The Methods of Ethics Sidgwick considers three ‘methods’, Egoistic Hedonism, Intuitionism, and Utilitarianism or Universalistic Hedonism. I propose to discuss his account of Intuitionism and its role in relation to the specific version of Utilitarianism that he himself adopts. To clear the decks I begin with some remarks on terminology.
This book is both expository and critical and concentres on Hobbes' ethical and political theory, but also considering the effect on these of his metaphysics.
In this article I propose to examine Bishop Butler's view of the nature of moral judgment, the epistemological problem which so greatly exercised some of the British moralists of his age. I have discussed the views of four of them in The Moral Sense. The problem seems to have been peculiarly lacking in interest for Butler. This may seem at first sight an odd statement: the moral faculty, or conscience, it would be said, is the chief subject of Butler's moral (...) writings. This is true enough. But although Butler's description of the working of conscience is unsurpassed, he gives no clear definition of the faculty. That is, he does not clearly consider the question whether the moral faculty can be said to be identical with some faculty usually called by another name, or whether it is sui generis. (shrink)
Philosophy is one of the most intimidating and difficult of disciplines, as any of its students can attest. This book is an important entry in a distinctive new series from Routledge: The Great Philosophers . Breaking down obstacles to understanding the ideas of history's greatest thinkers, these brief, accessible, and affordable volumes offer essential introductions to the great philosophers of the Western tradition from Plato to Wittgenstein. In just 64 pages, each author, a specialist on his subject, places the philosopher (...) and his ideas into historical perspective. Each volume explains, in simple terms, the basic concepts, enriching the narrative through the effective use of biographical detail. And instead of attempting to explain the philosopher's entire intellectual history, which can be daunting, this series takes one central theme in each philosopher's work, using it to unfold the philosopher's thoughts. (shrink)
What darkness was the ‘Enlightenment’ supposed to have removed? The answer is irrational forms of religion. Most of the ‘enlightened’ took the view that revealed religion was irrational and that natural religion could be rational; but some were sceptical about natural religion too. Hume was the most honest and the most penetrating thinker of the latter group. His biographer, Professor E. C. Mossner, is not alone in believing that the Dialogues concerning Natural Religion is ‘his philosophical testament’.
Professor Maurice Cranston, who died suddenly on 5 November 1993, was a man of many talents. Pre-eminent as a biographer of Locke and Rousseau, he was also distinguished for his own contribution to political philosophy and for his capacity to expound the political thought of others in clear, simple language. He did this with great success not only in the lecture room but also in numerous broadcast talks and discussions, notably on the Third Programme of the BBC. In his academic (...) work he was particularly well informed on French political thought, contemporary as much as classical, and he wrote extensively on Sartre and more briefly on Camus and Foucault. He was himself fluent in the French language and he translated Rousseau's Social Contract and Discourse on Inequality for the Penguin Classics series. He was proficient in German and Italian too, and he knew enough Danish to translate a book on Wittgenstein written in that language. His love of literature often led him to illustrate philosophical points with apt examples from classical novels. He even wrote a couple of novels himself in his youth. It will be plain from this brief catalogue that he was an eminently civilized person. He was, in addition, an exceptionally friendly man and engagingly modest about his own abilities. (shrink)
