Martin Heidegger--philosophy's hidden king or leading exponent of a dangerously misguided secular mysticism? Heidegger has been acclaimed as the most powerfully original philosopher of the twentieth century, who made a deep impact on thinkers such as Sartre, Habermas, Foucault, Lacan, and Derrida.

Unfortunately, an at least equally important and fundamental dispute among intensionalists themselves has tended to be blurred and/or ignored, with the result that many, perhaps most, contemporary philosophers are either inconsistent or vague on the issue.

BACKGROUND Patients with chronic pain face significant barriers in finding clinicians to manage long-term opioid therapy (LTOT). For patients on LTOT, it is increasingly common to have them sign opioid treatment agreements (OTAs). OTAs enumerate the risks of opioids, as informed consent documents would, but also the requirements that patients must meet to receive LTOT. While there has been an ongoing scholarly discussion about the practical and ethical implications of OTA use in the abstract, little is known about how clinicians (...) use them and if OTAs themselves modify clinician prescribing practices. OBJECTIVE To determine how clinicians use OTAs and the potential impacts of OTAs on opioid prescribing. DESIGN We conducted qualitative analysis of four focus groups of clinicians from a large Midwestern academic medical center. Groups were organized according to self-identified prescribing patterns: two groups for clinicians who identified as prescribers of LTOT, and two who did not. PARTICIPANTS 17 clinicians from General Internal Medicine, Family Medicine, and Palliative Care were recruited using purposive, convenience sampling. APPROACH Discussions were recorded, transcribed, and analyzed for themes using reflexive thematic analysis by a multidisciplinary team. KEY RESULTS Our analysis identified three main themes: (1) OTAs did not influence clinicians’ decisions whether to use LTOT generally but did shape clinical decision-making for individual patients; (2) clinicians feel OTAs intensify the power they have over patients, though this was not uniformly judged as harmful; (3) there is a potential misalignment between the intended purposes of OTAs and their implementation. CONCLUSION This study reveals a complicated relationship between OTAs and access to pain management. While OTAs seem not to impact the clinicians’ decisions about whether to use LTOT generally, they do sometimes influence prescribing decisions for individual patients. Clinicians shared complex views about OTAs’ purposes, which shows the need for more clarity about how OTAs could be used to promote shared decision-making, joint accountability, informed consent, and patient education. (shrink)

Walter Benjamin was a philosopher but perhaps more importantly he was an experienced critic of such passion, erudation and virtuosity.

The repertory grid method was used to determine what terminology respondents use to distinguish between different applications of genetic engineering drawn from food- related, agricultural, and medical applications. Respondents were asked to react to fifteen applications phrased in general terms, and results compared with a second study where fifteen more specific applications were used as stimuli. Both sets of data were submitted to generalized Procrustes analysis. Applications associated with animals or human genetic material were described as causing ethical concern, being (...) unnatural, harmful, and dangerous. Those involving plants or microorganisms were described as beneficial, progressive, and necessary. The results were validated in survey research, which indicated that general applications ofgenetic engineering were perceived as either positive or negative, whereas specific applications were more highly differentiated in perceptual terms. The results imply that the public debate about genetic engineering must take due account of the complexity of public concerns. (shrink)

This article advocates a naturalist and realist ethics of solidarity. Specifically, it argues that human needs should be met; and that they should be met in harmony with the environment. Realism should include respect for existing cultures and the morals presently being practiced – with reasonable exceptions. Dignity must come in a form understood and appreciated by the person whose dignity is being respected. It is also argued that naturalist ethics are needed to combat liberal ethics, not least because the (...) latter supports today’s inflexible and dysfunctional institutions. In arguing for these positions, reference is made to the naturalist realist ethics of Georges Canguilhem, C.H. Waddington, John Dewey and David Sloan Wilson, all of whom embed the social order in the natural order. (shrink)

ABSTRACTThis paper strengthens Bhaskar’s case for the possibility of naturalism. Building on Bhaskar’s A Realist Theory of Science and The Possibility of Naturalism, and on more recent contributions by Douglas Porpora, it traces the evolution of Bhaskar’s concept of 'intransitive' and follows his suggestion to treat social structure as an intransitive generative mechanism analogous to the generative mechanisms of the natural sciences. It is suggested, building on Porpora, that the constitutive rules of the market are usefully regarded as generating an (...) intransitive 'basic social structure.' That this same intransitive object is reasonably regarded as continuing to exist and act under different descriptions is illustrated by citing how different scholars have approached it with different concepts and vocabularies. It expands on Bhaskar’s first example of an intransitive object of social science, the mass unemployment that provided a ‘motor’ for Keynes, and on Porpora’s examples of the causal powers of social structures. (shrink)

In El Salvador from 1978 to 1988, contraceptive use among married women 15–44 years of age increased from 34% to 47%, and the total fertility rate declined from 6·3 to 4·6 children per woman. Most of this change took place from 1978 to 1985. Sterilization is the most prevalent method used, but nearly one-half of the women who are sterilized did not use any contraception before their operation. Few young couples use reversible methods of contraception to space births or delay (...) the start of childbearing. On average, women wait 8 years after marriage and have nearly three children before they use contraception. (shrink)

This essay can be called, if you will, an exercise in choosing which words to use when in our contemporary context. I hope to add something useful to the work being done by Pierre Macherey (Machere...

Volume 18, Issue 1, February 2019, Page 94-97.

There is also a section on Marx's hints concerning what a just distribution of property would be, in which a method is suggested for combining consumer choice in selecting what to produce with the use of a labor theory in planning production. ;The analysis of the labor theory is embedded in the context of the justifications commonly given for existing capitalist distributions of property. Part of this context is a critique of the argument from freedom, i.e. of positions which justify (...) entitlements by citing free agreements and freely given gifts. Part of the context is a critique of the anti-ideology argument, i.e. of positions which justify institutional arrangements on the ground that they function to encourage investment and production. ;This dissertation uses Aristotle's conception of distributive justice as a framework for analyzing Karl Marx's labor theory of value. The appeal to traditional principles of justice is found to be implicit in Marx's scientific arguments. Marxist texts, mainly Capital, are found to contain five kinds of arguments in favor of the labor theory of value. That the only attribute all commodities have in common is that they are products of labor. That labor determines price. That labor determines natural prices. That from a social point of view the value of a commodity ought to be considered equal to the portion of society's effort than went into it. That the concept of labor-value makes it possible to construct a theory which explains a wide range of economic phenomena. (shrink)

v. 1. Philosophy for peace and justice -- v. 2. Methods for transforming the structures of the modern world.

Andrew Sayer and Dave Elder-Vass are both advocates of ‘moral economy’. To this end, Elder-Vass offers a theory of appropriative practices that enables us to evaluate the enormous variety of forms...

James A. Diefenbeck, Wayward Reflections on the History ofPhilosophyThomas R. Flynn Sartre, Foucault and Historical Reason. Volume 1:Toward an Existential Theory of HistoryMark Golden and Peter Toohey Inventing Ancient Culture:Historicism, Periodization and the Ancient WorldZenonas Norkus Istorika: Istorinis IvadasEverett Zimmerman The Boundaries of Fiction: History and theEighteenth‐Century British Novel.

Dubbed “Nietzsche without his hammer” by literary critic James Wood, the Romanian philosopher E. M. Cioran is known as much for his profound pessimism and fatalistic approach as for the lyrical, raging prose with which he communicates them. Unlike many of his other works, such as _On the Heights of Despair_ and _Tears and Saints_, _The New Gods_ eschews his usual aphoristic approach in favor of more extensive and analytic essays. Returning to many of Cioran’s favorite themes, _The New Gods (...) _explores humanity’s attachment to gods, death, fear, and infirmity, in essays that vary widely in form and approach. In “Paleontology” Cioran describes a visit to a museum, finding the relatively pedestrian destination rife with decay, death, and human weakness. In another chapter, Cioran explores suicide in shorter, impressionistic bursts, while “The Demiurge” is a shambolic exploration of man’s relationship with good, evil, and God. All the while, _The New Gods _reaffirms Cioran’s belief in “lucid despair,” and his own signature mixture of pessimism and skepticism in language that never fails to be a pleasure. Perhaps his prose itself is an argument against Cioran’s near-nihilism: there is beauty in his books. (shrink)

This collection of eleven essays originally appeared in France thirty years ago and created a literary whirlwind on the Left Bank. Cioran writes incisively about Western civilizations, the writer, the novel, mystics, apostles, and philosophers. "A sort of final philosopher of the Western world. His statements have the compression of poetry and the audacity of cosmic clowning."—_Washington Post_ "An intellectual bombshell that blasts away at all kinds of cant, sham and conventionality.... [Cioran's] language is so erotic, his handling of words (...) so seductive, that the act of reading becomes an encounter in the erogenous zone."—Jonah Raskin, _L.A. Weekly_. (shrink)

In this book, Cioran writes of politics, of history, and of the utopian dream. "A small masterwork... a stringent examination of some persistent and murky notions in human history.... It is best to read Cioran while sitting. The impact upon the intellect can be temporarily stunning, and motor systems may give way under the assault."—Joseph Patrick Kennedy, _Houston Chronicle_ "Cioran has a claim to be regarded as among the handful of original minds... writing today."—_New York Times_ "A sort of final (...) philosopher of the Western world. [Cioran's] statements have the compression of poetry and the audacity of cosmic clowning."—_Washington Post_ E. M. Cioran was born and educated in Romania and lived in Paris from 1937 until his death. He is the author of numerous works, including _On the Heights of Despair_, also available from the University of Chicago Press. (shrink)

Brassai wrote: "In his battle against Time, that enemy of our precarious existence, ever on the offensive though never openly so, it was in photography, also born of an age-old longing to halt the moment, to wrest it from the flux of 'duree' in order to 'fix' it forever in a semblance of eternity, that Proust found his best ally." He quoted Proust in his own writing, and from the annotated books in his library, we know that he spent a (...) lifetime studying and dissecting Proust's prose, often line by line.". (shrink)

It was his mother's death which allowed [Roland] Barthes to write: "I looked through…" "To write on something is to forfeit it," Barthes used to say, reciprocally, it is licit to write on what is already dead, it was Barthes himself in one of his acceptations. His mother was for Barthes the internal order, who permitted both the external other and the I to exist. Once she was dead, his life was over and could therefore become the object of writing. (...) Barthes no doubt had other books to write; but he no longer had any life to live. I find it emblematic that his last book should have been "on photography" . Eloquent or discreet, a photograph never says anything but: I was there; it leads to a gesture of monstration, to a silent deixis, and symbolizes a pre- or post-discursive world; it makes me an object, that is, a dead man. What Barthes himself calls "my last investigation" also concerned death. Tzvetan Todorov, of the Centre National de la Recherche Scientifique in Paris, has numerous books on literary theory, including Théories du symbole and Symbolisme et interprétation, which has been published in English. His previous contribution to Crtitical Inquiry, "The Verbal Age," appeared in the Winter 1977 issue. Richard Howard, a poet and critic, has translated many works by Roland Barthes, Tzvetan Todorov, Michel Foucault, and Gilles Deleuze. (shrink)

Genomic research projects that collect tissues from deceased organ and tissue donors must obtain the authorization of family decision makers under difficult circumstances that may affect the authorization process. Using a quasi-experimental design, the Ethical, Legal, and Social Issues (ELSI) substudy of the Genotype-Tissue Expression (GTEx) project compared the recall and understanding of the donation authorization process of two groups: family members who had authorized donation of tissues to the GTEx project (the comparison group) and family members who had authorized (...) organ and tissue donations in years previous, who subsequently participated in two different mock-authorization processes that mimicked the GTEx authorization process (the intervention groups). Participants in the comparison and intervention groups were matched on key demographic characteristics.We found that participants in the intervention groups who experienced a mock-authorization process demonstrated better recall of the tissue donation request than members of the comparison group. Our data indicate that the stress associated with the loss of a loved one limited the ability of family members to recall details about the GTEx project. However, we found a similar lack of knowledge in both the comparison and the intervention group participants, suggesting lack of knowledge may be due to the complexity and unfamiliarity of the information presented to them during the authorization process. We discuss these findings in the context of everyday clinical decision making in cognitively challenging conditions. (shrink)

Source credibility has been thought to bean important determinant of peoples‘ reactions toinformation about technology. There has also been muchdebate about the need to communicate effectively withthe public about genetic engineering, particularlywithin the context of food production. Questionnaireswere used to investigate the impact of sourcecredibility, admission of risk uncertainty, andinitial attitude towards genetic engineering onattitudes of respondents after information provision.120 respondents with positive attitudes towardsgenetic engineering in food production were providedwith persuasive information about the technology,where both source attribution and admission (...) of riskuncertainty were systematically varied within theexperimental design. Impact on perceptions of sourcecredibility, informational qualities, and postintervention attitudes were examined, and compared toa second group of respondents who held initiallynegative attitudes towards genetic engineering, andwho had been exposed to similar informationinterventions. As predicted by Social Judgment Theory,initial attitude was found to be an importantdeterminant of post-intervention attitude. However,admission of risk uncertainty was also found to beinfluential in increasing acceptance and reducingrejection of the technology, possibly through thefacilitation of elaborative processing. Contrary toprevious research, prior attitudes had an impact onperceptions of both source credibility andinformational quality. In terms of effectiveinformation provision about genetic engineering, itwas concluded that scientific honesty is the bestpolicy, and that lay understanding of scientificprocess is probably greater than hitherto assumed byexperts. (shrink)

This book is a collection of secondary essays on America's most important philosophic thinkers—statesmen, judges, writers, educators, and activists—from the colonial period to the present. Each essay is a comprehensive introduction to the thought of a noted American on the fundamental meaning of the American regime.