This paper focuses on the problem of conflicts that are sociopolitical in nature. It thus agrees that conflict is a product of human interaction, but its degeneration into violence is avoidable and consequently detestable. The repressive, depressive and destructive functions of socio-political conflict are seen as products of the tension that exists between personal values and social values among the different individuals and groups that make up the nation of Nigeria, especially in the veryattempt at defining national security, social peace (...) and political stability. This contretemps undermines the success of democracy in Nigeria; it is more problematic when democracy as a form of government is discovered to harbour conflict in its very attempts at ensuring an enduring social order. The paper thus advocates for a fundamental socio-political reconstruction based on the cherished values of African traditional thought that promotes social cohesion, respect for the dignity of the human person, social justice and economic growth. The philosophical methods of analysis and conceptual clarification, in addition to empirical methods, are employed. (shrink)

Background Obtaining informed consent in the clinical setting is an important yet challenging aspect of providing safe and collaborative care to patients. While the medical profession has defined best practices for obtaining informed consent, it is unclear whether these standards meet the expressed needs of patients, their families as well as healthcare providers. The authors sought to address this gap by comparing the responses of these three groups with a standardised informed consent paradigm. Methods Piloting a web-based ‘reverse’ simulation paradigm, (...) participants viewed a video showing a standardised doctor engaging in an informed consent discussion. The scenario depicted a simulated patient with psychotic symptoms who is prescribed an atypical antipsychotic medication. 107 participants accessed the simulation online and completed a web-based debriefing survey. Results Survey responses from patients, family members and healthcare providers indicated disparities in information retention, perception of the doctor's performance and priorities for required elements of the consent process. Conclusions To enhance existing informed consent best practices, steps should be taken to improve patient retention of critical information. Adverse events should be described in the short-term and long-term along with preventative measures, and alternative psychosocial and pharmacological treatment options should be reviewed. Information about treatment should include when the medication takes therapeutic effect and how to safely maintain the treatment. The reverse simulation design is a model that can discern gaps in clinical practice, which can be used to improve patient care. (shrink)

Asserting that previous attempts to characterize the essence of the cosmos have fallen short for their lack of an adequate conceptual arsenal, as exemplified by Maimonides' and Aristotle's impasse, he consolidates these eclectic influences into a defined set of metaphysical "tools." Birnbaum presents these tools at the outset of God and Good. He then uses them to build a model that is applicable to all the arenas from which its influences were initially derived.

The authors' model reduces the literature on conceptual representation to a single node: “encyclopedic knowledge.” The structure of conceptual knowledge is not so trivial. By ignoring the phenomena central to reasoning about living things, the authors base their dismissal of semantic systems on inadequate descriptive ground. A better descriptive account is available in the conceptual development literature. Neuropsychologists could import the insights and tasks from cognitive development to improve their studies.

This essay summarizes key insights across the essays in the Hastings Center Report's special report “Time to Rebuild: Essays on Trust in Health Care and Science.” These insights concern trust and trustworthiness as distinct concepts, competence as a necessary but not sufficient input to trust, trust as a reciprocal good, trust as an interpersonal as well as structural phenomena, the ethical impermissibility of seeking to win trust without being trustworthy, building and borrowing trust as distinct strategies, and challenges to trustworthiness (...) posed by the contingent nature of science. Together, these insights stand to advance an area of research that we believe has been historically stymied by conceptual confusion and a long‐standing insistence on treating trust as a purely instrumental good. (shrink)

In this paper, we argue that communalism is not uniquely African. It comes in different forms of social and psychological thinking which can be found in any culture and society whether capitalistic or socialistic where the notion of social belongingness through reasoned reflection transcends the desire for personal gratification. We claim that some values of communalism such as altruism, mutual cooperation, complementarity etc., can be useful in shaping a viable system of democracy for Africa, not because communalism is unique to (...) Africa, but because it is not. We contend that part of the challenges of democratic practice in Africa is the inclination to extreme form of individualism embedded in its capitalist roots. We show that the structure of democracy can evolve to adapt to changes mediated by communal values. Using the methods of hermeneutics and conversational thinking, we will argue that democratic practice in Africa can profit from communalism and should be restructured to admit relevant communal values. Keywords: African, Communalism, African Communalism, Democracy, Communalistic Democracy. (shrink)

This series of responses was commissioned to accompany the article by Singer et al, which can be found at http://www.biomedcentral.com/1472-6939/2/1. If you would like to comment on the article by Singer et al or any of the responses, please email us on [email protected].

The complexity of biobank research raises concerns about individuals’ understanding of the information conveyed in the consent process for such research.. We report the results of a qualitative, cognitive interview study with an ethnically, linguistically, and educationally diverse sample of 43 respondents to assess the clarity and utility of a multimedia tool developed for a biobank. Using weighted randomization, respondents were assigned to either view the multimedia tool or read a written consent document . The study illustrates the utility of (...) cognitive interviews for gaining insights from prospective research participants about the clarity of informed consent tools. Findings suggest that a multimedia tool is useful for communicating key messages but should be combined with a written consent document and personal interaction with the study staff. We recommend that the potential value of multimedia tools should be more rigorously tested in a randomized controlled trial. (shrink)

Reviews the book, Upheavals of thought: The intelligence of emotions by Martha C. Nussbaum . Drawing from an astounding array of sources, Nussbaum argues against the common understanding of emotions as irrational and animalistic impulses disconnected from our thoughts and reason. Rather, she argues that emotions are highly discriminating responses to what is of value and importance that are, therefore, suffused with intelligence and discernment. Nussbaum explores the structure of a wide range of emotions, in particular, compassion and love, in (...) order to show that there can be no adequate ethical theory without an adequate theory of emotional experience and meaning. 2012 APA, all rights reserved). (shrink)

Since the early 20th century, bioethics in South Africa has moved through several stages, responding to the same forces and developments as elsewhere, for example in the United Kingdom and United States. In addition, some unique developments in South Africa, for example the death of Steve Biko, the HIV/AIDS pandemic, and a peaceful transition to democracy with increased focus on human rights have given bioethics in South Africa its own dimension. Bioethics in South Africa reflects the general concerns of the (...) field elsewhere, but it also stands at the intersection of the concerns of both developed and developing worlds. Thus, issues such as resource allocation, HIV/AIDS, and medical research take on an urgency and character that reflect South Africa's particular historical, geographical, and social conditions. (shrink)

There are parallels between Gigerenzer et al.'s emphasis on the rationality of adults' reasoning in terms of simple heuristics and developmental researchers' emphasis on the rationality of children's reasoning in terms of intuitive theories. Indeed, just as children become better at using their theories, so might some people, experts, become better at using simple heuristics.

There are problems with Atran's argument for an innate cognitive module for folk biology. He has been too quick to assume innate origins for what might plausibly be learned. Furthermore, in his characterization he includes aspects – essentialist reasoning and inductions from classes – that are not domain-specific. Finally, his characterization compromises his argument that the module is pretheoretical.

The belief amongst some Christians that it is God’s plan for everyone to have children, and that barrenness is a punishment from God is apparently derived from the Old Testament. This article attempts a holistic study of the biblical perspectives on childlessness with a view to ascertain whether procreation is a moral responsibility of every individual. The target group includes Nigerian Christian couples suffering from infertility. The article employs the descriptive and exegetical methods. The study revealed that the belief that (...) the OT views barrenness as caused by sin and a punishment from God was erroneous. A critical examination of the relevant texts revealed that infertility is a natural phenomenon, and God gives children as a blessing but not necessarily to every individual. In the New Testament, the attitude towards childlessness is characterised by the concept of ‘alternative family models’, by which some Christians could adopt children whilst others might choose to be celibate, being satisfied with their membership of the community of believers. Paul’s teaching in 1 Corinthians 7 clearly mitigates natural childbearing, and thus negates any attitude of desperation for bearing children. In the Nigerian context, this interpretation necessitates a change of attitude towards infertility. The church has to develop a theological reconstruction with regard to procreation in marriage, in a manner that will assure Christians that a childless marriage is not lacking in any way.Contribution: The article is a contribution in the area of theology of marriage, and thus of high relevance in contemporary Africa, particularly Nigeria, where people, including Christians, still have the traditional belief that it is morally mandatory for everyone to have biological children. (shrink)

Philosophers since Aristotle have explored emotion, and the study of emotion has always been essential to the love of wisdom. In recent years Anglo-American philosophers have rediscovered and placed new emphasis on this very old discipline. The view that emotions are ripe for philosophical analysis has been supported by a considerable number of excellent publications. In this volume, Robert Solomon brings together some of the best Anglo-American philosophers now writing on the philosophy of emotion, with chapters from philosophers who (...) have distinguished themselves in the field of emotion research and have interdisciplinary interests, particularly in the social and biological sciences. The reader will find a lively variety of positions on topics such as the nature of emotion, the category of "emotion," the rationality of emotions, the relationship between an emotion and its expression, the relationship between emotion, motivation, and action, the biological nature versus social construction of emotion, the role of the body in emotion, the extent of freedom and our control of emotions, the relationship between emotion and value, and the very nature and warrant of theories of emotion. In addition, this book acknowledges that it is impossible to study the emotions today without engaging with contemporary psychology and the neurosciences, and moreover engages them with zeal. Thus the essays included here should appeal to a broad spectrum of emotion researchers in the various theoretical, experimental, and clinical branches of psychology, in addition to theorists in philosophy, philosophical psychology, moral psychology, and cognitive science, the social sciences, and literary theory. (shrink)

Machine generated contents note: Preface; Introduction; Part I. Global Health, Definitions and Descriptions: 1. What is global health? Solly Benatar and Ross Upshur; 2. The state of global health in a radically unequal world: patterns and prospects Ron Labonte and Ted Schrecker; 3. Addressing the societal determinants of health: the key global health ethics imperative of our times Anne-Emmanuelle Birn; 4. Gender and global health: inequality and differences Lesley Doyal and Sarah Payne; 5. Heath systems and health Martin McKee; Part (...) II. Global Health Ethics, Responsibilities and Justice: Some Central Issues: 6. Is there a need for global health ethics? For and against David Hunter and Angus Dawson; 7. Justice, infectious disease and globalisation Michael Selgelid; 8. International health inequalities and global justice: toward a middle ground Norman Daniels; 9. The human right to health Jonathan Wolff; 10. Responsibility for global health? Allen Buchanan and Matt DeCamp; 11. Global health ethics: the rationale for mutual caring Solly Benatar, Abdallah Daar and Peter Singer; Part III. Analyzing Some Reasons for Poor Health: 12. Trade and health: the ethics of global rights, regulation and redistribution Meri Koivusalo; 13. Debt, structural adjustment and health Jeff Rudin and David Sanders; 14. The international arms trade and global health Salahaddin Mahmudi-Azer; 15. Allocating resources in humanitarian medicine Samia Hurst, Nathalie Mezger and Alex Mauron; 16. International aid and global health Anthony Zwi; 17. Climate change and health: risks and inequities Sharon Friel, Colin Butler and Anthony McMichael; 18. Animals, the environment and global health David Benatar; 19. The global crisis and global health Stephen Gill and Isabella Bakker; Part IV. Shaping the Future: 20. Health impact fund: how to make new medicines accessible to all Thomas Pogge; 21. Biotechnology and global health Hassan Masun, Justin Chakma and Abdallah Daar; 22. Food security and global health Lynn McIntyre and Krista Rondeau; 23. International taxation Gillian Brock; 24. Global health research: changing the agenda Tikki Pang; 25. Justice and research in developing countries Alex John London; 26. Values in global health governance Kearsley Stewart, Gerald T. Keusch and Arthur Kleinman; 27. Poverty, distance and two dimensions of ethics Jonathan Glover; 28. Teaching global health ethics James Dwyer; 29. Towards a new common sense: the need for new paradigms of global health Isabella Bakker and Stephen Gill; Index. (shrink)

Is it possible to be spiritual and yet not believe in the supernatural? Can a person be spiritual without belonging to a religious group or organization? In Spirituality for the Skeptic, philosopher Robert Solomon explores what it means to be spiritual in today's pluralistic world. Based on Solomon's own struggles to reconcile philosophy with religion, this book offers a model of a vibrant, fulfilling spirituality that embraces the complexities of human existence and acknowledges the joys and tragedies of (...) life. Solomon has forged an enlightened new path that synthesizes spirituality with emotions, intellect, science, and common sense. His new paradigm, "naturalized" spirituality, establishes as its cornerstone the "thoughtful love of life"--a passionate concern for the here-and-now, and not the by-and-by. Being spiritual doesn't mean being holed up as a recluse, spending hours in meditation and contemplation, Solomon argues. It demands involvement and emotional engagement with others in the struggle to find meaning in our lives. As such, this modern-day spirituality encompasses a passionate enthusiasm for the world, the transformation of self, cosmic trust and rationality, coming to terms with fate, and viewing life as a gift, all of which are explored in depth throughout this book. Spirituality for the Skeptic answers the need for a non-institutional, non-dogmatic spirituality that leads to personal fulfillment and satisfaction. By examining the ideas of great thinkers from Socrates and Nietzsche to Buddha to Kafka, Solomon arrives at a practical vision of spirituality that should appeal to many seekers looking to make sense of the human condition. (shrink)