This paper studies how in his Theory of Moral Sentiments Adam Smith answered to Mandeville on the role of pride and vanity in the economic and social dynamics of commercial societies. We show why vanity supersedes pride in his analysis and how he offers a more positive view of these two passions. We study in particular the economic and social consequences of pride and vanity and describe the psychological foundations of excessive self-esteem that these passions entail.

This paper studies how in his Theory of Moral Sentiments Adam Smith answered to Mandeville on the role of pride and vanity in the economic and social dynamics of commercial societies. We show why vanity supersedes pride in his analysis and how he offers a more positive view of these two passions. We study in particular the economic and social consequences of pride and vanity and describe the psychological foundations of excessive self-esteem that these passions entail.

I argue that understanding the self in terms of narrative construction does not preclude the possibility of error concerning one’s own self. Identity is a projection of first and second-order desires and a product of choice in relation to desire. Self-deceit appears in this connection as a response to an identity that one has constructed through choice and/or desire but not acknowledged in one’s self-account, reflecting a conflict between desires or a motivated failure to account. This analysis is applied primarily (...) to acknowledgement of one’s sexual identity. (shrink)

This article investigates if and how negotiators' self-efficacy beliefs affect their use of deception in negotiation. Specifically, we propose that self-efficacy can be interpreted as a threat to self-concept, which encourages individuals to temporarily bypass self-regulatory obstacles by morally disengaging their cognitive moral filters, thereby enabling them to use deception in negotiation. We test our hypotheses in three independent experimental studies involving an interactive negotiation simulation, totalizing 460 participants. We find that negotiators with low self-efficacy regarding their negotiation abilities are (...) more likely to use deception than those with high self-efficacy beliefs. Furthermore, we find that moral disengagement mediates the effects of self-efficacy on deception. Our findings suggest that self-efficacy plays a key role in shaping negotiators' ethical behaviors and we identify the psychological mechanism underlying this relationship. (shrink)

Society is increasing its demands for more ethical behaviour by managers of organizations. However, societal and workplace ethical attitudes are constantly evolving as generational differences and demographic diversity make the workplace more complex. While a number of studies have attempted to classify ethical attitudes into different categories, more work in this area is needed. This paper reports on a study that examined attitudes towards the acceptability of workplace behaviour that might be considered unethical. Graduate business students at an Australian university (...) were asked to indicate the ethicality of 17 different behaviours, drawn from the business ethics literature. Exploratory factor analysis identified distinct factors, consisting of misuse of company resources, self-serving deceit, and the giving or receiving favours for personal gain. The derived factor structure was then tested with confirmatory factor analysis. Descriptive statistics indicated that misuse was considered less unethical than exchanging favours for personal gain. Deceit was considered the most unethical type of behaviour. Implications for managers and directions for further research are discussed. (shrink)

Here I review Robert Trivers' 2011 book _The Folly of Fools_, in which he advocates the evolutionary theory of deceit and self-deception that he pioneered in his famous preface to Richard Dawkins' _Selfish Gene_. Although the book contains a wealth of interesting discussion on topics ranging from warfare to immunology, I find it lacking on two major fronts. First, it fails to give a proper argument for its central thesis--namely, that self-deception evolved to facilitate deception of others. Second, the book (...) lacks conceptual clarity with respect to the focal term "self-deception.". (shrink)

Even if many instances of reflexive, and even of interpersonal, deception do not involve knowledge or belief of the deceiver to the contrary of the belief he fosters, it is conceivable that some instances could. This is obscured in Stanley Paluch's treatment of self?deception by the dubious contention that one couldn't be self?deceived if one could affirm that one knew (was aware) that P and believed not?P, and that one couldn't be described as knowing P and believing not?P unless one (...) could affirm this (Inquiry, Vol. 10, 1967). The former claim would actually render the affirmation absurd, which it is not; and if it is not, the latter claim is harmless. Whatever can be said of ?self?deception? involving deviant uses of ?know?, the question remains how ?X knows P and believes not?P? could be true given a standard use. The standards of rationality permit one to sustain rival beliefs so long as one does not reflect on all the facts alleged in one of the beliefs. Self?deceit relies on withholding attention not from an unwanted belief as such, as Demos suggests, but from its detailed contents. (shrink)

Individuals deceive themselves about a wide variety of subjects. In fortunate circumstances, where those who manage to leave self-deception embrace reality, an interesting phenomenon occurs: the formerly self-deceived often confess to having ‘known [the truth] all along’. These post-self-deception judgments are not conceptually innocuous; if genuine, they call into question the core feature of prominent theories of self-deception, namely that self-deceived individuals do not believe the unwelcome truth. In this paper I argue that post-self-deception judgments do not track a belief, (...) but rather a suspicion of the unwelcome truth. I do this by showing that post-self-deception judgments are themselves instances of self-deception where the individual is self-deceived that they believed the unwelcome truth. I then suggest that the motivational cause of the self-deceit is hindsight bias, specifically the kind known as foreseeability, and that as a result, post-self-deception judgments are not reliable because they do not accurately track previous self-deceptive experiences. (shrink)

In Joseph Butler, we have an account of human beings as moral beings that is, as this essay demonstrates, being supported by the recently emerging findings of the neurosciences. This applies particularly to Butler's portrayal of our empathic emotions. Butler discovered their moral significance for motivating and guiding moral decisions and actions before the neurosciences did. Butler has, in essence, added a sixth sense to our five senses: this is the moral sense by means of which we perceive what we (...) ought or ought not do. The moral sense yields relatively reliable moral perceptions when we love our neighbors as ourselves, and when our love for ourselves is genuine. Accurate moral perceptions will be thwarted by self-deceit—that is, by a self-partiality devoid of neighbor love, a condition that thwarts genuine self-love. This essay explores the parallels between Butler's understanding of self-deceit and Robert J. Lifton's understanding of "doubling.". (shrink)

What is it to deceive someone? And how is it possible to deceive oneself? Does self-deception require that people be taken in by a deceitful strategy that they know is deceitful? The literature is divided between those who argue that self-deception is intentional and those who argue that it is non-intentional. In this study, Annette Barnes offers a challenge to both the standard characterisation of other-deception and current characterizations of self-deception, examining the available explanations and exploring such questions as the (...) self-deceiver's false consciousness, bias, and the irrationality and objectionability of self-deception. She arrives at a non-intentional account of self-deception that is deeper and more complete than alternative non-intentional accounts and avoids the reduction of self-deceptive belief to wishful belief. (shrink)

Throughout his writings, and particularly in Religion within the Boundaries of Mere Reason, Kant alludes to the idea that evil is connected to self-deceit, and while numerous commentators regard this as a highly attractive thesis, none have seriously explored it. Kant on Evil, Self-Deception, and Moral Reform addresses this crucial element of Kant's ethical theory. -/- Working with both Kant's core texts on ethics and materials less often cited within scholarship on Kant's practical philosophy (such as Kant's logic lectures), Papish (...) explores the cognitive dimensions of Kant's accounts of evil and moral reform while engaging the most influential -- and often scathing -- of Kant's critics. Her book asks what self-deception is for Kant, why and how it is connected to evil, and how we achieve the self-knowledge that should take the place of self-deceit. (shrink)

It is not easy to see how self-deception is possible because the man who deceives himself seems to be required to play two incompatible roles, that of deceiver and that of deceived. This makes self-deception sound about as difficult as presiding at one's own funeral. Many attempts have been made to remove the air of paradox from self-deception. These attempts are all unsuccessful, and they are best seen as expressions of philosophical puzzlement rather than as actual solutions. In particular, the (...) whole of the literature on self-deception is vitiated by two serious confusions. First, deception is confused with deceit; secondly, it is wrongly assumed that every case of deceiving oneself is automatically a case of self-deception and so self-deception proper becomes confused with other things. (shrink)

According to doxastic accounts of self-deception, self-deception that P yields belief that P. For doxastic accounts, the self-deceiver really believes what he, in self-deception, professes to believe. I argue that doxastic accounts are contradicted by a phenomenon that often accompanies self-deception. This phenomenon – which I term ‘secondary deception’ – consists in the self-deceiver's defending his professed (deceit-induced) belief to an audience by lying to that audience. I proceed to sketch an alternative, non-doxastic account of how we should understand self-deception (...) in terms of the self-deceiver's misrepresentation of himself as believing that P. (shrink)

Should a growing market for genetic self-tests be welcomed or feared? From the point of view of personal autonomy the increasing availability of predictive health information seems promising. Yet it is frequently pointed out that genetic information about future health may cause anxiety, distress and even loss of “life-hopes.” In this article the argument that genetic self-tests undermine personal autonomy is assessed and criticized. I contend that opportunities for autonomous choice are not reduced by genetic information but by misperceptions and (...) misunderstandings of the results of genetic tests. Since the interpretation of genetic information is sometimes distorted by the information provided about the genetic products, more attention should be given to deceitful marketing that overblows the utility of genetic products. Yet personal autonomy is reduced neither by genetic tests nor by genetic information and there is consequently no compelling case for the conclusion that genetic self-tests should be prohibited. (shrink)

It is not easy to see how self-deception is possible because the man who deceives himself seems to be required to play two incompatible roles, that of deceiver and that of deceived. This makes self-deception sound about as difficult as presiding at one's own funeral. Many attempts have been made to remove the air of paradox from self-deception. These attempts are all unsuccessful, and they are best seen as expressions of philosophical puzzlement rather than as actual solutions. In particular, the (...) whole of the literature on self-deception is vitiated by two serious confusions. First, deception is confused with deceit; secondly, it is wrongly assumed that every case of deceiving oneself is automatically a case of self-deception and so self-deception proper becomes confused with other things. (shrink)

American medicine has long sought to control the standard of care that physicians are expected to provide to their patients. One effort to insulate the standard of care from external interference, called a “safe harbors” approach, would enable physicians to avoid liability for malpractice if they adhered to medical practice guidelines. The idea is to eliminate the “battle of experts” and reduce defensive medicine by requiring judges and juries to accept guidelines as conclusive evidence of the standard of care. Yet (...) current efforts to improve the guideline development process, including the use of evidence-based guidelines, are unlikely to be able to overcome the shortcomings that led a similar safe harbors initiative to fail in the early 1990s. Moreover, there is no adequate justification for conferring this degree of self-regulatory power on the medical profession. (shrink)

Looks at the role lies and self-deception play in our daily lives and argues that humans have evolved in part because of our ability to deceive.

A provocative assessment of the nature of love and deception draws on classic works of literature and personal experiences to offer philosophical arguments about the integral experiences of lying in erotic love and marriage. Includes notes. By the author of How to Sell.

Modernist philosophy and psychology have pursued a variety of methods and models for understanding the universal inclination of human persons toward moral self-deception. We tend, as the Scriptures reveal and as recent empirical studies have confirmed, to think more highly of ourselves and our personal moral caliber than we ought. Whereas, Freud, Sartre, and others have offered solutions to the “paradox” of self-deception—that is, how one can be both deceiver and deceived—their solutions ultimately fall short in terms of both coherence (...) and explanatory power. From a Christian perspective, secular frameworks are bound to falter because they do not account for humanity’s status as fallen and sinful before a holy God. The gospel of Jesus Christ, on the other hand, offers means not only of understanding, but overcoming, moral self-deception. Historically, no movement of Christian spirituality has been more rigorously skeptical of the human ability to “know thyself” truly than the Puritans. This analysis of Puritan pastoral theology provides a helpful lens through which to view, and undermine, the deceitfulness of the human heart. (shrink)

As more criminals are imprisoned, other individuals change their behavior to replace them, as predicted by the theory of strategic behavior. The physiological correlates of sociopathy suggest that research in cognitive neuroscience can lead toward a solution. Promising pathways include building upon current knowledge of self-deceit, the independence of positive and negative emotions, the lateralization of risk and caution, and the conditions promoting prosocial behavior.

This essay examines "Philoctetes" as an exercise in self-representation by looking at the self-referential and metatheatrical dimensions of the play. After suggesting an enlarged understanding of metatheater as "a particularly vigorous attempt to engage the audience at the synthetic and thematic levels of reading," I examine "Philoctetes" as a self-conscious discourse on tragedy, tragic production, and tragic experience, one which participates in a larger conversation in the late fifth century about the ethics of tragedy, including the remarks of Gorgias on (...) theatrical deception . The play points up its own constructedness in a variety of ways, most strikingly in the theatrical character of the intrigue by which Odysseus deceives Philoctetes, which provides a play within a play and a representation of texts and readers, plays and spectators. In laying bare the kinds of strategies and techniques that undergird this "intratext," "Philoctetes" offers a model of tragedy and of the tragic poet based on power, deceit, and manipulation. Yet by attributing these characteristics to the moral deficiencies of its internal creator and by demonstrating his failure to achieve his ends, "Philoctetes" rejects such a theater of sophistry. At the same time, the play considers issues of textual reception by providing in Philoctetes an audience for this internal text and a protocol of reading that suggest a more positive model of tragic response. "Philoctetes" uses this model to offer the spectator a subject position that affirms the inherent value of reading tragedy, a humanistic model of reading based upon the audience's identification with and sympathy for the tragic protagonist. Sophocles thus finds in this exercise in self-representation a way to frame critical questions on dramatic theory and to define his own dramatic practice. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ibsen's Drama of Self-Sacrifice William A. Johnsen Michigan State University Henrik Ibsen, like Flaubert, is a fundamental precursor of all subsequent modern literature. His development, which takes place over a lifetime of playwriting, is nevertheless only obscurely recognized in theories ofthe modern. Critics quarrel about his antecedents: Scribe, Feydeau, as well as Norwegian and Scandinavian dramatists and poets. Yet nothing in any of his predecessors could prepare one for (...) the great prose plays of the last twenty-five years of his career. How did he modernize himself? Ibsen said ofhis transition to prose, that he could no longer allow his characters to speak in verse, the language of the gods.1 It is tempting to begin reading Girard in here, because Ibsen offers us a fascinating variation on the historical moment ofcrisis represented by Flaubert, the moment of modernization itself, where the disintegration ofan accepted political and cultural aristocracy forced everyone to compete for prestige and for unique being in a common marketplace. In the case ofNorway during Ibsen's time, it is the crisis caused by the delegitimation ofDano-Norwegian as the uncontested literary language, in favor of competing versions of an emerging national language for a 1 Ibsen's famous comment is in a letter to Edmund Gosse, 15 January, 1874: "Speaking generally, the dialogue must conform to the degree of idealization which pervades the work as a whole. My new drama is no tragedy in the ancient sense. What I sought to depict were human beings, and therefore I would not let them talk the 'language of the Gods'" (Sprinchorn 145). 142William A. Johnsen uniquely national literature that provokes a rivalry for atavistic or nativist preeminence: Who is the most Norwegian ofall? Ibsen and Henry James (as well as Borges) do not choose chauvinist atavism, yet they also avoid becoming mere disciples of the dominant philosophical traditions which have marginalized them. They are more outspoken discussants of the significant historical and cultural developments analyzed in Girard's Deceit, Desire, and the Novel because they are from "new" countries, outsiders to European culture. It is here we must avoid the occupational hazard ofcritical theory: we must not permit a resemblance between a literary and a theoretical text to degenerate into a transcoding of the former into the latter, without ever considering that their resemblance means that each proposes some contribution to a converging theory ofhuman behavior. Critics who merely convert literature into the theories they already know contribute little to literary knowledge, and nothing to theory. Girard has insisted on the quasitheoretical potential of literary texts from the beginning. Only by staying as close to Ibsen as possible, can we ever hope to add to the considerable work that Girard's hypothesis has already achieved. If there is a general principal at stake in not prematurely transcoding the language of Ibsen's plays into theoretical language (not being prematurely theoretical for the sake of a more inclusive theory), there is also the specific risk of burying the peculiar diversity of his dramatic accomplishment. Ibsen is above all the playwright of complex characterization —no one before him was as subtle in motivating the ordinary characters ofeveryday life. Yet during his time, his plays were awaited for the intense discussions of ideas that they were certain to provoke. How is it that Ibsen is not considered the most theoretical and didactic of writers? Partly, the sheer number of controversial ideas and positions dramatized in play after play kept him from being seen (for very long) as the propagator ofany one ofthem. Michael Meyer reproduces in his biography ofIbsen a contemporary Norwegian political cartoon, which depicts Ibsen flailing first right, then left, then all (Meyer 447). More importantly, Ibsen, beginning with Samfundets Stotter (1877) [Pillars ofSociety], created a drama of ensemble theorizing conducted by characters themselves. Ibsen's work, beyond the creation ofcharacter, was to imagine the conditions and events that might make it possible for ordinary individuals to contribute discoveries about human behavior which, collectively, allow amplification and consolidation as a hypothesis. Ibsen 's Drama ofSelf-Sacrifice143 The mimetic hypothesis first found itself explaining the spectacular results of negative reciprocity in modern resentment, the unperceived commonality ofan isolation... (shrink)

Hidden in the cave : the Upaniṣadic self -- Dangerous truths : the Buddha on silence, secrecy and snakes -- A cloak of clever words : the deconstruction of deceit in the Mahābhārata -- Words that burn : why did the Buddha say what he did? -- Words that break : can an Upaniṣad state the truth? -- The imperfect reality of persons -- Self as performance.

Hate speech is one of the most important conceptual categories in anti‐oppression politics today; a great deal of energy and political will is devoted to identifying, characterizing, contesting, and penalizing hate speech. However, despite the increasing inclusion of gender identity as a socially salient trait, antipatriarchal politics has largely been absent within this body of scholarship. Figuring out how to properly situate patriarchy‐enforcing speech within the category of hate speech is therefore an important politico‐philosophical project. My aim in this article (...) is twofold: first, I argue that sexist speech, though oppressive, is not hate speech. Second, I argue that misogynistic speech is hate speech, even when it is intradivisional. This is important because recognizing that the concepthate speechapplies to certain forms of patriarchy‐enforcing speech is another step in clarifying what is wrong with the practice, and how bad it is in relation to other abuses. Consequently, this article provides a more nuanced account of the kinds of expressions that can and should count as instances of hate speech. (shrink)

In this article I analyse two complaints of white vilification, which are increasingly occurring in Australia. I argue that, though the complainants (and white people generally) are not harmed by such racialized speech, the complainants in fact harm Australians of colour through these utterances. These complaints can both cause and constitute at least two forms of epistemic injustice (willful hermeneutical ignorance and comparative credibility excess). Further, I argue that the complaints are grounded in a dual misrecognition: the complainants misrecognize themselves (...) in their own privileged racial specificity, and they misrecognize others in their own marginal racial specificity. Such misrecognition preserves the cultural imperialism of Australia’s dominant social imaginary—a means of oppression that perpetuates epistemic insensitivity.Bringing this dual misrecognition to light best captures the indignity that is suffered by the victims of the aforementioned epistemic injustices. I argue that it is only when we truly recognize difference in its own terms, shifting the dominant social imaginary, that “mainstream Australians”can do their part in bringing about a just society. (shrink)

This book provides a philosophical examination of the extent to which legalizing same-sex marriage can contribute to ending the discrimination and social stigma faced by LGBT men and women in the Western world.

ABSTRACT In this commentary I evaluate what McGowan’s project would conclude with respect to the treatment of professional Australian Football League player Adam Goodes, who was incessantly ‘booed’ by crowds for the final two years of his career. Analysing Goodes’ case in light of McGowan’s argument leads me to two observations. First, McGowan’s norm-enactment approach is incredibly useful because it explains how words like ‘boo’ (with unstable meaning) can constitute actionable discrimination. Second, however, I wonder if a narrow focus on (...) whether such speech is legally actionable might encourage an overestimation of the power of laws to shepherd new g-norms into social practices. (shrink)

This book aims to understand why women are the targets of online hate speech and how we can stop this from occurring.

This article identifies five genres of anti-queer hate speech found in The Australian’s Facebook comments sections, exposing and analyzing the ways in which such comments are used to derogate cisgender and heterosexual women. One may be tempted to think of cis-het women as third-party victims of queerphobia; however, this article argues that these genres of anti-queer speech are, in fact, misogynistic. Specifically, it argues that these are instances of cis-hetero-misogynistic hate speech. Cis-hetero-misogyny functions as the “law enforcement branch” of a (...) cis-hetero-patriarchal gender order. Given the existence of such an order, it is clear that cis-het women’s liberation is inextricable from queer liberation. This article argues that to facilitate allyship and challenge this gender order—the order that elicits such hate speech acts—we need an epistemological revolution in the way we recognize and re-cognize human difference. (shrink)

Background The fourth section of the 1967 Abortion Act states that individuals (including health care practitioners) do not have to participate in an abortion if they have a conscientious objection. A conscientious objection is a refusal to participate in abortion on the grounds of conscience. This may be informed by religious, moral, philosophical, ethical, or personal beliefs. Currently, there is very little investigation into the impact of conscientious objection on service users in Britain. The perspectives of service users are imperative (...) in understanding the real-world consequences and potential impact of conscientious objection and should be considered when creating and reviewing policies and guidelines. This research provided a platform for women and those who can become pregnant to share their experiences and opinions at a time when these voices are largely excluded in the great tradition of Western political philosophy and law-making processes. Method Five service users were interviewed using a narrative interview approach to uncover their abortion journeys and experiences of conscientious objection. Findings The findings were presented as found poems and uncovered that doctors are not always: informing service users that they have a conscientious objection to abortion, giving service users enough information to access abortion (indirect referral), treating them non-judgmentally, and providing medically correct information. Service users did not experience burdens such as long waiting times and were still able to access legal abortion. However, service users did experience negative emotional effects, as they were often left feeling scared, angry, and hopeless when they were not referred and/or were mistreated. Conclusions Findings indicate that conscientious objection could work in practice. However, it is currently failing some individuals on an emotional level, as not all doctors are adhering to guidelines. Conscientious objection in Britain needs to be addressed, to ensure service users receive fair, impartial, non-judgmental care. (shrink)

The past two decades have been a time of heightened interest in the moral aspects of the practice of medicine. This interest has been reflected in medical education by the establishment of medical humanities programs in both preclinical and clinical education in many medical schools. It has also been reflected in the literature with a dramatic increase in journal articles on medical ethics as well as the development of medical ethics in textbooks. A number of journals have developed that are (...) specifically devoted to medical ethics, including The Journal of Medical Ethics, The Journal of Medicine and Philosophy, The Journal of Medical Humanities, Theoretical Medicine, Cambridge Quarterly of Healthcare Ethics, just to name a few. The literature includes both theoretical foundations and conceptual analyses of particular issues as well as practical advice and general suggestions for how to implement programs in medical humanities. (shrink)

The prominent call to legalise same-sex marriage in Australia raises questions concerning whether its achievement will result in amplified societal acceptance of lesbian, gay, bisexual, and transgender (LGBT) people, and on what grounds this acceptance will take place. Same-sex marriage may not challenge heteronormative and patriarchal features typically associated with marriage, and may serve to reinforce a hierarchy that promotes traditional marriage as the ideal relationship structure. This may result in only assimilationist acceptance of LGBT people. However, the consequence of (...) inclusion to marriage ought to reflect social acceptance of LGBTs as people worthy of equal treatment in dignity and in rights, regardless of perceived differences or similarities to a supposed majority standard. This article argues that justice would be best served by introducing and promoting a variety of State-sanctioned unions whilst simultaneously introducing same-sex marriage. This ‘pluralisation strategy’ would increase awareness and legitimacy of other relationship-recognition options, promoting respectful acceptance of LGBT and heterosexual people alike. (shrink)

In the wake of a pilot study that indicated that the experience of medical education appears to Inhibit moral development In medical students, increased attention needs to be given to the structure of medical education and the Influence it has on medical students. Interest in ethics and moral reasoning has become widespread in many aspects of professional and public life. Society has exhibited great interest in the ethical issues confronting physicians today. Considerable effort has been undertaken to train medical students, (...) interns, and residents In how to reason through medical-ethical dilemmas. Media attention has focused on Issues such as abortion, euthanasia, care of severely handicapped infants, organ transplantation, and so forth, producing heated debates in both the professional and lay literature over the morality of the various positions. The curriculum of medical education has paralleled and reflected this general Interest in medical ethics. Most medical schools now offer, and frequently require, course work in ethics. However, further research Is needed to better characterize and understand the relationship of medical education to moral development. (shrink)

High moral standards and adherence to a moral code have long been strong tenets of the profession of medicine, even though there have been occasional lapses that have led to renewed calls for a revitalization of moral integrity in medicine. Certainly, a moral component has generally been held to be an important aspect of the concept of a physician.

The Norman Rockwell image of the American physician who fixed the broken arm of a child, treated the father for hypertension, and brought an unborn child into this world is now almost nonexistent. Since the time of the Rockwell portrait, a highly technical medical industry has evolved. Now two-thirds of physicians are board certified in subspecialties, and patients visit an average of 3–4 different physicians per year. Today's physicians see themselves less as “benevolent and wise counselors overseeing the patient's welfare (...) and more as objective scientists applying the latest technical methods to bring about the desired end.” The intimate patient-physician relationship that was once the norm in our society is rapidly disappearing. (shrink)

In contrast to theoretical discussions about potential professional liability of clinical ethicists, this report gives the results of empirical data gathered in a national survey of clinical medical ethicists. The report assesses the types of activities of clinical ethicists, the extent and types of their professional liability coverage, and the influence that concerns about legal liability has on how they function as clinical ethicists. In addition demographic data on age, sex, educational background, etc. are reported. The results show that while (...) nearly one third (28.9%) of the ethicists regularly make recommendations about patient care, only 10.8% of them regularly make entries in the medical record; only approximately half (53.0%) of them are covered by professional liability (malpractice) insurance; and the vast majority (84.3%) of them say that concerns about legal liability do not influence the way they function as clinical ethicists. (shrink)

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of (...) consultant and patient advocate. (shrink)

In recent years, the theoretical work of Gilligan in women's psychological development has led to the development of the concept of moral orientation or moral voice in contrast to the concept of moral reasoning or moral judgment developed by Kohlberg. These concepts have been of particular interest in gender studies, especially as applied to adolescence. These concepts of moral orientation and moral reasoning are being increasingly employed in healthcare ethics studies in a wide variety of settings. The recent work has (...) included studies of physicians, nurses, dentists, veterinarians, social workers, teachers of medical ethics, and hospital ethics committees. However, the study of moral development in healthcare providers has been hampered because collecting the necessary data from healthcare workers has been labor intensive and extremely time consuming. More efficient methods are needed. (shrink)

Socialism grew up in opposition to capitalism, just as liberalism developed in reaction to feudalism. Both liberalism and socialism combined potent critiques of the existing socio‐economic order with blueprints for a desirable future society. However, liberalism provides a rather more coherent body of thought than does socialism, and its theories are linked with the emergence of a dominant system combining capitalism and liberal democracy. By contrast, no widespread socio‐economic order has as yet emerged which can be confidently or closely associated (...) with the ideas of socialism. In both cases the relationship between theories and actual systems is a contestable one, but it has been particularly problematic in the history of socialism. (shrink)