Early in the COVID-19 pandemic there was widespread concern that healthcare systems would be overwhelmed, and specifically, that there would be insufficient critical care capacity in terms of beds, ventilators or staff to care for patients. In the UK, this was avoided by a threefold approach involving widespread, rapid expansion of critical care capacity, reduction of healthcare demand from non-COVID-19 sources by temporarily pausing much of normal healthcare delivery, and by governmental and societal responses that reduced demand through national lockdown. (...) Despite high-level documents designed to help manage limited critical care capacity, none provided sufficient operational direction to enable use at the bedside in situations requiring triage. We present and describe the development of a structured process for fair allocation of critical care resources in the setting of insufficient capacity. The document combines a wide variety of factors known to impact on outcome from critical illness, integrated with broad-based clinical judgement to enable structured, explicit, transparent decision-making founded on robust ethical principles. It aims to improve communication and allocate resources fairly, while avoiding triage decisions based on a single disease, comorbidity, patient age or degree of frailty. It is designed to support and document decision-making. The document has not been needed to date, nor adopted as hospital policy. However, as the pandemic evolves, the resumption of necessary non-COVID-19 healthcare and economic activity mean capacity issues and the potential need for triage may yet return. The document is presented as a starting point for stakeholder feedback and discussion. (shrink)

One classical version of cosmological argument, defended famously by Thomas Aquinas and Duns Scotus, deduces the existence of a First Cause from the existence of a particular sort of causal series: one that is ‘essentially ordered’. This argument has received renewed defence in recent work by Feser, Cohoe, and Kerr. I agree with these philosophers that the argument is sound. I believe, however, that the standard defence given of the ECA in these philosophers can be complemented by a formulation that (...) appeals to the powers theory of possibility. This approach to possibility has been defended in recent years by, for example, Pruss, Jacobs, and Vetter. In this article, I show how this modal theory allows us to defend the ECA in a way that is dialectically advantageous as well as clarifying. (shrink)

Mentoring Away the Glass Ceiling in Academia: A Cultured Critique describes how women of diverse backgrounds perceive their mentoring experiences or the lack of mentoring experiences in the academy. This book provides a space for envisioning strategies and practices to improve mentoring practices and the collegiate environment.

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The National Institutes of Health Clinical Center's Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the (...) range of consent strategies, and gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. This article describes areas of agreement and areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and tim.. (shrink)

Despite the recent proliferation of scientific, clinical, and narrative accounts of auditory verbal hallucinations, the phenomenology of voice hearing remains opaque and undertheorized. In this article, we outline an interdisciplinary approach to understanding hallucinatory experiences which seeks to demonstrate the value of the humanities and social sciences to advancing knowledge in clinical research and practice. We argue that an interdisciplinary approach to the phenomenology of AVH utilizes rigorous and context-appropriate methodologies to analyze a wider range of first-person accounts of AVH (...) at 3 contextual levels: cultural, social, and historical; experiential; and biographical. We go on to show that there are significant potential benefits for voice hearers, clinicians, and researchers. These include informing the development and refinement of subtypes of hallucinations within and across diagnostic categories; “front-loading” research in cognitive neuroscience; and suggesting new possibilities for therapeutic intervention. In conclusion, we argue that an interdisciplinary approach to the phenomenology of AVH can nourish the ethical core of scientific enquiry by challenging its interpretive paradigms, and offer voice hearers richer, potentially more empowering ways to make sense of their experiences. (shrink)

This response argues that Greenspan's comment is basically incoherent, and that the position taken by Leicester and Cooke has unacceptable practical consequences. Greenspan admits that many people with 'mental retardation' lack adult decision-making capacities, but at the same time assumes that they have these very capacities in assigning them freedom rights. Leicester and Cooke consistently argue that people with 'mental retardation' do have adult reasoning powers and therefore should be given freedom rights. But this position has the rather disquieting implication (...) that both the practice of treating 'mental retardation' as an exempting condition and the practice of giving them important special welfare rights seem to loose their justification. (shrink)

Zen is not just about what we do in the meditation hall, but what we do in the home, the workplace, and the community. That's the premise of this book: how to cook what Zen Buddhists call "the supreme meal"—life. It has to be nourishing, and it has to be shared. And we can use only the ingredients at hand. Inspired by the thirteenth-century manual of the same name by Dogen, the founder of the Japanese Soto Zen tradition, this (...) book teaches us how we can "enlarge the family we're feeding" if we just use some imagination. Bernie Glassman founded Greyston Bakery in Yonkers, New York, in 1982 to employ those whom other companies deem unemployable—the homeless, ex-cons, recovering addicts, low-skill individuals—with the belief that investing in people, and not just products, does pay. He was right. Greyston has evolved into an $8 million-a-year business with clients all over New York City. It is the sole supplier of brownies to Ben & Jerry's Ice Cream, and has even sold cakes to the White House. But financial profit is only one of two bottom lines that Greyston is committed to. The other one is social impact, and this goal is certainly being met. The bakery enterprise has led to the creation of the Greyston Foundation, an integrated network of organizations that provide affordable housing, child care, counseling services, and health care to families in the community. Using entrepreneurship to solve the problems of the inner city, Greyston has become a national model for comprehensive community development. Its giving back is more than just sloughing off a percentage of its profits and donating it to charity; it's about working with the community's needs right from the beginning—bringing them from the margins to the core. As its company motto goes, "We don't hire people to bake brownies. We bake brownies to hire people." This book is as much a self-manual as a business manual, addressing such concepts as • Beginner's mind • The Middle Way of Sustainability • The "hungry ghosts" of Buddhism as a picture of all humanity • Working with our faults • Indra's Net and the interconnectedness of life • Leaving no trace. (shrink)

Debates about new technologies, such as crop and food genetic modification (GM), raise pressing questions about the ways ‘experts’ and ‘ nonexperts’ communicate. These debates are dynamic, characterized by many voices contesting numerous storylines. The discoursal features, including language choices and communication strategies, of the GM debate are in some ways taken for granted and in others actively manipulated by participants. Although there are many voices, some have more influence than others. This study makes use of 50 hours of in-depth (...) interviews with GM scientists, nonexperts, and other stakeholders in the GM debate to examine this phenomenon. We uncover rhetorical devices used by scientists to characterize and ultimately undermine participation by non-experts in areas including rationality, knowledge, understanding and objectivity. Scientists engage with ‘the public’ from their own linguistic and social domain, without reflexive confirmation of their own status as part of the public and the citizenry. This raises a number of interesting ironies and contradictions, which are explored in the article. As such, it provides valuable insights into an increasingly important type of discourse. (shrink)

According to Colerus, Spinoza replied affirmatively when his landlady asked if she "...could be saved in her faith." This paper asks what Spinoza could have meant -- and what his landlady would have thought he meant. She was asking about salvation of a certain kind -- a kind that Spinoza did not in fact believe to be possible. When he talks about salvation in his writings, he has in mind a different kind of salvation -- one that his landlady will (...) certainly not achieve "in her faith." So, when he assured her that she could be saved in her faith was he simply lying to her? This question is explored against the background of the controversies regarding Spinoza's sincerity in the Tractatus Theologico-politicus. (shrink)

"No, your honor. I didn't know who or what he was when I first came across the book -- they don't exactly love him in the synagogue, if you've read the story of his life. I found it in a junkyard in a nearby town, paid a kopek, and left cursing myself for wasting money hard to come by. Later I read through a few pages and kept on going as though there were a whirlwind at my back. As I (...) say, I didn't understand every word but when you're dealing with such ideas you feel as though you were taking a witch's ride. After that I wasn't the same man. That's in a manner of speaking, of course, because I've changed little since my youth.". The speaker is Yakov Bok, the unlikely hero of Bernard Malamud's The Fixer. At this point, early in the novel, Yakov speaks truthfully when he says that he has changed little since his youth. But over the next two and a half years (the time-period covered in the novel), he will undergo profound change and impressive moral growth. He suffers; he learns; he grows. Spinoza's name and ideas appear again and again at crucial moments in the course of the hero's moral development. Yakov Bok's verbal account of Spinoza's ideas is often comically primitive, but his understanding far outstrips his ability to articulate. By the end of the novel, his sufferings have led him to a deep grasp of certain of Spinoza's ethical and political doctrines. (shrink)

This article reports the findings of a one-year project examining British press coverage of the genetically modified (GM) food debate during the first half of 2003, and both expert and non-expert reactions to that coverage. Two pro-GM newspapers and two anti-GM newspapers were selected for analysis, and all articles mentioning GM during the period in question were stored in a machine readable database. This was then analyzed using corpus linguistic and discourse analytic techniques to reveal recurrent wording, themes and content. (...) This text analysis was complemented by 12 interviews with experts involved in the communication of GM issues, and 12 focus-group sessions in which members of the public reacted to selected newspaper texts and other GM material. Both in the press and in public reaction, the issue of GM was found to be intimately associated with other political events of the time, notably the invasion of Iraq. Except among experts, there was little awareness of the official national debate and issues were approached in more general terms. Pro-GM characterization of the issues as primarily scientific, both by newspapers and experts, was rejected by the anti-GM press and campaigners, and by the focus-group participants. They assessed the issues in a more global frame, rejecting scientists and companies as unreliable. In addition, they linked both US and British GM policy to the invasion of Iraq, and, by analogy, rejected pro-GM arguments as untrustworthy. (shrink)

It has been alleged that Carolus Linnaeus practised Eurocentrism, sexism and racism in naming plant genera after famous botanists, and excluding ‘barbarous names’. He has therefore been said to practise ‘linguistic imperialism’. This paper examines whether Linnaeus applied ‘linguistic imperialism’ to the naming of Chinese plants. On the basis of examples such as Thea (¼Camellia), Urena, Basella, Annona, Sapindus (¼Koelreuteria), and Panax, I conclude that Linnaeus used generic names of diverse origins. However, he misidentified Chinese plants’ habitats, and acted on (...) these misapprehensions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.4 (2003) 560-561 [Access article in PDF] Olli Koistinen and John Biro, editors. Spinoza: Metaphysical Themes. New York: Oxford University Press, 2002. Pp. x + 255. Cloth, $49.95. Writing in the mid-seventeenth century, Spinoza tried to provide conceptual foundations for the newly developing "natural philosophy" of his day. His monism, naturalism, and theory of mind are still intriguing today, but they are notoriously (...) difficult to understand. There is little interpretive consensus with regard to even the most basic concepts and claims. In Spinoza: Metaphysical Themes the diversity of interpretive perspective is vividly on display.All of the eleven essays in this collection are published here for the first time. They cover a broad range of topics and, taken together, they move us forward in our understanding of Spinoza's basic doctrines. Most of the essays are carefully argued discussions of clearly defined issues of interpretation. They address matters that are central to the system and central to our understanding of the system—monism, causation, individuation, conatus.The editors' Introduction claims that Jonathan Bennett's 1986 work set a new standard of Spinoza scholarship—a standard that the essays in this volume seek to measure up to. Most (not all) of these essays do indeed come close to Bennett's commendable level of argumentative clarity and rigor. And here, as in Bennett's work, the emphasis is mostly systematic and argumentative, not historical.The collection opens with a very good essay by Michael Della Rocca entitled "Spinoza's Substance Monism." This essay applies to the thorny issue of substance monism the same argumentative strategy that Della Rocca has elsewhere applied to monism regarding individual modes—i.e., to the claim that an extended mode and the idea of that mode are identical. The argument turns on the complete conceptual independence of the attributes, and Della Rocca makes a strong case for the centrality of that somewhat puzzling doctrine. John Carriero's contribution ("Monism in Spinoza") continues the focus on monism, but from a different perspective. Carriero asks, "Why does Spinoza hold that finite... bodies [End Page 560] are not substances?" (47). Rejecting two traditional responses he provides a plausible answer to this good question by focusing on an early exchange of letters between Spinoza and Oldenburg and upon Spinoza's rethinking of Descartes's conception of extension.One of the most interesting essays is Don Garrett's interpretive discussion of Spinoza's derivation of the conatus doctrine at Ethics3p4-3p6 ("Spinoza's Conatus Argument"). Commentators have identified various putative fallacies in the argument that Spinoza offers for this doctrine—chiefly fallacies of equivocation. Garrett develops an interesting and plausible notion of "inherence" that casts light on a number of central metaphysical relations and permits a defensible reading of the conatus argument. For the serious Spinoza scholar, this one essay is worth the price of the volume.Olli Koistinen's "Causation in Spinoza" considers Spinoza's solution to the difficulty of causal interaction between substances—a glaring problem in Descartes that provoked glaringly problematic solutions from Malebranche and Leibniz. Richard Manning's essay addresses a controversial point in Jonathan Bennett's interpretation. The issue is whether, in Spinoza's system, mental content can have causal significance—a point closely related to the important issue of teleological explanation of human behavior. Manning supports a kind of "thoughtful teleology," making a convincing case for the causal efficacy of mental content.On the whole the authors in this volume restrict their discussion of secondary literature to the works of fellow Anglophones. One finds occasional mention of Gueroult, but the Continental literature on Spinoza is mostly ignored. There are two notable exceptions to this rule. Steven Barbone ("What Counts as an Individual for Spinoza?") discusses the thorny issue of modal individuation in Spinoza's system, arguing against Matheron's 1969 claim that for Spinoza the state is an individual. Emphasizing the centrality of power, Barbone draws important (liberal) political conclusions from his analysis of individuation. Mark Kulstad ("Leibniz, Spinoza and Tschirnhaus: Metaphysics à Trois, 1675-1676") fruitfully uses recent Continental work on... (shrink)

IN an article on Rousseau’s annotations of a popular botany text, Henry Cheyron describes the Genevan philosopher as ‘ce botaniste me´juge´’. 3 The misapprehension of Rousseau’s botanical practice identified by Cheyron has its roots, I believe, in Rousseau’s own depiction of his botanising in the Reˆveries; in the ‘Septie`me promenade’ Rousseau selfconsciously portrays this study as socially isolated, lazy and lacking in direction: ‘La botanique est l’e´tude d’un oisif et paresseux solitaire... Il se prome`ne, il erre librement d’un objet a` (...) l’autre, il fait la revue de chaque fleur avec inte´reˆt et curiosite´.’4 Neither does Rousseau disguise botany’s role for him as a ‘the´rapeutique improvise´e’; the therapeutic purpose has tended to obscure the rigour, application, time and knowledge that Rousseau put into his botanical studies so that no less a scholar than Jean Starobinski asserts: ‘Jean-Jacques herborise en collectionneur, et non pas en naturaliste. C’est pour lui une occupation, un amusement, plutoˆt qu’une ve´ritable action.’5 Finally, Rousseau fuels this misunderstanding.. (shrink)

The Australian moratorium on human clinical trials of xenotransplantation was lifted in December 2009. This decision follows public consultations on whether xenotransplantation should or should not proceed in Australia, which occurred in 2002 and 2004. However, the public consultation, in its design and process, did not facilitate meaningful public engagement and involvement, thus marginalising the public and devaluing their social experiences and diverse knowledges. This brief article questions what constitutes adequate public consultation, and suggests that consensus conferences or citizen juries (...) should be explored as a mechanism for meaningful public engagement for future public consultation exercises in Australia. (shrink)

© The Author. Published by Oxford University Press on behalf of the Oxford Centre for Islamic Studies. All rights reserved. For Permissions, please email: [email protected] edited volume is based on the proceedings of an international workshop held in 2009 on the theme of ‘Material Evidence and Narrative Sources’ during the fourteenth annual gathering of the Department of Middle East Studies at Ben-Gurion University of the Negev, focused on ‘Interdisciplinary Studies of the History of Islamic Societies’. Fifteen articles seek to integrate (...) material and textual evidence for the medieval and modern Middle East, deliberately adhering to a trend of interdisciplinarity that began in the 1970s, exemplified in the approach of specific studies by Michael Cook, Leor Halevi, Peter Brown, Oleg Grabar, and Jacob Lassner, as well as in the recent publications of the editors, D. J. Talmon-Geller’s Islamic Piety in Medieval Syria: Mosques, Cemeteries and Sermons under the Zangids... (shrink)