Trumping and contrastive causation

Jonathan Schaffer introduced a new type of causal structure called ‘trumping’. According to Schaffer, trumping is a species of causal preemption. Both Schaffer and I have argued that causation has a contrastive structure. In this paper, I analyze the structure of trumping cases from the perspective of contrastive causation, and argue that the case is much more complex than it first appears. Nonetheless, there is little reason to regard trumping as a species of causal preemption.     

Trumping the causal influence account of causation

Here is a simple counterexample to David Lewis’s causal influence account of causation, one that is especially illuminating due to its connection to what Lewis himself writes: it is a variant of his trumping example

Toward professionalism or voluntarism in pastoral care

In its modern evolution as a subprofession, pastoral counseling has increasingly developed professional criteria to determine who can and who cannot legitimately do pastoral counseling. This trend moves pastoral counseling toward the medical profession and away from the life and mission of the institutional church. As pastoral counseling seeks a legitimacy in close association with the medical profession it runs the risk of losing touch with the institutional church—the voluntary associations of Christians that have always been the ultimate source of legitimacy for the ministry in America. The present challenge facing the field of pastoral care is to shift attention from professional specialization outside the church to an effort within the church to train the laity to be effective agents of pastoral care.This article was first presented in the Seminary Series Lectures, The Graduate Seminary of Phillips University, Enid, Oklahoma, during the spring of 1975.     

Medical professionalism: a tale of two doctors

The AMA's social media guidelines provide physicians with some basic rules for maintaining professional boundaries when engaging in online activities. Left unanswered are questions about how these guidelines are to be implemented by physicians of different generations. By examining the issues of privacy and technological skill through the eyes of digital natives and digital immigrants, the challenges associated with medical e-professionalism become clear.     

Resident-generated versus instructor-generated cases in ethics and professionalism training

Background  

The emphasis on ethics and professionalism in medical education continues to increase. Indeed, in the United States the ACGME will require residency programs to include professionalism training in all curricula by 2007. Most courses focus on cases generated by the course instructors rather than on cases generated by the trainees. To date, however, there has been no assessment of the utility of these two case discussion formats. In order to determine the utility of instructor-generated cases (IGCs) versus resident-generated cases (RGCs) in ethics and professionalism training, the author developed an innovative course that included both case formats. The IGCs were landmark cases and cases from the experience of the course instructors, while the RGCs were selected by the residents themselves. Residents were then surveyed to assess the strengths and weaknesses of each format.