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Joseph Long 《Theoria》2014,80(2):174-183
Cornell realists claim, among other things, that moral knowledge can be acquired in the same basic way that scientific knowledge is acquired. Recently in this journal Elizabeth Tropman has presented two arguments against this claim. In the present article, I attempt to show that the first argument attacks a straw man and the second mischaracterizes the Cornell realists' epistemology and ends up begging the question. I close by suggesting that, given Tropman's own apparent views, her objections are also probably misplaced.  相似文献   
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Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step on the pathway to an eventual certification process for clinical ethics consultants.  相似文献   
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Given the high prevalence of comorbid conditions found in polytrauma settings, effective screening measures are needed. Several screening tools are commonly used in polytrauma clinics within the Department of Veterans Affairs (VA). This study examined the use of three screening measures—the Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and PTSD Checklist–Civilian Version (PCL-C)—to predict scores on the Neurobehavioral Symptom Inventory (NSI). Research suggests that the presence of mental health conditions, such as PTSD, shares a significant amount of variance with postconcussive symptoms. The investigators hypothesized that the PCL-C would be the best predictor of scores on the NSI. All subjects were administered the screening measures as part of an evaluation in an outpatient Level III polytrauma clinic. Regression analysis was used to determine which instrument might serve as the best predictor of NSI total scores. Regression analysis revealed that BAI, BDI-II, and PCL-C total scores were good predictors of NSI total scores, with the BAI accounting for the majority of the variance. Mental health conditions can account for higher scores on the NSI, and screening of other mental health conditions should be taken into account when reviewing the NSI for individuals in polytrauma settings.  相似文献   
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In this essay, I use autoethnographic sketching (Rambo, 2007 Rambo, C. (2007). Sketching as autoethnographic practice. Symbolic Interaction, 30(4), 531542. doi:10.1525/si.2007.30.4.531[Crossref], [Web of Science ®] [Google Scholar]) to explore the experience of arriving at and withdrawing from the London School of Economics and its impact on my life and work. I especially draw on the importance of close relationships with family, which helped me cope with and overcome limitations associated with my physical disability, cerebral palsy, as I work toward personal and professional fulfillment. It is my hope that these words will motivate others to better cope with and overcome challenges in pursuit of their goals.  相似文献   
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Drawing upon uncertainty-identity theory, we argue that self-uncertainty creates a motivated mindset in which people desire to have their social identity validated thorough inclusion, and that this transforms the meaning of group warmth and competence to cue inclusion. US College students (N = 289) participated in an on-line experiment in which self-uncertainty and the perceived warmth and competence of their college were primed, and group identification was measured as the dependent variable. As predicted, the three-way interaction significantly affected group identification. Specifically, uncertainty weakened identification with cold-but-competent groups. We also found that uncertainty strengthened identification with cold-and-incompetent groups. This research highlights the preference for certain group attributes under uncertainty.  相似文献   
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To help understand suicide among soldiers, we compared suicide events between active duty U.S. Army versus civilian decedents to identify differences and inform military prevention efforts. We linked 141 Army suicide records from 2005 to 2010 to National Violent Death Reporting System (NVDRS) data. We described the decedents’ military background and compared their precipitators of death captured in NVDRS to those of demographically matched civilian suicide decedents. Both groups commonly had mental health and intimate partner precipitating circumstances, but soldier decedents less commonly disclosed suicide intent.  相似文献   
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This article recounts the development of the Professional/Problem-Based Ethics (ProBE) Program, the original physicians’ professional ethics remediation course. Since 1992, more than 1,200 healthcare professionals of many disciplines have been mandated to attend ProBE by licensing boards and other oversight entities. Using a small-group, interprofessional setting, the ProBE Program assists participants to discover and articulate ethical underpinnings violated by their misconduct; appreciate professional responsibilities that are societal, regulatory, and ethical; and recommit to professional ideals. The authors describe the rationale for developing ProBE, its curriculum, participant demographics, and infractions and reconsider medical professionalism in light of two decades of ProBE.  相似文献   
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