Confidentiality protection in consulting with modern medicine following use of traditional medicine: perspectives of South African clients

This study explored the confidentiality values and needs of clients of traditional medicine practitioners who also consulted with modern medical care facilities. Participants were 12 clients of traditional healers who were also receiving modern medicine services (9 males; Sotho, Sepedi and Tswana speaking). The clients responded to an in-depth interview on their confidentiality values, needs and consultations with traditional and modern medicine, in the absence of a formal referral between the two systems. Data were thematically analysed using Tesch's (1990 Tesch, R. (1990). Qualitative Research: Analysis types and software tools. Bristol, PA: Falmer. [Google Scholar]) open coding method. Results indicated that clients valued their rights to confidentiality being respected by modern medicine and when also consulting with traditional healers. The clients also expressed concern about being ostracised by nurses for consulting traditional healers. Consultation confidentiality with regard to traditional medicine is important with traditionalist Africans.     

For Now We See Through In Vitro Darkly; But Then Face to Face: An Alternative Theological Perspective on In Vitro Fertilization

Abstract

This article uses the techniques of discourse analysis to highlight the ways in which official Church documents on IVF have eclipsed from view the desires, dilemmas and pastoral needs of women seeking treatment for infertility. Furthermore, this analysis reveals how an overriding concern for the embryo has also curtailed debate upon the wider social context in which the procedures of the biomedical community are located. It is argued that the insights generated through feminist debates concerning an ‘ethics of care’ can effectively challenge the androcentric ‘rights’ perspectives enshrined in the moral teaching of the churches. The attention to context generated within this feminist ethical framework would provide a more effective means of challenging the commercial activities of the biotechnology industry than is currently employed.     

Community Engagement as Liberal Performance,as Critical Intellectualism and as Praxis

This article aims to illustrate that engagement is a dynamic and evolutionary process, moulded by contesting ideological, social actor and contextual forces. For purposes of illustration, I draw on a university-affiliated, participatory enactment of community engagement as a case example. The case illustrates that community engagement may assume a form of action, critical intellectualism and praxis. As action, community engagement is oriented towards performance of liberal democracy. Community engagement, as shaped by the critical intellectualism of the Black Consciousness philosophy, reflects community self-affirmation, autonomy and intellectual independence. Community engagement as praxis may be characterised by reflexivity, vision-making and the building of interpersonal relationships. Community engagement is marked by a dynamic interplay between race, power and counter-hegemonic ideology.     

临床思维学的教学实践与理论探索

思维是人类理性活动的基本方式,思维能力是最具人类特色的能力,临床思维能力的培养是一个非常重要、然而又常为人们所忽视的问题,主要介绍临床思维学的课程设置、主要内容、教学目的和教学效果,通过对教学实践的阶段性总结,对理论体系进行初步的探索,以推动临床思维学的普及和发展,提高临床诊断治疗水平。     

基于行为的绩效评定方法的研究进展

从20世纪60年代至今,基于行为的绩效评定一直是各类组织的主要绩效评定方法。基于工作结果的非判断性绩效测量有其难以克服的局限,各种基于工作行为的判断性绩效测量方法相继开发出来。行为指标的筛选成为研究的主要问题之一。组织公民行为、区分作业绩效与关系绩效等研究,向基于行为的绩效评定提出了新的问题。     

Free belief

The main goal of this paper is to show that Pettit and Smith's (1996) argument concerning the nature of free belief is importantly incomplete. I accept Pettit and Smith's emphasis upon normative constraints governing responsible believing and desiring, and their claim that the responsibly believing agent needs to possess an ability to believe (or desire) otherwise when believing (desiring) wrongly. But I argue that their characterization of these constraints does not do justice to one crucial factor, namely, the presence of an unreflective, sub-personally constituted, ability to spot the kind of situations in which the reflective critical abilities constitutive of responsible believing (and desiring) should be deployed.     

Rule Violations in Intercollegiate Athletics: A Qualitative Investigation Utilizing an Organizational Justice Framework

Cheating and rule violations in intercollegiate athletics continue to be relevant issues in many institutions of higher education because they reflect upon the integrity of the institutions in which they are housed, causing concern among many faculty members, administrators, and trustees. Although a great deal of research has documented the numerous rule violations in NCAA intercollegiate athletics, much of it has failed to combine sound theory with practical solutions. The purpose of this study was to examine the possible extensions of the organizational justice framework to the problem of rule violations in intercollegiate athletics. In doing so, the current study examined (a) perceived areas of injustice among coaches at NCAA Division I institutions, (b) avenues by which coaches resolve these injustices, and (c) potential solutions for resolving injustices in an attempt to reduce NCAA violations. Six NCAA Division I basketball coaches from various parts of the country (four from men's teams and two from women's teams) were interviewed using a semi-structured format. Despite the NCAA's efforts to create parity, results showed that coaches perceived several areas of inequities in recruiting, including financial resources and academic standards. The interviewed coaches described several means that are currently used to resolve these inequities and offered recommendations for changes to reduce injustice in the future.     

Some Comments on The Problem of Reductionism in Contemporary Physical Science

Is reductionism simply a methodology that has allowed science to progress to its current state (methodological reductionism), or does this methodology indicate something more, that the material universe is determined in full by its smallest components (ontological or causal reductionism)? Such questions lie at the heart of much of the contemporary religion–science dialogue. In this essay I suggest that the position articulated by philosopher–theologian Bernard Lonergan is particularly suitable for dealing with these questions. For Lonergan, the criterion of the real is simply its verified intelligibility and not its imaginability. Each of the various levels of reality, as studied in sciences such as physics, chemistry, biology, and sensitive and rational psychology, consists of an intelligible integration of what on the lower level would be simply random occurrences. The things studied by the various sciences (atoms, molecules, cellular organisms, animals, human persons, and so on) are intelligible unities, and no one level is somehow more real than any other. I argue that such a scheme, while seeming somewhat counterintuitive, is best able to deal with the multilayered reality of the contemporary physical and life sciences and provide an opening to the richness of the social sciences and the achievements of human culture.     

Is “Latin American Thought” Philosophy?

Abstract: A durable question in Latin American thought is whether it could amount to a characteristically Latin American philosophy. I argue that if, as is now widely conceded, there is a role for philosophical analysis in thinking about problems that arise in applied subjects, such as bioethics, environmental ethics, and feminism, then why not also in Latin American thought? After all, the focus of Hispanic thinkers has often been upon the issues that arise in their own experiences of the world, and they make up a diverse group of peoples related by very idiosyncratic ethnic and historical connections. I believe that, given some appropriate criteria, the existing corpus of works by Latin American thinkers is a part of a distinctive philosophy.     

Can Robert Adams Survive Moral Twin Earth?

Richard Boyd and Robert Adams have both developed semantic accounts of moral terms based on Hilary Putnam's causal regulation theory for natural kind terms, according to which the terms in question refer to the properties which predominantly causally regulated the terms. However, Terence Horgan and Mark Timmons have mounted an objection to Boyd's semantics—their Moral Twin Earth argument. If this argument is successful against Boyd then it might be thought that it should also be successful against Adams, given the similarity between their semantic accounts. I will argue in this essay that Adams's semantics is sufficiently different from Boyd's to enable him to survive Moral Twin Earth, but that he is vulnerable to a modified version of Moral Twin Earth that I describe.