Physicians,entrepreneurism and the problem of conflict of interest

This paper examines the ethical issues of conflict of interest raised by the burgeoning development of physician involvement in for-profit entrepreneurial activities outside their practice. After documenting the nature and extent of these activities, and their potential for conflicts of interest, the paper assesses the major arguments for and against physicians' referral of patients to facilities they own or in which they invest. The paper concludes that an outright ban on such activity seems ethically warranted.     

BIOLOGICAL PERSPECTIVES ON FALL AND ORIGINAL SIN

Abstract. The paper consists of an argument that goes as follows. Symbols and their elaboration into myths constitute Homo sapiens 's most primitive reading of the world and the relation of humans to that world. They are, in other words, primordial units of cultural information, emerging very early in human history, representing a significant achievement in the evolution of human self-consciousness and reflection. The classic myths of Fall and Original Sin, as well as the doctrines to which they gave rise, are further interpretations of this primordial information. The doctrinal traditions of the first four centuries of Christianity are surveyed. Three sets of data as interpreted by the biological sciences are offered as resources for understanding the biogenetic grounds of the experience that the symbols, myths, and doctrines of Fall and Original Sin seek to interpret. The conclusions to be drawn are that (1) the symbolic material is indeed commensurate with the scientific understandings, and (2) the scientific interpretations deepen our understanding of the symbols, while (3) the conversation between the symbols and the science once again raises certain perennial questions about human existence.     

ON THE "USE" OF NEOPRAGMATISM

Abstract. The present article continues an earlier critique of Robbins's and Rorty's neopragmatism. Their skepticism about the traditional concept of correspondence and about the criteria for truth are both unjustified, and their own assertion of meaning as usefulness either presupposes a prior notion of linguistic reference or fails to qualify as a sufficient criterion for knowledge. The difficulties with neopragmatism have implications for two other areas of the religion/science discussion, postmodernism and empirical Theology. Postmodernism shares neopragmatism's mistakes regarding the philosophy of language and can be rejected without endangering one's empiricism, humanism, or naturalism. By contrast, the strengths of empirical Theology, and of religious empiricism in general, can be preserved without Robbins's proposed ban on metaphysics.     

An evaluation of the reliability of probability judgments across response modes and over time

Despite the importance of probability assessment methods in behavioral decision theory and decision analysis, little attention has been directed at evaluating their reliability and validity. In fact, no comprehensive study of reliability has been undertaken. Since reliability is a necessary condition for validity, this oversight is significant. The present study was motivated by that oversight. We investigated the reliability of probability measures derived from three response modes: numerical probabilities, pie diagrams, and odds. Unlike previous studies, the experiment was designed to distinguish systematic deviations in probability judgments, such as those due to experience or practice, from random deviations. It was found that subjects assessed probabilities reliably for all three assessment methods regardless of the reliability measures employed. However, a small but statistically significant decrease over time in the magnitudes of assessed probabilities was observed. This effect was linked to a decrease in subjects overconfidence during the course of the experiment.     

On the processing of arguments

This paper is concerned with the processing of informal arguments, that is, arguments involving probable truth. A model of informal argument processing is presented that is based upon Hample's (1977) expansion of Toulmin's (1958) model of argument structure. The model postulates that a claim activates an attitude, the two components forming a complex that in turn activates reasons. Furthermore, the model holds occurrence of the reason, or possibly the claim and the reason, activates values. Three experiments are described that provide support for the model.This research was supported by the Mellon Foundation and by the Office of Educational Research and Improvement of the Department of Education via an award for the Center for the Study of Learning to the Learning Research and Development Center. The contents of the paper are not necessarily the position of any of these organizations.     

Being unreasonable: Perelman and the problem of fallacies

Most work on fallacies continues to conceptualize fallacious reasoning as involving a breach of a formal or quasi-formal rule. Chaim Perelman's theory of argumentation provides a way to conceptualize fallacies in a completely different way. His approach depends on an understanding of standards of rationality as essentially connected with conceptions of universality. Such an approach allows one to get beyond some of the basic problems of fallacy theory, and turns informal logic toward substantive philosophical questions. I show this by reinterpreting three so-called fallacies - theargumentum ad baculum, equivocation and composition/division - in the light of Perelman's account.     

Utility maximization and melioration: Internalities in individual choice

How do people go about choosing between alternatives in relatively simple settings? This study explores some of the variables that past work suggests may be relevant. Volunteer subjects worked for money in six procedures in which the probability of a payment from either of two alternatives was 1.0, but the rate of pay (i.e. the speed with which a payment was delivered or the size of the payment) interacted with the subjects recent allocation of choices, which we define as the ‘internalities’. Because of the internalities, choosing the currently more profitable alternative did not maximize total earnings. Subjects were more likely to fail to maximize when the interaction between present pay and past choices was spread over longer sequences of choices, or when the reward variable was the speed, rather than the value, of each payment. Subjects often disregarded the internalities and were instead guided by the current yields of the two alternatives, which is a frequently observed tendency, called ‘melioration’, in experiments on choices by animals. The tendency toward melioration was only partially counteracted by explicit instructions on how to maximize earnings. We discuss a theoretical framework for melioration that postulates both motivational and cognitive sources.