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Conventional understanding and research regarding prognostic understanding too often focuses on transmission of information. However, merely overcoming barriers to patient understanding may not be sufficient. In this article the authors provide a more nuanced understanding of prognostic awareness, using oncological care as an overarching example, and discuss factors that may lead to prognostic discordance between physicians and patients. We summarize the current literature and research and present a model developed by the authors to characterize barriers to prognostic awareness. Ultimately, multiple influences on prognostic understanding may impede acceptance by patients even when adequate transfer of information takes place. Physicians should improve how they transmit prognostic information, as this information may be processed in different ways. A model of misunderstandings in awareness, ranging from patient understanding to patient belief, may be useful to guide future discussions. Future decision-making studies should consider these many variables so that interventions may be created to address all aspects of the prognostic disclosure process.
Patients from religious minorities can face unique challenges reconciling their beliefs with the values that undergird Western Medical Ethics. This paper explores homologies between approaches of Orthodox Judaism and Islam to medical ethics, and how these religions’ moral codes differ from the prevailing ethos in medicine. Through analysis of religious and biomedical literature, this work examines how Jewish and Muslim religious observances affect decisions about genetic counseling, reproductive health, pediatric medicine, mental health, and end-of-life decisions. These traditions embrace a theocentric rather than an autonomy-based ethics. Central to this conception is the view that life and the body are gifts from God rather than the individual and the primacy of community norms. These insights can help clinicians provide care that aligns Muslim and Jewish patients’ health goals with their religious beliefs and cultural values. Finally, dialogue in a medical context between these faith traditions provides an opportunity for rapprochement amidst geopolitical turmoil.
The discourse of tragedy has significant value in a military context, reminding us of the temptations of hubris, the prevalence of moral dilemmas, and the inescapable limits of foresight. Today, however, this discourse is drawn upon too heavily. Within the tragicized politics of nuclear and drone violence, foreseeable and solvable problems are reconceptualized as intractable dilemmas, and morally accountable agents are reframed as powerless observers. The tragedy discourse, when wrongly applied by policymakers and the media, indulges the very hubris the tragic recognition is intended to caution against. This article clarifies the limits of “tragedy” in the context of military violence and argues for a renewed focus on political responsibility.
It seems today that a sense of crisis permeates international affairs. From war to pollution to trade and beyond, there is much talk of the disintegration of the settled ways of doing things and fear of what comes next. The twenty-first century has turned sour for many believers in international order. This is not unique in history; order has been on the minds of writers for centuries, from Kant to Carr to Hedley Bull. It is hard to find a period in history when there has not been some sense of crisis. The problem of international order is both a perennial theme and an urgent contemporary concern. The essays in this collection broaden the conversation to consider the ambiguity, complexity, and contradiction within the concept of world order. Order is neither self-evident nor universally agreed upon; to the contrary, it is contested, political, and contingent. Order is a very disorderly idea.
There is this view propounded by some theorists which claims that some conceptions of the nature of time are incompatible with the Christian position on the defeat of evil. The aim of this article is twofold. First, to clarify exactly which thesis about time’s nature is taken to be problematic for the defeat of evil. And second, to show that scriptural support for understanding the defeat of evil as requiring that evil not be in the range of the existential quantifier, something implicitly contended by those who put forward this problem, is weak and that these passages can be read in plausible ways which are affirmable by those who endorse the ‘problematic’ thesis.
The quest for corporate accountability remains unabated in the business and human rights (BHR) field. This paper examines the role of multinational corporations (MNCs) and Business Interest Associations (BIA) as entrepreneurs, antipreneurs and saboteurs in setting human rights standards. Through this conceptualization, this paper argues that corporate accountability remains elusive because of corporate actors’ normative power and influence in the BHR norm contestation. It attributes corporate actors’ influence in the norm contestation to the UN multistakeholder design that sees nonstate actors as partners and stakeholders in setting global human rights standards. This article then argues that to force a norm change in the BHR field, there is a need to rethink the BHR governance model. Corporate actors must be reconceptualized as ‘regulated individuals’ during norm discussions and standard-setting processes.
In this essay, I use Martin Luther King Jr.'s “Letter from Birmingham Jail” to open questions about international order and disorder. The idea of order is central to modern discourse on international politics, but the concept is often ill defined and ambiguous. King's ideas clarify three issues: First, is order understood as an objective condition of a system or a political judgment about its suitability for social life? Second, does compliance with law lead naturally to order? And third, is order always preferable to disorder? The way King answers each question is somewhat different than the conventional wisdom in international relations. IR scholars typically assume that international order is a universal good and that compliance with law enhances it. King highlights the gap between order as defined by the authorities in Alabama and his own lived experience. I use the difference to map the terrain of scholarship on international order and disorder and to draw implications for concepts, research methods, and political judgment.
One of the problems with the problem of world order is that what makes for order within societies is often precisely what makes for disorderly relations between them. I argue in this short essay that many of the problems with the problem of world order arise from assumptions that are widely shared within a discipline where the language of power and interest dominates and where a view of states as “like units” permeates. With more emphasis on values and visions of the good life, and acceptance that the ontological foundation of IR is difference rather than sameness, the debates about the problem of world order would take on a different form. The essay adapts the work of Hedley Bull and introduces the concept of “resilience-governance” to distinguish between resilience as a practice of self-governance taking place within ordering domains and resilience as a practice of “diversity-governance” taking place between ordering domains. The combination of the two allows for a bifocal view into how practices of resilience as self-governance may produce order within individual domains but will at the same time increase diversity and difference between the ordering domains, hence making the practices of resilience as diversity-governance much more challenging.
Discussions of the liberal international order, both inside and outside the academy, tend to take its necessity and desirability for granted. While its specific contours and content are left somewhat open in such debates, the idea that this international order is essential for global peace and stability is left largely unquestioned. What is more, the potential loss or end of this order is often taken to mean a return to anarchy, chaos, and disorder. In this essay, I question the presumed necessity and desirability of the liberal international order that most discussions of it seem to share. By rethinking the international order as processual, emergent, and grounded in the social and political contexts that shape its constitution and operation, I suggest that fears about the crisis of international order are less about international order itself and more about the loss of a specific order. This specific order, I argue, constituted in part through processes of racialization, is not so much a rules-based order of sovereign equality but rather an international order of White sovereignty that secures the domination and rule of some over others, of Whiteness over non-Whiteness. Recognizing the role of White sovereignty in the contemporary international order points toward a need to take seriously calls for abolition. Rather than signifying a return to chaos and disorder, the prospect and promise of abolition represents a call to break free from the constraints of the present order and reach into an as-yet-unimaginable future.
Can the best arguments for a privation theory of evil be parodied, with equal plausibility, as arguments for a privation theory of good? The privation theory of evil claims that evil has no positive existence, and it is but a privation of good. The privation theory of good claims the opposite. I approach this topic as one element in the so-called evil-God Challenge. Stephen Law has argued that the epistemic support for belief in an omniscient, omnipotent, and morally perfect God (theism) is on a par with the epistemic support for belief in an omniscient, omnipotent, but completely evil-God (maltheism). In fact, he concludes, the arguments for an evil God are symmetrical with, and isomorphic to, those for a good God. The privation theory of evil has often been used to defend theism against the argument from evil. Thus, part of the evil-God Challenge is to evaluate arguments for the privation theory of evil for their vulnerability to maltheist parody. I consider a broad range of arguments for the privation theory of evil, and I argue that most of them are vulnerable to parodic neutralization. Furthermore, I argue that although the thesis of the convertibility of being and goodness is often held to entail the privation theory of evil, or to be entailed by it (or to be equivalent to it), it is independent of the privation theory. I do find that David Oderberg’s recent argument for the privation theory of evil resists any easy maltheist parody, but I argue that it has a defect. I sketch an argument according to which his good-as-fulfillment account is compatible with a perfectly evil god. My tentative conclusion is that the privation theory of evil enjoys little more plausibility than does the privation theory of good.
Godwin Mbikusita-Lewanika, the founding president of Zambia’s first nationalist organisation, is now remembered as a staunch supporter of colonial rule. Such figures are not uncommon and are often termed “loyalists,” a term that is usually understood in the literature as a fixed category that either dwindled in the face of racial oppression or was a choice shaped and hardened by conflict. Lewanika, however, moved easily between different sides, reinventing himself as an anticolonial nationalist, trade unionist, colonial loyalist, and Lozi traditional monarchist as circumstances warranted. The tumult of the mid-twentieth century opened up new opportunities and Lewanika seized roles that were not previously available. Biographies of anticolonial nationalists often argue they turned to political action when their education and ambitions clashed with the highly-circumscribed roles available under colonialism. Lewanika’s life was the opposite. He carved out a prominent place for himself in the colonial order and then in independent Zambia.