This paper provides a description of the role of the clinical ethicist as it is generally experienced in Canada. It examines the activities of Canadian ethicists working in healthcare institutions and the way in which their work incorporates more than ethics case consultation. The Canadian Bioethics Society established a “Taskforce on Working Conditions for Bioethics” (hereafter referred to as the Taskforce), to make recommendations on a number of issues affecting ethicists and to develop a model role description. This essay carefully (...) assesses this model role description. (shrink)

Clinical bioethics is big business. There are now hundreds of people who bioethics in community and university hospitals, nursing homes, rehabilitation and home care settings, and some who play the role of clinical ethics consultant to transplant teams, managed care companies, and genetic testing firms. Still, there is as much speculation about what clinically active bioethicists actually do as there was ten years ago. Various commentators have pondered the need for training standards, credentials, exams, and malpractice insurance for ethicists engaged (...) in clinical consultation. Much of the discussion seems to accept an implicit presumption that all clinical ethics consultation practices look pretty much alike. But is this accurate? What do clinical ethicists do, how and where do they do it, and what kind of clinical ethics is useful in the hospital and in other settings? (shrink)

Significant challenges arise for clinical care teams when a patient or surrogate decision-maker hopes a miracle will occur. This article answers the question, “How should clinical bioethicists respond when a medical decision-maker uses the hope for a miracle to orient her medical decisions?” We argue the ethicist must first understand the complexity of the miracle-invocation. To this end, we provide a taxonomy of miracle-invocations that assist the ethicist in analyzing the invocator's conceptions of God, community, and self. After the ethicist (...) appreciates how these concepts influence the invocator's worldview, she can begin responding to this hope with specific practices. We discuss these practices in detail and offer concrete recommendations for a justified response to the hope for a miracle. (shrink)

How are justifications for religious violence developed and dothey differ from secular justifications for violence? Can liberalsocieties tolerate potentially violent religious groups? Can thosewho accept religious justifications for violence be dissuaded fromacting violently? Including six in-depth contemporary case studies,The Justification of Religious Violence is the first book toexamine the logical structure of justifications of religiousviolence. The first book specifically devoted to examining the logicalstructure of justifications of religious violence Seeks to understand how justifications for religious violenceare developed and how or (...) if they differ from ordinary secularjustifications of violence Examines 3 widely employed premises used in religiousjustifications of violence – ‘cosmic war’, theimportance of the afterlife, and ‘sacred values’ Considers to what extent liberal democratic societies shouldtolerate who hold that their religion justifies violent acts Reflects on the possibility of effective policy measures topersuade those who believe that violent action is justified byreligion, to refrain from acting violently Informed by recent work in psychology, cognitive science,neuroscience and evolutionary biology Part of the Blackwell Public Philosophy Series. (shrink)

It is argued that Hume’s definition of miracle stands in need of revision because it fails to be inclusive of acts of supernatural intervention in the world which are non-law-violating. Potential revisions of the definition, due to Paul Dietl and Christopher Hughes are considered and found to be inadequate, and a new definition is put forward; a miracle is "an intended outcome of an intervention in the natural world by a supernatural agent." An objection to this definition is anticipated and (...) a distinction is made between miracles and magic in order to address the objection. (shrink)