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While there has been extensive research on deception, extant literature has not examined how deception is processed solely from the customer's perspective. Extensive qualitative interviews were conducted and analyzed to inform the proposed framework. Cognitive dissonance theory and attribution theory are used to frame the process consumers go through when deception is perceived. When consumers perceive deceit, they will consider attribution before determining intentionality. Internal attributions relieve the company of wrongdoing to some extent, whereas external attributions lead consumers to examine (...) several elements of deception including intent. Unintentional deceit will trigger assessments of magnitude, stability, and switching costs; while less is considered when deceit is intentional. The findings of this research are important for advancing theory in relation to deceit and for helping practitioners understand the importance of changing consumer cognitions before consumers decide to change their behavior by discontinuing the relationship. (shrink)

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In Silence et langage Stephen A. Noble offers a new interpretation of the development of Merleau-Ponty’s phenomenology which analyses the central position of language within a philosophy of perception predicated upon the interdependence of seeing and speaking.

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In lieu of an abstract, here is a brief excerpt of the content:REDISCOVERING VIRTUE* SERVAIS PINCK.AERS, 0.P. L!universite de Fribourg Fribourg, Switzerland INTRODUCTION: THE DEBATE ABOUT VIRTUE VIRTUE is back. Especially in the United States, a widespread discussion about its role in moral theology has been initiated, a discussion modeled on Aristotle's Ethics, particularly as Aristotle's thought was developed in the Middle Ages by Thomas Aquinas. Accompanying this rediscovery of virtue is a criticism of modern ethical theories. These theories, having (...) broken with Aristotelian tradition, have led to a burgeoning of contradictory systems: a morality of obligation on the Kantian model; utilitarian morality; and a radical critique of morality by Nietzsche. Because of such divergences any discussion between moralists, especially where the foundations and principles of morality are involved, has up to the present seemed doomed to failure.1 •Translated by Sr. Mary Thomas Noble, O.P. 1 The author who has contributed most to this discussion of virtue is undoubtedly Alasdair Macintyre in his three principal books: After Virtue: A Study in Moral Theory (Notre Dame, Ind.: University of Notre Dame Press, 1981; second edition, 1984); Whose Justice? Which Rationality? (Notre Dame, Ind.: University of Notre Dame, 1988); Three Versions of Moral Inquiry: Encyclopedia, Genealogy, and 1radition (Notre Dame, Ind.: University of Notre Dame, 1990). The Italian edition of the last book, Enciclopedia, Genealogia e 1radizione (Milan, 1993), includes a special introduction on Macintyre and a biography. I should also like to mention the article by Martha Nussbaum, "Virtue Revived," Times Literary Supplement 4657 Ouly 3, 1992): 9-11. See also a recent book by Andre Comte-Sponville, Petit traite des grands vertus (Paris: Presses Universitaires de France, 1995). This work is very interesting because it proposes to a wide readership a moral system drawn from Aristotle that is at the same time based entirely on modern philosophy. In my opinion the author unintentionally confirms the thesis of the incompatibility of modern ethical systems of obligation and the 361 362 SERVAIS PINCKAERS, O.P. In view of this ethical pluralism, certain philosophers have undertaken to set up ethical norms through reflection on justice, using the methods of discussion and decision prevalent in our democratic societies. The initiative has been designated as procedural ethics.2 In this rather chaotic situation, other writers have thought a return to Aristotelian ethics opportune-a move that would enable us to reconnect with the long tradition of virtue-based morality represented therein, while bringing it up to date. In fact, the introduction of the concept of virtue offers many opportunities for the shaping of a morality that takes the human person into account. Virtue is a dynamic human quality acquired through education and personal effort. It forms character and assures continuity in action. Furthermore, it is set within the framework of community and a strong tradition, to whose development it contributes. Teaching on virtue would seem to be a good corrective for excessive individualism. This is what the socalled "communitarian" trend has emphasized.3 The debate on virtue has also surfaced within traditional Catholic teaching. Since the first half of this century, under the inspiration of St. Thomas, several authors of moral theology textbooks have undertaken to reorganize special morality on the basis of the virtues rather than the ten commandments, as had been done since the seventeenth century.4 Admittedly, the change Aristotelian construct of the virtues held by Macintyre. With the moderns he rejects a natural foundation for morality, within man, and thus robs the virtues he treats of their deep roots. Virtue is not spontaneous; it remains voluntaristic. 2 To mention a few titles: K. 0. Apel, Transformation der Philosophie, 2 vols. (Frankfurt, 1981); Apel, Ethique de la discussion (Paris, 1994); J.M. Ferry, Philosophie de la communication (Paris, 1994); Jiirgen Habermas, Theorie des kommunikativen Handeln, 2 vols. (Frankfurt, 1981); Habermas, Moralbewusstsein und kommunikativer Handeln (Frankfurt, 1983); John Rawls, A Theory ofJustice (Harvard, 1971). 3 See, for example: J. H. Joder, Jesus et le politique: La radicalite ethique de la croix (Lausanne, 1984); S. Hauerwas, The Peacable Kingdom: A Primer in Christian Ethics (Notre Dame, 1983); W. Reese-Schafer, Was ist Kommunitarismus? (Frankfurt, 1994); Charles Taylor, The Sources ofthe Self: The Making ofthe Modern Identity (Cambridge, Mass., 1989... (shrink)

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Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health researchers wishing to access medical records without written consent. The Act requires researchers to apply to the Patient Information Advisory Group for permission to access medical records without written permission. We present a (...) case study of the work required to obtain the necessary permissions from PIAG in order to conduct a large scale public health research project. In our experience it took eight months to receive permission to access basic identifying information on individuals registered at general practices, and a decision on whether we could access clinical information in medical records without consent took 18 months. Such delays pose near insurmountable difficulties to grant funded research, and in our case £560 000 of public and charitable money was spent on research staff while a large part of their work was prohibited until the third year of a three year grant. We conclude by arguing that many of the current problems could be avoided by returning PIAG’s responsibilities to research ethics committees, and by allowing “opt-out” consent for many public health research projects. (shrink)

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Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health researchers wishing to access medical records without written consent. The Act requires researchers to apply to the Patient Information Advisory Group for permission to access medical records without written permission. We present a (...) case study of the work required to obtain the necessary permissions from PIAG in order to conduct a large scale public health research project. In our experience it took eight months to receive permission to access basic identifying information on individuals registered at general practices, and a decision on whether we could access clinical information in medical records without consent took 18 months. Such delays pose near insurmountable difficulties to grant funded research, and in our case £560 000 of public and charitable money was spent on research staff while a large part of their work was prohibited until the third year of a three year grant. We conclude by arguing that many of the current problems could be avoided by returning PIAG’s responsibilities to research ethics committees, and by allowing “opt-out” consent for many public health research projects. (shrink)

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Background Cancer patients are at risk of developing blood clots in their veins - venous thromboembolism - which often takes the form of a pulmonary embolism or deep vein thrombosis. The risk increases with advanced disease. Evidence based treatment is low molecular weight heparin by daily subcutaneous injection. The aim of this research is to explore the barriers for doctors in the UK when diagnosing and treating advanced cancer patients with VTE. Method Qualitative, in-depth interview study with 45 doctors. Doctors (...) were from three specialties: oncology, palliative medicine and general practice, with a mixture of senior and junior staff. Framework analysis was used. Results Doctors opinions as to whether LMWH treatment was ethically appropriate for patients who were symptomatic from VTE but at end of life existed on a shifting continuum, largely influenced by patient prognosis. A lack of immediate benefit coupled with the discomfort of a daily injection had influenced some doctors not to prescribe LMWH. The point at which LMWH injections should be stopped in patients at the end of life was ambiguous_._ Some perceived ‘overcaution’ in their own and other clinicians’ treatment of patients_._ Viewpoints were divergent on whether dying of a PE was considered a “good way to go”. The interventionalism and ethos of palliative medicine was discussed. Conclusions Decisions are difficult for doctors to make regarding LMWH treatment for advanced cancer patients with VTE. Treatment for this patient group is bounded to the doctors own moral and ethical frameworks. (shrink)

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