This book taps the best American thinkers to answer the essential American question: How do we sustain our experiment in government of, by, and for the people? Authored by an extraordinary and politically diverse roster of public officials, scholars, and educators, these chapters describe our nation's civic education problem, assess its causes, offer an agenda for reform, and explain the high stakes at risk if we fail.

Organisational politics can raise the problem of “dirty hands,” illustrated in this paper by an example drawn from a textbook on organisation theory. The initial question is whether the main character has different ethical and political obligations, but this leads on to the question to what extent we can distinguish various different categories of obligation. The example may be of special interest because of the importance of close personal relationship in organisational politics, which brings the dirty hands problem together with (...) the question to what extent friendships generate distinctive obligations. However, it is doubtful whether the allocation of obligations to different categories can be sustained in a useful way. It may be that we can put aside loyalty to an organisation, as a consideration which does not generate any distinctive obligation, but balancing other factors against one another may require the sort of judgment that has sometimes been called “political wisdom,” and sometimes “moral imagination.”. (shrink)

This article argues for a revised best system account of laws of nature. David Lewis’s original BSA has two main elements. On the one hand, there is the Humean base, which is the totality of particular matters of fact that obtain in the history of the universe. On the other hand, there is what I call the ‘nomic formula’, which is a particular operation that gets applied to the Humean base in order to output the laws of nature. (...) My revised account focuses on this latter element of the view. Lewis conceives of the nomic formula as a balance of simplicity and strength, but I argue that this is a mistake. Instead, I motivate and develop a different proposal for the standards that figure into the nomic formula, and I suggest a rationale for why these should be the correct standards. Specifically, I argue that the nomic formula should be conceived as a collection of desiderata designed to generate principles that are predictively useful to creatures like us. The resulting view—which I call the ‘best predictive system’ account of laws—is thus able to explain why scientists are interested in discovering the laws, and it also gives rise to laws with the sorts of features that we find in actual scientific practice 1Introduction2The LOPP3A Problem with Lewis's Formula4A Pragmatic Account of the Nomic Formula 4.1Informative dynamics4.2Wide applicability4.3Spatial locality4.4Temporal locality4.5Spatial, temporal, and rotational symmetries4.6Predictively useful properties4.7Simplicity4.8Recap5 Conclusion. (shrink)

The notion that human activity can be characterised in terms of dynamic systems is a well-established alternative to motor schema approaches. Key to a dynamic systems approach is the idea that a system seeks to achieve stable states in the face of perturbation. While such an approach can apply to physical activity, it can be challenging to accept that dynamic systems also describe cognitive activity. In this paper, we argue that creativity, which could be construed as a ‘cognitive’ activity par (...) excellence, arises from the dynamic systems involved in jewellery making. Knowing whether an action has been completed to a ‘good’ standard is a significant issue in considering acts in creative disciplines. When making a piece of jewellery, there a several criteria which can define ‘good’. These are not only the aesthetics of the finished piece but also the impact of earlier actions on subsequent ones. This suggests that the manner in which an action is coordinated is influenced by the criteria by which the product is judged. We see these criteria as indicating states for the system, e.g. in terms of a space of ‘good’ outcomes and a complementary space of ‘bad’ outcomes. The skill of the craftworker is to navigate this space of available states in such a way as to minimise risk, effort and other costs and maximise benefit and quality of the outcome. In terms of postphenomonology, this paper explores Ihde’s human-technology relations and relates these to the concepts developed here. (shrink)

We respond to Moses Pava’s defense of the “Triple Bottom Line” (3BL) concept against our earlier criticisms. We argue that, pacePava, the multiplicity of measures (and units of measure) that go into evaluating ethical performance cannot reasonably be compared to the handful of standard methods for evaluating financial performance. We also question Pava’s claim that usage of the term “3BL” is somehow intended to be ironical or subversive.

In social work there is seldom an uncontroversial `right way' of doing things. So how will you deal with the value questions and ethical dilemmas that you will be faced with as a professional social worker? This lively and readable introductory text is designed to equip students with a sound understanding of the principles of values and ethics which no social worker should be without. Bridging the gap between theory and practice, this book successfully explores the complexities of ethical issues, (...) while recognising the real-world context in which social workers operate. Key features of the text include: - Full of hands-on advice and tips for professional practice. - Engaging and student-friendly. Each chapter is packed with case studies, reader exercises, key definitions and useful summaries. - Comprehensive content. The book explores core issues such as moral philosophy; professionalism; religion; power; oppression; difference and diversity; and ethical codes of practice. - Satisfies all the curriculum and training requirements for the new social work degree. Mapping directly on to first year courses, this text is essential reading for all social work undergraduates. It is an ideal refresher text for upper-level undergraduates, postgraduate and post-qualifying students, and for professionals. `This introductory text succeeds in providing an accessible introduction to the subject area. The book is consistently structured, well planned and uniformly written in a conversational and immediate style…. The discussion manages to combine a sense of engagement with a balanced treatment of the issues. Readers who apply themselves will be well sensitised to the matters under discussion and should be able to take their understanding into the practical arena' - Chris Clark, University of Edinburgh. (shrink)

The Neo-Moorean Deduction (I have a hand, so I am not a brain-in-a-vat) and the Zebra Deduction (the creature is a zebra, so isn’t a cleverly disguised mule) are notorious. Crispin Wright, Martin Davies, Fred Dretske, and Brian McLaughlin, among others, argue that these deductions are instances of transmission failure. That is, they argue that these deductions cannot transmit justification to their conclusions. I contend, however, that the notoriety of these deductions is undeserved. My strategy is to clarify, attack, (...) defend, and apply. I clarify what transmission and transmission failure really are, thereby exposing two questionable but quotidian assumptions. I attack existing views of transmission failure, especially those of Crispin Wright. I defend a permissive view of transmission failure, one which holds that deductions of a certain kind fail to transmit only because of premise circularity. Finally, I apply this account to the Neo-Moorean and Zebra Deductions and show that, given my permissive view, these deductions transmit in an intuitively acceptable way—at least if either a certain type of circularity is benign or a certain view of perceptual justification is false. (shrink)

A "good" arguer is like an architect with a penchant for civil and civic engineering. Such an arguer can design and present their reasons artfully about a variety of topics, as good architects do with a plenitude of structures and in various environments. Failures in this are rarely hidden for long, as poor constructions reveal themselves, often spectacularly, so collaboration among civical engineers can be seen as a virtue. Our logical virtues should be analogous. When our arguments fail due to (...) being uncivil and demagogic, since we inhabit the arguments we build, we are all crushed beneath our flawed reasoning. This mixed metaphor takes us to a self-referential analysis of argumentation, analogy, and humor. I argue that good argumentation strives to collaboratively convince rather than belligerently persuade. A convincing means toward this end is through humorous analogical arguments, whether the matter at hand is ethical, logical, theological, phenomenological, epistemological, metaphysical, political, or about baseball. (shrink)

What should we do when faced with powerful theoretical arguments that support a severe change in our personal beliefs and commitments? For example, what should new parents do when confronted by unanswered anti-natalist arguments, or two lovers vexed by social theory that apparently undermines love? On the one hand, it would be irrational to ignore theory just because it’s theory; good theory is evidence, after all. On the other hand, factoring in theory can be objectifying, or risks unraveling (...) one's life, fracturing one's identity or social relations. Sometimes, then, following the evidence where it apparently leads would mean not merely changing what we think but who we are. Some might say that there’s something right about the thought that theory can bear on what we ought to believe, it’s just that when we work with full beliefs, only then do we seriously risk having to substantially alter our doxastic economy when pressed by exceptional theoretical arguments. When we work with partial beliefs, however, this risk is greatly diminished. Others will say that we can advocate or champion revisionary positions whilst rationally retaining our pre-theoretical personal convictions. Still others will argue that we should adopt a Moorean posture towards the revisionary arguments. I argue that each response is inadequate, and argue instead that we are permitted to bracket certain kinds of theoretical evidence against our beliefs because of the personal and ethical risks born out of giving them serious consideration. In turn, some of philosophy's doxastic influence is constrained by its attendant ethical risks: the personal enjoys a partial insulation from the theoretical. I close by addressing what this means for practicing philosophers. (shrink)

Many philosophers believe that aesthetic testimony can provide aesthetic knowledge. This leaves us with the question: why does getting aesthetic knowledge by experience – by seeing a painting up close, or witnessing a performance first-hand – nevertheless seem superior to aesthetic testimony? I argue that it is due to differences in their epistemic value; in the diversity of epistemic goods each one provides. Aesthetic experience, or the experience of art or other aesthetic objects, affords multiple, distinctive epistemic goods whereas (...) aesthetic testimony affords less. In particular, it provides aesthetic knowledge of truths, a kind of propositional knowledge, as well as aesthetic knowledge of things, a kind of non-propositional knowledge. Although aesthetic experience is superior because it has more epistemic value, this doesn’t mean that aesthetic testimony provides weaker justification for aesthetic belief than aesthetic experience; the difference is evaluative, not normative. In this way, we can explain a key pessimistic intuition about aesthetic testimony – that it is inferior to aesthetic experience – whilst preserving the optimistic view that aesthetic testimony makes aesthetic knowledge available to others. The superior epistemic value of first-hand aesthetic experience is compatible with a number of important observations about aesthetic testimony, including the importance of aesthetic trust. (shrink)

The question of whether the bounded arithmetic theories and are equal is closely connected to the complexity question of whether is equal to. In this paper, we examine the still open question of whether the prenex version of,, is equal to. We give new dependent choice‐based axiomatizations of the ‐consequences of and. Our dependent choice axiomatizations give new normal forms for the ‐consequences of and. We use these axiomatizations to give an alternative proof of the finite axiomatizability of and to (...) show new results such as is finitely axiomatized and that there is a finitely axiomatized theory,, containing and contained in. On the other hand, we show that our theory for splits into a natural infinite hierarchy of theories. We give a diagonalization result that stems from our attempts to separate the hierarchy for. (shrink)

This article examines a community producing complex space technology. We attempt to highlight which aspects of the community’s activities can help democratize high-tech development while providing a context for similar cases involved in developing and manufacturing nonhigh-technological artefacts. We discuss how this has been made possible by using a technology-determined organizational approach based on the CubeSat open platform infrastructure, blending formal and hands-on education, open communication, specific recruitment and working practices, and a genuine passion for technology. We identify as critical (...) enablers for community-based collaborative development of space technology the open-source architecture standard called CubeSat Design Specifications, the modularization of work in subsystems and between different organizations, and the open and participatory approach work tasks distribution and decision making. Moreover, we argue that the digital/informational aspect of this technology allows the community to implement organizational practices that resemble how open-source movements over the internet produce complex digital artefacts like Wikipedia or Linux. ESTCube can shed light on community-driven complex technology development, providing lessons on what a democratized version of high technology would resemble and how open and digitalized technology can help develop the capacities of a community. (shrink)

Ethicists increasingly reject the scale as a useful metaphor for weighing reasons. Yet they generally retain the metaphor of a reason’s weight. This combination is incoherent. The metaphor of weight entails a very specific scale-based model of weighing reasons, Dual Scale. Justin Snedegar worries that scale-based models of weighing reasons can’t properly weigh reasons against an option. I show that there are, in fact, two different reasons for/against distinctions, and I provide an account of the relationship between the various kinds (...) of reason for and against. With this account in hand, we’ll see that Dual Scale has no problem weighing any kind of reason against. (shrink)

Recently, the Dimension Problem for effective Hausdorff dimension was solved by J. Miller in [14], where the author constructs a Turing degree of non-integral Hausdorff dimension. In this article we settle the Dimension Problem for effective packing dimension by constructing a real of strictly positive effective packing dimension that does not compute a real of effective packing dimension one (on the other hand, it is known via [10, 3, 7] that every real of strictly positive effective Hausdorff dimension computes (...) reals whose effective packing dimensions are arbitrarily close to, but not necessarily equal to, one). (shrink)

"The Mind is not a Vessel to be Filled but a Fire to be Kindled", and "Education is Not the Filling of Pail But the Lighting of a Fire", and ... Something About a Horse ... You can lead a horse to water, but you can’t make it smile? Because of the long face and all? (No, that can’t be it). Anyway, borrowing a bit from Plutarch and Yeats (maybe, there is no agreement on whether he said that about pails (...) and fires), and some idiom from 12th Century Old English about horses walking on water, I assume, we can glean the following gem: learning requires active participation by learners. It is almost embarrassing to have to write that, but here we are with education today, mostly unloading facts into unlit receptacles. This doesn’t work, and not just because the metaphor is mixed. Genuine learning requires focus, which requires motivation, which is cultivated by interest, which needs curiosity, which is not something teachable through the typical educational curricula. I can, as Aristotle tells us, teach students the basics of some ethical theory, but I cannot make them virtuous. Ah-ha! I can lead a horse to water, but I can’t make it abide by the categorical imperative (No, that’s not quite right. Although it’s true--most horses are utilitarians). One way that seems to work in piquing student interest in learning philosophy is to use humor as you make the case that a philosophical attitude is very similar to a humorous attitude. Both rely heavily on questioning our collective presuppositions, both cultivate rational skepticism, and both are never content with accepting traditions and values that are mindlessly received. I’ve got it now: You can lead a horse to water, but you can’t make it an iconoclast! (still not it). Friedrich Nietzsche published a book in 1889 titled Twilight of the Idols: Or How to Philosophize with a Hammer. This was during his most frenetic and fecund period, just before the syphilis set in rendering him somewhat less than his lauded Ubermensch. The “Idols” for Nietzsche were “false gods” or the ubiquitous errors that philosophy should expose. He is likely borrowing (without citation!) from sir Francis Bacon, whose “idols” are fetishes which can divert us from the pursuit of truth. Learning is hard, but it doesn’t have to be gloomy, hence, I advocate for a different sort of hammer to act as a “tuning-fork” sounding out the hollow and dangerous idols handed down to us that have passed for sagacity. (shrink)

How should we understand the relationship between the contents of our color, causal, modal, and evaluative beliefs, on the one hand, and color, causal, modal, and evaluative properties, on the other? According to Barry Stroud (2011), because of the nature of the contents of those types of beliefs, we should also think that what he calls a “negative metaphysical verdict” on the latter is not one that we could consistently maintain. The metaphysical project aims to arrive at an improved (...) conception of ourselves and our relation the world, no matter if that conception is positive or negative. But if Stroud is right that we cannot consistently arrive at the view that all of our causal, modal, and evaluative beliefs are systematically false, we will see that we cannot consistently reach the negative verdict. But failure to reach the negative verdict doesn’t mean that we have reached the positive verdict. Stroud calls this philosophical failure “metaphysical dissatisfaction”. In this paper, I argue that we can appropriate a metaepistemological response to the problem of the external world which shares its core features with Stroud’s (2000, 2011) arguments, but which nevertheless leaves us with a distinctive kind of epistemological dissatisfaction. (shrink)

We can often permissibly choose a worse self-interested option over a better altruistic alternative. For example, it is permissible to eat out rather than donate the money to feed five hungry children for a single meal. If we eat out, we do something permissibly partial toward ourselves. If we donate, we go beyond the call of moral duty and do something supererogatory. Such phenomena aren’t easy to explain, and they rule out otherwise promising moral theories. Incommensurability and Ruth Chang’s notion (...) of parity can explain certain small improvement puzzles, but they can’t explain permissible partiality and supererogation. On the other hand, Josh Gert’s distinction between justifying and requiring weight can explain all three phenomena: permissible partiality, supererogation, and the relevant small improvement puzzle. Indeed, this chapter provides a reason to endorse the justifying/requiring weight distinction by showing that it provides the only extant explanation of all three phenomena. (shrink)

Argument is often taken to deal with conflicting opinion or belief, while negotiation deals with conflicting goals or interests. It is widely accepted that argument ought to comply with some principles or norms. On the other hand, negotiation and bargaining involve concession exchange and tactical use of power, which may be contrasted with attempts to convince others through argument. However, there are cases where it is difficult to draw a clear distinction between bargaining and argument: notably cases where negotiators (...) persuade others through `framing' and cases where the aims of negotiation have to do with public assertion and acceptance. Those cases suggest that the distinction between negotiation and argument is not absolute, and this raises the question whether rules about what is acceptable in argument and rules about what is acceptable in negotiation can all be viewed as instances of more general common norms about human interaction. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:On Wu-wei as a Unifying MetaphorChris FraserEffortless Action: Wu-wei as Conceptual Metaphor and Spiritual Ideal in Early China. By Edward Slingerland. New York: Oxford University Press, 2003. Pp. xii + 352. $60.00.This provocative work is the most ambitious general study of pre-Qin thought to appear in more than a decade. It deals with what is increasingly recognized as one of the period's key themes, the ethical ideal of perfected (...) action and the processes of cultivation, or uncultivation, by which it might be achieved. The book has two specific aims, one substantive, one methodological (p. vii). The substantive aim is to show that the notion of wu-wei, which Slingerland renders as "effortless action," functioned as a shared ideal and problematic for both Daoists and Confucians and that internal tensions in this ideal motivated much of the development of Warring States thought (p. 5). The methodological aim is to illustrate the fruitfulness of conceptual-metaphor theory, familiar from the work of Lakoff and Johnson, by employing it to articulate and support the book's substantive theses (p. vii).For Slingerland, wu-wei is "a state of personal harmony in which actions flow freely and instantly from one's spontaneous inclinations... and yet nonetheless accord perfectly with the dictates of the situation at hand, display an almost supernatural efficacy, and (in the Confucian context at least) harmonize with the demands of conventional morality" (p. 7). Slingerland expands on this characterization in various ways, without making it entirely clear how all the features he identifies fit together. On the one hand, he explains that wu-wei is a phenomenological feature of the agent's subjective mental state: "wu-wei properly refers not to what is actually happening (or not happening) in the realm of observable action but rather to... the phenomenological state of the doer" (p. 7), primarily one of effortlessness and unselfconsciousness (pp. 29-33). But wu-wei is also "action that... accords in every particular with the normative order of the cosmos" (p. 5), so beyond its phenomenological features, it must include an objective normative component as well. Another remark suggests that wu-wei fundamentally is not a phenomenological state after all, since "it represents not a transitory state but rather a set of dispositions" (p. 7). Probably these various statements are meant to emphasize that the crux of wu-wei is to achieve and sustain a certain sort of psychological state, which then reliably generates effortless, normatively appropriate, efficacious action.The phrase 'wu-wei' plays essentially no role in Confucian texts and is absent from large chunks of the Zhuangzi. So Slingerland's thesis that wu-wei is the joint [End Page 97] ideal of both Daoist and Confucian thought faces a daunting justificatory challenge, which he proposes to meet by applying conceptual metaphor theory (p. 10). On his interpretation, wu-wei is not to be understood literally, as "non-doing," since in the state denoted by wu-wei, the agent is not actually inactive, doing nothing at all (p. 11). This gap between literal meaning and actual reference indicates that the term 'wu-wei' functions metaphorically, referring to "a metaphorically conceived situation" in which an action occurs even though the agent exerts no effort (p. 11). Slingerland hypothesizes that wu-wei became a technical term for effortless action because it is the most general of a network of conceptual metaphors for effortlessness and unselfconsciousness, including families of metaphors for "following" (p. 29), "ease" (p. 30), and "forgetting" (p. 33). This network expresses a unified, "deeper conceptual structure," appeal to which justifies the claim that "apparently diverse ideals of perfected action" are in fact articulations and developments of a single metaphorically conceived ideal, though the term denoting it—'wu-wei'—may not appear in a particular text (p. 11).Once we have a grip on the conceptual structure of wu-wei through the families of metaphors that constitute it, we can identify wu-wei as a central problematic of pre-Qin thought and trace its development by examining the use of these metaphors in texts from the Book of Odes and the Book of History (chapter 1) through the Xunzi (chapter 7). Each... (shrink)

Kant's views on revolution are notoriously paradoxical: on the one hand he appears to condemn all instances of revolution, but on the other he expresses enthusiasm for the French Revolution and other revolutionary acts. I argue that we can reconcile Kant’s views on revolution by examining instances when an individual is under a moral obligation to revolt. First, I show how Kant reconciles his position on the French Revolution with his position on revolution in general. His answer, however, raises (...) additional questions involving revolution in relation to his overall philosophical theory. Next, I present what is generally understood to be Kant’s philosophy on revolution, and Christine Korsgaard’s analysis using this traditional understanding to reconcile his seemingly contradictory views. After critiquing her position, I present my own analysis of Kant’s philosophy, and show how this apparent paradox can be resolved by examining an individual’s overriding moral obligation to leave the state of nature and establish civil society. (shrink)

Many philosophers believe that aesthetic testimony can provide aesthetic knowledge. This leaves us with the question: why does getting aesthetic knowledge by experience – by seeing a painting up close, or witnessing a performance first-hand – nevertheless seem superior to aesthetic testimony? I argue that it is due to differences in their epistemic value; in the diversity of epistemic goods each one provides. Aesthetic experience, or the experience of art or other aesthetic objects, affords multiple, distinctive epistemic goods whereas (...) aesthetic testimony affords less. In particular, it provides aesthetic knowledge of truths, a kind of propositional knowledge, as well as aesthetic knowledge of things, a kind of non-propositional knowledge. Although aesthetic experience is superior because it has more epistemic value, this doesn’t mean that aesthetic testimony provides weaker justification for aesthetic belief than aesthetic experience; the difference is evaluative, not normative. In this way, we can explain a key pessimistic intuition about aesthetic testimony – that it is inferior to aesthetic experience – whilst preserving the optimistic view that aesthetic testimony makes aesthetic knowledge available to others. The superior epistemic value of first-hand aesthetic experience is compatible with a number of important observations about aesthetic testimony, including the importance of aesthetic trust. (shrink)

What do the relationships observed in the occurrence of various limb, facial, and speech apraxias following left hemisphere damage mean for Corballis's theory? What does the right hemisphere's role in nonpropositional and automatic speech production tell us about the coevolution of right hand preference and speech; how could the possibility that the right hemisphere may be “dominant” for some aspects of speech be accommodated by his theory?

_A fresh and fascinating look at the philosophies, politics, and intellectual legacy of one of the twentieth century’s most influential and controversial minds_ Occupying a pivotal position in postwar thought, Noam Chomsky is both the founder of modern linguistics and the world’s most prominent political dissident. Chris Knight adopts an anthropologist’s perspective on the twin output of this intellectual giant, acclaimed as much for his denunciations of US foreign policy as for his theories about language and mind. Knight explores (...) the social and institutional context of Chomsky’s thinking, showing how the tension between military funding and his role as linchpin of the political left pressured him to establish a disconnect between science on the one hand and politics on the other, deepening a split between mind and body characteristic of Western philosophy since the Enlightenment. Provocative, fearless, and engaging, this remarkable study explains the enigma of one of the greatest intellectuals of our time. (shrink)

This paper presents two different kinds a priori entitlements and argues that both are necessary to account for scientific knowledge. On the one hand, there are formal a priori entitlements whose existence is grounded in conditions on concept possession. On the other hand, there are material a priori entitlements that an agent accrues in virtue of practical reasoning. The discussion aims to reconcile the strengths of Christopher Peacocke’s and Michael Friedman’s recent work on the a priori, while overcoming (...) the weaknesses of their respective proposals. (shrink)

Modern health care rhetoric promotes choice and individual patient rights as dominant values. Yet we also accept that in any regime constrained by finite resources, difficult choices between patients are inevitable. How can we balance rights to liberty, on the one hand, with equity in the allocation of scarce resources on the other? For example, the duty of health authorities to allocate resources is a duty owed to the community as a whole, rather than to specific individuals. Macro-duties of (...) this nature are founded on the notion of equity and fairness amongst individuals rather than personal liberty. They presume that if hard choices have to be made, they will be resolved according to fair and consistent principles which treat equal cases equally, and unequal cases unequally.In this paper, we argue for greater clarity and candour in the health care rights debate. With this in mind, we discuss (1) private and public rights, (2) negative and positive rights, (3) procedural and substantive rights, (4) sustainable health care rights and (5) the New Zealand booking system for prioritising access to elective services. This system aims to consider: individual need and ability to benefit alongside the resources made available to elective health services in an attempt to give the principles of equity practical effect. We describe a continuum on which the merits of those, sometimes competing, values—liberty and equity—can be evaluated and assessed. (shrink)

The most common charge against sceptical theism is that it is too sceptical, i.e. it committed to some undesirable form of scepticism or another. I contend that Michael Bergmann’s sceptical theism isn’t sceptical enough. I argue that, if true, the sceptical theses secure a genuine victory: they prevent, for some people, a prominent argument from evil from providing any justification whatsoever to doubt the existence of God. On the other hand, even if true, the sceptical theses fail to prevent (...) even the atheist from justifiably accepting it. (shrink)

Brain imaging studies have consistently shown subgenual Anterior Cingulate Cortical (sgACC) involvement in emotion processing. COMT Val158 and Met158 polymorphisms may influence such emotional brain processes in specific ways. Given that resting-state fMRI (rsfMRI) may increase our understanding on brain functioning, we integrated genetic and rsfMRI data and focused on sgACC functional connections. No studies have yet investigated the influence of the COMT Val158Met polymorphism (rs4680) on sgACC resting-state functional connectivity (rsFC) in healthy individuals. A homogeneous group of sixty-one Caucasian (...) right-handed healthy female university students, all within the same age range, underwent rsfMRI. Compared to Met158 homozygotes, Val158 allele carriers displayed significantly stronger rsFC between the sgACC and the left parahippocampal gyrus, ventromedial parts of the inferior frontal gyrus, and the nucleus accumbens (NAc). On the other hand, compared to Val158 homozygotes, we found in Met158 allele carriers stronger sgACC rsFC with the medial frontal gyrus, more in particular the anterior parts of the medial orbitofrontal cortex. Although we did not use emotional or cognitive tasks, our sgACC rsFC results point to possible distinct differences in emotional and cognitive processes between Val158 and Met158 allele carriers. However, the exact nature of these directions remains to be determined. (shrink)

Kripke's discussion in Naming and Necessity strongly suggests that semantic stipulation allows us to have new de re thoughts and make new de re claims. For example, it seems we could name the winning ticket in the next lottery 'Tickie' and thereby come to have singular thoughts about Tickie as opposed to merely general thoughts about the winning ticket (whichever one that is). This, in turn, seems to put us into a position to know that Tickie is the winning ticket. (...) If so, it seems we now know which ticket will win the lottery. So it seems semantic stipulation puts us in a position to have all sorts of knowledge that, intuitively, we don't have. We argue that semantic stipulation does put you in a position to have new singular thoughts, though those thoughts will usually be informationally isolated. We think you also typically know these singular propositions, but it is misleading for you to say that you do since you typically cannot act on your knowledge in the expected way. On the other hand, since you can't act on the information in the right way, perhaps your knowledge is thwarted. If so, you don't know Tickie will win since you can't act on that information in order to (e.g.) buy Tickie and no other ticket. We develop both views and argue that they are preferable to the alternatives. (shrink)

This paper reconstructs L.S. Vygotsky’s account of anthropogenesis with respect to the work of anthropologist André Leroi-Gourhan and late philosopher Bernard Stiegler, situating Vygotsky as a forerunner to recent theories that posit cultural scaffolding and niche construction as the main drivers of human cognitive evolution. One might think there is an immediate affinity between Vygotsky and the techno-centric accounts of Leroi-Gourhan and Stiegler. Following Leroi-Gourhan, Stiegler argues that “technics” is the main driver in the anthropogenic development of “reflective consciousness.” Vygotsky (...) likewise claims that “psychological tools” are responsible for the development of uniquely human forms of consciousness. However, closer inspection reveals deep disparities between Vygotsky and the French thinkers. In Stiegler’s philosophical redeployment of Leroi-Gourhan’s anthropology, “reflective” cognition is the product of a prehistorical rupture in which some threshold of technical-cortical complexification is breached. For Vygotsky, on the other hand, the inverse scenario obtains. Technical development initially proceeds in tandem with the complexification of biologically based signaling behavior until the introduction of signs, which then radically restructure the cognitive apparatus. Due to inconsistencies regarding the equivalency of the technical and semiotic in Stiegler and Leroi-Gourhan, I advance a Vygotskian account where anthropogenesis is the result of semiotic rather than technical intervention. This aims to establish Vygotsky’s “Cultural Historical” approach, and the Marxian-dialectical tradition from which he draws, as not only presaging recent naturalistic accounts of development, but offering a relevant theoretical program that may continue to inspire contemporary enculturated accounts of anthropogenesis. (shrink)

A step towards a theory of consciousness would be to characterise the effect of consciousness on information processing. One set of results suggests that the effect of consciousness is to interfere with computations that are optimally performed non-consciously. Another set of results suggests that conscious, system 2 processing is the home of norm-compliant computation. This is contrasted with system 1 processing, thought to be typically unconscious, which operates with useful but error-prone heuristics. -/- These results can be reconciled by separating (...) out two different distinctions: between conscious and non-conscious representations, on the one hand, and between automatic and deliberate processes, on the other. This pair of distinctions is used to illuminate some existing experimental results and to resolve the puzzle about whether consciousness helps or hinders accurate information processing. This way of resolving the puzzle shows the importance of another category, which we label ‘type 0 cognition’, characterised by automatic computational processes operating on non-conscious representations. (shrink)

Emerging evidence is now challenging the view that patients diagnosed with schizophrenia experience a selective deficit in their sense of agency. Additional disturbances seem to exist in their sense of body ownership. However, the factors underlying this disturbance in body ownership remain elusive. Knowledge of these factors, and increased understanding of how body ownership is related to other abnormalities seen in schizophrenia, could ultimately advance development of new treatments. Research on body ownership in schizophrenia has mainly been investigated with the (...) rubber hand illusion (RHI). Schizophrenia patients show higher susceptibility to the RHI, which may be explained by a stronger reliance on multisensory information over weaker stored body representations. This review shows that a coherent sense of body ownership arises from the integration of both bottom-up sensory processes and higher order, top-down bodily- and perceptual representations. Multisensory integration, temporal binding, anticipation, intention and efferent signals all partly modulate the complex experience of body ownership. Specifically, we propose that patients with schizophrenia have weaker stored body representations, and rely to a greater extent on external stimuli, such as visual information, due to imprecise or highly variable internal predictions on the consequences of action. Moreover, the reduced sense of agency in schizophrenia may additionally contribute to the disturbed sense of body ownership, as evidence from healthy participants suggests that agency and body ownership are interrelated. Vice versa, a reduced sense of body ownership may also contribute to a reduced sense of agency. Future studies should explicitly target the precise relation between the two in schizophrenia. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:82 Reviews c:\users\arlene\documents\rj issues\type3501\rj 3501 061 red.docx 2015-07-10 4:07 PM LOGICISM BEYOND PRINCIPIA MATHEMATICA Chris Pincock Philosophy / Ohio State U. Columbus, oh 43210–1365, usa [email protected] William Demopoulos. Logicism and Its Philosophical Legacy. Cambridge: Cambridge U. P., 2013. Pp. xii, 272. isbn: 9781107029804.£60.00; us$104.99 (hb). his book brings together eight previously published essays along with three new essays and a brief introduction. In one way or another, each (...) essay pursues either logicism or some broader implication of logicism that a major figure like Russell or Carnap explored. In a narrow sense, logicism is just the position that grounds the concepts and claims of arithmetic (or all of mathematics) in logic. However, in Demopoulos’ hands, logicism becomes a project of much greater significance. A note added to Chapter 5, the classic 1985 article “Bertrand Russell’s The Analysis of Matter” (co-authored with Michael Friedman), indicates this broader scope and Demopoulos’ own take on logicism. Originally Demopoulos and Friedman had concluded their article with both the observation that there are serious “intellectual tensions produced by logicism’s attempt to account for both pure mathematics and applied mathematics (mathematical physics)” and the pessimistic conclusion that “it appears that we can account for the distinctive character of the one only at the expense of the other” (p. 107). Now Demopoulos indicates that even though “something close to [this] is true of Carnap’s Ramsey-sentence q= Reviews 83 c:\users\arlene\documents\rj issues\type3501\rj 3501 061 red.docx 2015-07-10 4:07 PM reconstruction of the language of science”, “the four previous chapters are an extended argument against” the earlier conjecture. For Demopoulos, the main problem is to make sense of both pure and applied mathematics in something like the original logicist form found in Frege, Russell and Carnap.The solution to this problem arises only when we have pinpointed exactly where these logicist projects failed and how their failures can be overcome. Chapter 1 focuses on Frege and his logicism for arithmetic. Demopoulos’ main contention is that Frege aims to reduce arithmetic to logic in order to demonstrate the autonomy of arithmetic from geometric intuition and empirical experience. Frege’s worry about intuition is not motivated by scepticism or by a concern about the cogency of our knowledge of arithmetic (p. 11).The point of logicism is to free arithmetic from the obscurity associated with intuition and to get a clearer grasp of the generality that is characteristic of arithmetic. (Chapters 8 and 9 develop this point in more detail and use it to motivate a brand of logicism for arithmetic that is taken to improve on current neo-Fregean approaches.) For this reason Hume’s Principle takes a central role in Frege’s reconstruction of arithmetic for it not only establishes the autonomy of arithmetic, but also secures the core use of arithmetic in application, i.e. in counting (p. 19). Unlike Dummett and other commentators Demopoulos does not think that this aspect of Frege’s logicism is flawed. Instead, flaws arise only with the accounts of applied mathematics offered by later figures like Russell and Carnap.The root of these problems is that they extend a particular logicist strategy to other areas of mathematics, such as geometry, and to our scientific knowledge more generally. Chapter 2 considers “Carnap’sThesis”, which Demopoulos summarizes as “the assertion that certain applied mathematical theories are not factual” (p. 28). Although the thesis is clearly central to Carnap throughout his career, Demopoulos ultimately argues for a non-Carnapian basis for the factual/nonfactual distinction.The root of the difference is the kind of criteria of identity that are appropriate for the objects at the heart of the theory: … the factuality of an applied mathematical theory will be shown to turn on the recognition that the criteria of identity appropriate to its objects are empirically constrained in a way that the criteria of identity appropriate to the objects of a nonfactual theory are not. (P. 28) For arithmetic, the natural numbers associated with two sortal concepts are identical just in case the objects that... (shrink)

Conservative subtheories of $${{R}^{1}_{2}}$$ and $${{S}^{1}_{2}}$$ are presented. For $${{S}^{1}_{2}}$$, a slight tightening of Jeřábek’s result (Math Logic Q 52(6):613–624, 2006) that $${T^{0}_{2} \preceq_{\forall \Sigma^{b}_{1}}S^{1}_{2}}$$ is presented: It is shown that $${T^{0}_{2}}$$ can be axiomatised as BASIC together with induction on sharply bounded formulas of one alternation. Within this $${\forall\Sigma^{b}_{1}}$$ -theory, we define a $${\forall\Sigma^{b}_{0}}$$ -theory, $${T^{-1}_{2}}$$, for the $${\forall\Sigma^{b}_{0}}$$ -consequences of $${S^{1}_{2}}$$. We show $${T^{-1}_{2}}$$ is weak by showing it cannot $${\Sigma^{b}_{0}}$$ -define division by 3. We then consider what (...) would be the analogous $${\forall\hat\Sigma^{b}_{1}}$$ -conservative subtheory of $${R^{1}_{2}}$$ based on Pollett (Ann Pure Appl Logic 100:189–245, 1999. It is shown that this theory, $${{T}^{0,\left\{2^{(||\dot{id}||)}\right\}}_{2}}$$, also cannot $${\Sigma^{b}_{0}}$$ -define division by 3. On the other hand, we show that $${{S}^{0}_{2}+open_{\{||id||\}}}$$ -COMP is a $${\forall\hat\Sigma^{b}_{1}}$$ -conservative subtheory of $${R^{1}_{2}}$$. Finally, we give a refinement of Johannsen and Pollett (Logic Colloquium’ 98, 262–279, 2000) and show that $${\hat{C}^{0}_{2}}$$ is $${\forall\hat\Sigma^{b}_{1}}$$ -conservative over a theory based on open cl-comprehension. (shrink)

The cortical visual mechanisms involved in processing spatial relationships remain subject to debate. According to one current view, the ''dorsal stream'' of visual areas, emanating from primary visual cortex and culminating in the posterior parietal cortex, mediates this aspect of visual processing. More recently, others have argued that while the dorsal stream provides egocentric coding of visual location for motor control, the separate ''ventral'' stream is needed for allocentric spatial coding. We have assessed the visual form agnosic patient DF, whose (...) lesion mainly affects the ventral stream, on a prehension task requiring allocentric spatial coding. She was presented with transparent circular disks. Each disk had circular holes cut in it. DF was asked to reach out and grasp the disk by placing her fingers through the holes. The disks either had three holes (for forefinger, middle finger, and thumb) or two holes (for forefinger and thumb). The distance between the forefinger and thumb holes, and the orientation of the line formed by them, were independently varied. DF was quite unable to adjust her grip aperture or her hand orientation in the three-hole task. Although she was able to orient her hand appropriately for the two-hole disks, she still remained unable to adjust her grip aperture to the distance between the holes. These findings are consistent with the idea that allocentric processing of spatial information requires a functioning ventral stream, even when the information is being used to guide a motor response. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:On Wu-wei as a Unifying MetaphorChris FraserEffortless Action: Wu-wei as Conceptual Metaphor and Spiritual Ideal in Early China. By Edward Slingerland. New York: Oxford University Press, 2003. Pp. xii + 352. $60.00.This provocative work is the most ambitious general study of pre-Qin thought to appear in more than a decade. It deals with what is increasingly recognized as one of the period's key themes, the ethical ideal of perfected (...) action and the processes of cultivation, or uncultivation, by which it might be achieved. The book has two specific aims, one substantive, one methodological (p. vii). The substantive aim is to show that the notion of wu-wei, which Slingerland renders as "effortless action," functioned as a shared ideal and problematic for both Daoists and Confucians and that internal tensions in this ideal motivated much of the development of Warring States thought (p. 5). The methodological aim is to illustrate the fruitfulness of conceptual-metaphor theory, familiar from the work of Lakoff and Johnson, by employing it to articulate and support the book's substantive theses (p. vii).For Slingerland, wu-wei is "a state of personal harmony in which actions flow freely and instantly from one's spontaneous inclinations... and yet nonetheless accord perfectly with the dictates of the situation at hand, display an almost supernatural efficacy, and (in the Confucian context at least) harmonize with the demands of conventional morality" (p. 7). Slingerland expands on this characterization in various ways, without making it entirely clear how all the features he identifies fit together. On the one hand, he explains that wu-wei is a phenomenological feature of the agent's subjective mental state: "wu-wei properly refers not to what is actually happening (or not happening) in the realm of observable action but rather to... the phenomenological state of the doer" (p. 7), primarily one of effortlessness and unselfconsciousness (pp. 29-33). But wu-wei is also "action that... accords in every particular with the normative order of the cosmos" (p. 5), so beyond its phenomenological features, it must include an objective normative component as well. Another remark suggests that wu-wei fundamentally is not a phenomenological state after all, since "it represents not a transitory state but rather a set of dispositions" (p. 7). Probably these various statements are meant to emphasize that the crux of wu-wei is to achieve and sustain a certain sort of psychological state, which then reliably generates effortless, normatively appropriate, efficacious action.The phrase 'wu-wei' plays essentially no role in Confucian texts and is absent from large chunks of the Zhuangzi. So Slingerland's thesis that wu-wei is the joint [End Page 97] ideal of both Daoist and Confucian thought faces a daunting justificatory challenge, which he proposes to meet by applying conceptual metaphor theory (p. 10). On his interpretation, wu-wei is not to be understood literally, as "non-doing," since in the state denoted by wu-wei, the agent is not actually inactive, doing nothing at all (p. 11). This gap between literal meaning and actual reference indicates that the term 'wu-wei' functions metaphorically, referring to "a metaphorically conceived situation" in which an action occurs even though the agent exerts no effort (p. 11). Slingerland hypothesizes that wu-wei became a technical term for effortless action because it is the most general of a network of conceptual metaphors for effortlessness and unselfconsciousness, including families of metaphors for "following" (p. 29), "ease" (p. 30), and "forgetting" (p. 33). This network expresses a unified, "deeper conceptual structure," appeal to which justifies the claim that "apparently diverse ideals of perfected action" are in fact articulations and developments of a single metaphorically conceived ideal, though the term denoting it—'wu-wei'—may not appear in a particular text (p. 11).Once we have a grip on the conceptual structure of wu-wei through the families of metaphors that constitute it, we can identify wu-wei as a central problematic of pre-Qin thought and trace its development by examining the use of these metaphors in texts from the Book of Odes and the Book of History (chapter 1) through the Xunzi (chapter 7). Each... (shrink)

Levinas is in biografisch én in filosofisch opzicht met anti-judaïstische denkbeelden geconfronteerd. Over Christus heeft hij zich slechts sporadisch uitgelaten. Desondanks is zijn werk is te lezen als een ontzenuwing – zo men wil een ‘deconstructie’ – van een aantal klassiek christelijk dogmatische bepalingen, die voedsel gaven aan het antisemitisme. Hij denkt verder dan de traditionele onto-theologie en het daarbij behorende kosmologisch realisme of ethische moralisme. Hoe hij daarbij methodisch te werk gaat, wordt hieronder geschetst aan de hand van (...) twee samenhangende termen: schepping en plaatsvervanging. (shrink)

Over the past decade or so, a new interdisciplinary field has emerged in the ground between, on the one hand, computer science – and artificial intelligence in particular – and, on the other, the area of philosophy concentrating on the language and structure of argument. There are now hundreds of researchers worldwide who would consider themselves a part of this nascent community. Various terms have been proposed for the area, including "Computational Dialectics," "Argumentation Technology," and "Argument-based Computing," but the (...) term that has stuck is simply Argument & Computation. It encompasses several specific strands of research, such as: . the use of theories of argument, and dialectic in particular, in the design and implementation of protocols for multi-agent action and communication; . the application of theories of argument and rhetoric in natural language processing and affective computing; . the use of argument-based structures for autonomous reasoning in artificial intelligence, and in particular, for defeasible reasoning; . computer-supported collaborative argumentation – the implementation of software tools for enabling online argument in domains such as education and e-government. These strands come together to form the core of a research field that covers parts of artificial intelligence (AI), philosophy, linguistics, and cognitive science, but, increasingly, is building an identity of its own. (shrink)

[On Diogenes, who coined the term ‘cosmopolitan’] ‘If only more contemporary self-styled cosmopolitans drank water from their hands, ate human flesh, hugged statues and masturbated in public. … Diogenes's “cosmopolitanism” is much more of an anti-political stance than some sort of banal internationalism’.

Given the complexity of teams involved in creating AI-based systems, how can we understand who should be held accountable when they fail? This paper reports findings about accountable AI from 26 interviews conducted with stakeholders in AI drawn from the fields of AI research, law, and policy. Participants described the challenges presented by the distributed nature of how AI systems are designed, developed, deployed, and regulated. This distribution of agency, alongside existing mechanisms of accountability, responsibility, and liability, creates barriers for (...) effective accountable design. As agency is distributed across the socio-technical landscape of an AI system, users without deep knowledge of the operation of these systems become disempowered, unable to challenge or contest when it impacts their lives. In this context, accountability becomes a matter of building systems that can be challenged, interrogated, and, most importantly, adjusted in use to accommodate counter-intuitive results and unpredictable impacts. Thus, accountable system design can work to reconfigure socio-technical landscapes to protect the users of AI and to prevent unjust apportionment of risk. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 20 (2000) 247-248 [Access article in PDF] Christ and Buddha: Weaving a Path for the New Millennium Thomas G. Hand, S.J.Mercy Center, Burlingame, CAThis dialogue conference/retreat was held at Mercy Center, Burlingame, CA, August 10-15, 1999. Well over the stated limit of 150 people joined a faculty of ten in presentations, discussions, sharing, meditation, and rituals. The conference was born primarily out of the personal and (...) social need for dialogue felt by Sandi Peters, who joined the program staff of Mercy Center after three years spent at Insight Meditation East, Barre, Massachusetts.Besides Peters as presider, the faculty members were: representing the Buddhist side--Nigel Edmonds (Mahayana and Christianity), Chris Phillips (Theravada), Ven. Thubten Chodron (Vajrayana), Rev. Heng Sure (Chinese Mahayana), and Patrick Thornton (Theravada and Christianity); representing the Christian side--Thomas G. Hand, S. J. (Catholic), Kevin Hunt, OCSO (Cistercian monk), Roshi Jinne Richardson (Zen and Christianity), and Rev. Shari Young (Episcopal and Zen).In a well-received keynote talk, Thomas Hand offered as the basis for the whole dialogue "The Primacy of Experience" in both traditions. The major themes were: (1st day) "The Challenges of Buddhist-Christian Dialogue," (2nd day) "The Language and Symbols of the Traditions," (4th day) "Weaving a Path for the New Millennium" as a joint venture of the two traditions together. On the third day, participants engaged in "Practice--East and West," including presentations geared toward practice both then and there and in the future.One marked difference between this conference and those that Mercy Center put on from 1985 to 1988 was the quality of the participants. In the earlier conferences, many were seekers and intellectual questioners. This year, besides such qualities, the participants were sincere practitioners. In fact, a great many were practicing in both traditions. They often classified themselves as Buddhist Christians or as Christian-root Buddhists. The greater depth of dialogue that has developed in less than fifteen years was clearly apparent. What is more, the sharing and insights of both Buddhist and Christian presenters seemed to have become increasingly relaxed, articulate, and vital. Their presentations were met with much deeper understanding and enthusiasm by all the participants. [End Page 247]Besides the presentations, participants deeply appreciated the chi kong and tai chi sessions, the daily meditation together, the day of practice, the tea ceremony, and the closing ritual. In a word, the conference was holistic dialogue.Those of dual practice were especially happy to find that they are not alone, that many are coming together to weave a new Path for the new millennium.Tapes are available. Contact Sandi Peters at (650) 340-7486.... (shrink)

Baudrillard's remarkably prescient meditation on terrorism throws light on post-9/11 delusional fears and political simulations. Published one year after Forget Foucault, In the Shadow of the Silent Majorities may be the most important sociopolitical manifesto of the twentieth century: it calls for nothing less than the end of both sociology and politics. Disenfranchised revolutionaries hoped to reach the masses directly through spectacular actions, but their message merely played into the hands of the media and the state. In a media society (...) meaning has no meaning anymore; communication merely communicates itself. Jean Baudrillard uses this last outburst of ideological terrorism in Europe to showcase the end of the "Social." Once invoked by Marx as the motor of history, the masses no longer have sociological reality. In the electronic media society, all the masses can do—and all they will do—is enjoy the spectacle. In the Shadow of the Silent Majorities takes to its ultimate conclusion the "end of ideologies" experienced in Europe after the Soviet invasion of Hungary and the death of revolutionary illusions after May 1968. Ideological terrorism doesn't represent anything anymore, writes Baudrillard, not even itself. It is just the last hysterical reaction to discredited political illusions. (shrink)

In January 2023, the Science and Security Board of the Bulletin of the Atomic Scientists moved the hands of the Doomsday Clock forward to 90 s before midnight.

Little is known about distance processing in patients with posterior brain damage. Although many investigators have claimed that distance estimates are normal or abnormal in some of these patients, many of these observations were made informally and the examiners often asked for relative, and not absolute, distance estimates. The present investigation served two purposes. First, we wanted to contrast the use of distance information in peripersonal space for perceptual report as opposed to visuomotor control in our visual form agnosic patient, (...) DF. Second, we wanted to see to what extent her abilities to process distance cues were dependent on binocular vision, in light of Milner et al.'s (1991) observations of preserved stereopsis in DF, and Dijkerman et al.'s (1996) and Marotta et al.'s (1997) observations that her visual guidance of grasping may be particularly dependent on binocular vision of the target. We hypothesized that DF's visuomotor responses would show normal sensitivity to target distance, while her perceptual estimates would not. In the first experiment, we required DF and two age- and sex-matched control subjects to reach out and grasp black cubes placed at varying distances, or to estimate the distance of the cubes from the hand starting position without making a reaching movement. In the second experiment, we required DF and two age-matched control subjects to point as rapidly and accurately as possible to small LED targets which differed in spatial location, under binocular and monocular conditions. The results showed that, relative to the control subjects, DF's grasping movements produced normal peak velocity-distance scaling-when she reached for blocks which varied in depth or pointed to LED targets which were presented at different distances in depth. In contrast, in the cube experiment, her verbal estimates of object distance were poorly scaled, although they improved slightly under the binocular conditions. The results are discussed in terms of current theories of processing streams in extrastriate visual cortex and the distinction between categorical and coordinate spatial processing. (shrink)

The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...) as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision-making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision-making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given. (shrink)

The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...) as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision‐making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision‐making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given. (shrink)