pThrough the form of a letter, I engage my mentor, Jorge J. E. Gracia, in his own biographical articulation of life. While the letter was not included in the volume for which it was originally written, it was read to Gracia before he passed, and I could not be more honored. In the end, that is all that really matters. In the words that follow I take a moment to reflect on Jorge’s life and work as I process his passing./p.

Simone de Beauvoir's The Second Sex has been heralded as a canonical text of feminist theory. The book focuses on providing an account of the lived experience of woman that generates a condition of otherness. However, I contend that it falls short of being able to account for the multidimensionality of identity insofar as Beauvoir's argument rests upon the comparison between racial and gendered oppression that is understood through the black–white binary. The result of this framework is the imperceptibility of (...) identities at the crossroads between categories of race and gender. Hence, the goal of this article is to explore the margins of Beauvoir's work in order to decenter the “other” of The Second Sex and make known what is made imperceptible by its architecture, using Latina identity as an interventional guide. I conclude that given the prominence of The Second Sex in feminist theory, this shortcoming must be addressed if feminist theorists are to use it responsibly. (shrink)

This essay explores the philosophical productions of women from the Spanish speaking Caribbean. Here the Caribbean is understood as a multiplicitous and polyphonic space that exists amidst modernities engendered by colonization. I present the intellectual contributions of Luisa Capetillo, Ofelia Rodríguez Acosta, Petronila Angélica Gómez, Ochy Curiel, Yuderkys Espinosa Miñoso, and Yomaira Figueroa as fertile philosophical starting points from which to frame a feminist tradition of the Spanish‐speaking Caribbean that appreciates the multiple and often conflicting body of ideas that emerge (...) from within a sea of islands. (shrink)

This essay explores the philosophical productions of women from the Spanish speaking Caribbean. Here the Caribbean is understood as a multiplicitous and polyphonic space that exists amidst modernities engendered by colonization. I present the intellectual contributions of Luisa Capetillo, Ofelia Rodríguez Acosta, Petronila Angélica Gómez, Ochy Curiel, Yuderkys Espinosa Miñoso, and Yomaira Figueroa as fertile philosophical starting points from which to frame a feminist tradition of the Spanish‐speaking Caribbean that appreciates the multiple and often conflicting body of ideas that emerge (...) from within a sea of islands. (shrink)

On June 12, 2016, the world witnessed one of the deadliest single shooter massacres in U.S. history. Fifty persons were killed and fifty-three were critically injured. Of those fifty, twenty-three were Puerto Rican; 90% of those killed were Latinx. Their faces spanned the racial kaleidoscope of the African, Latinx, and Indigenous diaspora. Most of them were working class and extremely young (Ochoa 2016). However, these particularities went largely omitted from the coverage of the event that swept the nation under the (...) label of an LGBTQ hate crime. The ubiquity of death of color in the U.S. cannot be overstated. Indeed, many pulses have been lost outside of Pulse nightclub. To many, June 12 may seem like a day among many, lost to the memorials of death no one really wants to remember. In this paper I explore June 12 as we turn the page on its sixth year of remembrance. I make the case for a reading of June 12 as more than an LGBTQ hate crime, but rather as emblematic of a battleground of a sacred space (Latin night at the gay bar) for queer bodies of color. The project establishes a more complex framework for understanding what took place on June 12 that can appreciate the ethno-racial, spiritual, and queer dimensions that foregrounded the event. I maintain that the method of analysis necessitates a different model of theorizing, one that can crystalize the sexuality of terrorism, the whiteness of homonationalism, and thereby the importance of creating sacred space for Latinx queer subjects, many of whom, in the context of June 12, form part of the Puerto Rican diaspora. (shrink)

Latin American philosophy has long been concerned with its philosophical identity. In this paper I argue that the search for Latin American philosophical identity is motivated by a desire for recognition that largely hinges on its relationship to European thought. Given that motivations are seldom easily accessible, the essay comparatively draws on Africana and Native American metaphilosophical reflections. Such juxtapositions serve as a means of establishing how philosophical exclusions have themselves motivated and structured how Latin American philosophy has understood its (...) own quest for philosophical identity. In closing, I gesture toward the possibilities of shifting the conversation away from what makes Latin American philosophy distinct toward one of praxis—what do we want Latin American philosophy to do. (shrink)

On June 12, 2016, the world witnessed one of the deadliest single shooter massacres in U.S. history. Fifty persons were killed and fifty-three were critically injured. Of those fifty, twenty-three were Puerto Rican; 90% of those killed were Latinx. Their faces spanned the racial kaleidoscope of the African, Latinx, and Indigenous diaspora. Most of them were working class and extremely young (Ochoa 2016). However, these particularities went largely omitted from the coverage of the event that swept the nation under the (...) label of an LGBTQ hate crime. The ubiquity of death of color in the U.S. cannot be overstated. Indeed, many pulses have been lost outside of Pulse nightclub. To many, June 12 may seem like a day among many, lost to the memorials of death no one really wants to remember. In this paper I explore June 12 as we turn the page on its sixth year of remembrance. I make the case for a reading of June 12 as more than an LGBTQ hate crime, but rather as emblematic of a battleground of a sacred space (Latin night at the gay bar) for queer bodies of color. The project establishes a more complex framework for understanding what took place on June 12 that can appreciate the ethno-racial, spiritual, and queer dimensions that foregrounded the event. I maintain that the method of analysis necessitates a different model of theorizing, one that can crystalize the sexuality of terrorism, the whiteness of homonationalism, and thereby the importance of creating sacred space for Latinx queer subjects, many of whom, in the context of June 12, form part of the Puerto Rican diaspora. (shrink)

Luisa Capetillo has been heralded as the first feminist writer of Puerto Rico. She authored four books and embodied her emancipatory philosophical commitments, but has received scant philosophical attention. In this paper I recover the philosophy of Capetillo as part of a Latin American and Caribbean philosophical tradition centered on radical praxis places sexuality at the centerfold of class politics. At the intersection between gender equity and class emancipation Capetillo advocated for the liberatory possibilities of education, which served as the (...) key to unlearning the social norms that engendered the marginalization of working people and working women. (shrink)

This essay explores the philosophical productions of women from the Spanish speaking Caribbean. Here the Caribbean is understood as a multiplicitous and polyphonic space that exists amidst modernities engendered by colonization. I present the intellectual contributions of Luisa Capetillo, Ofelia Rodríguez Acosta, Petronila Angélica Gómez, Ochy Curiel, Yuderkys Espinosa Miñoso, and Yomaira Figueroa as fertile philosophical starting points from which to frame a feminist tradition of the Spanish‐speaking Caribbean that appreciates the multiple and often conflicting body of ideas that emerge (...) from within a sea of islands. (shrink)

This essay explores the philosophical productions of women from the Spanish speaking Caribbean. Here the Caribbean is understood as a multiplicitous and polyphonic space that exists amidst modernities engendered by colonization. I present the intellectual contributions of Luisa Capetillo, Ofelia Rodríguez Acosta, Petronila Angélica Gómez, Ochy Curiel, Yuderkys Espinosa Miñoso, and Yomaira Figueroa as fertile philosophical starting points from which to frame a feminist tradition of the Spanish-speaking Caribbean that appreciates the multiple and often conflicting body of ideas that emerge (...) from within a sea of islands. (shrink)

The chapter explores the perceptual and epistemic structures of boomerang perception, as developed by María Lugones, by focusing on contemporary lived experiences of Latinas of commercialization and homogenization. Boomerang perception is the mechanism through which people of color are constructed through a white imaginary lens and denied subjectivity. The internalization of boomerang perception subsequently yields horizontal hostilities whereby people of color construct each other through white eyes and engender a fake/real dichotomy that polices the boundaries of communities. The commercialization of (...) Latina identity in the 21st century serves as one example that draws out the ways in which boomerang perception is internalized and plays on the production of the real/fake dichotomy. Drawing on Gloria Anzaldúa’s notion of conocimiento, the chapter subsequently considers the possibilities of resistance through the development of style politics that can transform embodied ways of knowing. In this capacity, the chapter takes up the project of chonga stylized politics as exemplifying practices of conocimiento. (shrink)

Comparative philosophy is an important site for the study of non-Western philosophical traditions, but it has long been associated with “East-West” dialogue. Comparative Studies in Asian and Latin American Philosophies shifts this trajectory to focus on cross-cultural conversations across Asia and Latin America. A team of international contributors discuss subjects ranging from Orientalism in early Latin American studies of Asian thought to liberatory politics in today's globalized world. They bring together resources including Latin American feminism, Aztec teachings on ethics, Buddhist (...) critiques of essentialism, and Confucian morality. Chapters address topics such as educational reform, the social practices surrounding breastfeeding, martial arts as political resistance, and the construction of race and identity. Together the essays reflect the philosophical diversity of Asia and Latin America while foregrounding their shared concerns on issues of Eurocentrism and coloniality. By bringing these critical perspectives to bear on the theories and methods of cross-cultural philosophy, Comparative Studies in Asian and Latin American Philosophies offers new insights into the nature and practice of philosophical comparison. (shrink)

Comparative studies between Latin America and Asia can be productive if they reflect the structural necessities based on history and geopolitics that these regions have experienced in relation to the western countries since the nineteenth century. These non-western regions have developed themselves in a parallel way without direct communication with each other. Stephanie Rivera Berruz and Leah Kalmanson detect this parallelism precisely and sketch a possible productivity of this new area. This book serves as a starting point (...) for further studies. (shrink)

Philosophizing the Americas establishes the field of inter-American philosophy. Bringing together contributors who work in Africana Philosophy, Afro-Caribbean philosophy, Latin American philosophy, Afro-Latin philosophy, decolonial theory, and African American philosophy, the volume examines the full range of traditions that have, separately and in conversation with each other, worked through how philosophy in both establishes itself in the Americas and engages with the world from which it emerges. The book traces a range of questions, from the history of philosophy in the (...) Americas to philosophical questions of race, feminism, racial eliminativism, creolization, epistemology, coloniality, aesthetics, and literature. The essays place an impressive range of philosophical traditions and figures into dialogue with one another: some familiar, such as José Martí, Sylvia Wynter, Martin R. Delany, José Vasconcelos, Alain Locke, as well as such less familiar thinkers as Arturo Alfonso Schomburg, Hilda Hilst, and George Lamming. In each chapter, the contributors find fascinating and productive matrices of tension or convergence in works throughout the Americas. The result is an original and important contribution to knowledge that introduces readers from various disciplines to unfamiliar yet compelling ideas and considers familiar texts from novel and prescient perspectives. Philosophizing the Americas stands alone as a representation of current scholarly debates in the field of inter-American philosophy. Contributors: Stephanie Rivera Berruz, Jacoby Adeshei Carter, Nadia Celis, Tommy J. Curry, Hernando A. Estévez, Daniel Fryer, James B. Haile III, Chike Jeffers, Lee A. McBride III, Michael Monahan, Adriana Novoa, Susana Nuccetelli, Andrea J. Pitts, Dwayne A. Tunstall, and Alejandro A. Vallega. (shrink)

This essay is an introduction to the cluster on Latina feminism published in Hypatia (Spring 2016), Vo. 31 (2), which features essays on various areas of Latina feminisms as well as discussions on the intersection of Latina feminisms and the work of thinkers such as Mikhail Bakhtin, Simone de Beauvoir, Enrique Dussell, Immanuel Kant, Édouard Glissant, Walter Mignolo, and Friedrich Nietzsche. Contributors to the cluster include Stephanie Rivera Berruz, Cynthia M. Paccacerqua, Andrea J. Pitts, Monique Roelofs, Susan (...) C. Méndez, Gabriela Veronelli, and Elena Flores Ruiz. (shrink)

Moral duties are regularly attributed to groups. Does this make conceptual sense or is this merely political rhetoric? And what are the implications for these individuals within groups? Collins outlines a Tripartite Model of group duties that can target political demands at the right entities, in the right way and for the right reasons.

Argues that positive changes in perspective and deeper spiritual connections to things greater than oneself can influence the world for the better.

Much has been written about the need for trustworthy artificial intelligence (AI), but the underlying meaning of trust and trustworthiness can vary or be used in confusing ways. It is not always clear whether individuals are speaking of a technology’s trustworthiness, a developer’s trustworthiness, or simply of gaining the trust of users by any means. In sociotechnical circles, trustworthiness is often used as a proxy for ‘the good’, illustrating the moral heights to which technologies and developers ought to aspire, at (...) times with a multitude of diverse requirements; or at other times, no specification at all. In philosophical circles, there is doubt that the concept of trust should be applied at all to technologies rather than their human creators. Nevertheless, people continue to intuitively reason about trust in technologies in their everyday language. This qualitative study employed an empirical ethics methodology to address how developers and users define and construct requirements for trust throughout development and use, through a series of interviews. We found that different accounts of trust (rational, affective, credentialist, norms based, relational) served as the basis for individual granting of trust in technologies and operators. Ultimately, the most significant requirement for user trust and assessment of trustworthiness was the accountability of AI developers for the outputs of AI systems, hinging on the identification of accountable moral agents and perceived value alignment between the user and developer’s interests. (shrink)

Consensual homicide remains a crime in jurisdictions where active voluntary euthanasia has been legalized. At the same time, both jurisdictions, in which euthanasia is legal and those in which it is not, recognize that all patients (whether severely ill or not) have the right to refuse or withdraw medical treatment (including life-saving treatment). In this paper, I focus on the tensions between these three norms (the permission of active euthanasia, the permission to reject life-saving treatment, and the prohibition of consensual (...) homicide), assuming a justification of euthanasia based on the right to (personal) autonomy. I argue that the best way to provide a coherent account of these norms is to claim that patients have two distinct rights: the right to autonomy and the right to bodily integrity. This solution has some relevant implications for the discussion of the legalization of active euthanasia. (shrink)

A comprehensive collection of classic texts, contemporary interpretations, guidelines for activists, issue-specific information, and materials for environmentally-oriented religious practice. Sources and contributors include Basho, the Dalai Lama, Thich Nhat Hanh, Gary Snyder, Chogyam Trungpa, Gretel Ehrlich, Peter Mathiessen, Helen Tworkov (editor of Tricycle ), and Philip Glass.

The ethics of care has flourished in recent decades yet we remain without a succinct statement of its core theoretical commitment. This book uses the methods of analytic philosophy to argue for a simple care ethical slogan: dependency relationships generate responsibilities. It uses this slogan to unify, specify and justify the wide range of views found within the care ethical literature.

There is disagreement in the literature about the exact nature of the phenomenon of empathy. There are emotional, cognitive, and conditioning views, applying in varying degrees across species. An adequate description of the ultimate and proximate mechanism can integrate these views. Proximately, the perception of an object's state activates the subject's corresponding representations, which in turn activate somatic and autonomic responses. This mechanism supports basic behaviors that are crucial for the reproductive success of animals living in groups. The Perception-Action Model, (...) together with an understanding of how representations change with experience, can explain the major empirical effects in the literature. It can also predict a variety of empathy disorders. The interaction between the PAM and prefrontal functioning can also explain different levels of empathy across species and age groups. This view can advance our evolutionary understanding of empathy beyond inclusive fitness and reciprocal altruism and can explain different levels of empathy across individuals, species, stages of development, and situations. Key Words: altruism; cognitive empathy ; comparative; emotion; emotional contagion; empathy ; evolution; human; perception-action; perspective taking. (shrink)

Young children learn about the power of God's love and creation through simple text and illustrations.

When making decisions on behalf of someone, is asking what they would have wanted a good way to respect their autonomy? Against prevalent assumptions, I argue that in decisions about the care and treatment of those with advanced dementia, the notion of ‘what one would have wanted’ is conceptually, epistemically, and practically problematic. The problem stems from the disparity between the first-person subjectivity of the past person and that of the present person. The transformative nature of dementia renders the very (...) meaning of ‘what the patient would have wanted’ problematic. When applied to those with advanced dementia, the subjunctive notion is either (i) incoherent, (ii) fundamentally indeterminate, or (iii) normatively irrelevant. (shrink)

El texto combina una mirada sobre algunos elementos filosóficos y aspectos anecdóticos que ligan a Heidegger, el ser, el pensar y la pregunta por la metafísica con un eventual curso de “Lógica” dictado en 1934 y cuyo contenido es la relación ética entre el hombre y el Estado. Al final aparece la figura del Führer, sus manos y el destino de la humanidad.

Edited by Ivette Fred-Rivera and Jessica Leech. What is the relationship between ontology and modality: between what there is, and what there could be, must be, or might have been? Throughout a distinguished career, Bob Hale’s work has addressed this question on a number of fronts, through the development of a Fregean approach to ontology, an essentialist theory of modality, and in his work on neo-logicism in the philosophy of mathematics. This collection of new essays engages with these themes (...) in Hale’s work in order to make further progress in our understanding of ontology, modality, and the relations between them. Some essays directly address questions in modal metaphysics, drawing on ontological concerns. Others raise questions in modal epistemology and its links to matters of ontology, such as the challenge to give an epistemology of essence. There are also several essays engaging with questions of what might be called ‘modal ontology’: the study of whether and what things exist necessarily or contingently. Such issues can be raised and addressed directly, but they also have an important bearing on the kinds of semantic commitments engendered in logic and mathematics, e.g., to the existence of sets, or numbers, or properties, and so on. It is thus explored in some chapters to what extent one’s ontology—and indeed, one’s ontology of necessary beings—interacts with other plausible assumptions and commitments. (shrink)

Many meta-ethicists are alethists: they claim that practical considerations can constitute normative reasons for action, but not for belief. But the alethist owes us an account of the relevant difference between action and belief, which thereby explains this normative difference. Here, I argue that two salient strategies for discharging this burden fail. According to the first strategy, the relevant difference between action and belief is that truth is the constitutive standard of correctness for belief, but not for action, while according (...) to the second strategy, it is that practical considerations can constitute motivating reasons for action, but not for belief. But the former claim only shifts the alethist's explanatory burden, and the latter claim is wrong—we can believe for practical reasons. Until the alethist can offer a better account, then, I argue that we should accept that there are practical reasons for belief. (shrink)

In his recent article, ‘A Gift to Theology? Jean-Luc Marion's ‘Saturated Phenomena’ in Christological Perspective’, Brian Robinette has critiqued Marion's phenomenology for confining theology to a one-sided approach to Christology, one that stresses only the passive, mystical reception of Christ. To correct this imbalance, Robinette brings Marion into dialogue with those more active Christologies or ‘prophetical-ethical’ liberation theologies of Gustavo Gutierrez, Johann Baptist Metz and others that stress a life-praxis focused on confronting evil and suffering. In this essay I am (...) arguing that Robinette has not fully developed the ‘logic’ of Marion's phenomenology of the ‘call and the gifted’, in which both a passive and an active element are operative. I explore more fully that very dynamic phenomenological process of the call-and-the-gifted as developed in Marion's work Being Given: Toward a Phenomenology of Givenness. Once viewed in Christological perspective, and especially in light of Christ's death and resurrection, Marion's phenomenology entails an ethical trope consistent with the mission of Christ as rendered in Scriptural revelation, and thus the gap between Marion's work and the prophetical-ethical theologies of Gutierrez and Baptist Metz becomes narrowed. (shrink)

Organizations do moral wrong. States pursue unjust wars, businesses avoid tax, charities misdirect funds. Our social, political, and legal responses require guidance. We need to know what we’re responding to and how we should respond to it. We need a metaphysical and moral theory of wrongful organizations. This book provides a new such theory, paying particular attention to questions that have been underexplored in existing debates. These questions include: where are organizations located as material objects in the natural world? What’s (...) the metaphysical relation between organizations and their members? Can organizations be blameworthy for attitudes and character traits, as well as for actions? What about feelings of guilt, remorse, and shame—can organizations feel these emotions and why does this matter? How and why are members implicated in organizations’ wrongs? How should organizations’ reparative costs be apportioned among members? The book answers these questions. It argues that organizations are material objects with humans as material parts—much like how a pizza is a material object with slices as material parts. This picture helps us make sense of organizations’ blameworthiness, including blame for organization-level actions, attitudes, and character traits. The book argues that organizations can experience moral self-awareness—a crucial component of guilt, remorse, and shame. Members can be implicated in organizations’ actions in numerous ways—and, it is argued, members’ level of implication should determine their share of organizations’ reparative burdens. (shrink)

On a Humean account, a person's reasons for action are determined by her desires---in the broadest sense of 'desires', that is, noncognitive pro-attitudes. In four essays, I defend this account against several prominent objections. The first essay addresses the concern that the Humean cannot account for rationalizing reasons . The next three essays concern justifying reasons : reasons for action that are more fully normative than those that merely make action intelligible. Instrumental reasons, prudential reasons, and intrinsic reasons are three (...) different sorts of reasons to which an agent can appeal in justifying her action. ;Each essay focuses on a specific attack against the Humean account. In the second essay I argue that the normatively of instrumental reasons is brute ; and that, contrary to the received view, this is compatible with Humeanism. In the third essay I consider prudential reasons and defend the Humean claim that all and only present concerns provide normative reasons for action. In the final essay I address the fundamental question considerations of deliberative relevance: what makes certain desires and considerations relevant to a specific decision-making context, that is, what puts them among a person's present active reasons. ;In addition to defending a broadly Humean account of practical reasons, I am concerned to expand the components of a plausible form of Humeanism. Specifically, I argue that desires alone are not always sufficient to ground an agent's reasons, and that affective states are sometimes also necessary. I call this view "thick Humeanism". In essays one and four especially, I urge that a central place be given to affective states in determining practical reasons. I also invoke recent studies in cognitive psychology to support my claims about the role of the emotions in practical deliberation. (shrink)

In this collected volume, the authors analyze the deficiencies of existing theory and present alternate explanations of Third World foreign policy behavior. The essays show how examining Third World experience can broaden our understanding of how and why states and non-state actors interact in the international system.

A dream team of philosophers relentlessly cross-examines the Perry Mason stories.

With the growth of precision medicine research on health data and biospecimens, research institutions will need to build and maintain long-term, trusting relationships with patient-participants. While trust is important for all research relationships, the longitudinal nature of precision medicine research raises particular challenges for facilitating trust when the specifics of future studies are unknown. Based on focus groups with racially and ethnically diverse patients, we describe several factors that influence patient trust and potential institutional approaches to building trustworthiness. Drawing on (...) these findings, we suggest several considerations for research institutions seeking to cultivate long-term, trusting relationships with patients: Address the role of history and experience on trust, engage concerns about potential group harm, address cultural values and communication barriers, and integrate patient values and expectations into oversight and governance structures. (shrink)

While popular cultural representations portray the “new father” of the past two decades as more involved, more nurturing, and capable of coparenting, many argue that actual fathering conduct has not kept pace. Others, however, question the extent to which the culture of fatherhood does indeed support involved fathering and, if so, what this involvement entails. This study aims to contribute to the exploration of the culture of fatherhood through an analysis of a yearlong Canadian newspaper series dedicated to family issues. (...) Findings suggest that through representations of parental guilt, parental responsibility, work—family balance issues, and hegemonic masculinity, mothers continue to be positioned as primary parents. Support for father involvement, to the extent that it exists, occurs within the framework of fathers as part-time, secondary parents whose relationship with children remains less important than mothers'. (shrink)

This chapter argues that the best way for a non-naturalist to explain why the normative supervenes on the natural is to claim that, while there are some sui generis normative properties whose essences cannot be fully specified in non-normative terms and do not specify any non-normative sufficient conditions for their instantiation, there are certain hybrid normative properties whose essences specify both naturalistic sufficient conditions for their own instantiation and sufficient conditions for the instantiation of certain sui generis normative properties. This (...) is the only metaphysical explanation for supervenience on offer, the chapter argues, that can both clearly maintain the pre-theoretical commitments of non-naturalism, and provide a metaphysical explanation not just for supervenience, but for all metaphysical necessities involving natural and normative properties. (shrink)

Individuals sometimes pass their duties on to collectives, which is one way in which collectives can come to have duties. The collective discharges its duties by acting through its members, which involves distributing duties back out to individuals. Individuals put duties in and get (transformed) duties out. In this paper we consider whether (and if so, to what extent) this general account can make sense of states' duties. Do some of the duties we typically take states to have come from (...) individuals having passed on certain individual duties? There are complications: states can discharge their duties by contracting fulfilment out to non-members; states seem able to dissolve the duties of non-members; and some of states' duties are not derived in this way. We demonstrate that these complicate, but do not undermine, the general account and its application to states. And the application has an interesting upshot: by asking which individuals robustly participate in this process of duty transfer-and-transformation with a given state, we can begin to get a grip on who counts as a member of that state. (shrink)

A surfeit of research confirms that people activate personal, affective, and conceptual representations when perceiving the states of others. However, researchers continue to debate the role of self–other overlap in empathy due to a failure to dissociate neural overlap, subjective resonance, and personal distress. A perception–action view posits that neural-level overlap is necessary during early processing for all social understanding, but need not be conscious or aversive. This neural overlap can subsequently produce a variety of states depending on the context (...) and degree of common experience and emotionality. We outline a framework for understanding the interrelationship between neural and subjective overlap, and among empathic states, through a dynamic-systems view of how information is processed in the brain and body. (shrink)

Growing interest in embedded research approaches—where research is incorporated into clinical care—has spurred numerous studies to generate knowledge relevant to the real-world needs of patients and other stakeholders. However, it also has presented ethical challenges. An emerging challenge is how to understand the nature and extent of investigators’ obligations to patient-subjects. Prior scholarship on investigator duties has generally been grounded upon the premise that research and clinical care are distinct activities, bearing distinct duties. Yet this premise—and its corresponding implications—are challenged (...) when research and clinical care are deliberately integrated. After presenting three case studies from recent pragmatic clinical trials, we identify six differences between explanatory trials and embedded research that limit the application of existing scholarship for ascertaining investigator duties. We suggest that these limitations indicate a need to account for the implications of usual care and to move beyond a narrow focus on the investigator-subject dyad, one that better reflects the team- and institution-based nature of contemporary health systems. (shrink)