Inequalities have historically been conceptualised and empirically explored with primary reference to the human. Both measurements of educational inequalities through the production of data about students, teachers and schools, and ethnographic explorations of inequalities in the spoken accounts of human actors in schools can elide affective histories and material geologies of the earth that entwine with societal inequalities, and political questions of the relation between particular human bodies and the earth. In this article, we question: What might it do to (...) rethink the concept of educational inequalities beyond human relations, from within a specific geographical territory? We seek to rethink inequalities including but exceeding these human relations; we argue that inequalities between humans, and between humans and the more-than-human, are materially generated and perpetuated. We offer three theoretical trajectories that consider the affective, spatial and material dimensions of inequality to... (shrink)

This experimental writing piece by the Earth Unbound Collective explores the ethical, political and pedagogical challenges in addressing climate change, activism and justice. The provocation Earth Unbound: the struggle to breathe and the creative thoughts that follow are inspired by the contagious energy of what Donna Haraway calls response-ability or the ability to respond. This energy ripples through monthly reading groups and workshops organised by this interdisciplinary collective that emerged organically in January 2020.

This paper considers whether we have any reason to forgive the perpetrators of the most terrible atrocities, such as the Holocaust. On the face of it, we do not have reason to forgive in such cases. But on examination, the principal arguments against forgiveness do not turn out to be persuasive. Two considerations in favour of forgiveness are canvassed: the presence of rational agency in the perpetrators, and the common human nature which they share with us. It is argued that (...) the presence of rational agency does not generate a reason to forgive. However, our common human nature may be sufficient to provide such a reason, and evidence for its general reason-giving power can be seen in phenomena such as vicarious shame, and the moral significance which we attach to the notion of crimes against humanity. A reason for forgiveness based on common human nature will not be a strong one, but a weak reason still has some force. (shrink)

Individual neurons display characteristic firing patterns determined by the number and kind of ion channels in their membranes. We describe experimental and computational studies that suggest that neurons use activity sensors to regulate the number and kind of ion channels and receptors in their membrane to maintain a stable pattern of activity and to compensate for ongoing processes of degradation, synthesis and insertion of ion channels and receptors. We show that similar neuronal and network outputs can be produced by a (...) number of different combinations of ion channels and synapse strengths. This suggests that individual neurons of the same class may each have found an acceptable solution to a genetically determined pattern of activity, and that networks of neurons in different animals may produce similar output patterns by somewhat variable underlying mechanisms. BioEssays 24:1145–1154, 2002. © 2002 Wiley Periodicals, Inc. (shrink)

There seems to be something self-evident—irresistibly so, to judge from its gleeful propagation—about the use of the phrase, “Jane Austen and the Masturbating Girl,” as the Q.E.D. of phobic narratives about the degeneracy of academic discourse in the humanities. But what? The narrative link between masturbation itself and degeneracy, though a staple of pre-1920s medical and racial science, no longer has any respectable currency. To the contrary: modern views of masturbation tend to place it firmly in the framework of optimistic, (...) hygienic narratives of all-too-normative individual development. When Jane E. Brody, in a recent “Personal Health” column in the NewYork Times, reassures her readers that, according to experts, it is actually entirely possible for people to be healthy without masturbating; “that the practice is not essential to normal development and that no one who thinks it is wrong or sinful should feel he or she must try it”; and that even “’those who have not masturbated … can have perfectly normal sex lives as adults,’” the all but perfectly normal Victorianist may be forgiven for feeling just a little—out of breath.3 In this altered context, the self-evidence of a polemical link between autoeroticism and narratives of wholesale degeneracy 4 draws on a very widely discredited body of psychiatric and eugenic expertise whose only direct historical continuity with late twentieth-century thought has been routed straight through the rhetoric and practice of fascism. But it now draws on this body of expertise under the more acceptable gloss of the modern, trivializing, hygienic-developmental discourse, according to which autoeroticism not only is funny—any sexuality of any power is likely to hover near the threshold of hilarity—but also must be relegated to the inarticulable space of infantility. 3. Jane E. Brody, “Personal Health,” New York Times, 4 Nov. 1987.4. Rosenblatt, “The Universities,” p. 3. Eve Kosofsky Sedgwick is professor of English at Duke University and the author of Between Men: English Literature and Male Homosocial Desire and Epistemology of the Closet. (shrink)

What is there not to like about “openness”? The premise seems to have virtue, particularly in the space of critique of government. From totalitarianism through to oligarchies, it can be argued that it is opacity and secrecy that have contributed to abuses of power for many centuries. In other spaces, the notion has caught hold. In several scientific fields, it appears that a lack of openness can lead to misconduct and in some cases a slowness that may cost lives. In (...) the humanities, we might say that its absence fosters insularity. In computer software production, open-source paradigms have led to remarkable developments such as the Linux kernel and allowed us to see the inner machinations of the code that is.. (shrink)

Prisoners are legally categorized as a vulnerable group for the purposes of medical research, but their vulnerability is not limited to the research context. Prisoner-patients may experience lower standards of care, fewer options for treatment, violations of privacy, and the use of inappropriate surrogates as a result of their status. This case study highlights some of the ways in which a prisoner-patient’s vulnerable status impacted the care he received. The article argues the following: (1) Prisoner-patients are entitled to the same (...) quality of care as all other patients, and healthcare providers should be vigilant to ensure that the stigma of incarceration does not influence care decisions. (2) Options for treatment should reflect what is most medically appropriate in the hospital or other healthcare setting, even when not all treatments would be available in the correctional setting. (3) The presence of guards at the bedside requires that additional measures be taken to protect the privacy and confidentiality of prisoner-patients. (4) When endof-life decisions must be made for an incapacitated patient, prison physicians are not well placed to act as surrogate decision makers, which heightens the obligations of the healthcare professionals in the hospital to ensure an ethically supportable process and outcome. Therefore, healthcare professionals should provide extra protection for those prisoner-patients who do not have decision-making capacity, by utilizing a robust process for decision making such as those used for incapacitated patients without surrogates, rather than relying solely on prison physicians as surrogates. (shrink)

This paper argues that management practices are more readily portable across the sectors than has often been supposed, while indicating where particular care will be needed in translation. The paper suggests, however, that political pressure for control and an epistemological bias may prove to be management's Achilles heel. Further, it examines some dilemmas in the relationship between the manager and the managed, and queries the professions' outrage at being subject to increasingly overt management.

Decisions related to births in the “gray zone” of periviability are particularly challenging. Despite published management guidelines, clinicians and families struggle to negotiate care management plans. Stakeholders must reconcile conflicting values in the context of evolving circumstances with a high degree of uncertainty within a short time period. Even skilled clinicians may struggle to guide the patient in making value–laden decisions without imposing their own values. Exploring the experiences of one pregnant woman and her caregivers, this case study highlights how (...) bias may undermine caregivers’ ability to meet their obligation to enhance patient autonomy and the moral distress they may experience when a patient’s values do not align with their own. Management strategies to mitigate the potential impact of bias and related moral distress are identified. The authors then describe one management strategy used in this case, facilitated ethics consultation, which is focused on thoughtful consideration of the patient’s perspective. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Platonic Ethics: Old and NewEve Browning ColeJulia Annas. Platonic Ethics: Old and New. Ithaca, NY: Cornell University Press, 1999. Pp. vii + 196. Cloth, $35.00Readers of Plato's dialogues in our time are almost unanimously affected by what Annas here calls "the developmental thesis." We bring to Plato's texts as a dogma the [End Page 114] view that his doctrines evolved over time, that later dialogues return to problems (...) unsuccessfully addressed in earlier dialogues, and in short that the Platonic corpus as a whole should be arranged as a kind of intellectual "Bildungsroman." The early and inconclusive explorations of Socrates give way to mature and expansive metaphysical doctrines, which in turn are tested and revised in subsequent works.This developmentalist dogma has dominated interpretations of Plato, with few exceptions (notably Paul Shorey), for a century and more. Yet this makes it a rather young dogma after all. Annas argues that it is a product of Victorian scholars, and especially targets the highly influential work of Benjamin Jowett (95 n.56). Jowett placed the Republic at the center of Plato's works and interpreted others backward and forward from it. The influence of this developmental thesis has been sweeping and, Annas argues, unfortunate. Armed with it, we are reluctant to consider the doctrines of the dialogues on their own terms; we make problems for one dialogue with concerns expressed in quite another; we tend to force our readings to fit the progressive picture and distort the works in the process.To achieve some distance from developmentalism and other modern preconceptions and dogma, Annas proposes listening with an open mind to ancient readings of Plato, especially those of the so-called Middle Platonists. Most modern students of ancient philosophy have been accustomed to discount these ancients as either too marginal to deserve a hearing or too biased to be fair readers. (In addition, access to their works in reliable texts and translations has been impossible until quite recently.)But such ancient readers as Albinus, Alcinous, Arius Didymus, Philo, and Numenius have (Annas argues) much to offer.First, they are active participants in an ongoing intellectual conversation about "eudaimonism," or the sufficiency of virtue for happiness. They comfortably engage Plato in this conversation as a proponent of eudaimonism. This is as true for the Plato of Republic and Laws as for the earlier dialogues. These older readers of Platonic ethics demonstrate that it is indeed possible to discern a unified view of the relation between goodness and happiness, without violence to the texts. While Plato may speak with "many voices," as Arius Didymus averred, this does not entail that he held "many doctrines" (9).Another modern shibboleth which the older readers can help us dislodge concerns the proper understanding of the Republic. We have tended to classify it as political theory (and in this are supported by the Library of Congress, as Annas points out). While recognizing the hefty core of more individual ethical thinking which goes into the definition of justice in the soul, we have insisted that the "Fairest City" is a serious utopian project description and should shape and contain the Republic's ethical teachings. Here too the ancients were much less inhibited than we; most of them cheerfully ignore the city-building and attend mainly to the implications for moral life. Annas finds this not only salubrious and unity-supporting but more faithful to the text, whose political content she finds "brief and underdeveloped" (82).Many readers will find the treatment of Republic's political significance (or lack thereof) objectionable. Many readers will also find the idea of relinquishing developmentalism to be unappealing or even frightening. But Annas makes a strong case for [End Page 115] seriously consulting the ancient readers if only for their medicinal value; they can "... wake us from our developmental slumbers" (165). Moreover, she provides a friendly and accessible entree to their world, one which will be of value to many modern readers who have been mystified by them heretofore.All texts quoted are in translation, and the occasional bits of original texts are transliterated. An extremely helpful "cast of characters" (which everyone will be tempted to xerox and... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reason and Emotion. Essays in Ancient Moral Psychology and Ethical TheoryEve Browning ColeJohn M. Cooper, Reason and Emotion. Essays in Ancient Moral Psychology and Ethical Theory. Princeton: Princeton University Press, 1999. Pp. xiii + 605. Cloth, $75.00.This collection of essays spans 27 years of John Cooper's career as an interpreter of ancient philosophy. Its earliest essay, "The Magna Moralia and Aristotle's Moral Philosophy," already shows Cooper's distinctive approach; (...) he seeks to discover "a simpler and more natural way" (200) to understand the discrepancies between this small treatise and Aristotle's major ethical works than by the comparatively convoluted theory of Dirlmeier. In seeking this simpler and more natural interpretive route, Cooper attends to "the philosophical content of the work" (202), rather than considerations of style and linguistic usage. He concludes with frank discussion of the problems which his interpretation cannot solve; these are dismissed with characteristic exasperation-italics: "... one must not expect to explain everything..." (210). He confines his rougher polemical points to footnotes (Dirlmeier "doesn't even face the question squarely" in note 19, hence he is "wildly off" in note 28). [End Page 430]These characteristics run through all the essays here collected. Only two of the 23 essays are previously unpublished: a reconsideration of Xenophon as a source on Socrates, and a treatment of pleasure and desire in Epicurus. Other essays take up moral problems examined by Socrates, Plato, Aristotle, and several Hellenistic philosophers or schools. A theme running through most if not all the discussions is the desire (shared by the ancient philosophers and by Cooper equally, it would seem) to develop and defend a viable eudaimonism. The relation between human goodness and human happiness must be shown to be one of extremely close affinity, such that the virtuous are also the happy, even in adversity. Thus though no attempt is made to connect the essays into a coherent argument leading to a global thesis about ancient moral philosophy, the book nevertheless contains the ingredients for such an argument and thesis. The book presenting such an argument and thesis could in some ways be both more elegant and more helpful than this collection; it could spend fewer of its pages in arguing against other interpreters over minor differences (the standard journal-article format for our time), more of its pages awakening the texts, eliciting their message, and presenting it in a form useful for guiding life. Perhaps Cooper will write such a book soon.But the present volume will certainly be of interest to scholars and students, who will find in it much to enjoy and ponder. Generally what is striking about Cooper's interpretations is their freshness. He is at his best when dislodging some stale orthodoxy. The essay on Xenophon's Socrates is a case in point. The portrait of Socrates which emerges in Xenophon's Memorabilia is usually taken to be far less accurate than that presented in Plato's earlier dialogues. The Memorabilia seldom appear on the required reading lists of Greek philosophy courses, nor does Xenophon's version of Socrates' approach to moral questions receive even a fraction of the scholarly attention devoted to Plato's early work. Cooper convincingly shows this neglect to rest on a prejudice. The Socrates of Xenophon's portrait addresses a different kind of audience than that of Plato; the difference in the style of questioning and in the topics discussed reflects the historical Socrates' sensitivity to his partners in conversation. He addresses them where they live (so to speak), and this makes him "all the more remarkable a person" (14).Two other strengths run throughout the essays here collected. No matter how intense the exegetical quibble may have become on any given page, Cooper is able to make a sudden soaring flight upward and provide a synoptic view of the broader philosophical terrain, both for any given philosopher and for that philosopher's contemporaries, predecessors, and successors. These flights are sometimes dizzying and often unpredictable, but always refreshing.In addition, Cooper is able to make connections with large issues in contemporary moral philosophy, relating the ancient controversies to their modern versions (John Rawls, Bernard Williams, Leo Strauss... (shrink)

While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in (...) implementing system-wide ethics consultation services. Specifically, we identify four models for organizing, developing, and enhancing ethics consultation activities within a system created through acquisitions: train-the-trainer, local capacity-building, circuit-riding, and consolidated accountability. We note each model’s benefits and challenges. To our knowledge, this is the first paper to consider the broader landscape of issues affected by consolidation. We anticipate that clinical ethicists, volunteer consultants, and hospital administrators will benefit from our recommendations. (shrink)

S’inscrivant dans un courant qui reconsidère aujourd’hui la place des femmes dans l’histoire, Mélanie Fabre publie une édifiante biographie de Dick May, une intellectuelle largement oubliée de la Belle Époque, fondatrice notamment du Collège libre des sciences sociales en 1895, de la première École supérieure de journalisme française en 1899 et de l’École libre des hautes études sociales en 1900. Elle a été aussi active dans la fondation du Musée social en 1894, dans la formation de l’univers...

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reason and Emotion. Essays in Ancient Moral Psychology and Ethical TheoryEve Browning ColeJohn M. Cooper, Reason and Emotion. Essays in Ancient Moral Psychology and Ethical Theory. Princeton: Princeton University Press, 1999. Pp. xiii + 605. Cloth, $75.00.This collection of essays spans 27 years of John Cooper's career as an interpreter of ancient philosophy. Its earliest essay, "The Magna Moralia and Aristotle's Moral Philosophy," already shows Cooper's distinctive approach; (...) he seeks to discover "a simpler and more natural way" (200) to understand the discrepancies between this small treatise and Aristotle's major ethical works than by the comparatively convoluted theory of Dirlmeier. In seeking this simpler and more natural interpretive route, Cooper attends to "the philosophical content of the work" (202), rather than considerations of style and linguistic usage. He concludes with frank discussion of the problems which his interpretation cannot solve; these are dismissed with characteristic exasperation-italics: "... one must not expect to explain everything..." (210). He confines his rougher polemical points to footnotes (Dirlmeier "doesn't even face the question squarely" in note 19, hence he is "wildly off" in note 28). [End Page 430]These characteristics run through all the essays here collected. Only two of the 23 essays are previously unpublished: a reconsideration of Xenophon as a source on Socrates, and a treatment of pleasure and desire in Epicurus. Other essays take up moral problems examined by Socrates, Plato, Aristotle, and several Hellenistic philosophers or schools. A theme running through most if not all the discussions is the desire (shared by the ancient philosophers and by Cooper equally, it would seem) to develop and defend a viable eudaimonism. The relation between human goodness and human happiness must be shown to be one of extremely close affinity, such that the virtuous are also the happy, even in adversity. Thus though no attempt is made to connect the essays into a coherent argument leading to a global thesis about ancient moral philosophy, the book nevertheless contains the ingredients for such an argument and thesis. The book presenting such an argument and thesis could in some ways be both more elegant and more helpful than this collection; it could spend fewer of its pages in arguing against other interpreters over minor differences (the standard journal-article format for our time), more of its pages awakening the texts, eliciting their message, and presenting it in a form useful for guiding life. Perhaps Cooper will write such a book soon.But the present volume will certainly be of interest to scholars and students, who will find in it much to enjoy and ponder. Generally what is striking about Cooper's interpretations is their freshness. He is at his best when dislodging some stale orthodoxy. The essay on Xenophon's Socrates is a case in point. The portrait of Socrates which emerges in Xenophon's Memorabilia is usually taken to be far less accurate than that presented in Plato's earlier dialogues. The Memorabilia seldom appear on the required reading lists of Greek philosophy courses, nor does Xenophon's version of Socrates' approach to moral questions receive even a fraction of the scholarly attention devoted to Plato's early work. Cooper convincingly shows this neglect to rest on a prejudice. The Socrates of Xenophon's portrait addresses a different kind of audience than that of Plato; the difference in the style of questioning and in the topics discussed reflects the historical Socrates' sensitivity to his partners in conversation. He addresses them where they live (so to speak), and this makes him "all the more remarkable a person" (14).Two other strengths run throughout the essays here collected. No matter how intense the exegetical quibble may have become on any given page, Cooper is able to make a sudden soaring flight upward and provide a synoptic view of the broader philosophical terrain, both for any given philosopher and for that philosopher's contemporaries, predecessors, and successors. These flights are sometimes dizzying and often unpredictable, but always refreshing.In addition, Cooper is able to make connections with large issues in contemporary moral philosophy, relating the ancient controversies to their modern versions (John Rawls, Bernard Williams, Leo Strauss... (shrink)

We systematically examined the content of the websites of 46 agencies that buy and sell human eggs to understand how they market themselves to both donors and recipients. We found that these websites use marketing techniques that obscure the realities of egg donation, presenting egg donation as a mutually beneficial and fulfilling experience. Sites emphasize egg donors' emotional fulfillment and address recipients' anxieties by stressing the ability to find the perfect “fit” or “match”, suiting recipients’“preferences”/“desires”, and even designing/customizing a child. (...) Agencies attempt to create a sense of connection between the recipients and donors by reporting donors' personal characteristics — e.g., interests/hobbies, traits, mood/temperament, and self-reported childhood behavior/memories. Sites present donors as caring/generous and smart/successful/beautiful. These data, the first to examine several key aspects of egg donation agency websites, reveal critical aspects of how these companies communicate to prospective donors and recipients, raising several ethical concerns. Websites frame information in ways that may bias consumers, making emotional appeals that may distract from appropriate risk/benefit assessments and obscure the ethical challenges of egg donation. These data highlight needs for improved practices, adherence to guidelines, and consideration of enhanced guidelines or policy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Platonic Ethics: Old and NewEve Browning ColeJulia Annas. Platonic Ethics: Old and New. Ithaca, NY: Cornell University Press, 1999. Pp. vii + 196. Cloth, $35.00Readers of Plato's dialogues in our time are almost unanimously affected by what Annas here calls "the developmental thesis." We bring to Plato's texts as a dogma the [End Page 114] view that his doctrines evolved over time, that later dialogues return to problems (...) unsuccessfully addressed in earlier dialogues, and in short that the Platonic corpus as a whole should be arranged as a kind of intellectual "Bildungsroman." The early and inconclusive explorations of Socrates give way to mature and expansive metaphysical doctrines, which in turn are tested and revised in subsequent works.This developmentalist dogma has dominated interpretations of Plato, with few exceptions (notably Paul Shorey), for a century and more. Yet this makes it a rather young dogma after all. Annas argues that it is a product of Victorian scholars, and especially targets the highly influential work of Benjamin Jowett (95 n.56). Jowett placed the Republic at the center of Plato's works and interpreted others backward and forward from it. The influence of this developmental thesis has been sweeping and, Annas argues, unfortunate. Armed with it, we are reluctant to consider the doctrines of the dialogues on their own terms; we make problems for one dialogue with concerns expressed in quite another; we tend to force our readings to fit the progressive picture and distort the works in the process.To achieve some distance from developmentalism and other modern preconceptions and dogma, Annas proposes listening with an open mind to ancient readings of Plato, especially those of the so-called Middle Platonists. Most modern students of ancient philosophy have been accustomed to discount these ancients as either too marginal to deserve a hearing or too biased to be fair readers. (In addition, access to their works in reliable texts and translations has been impossible until quite recently.)But such ancient readers as Albinus, Alcinous, Arius Didymus, Philo, and Numenius have (Annas argues) much to offer.First, they are active participants in an ongoing intellectual conversation about "eudaimonism," or the sufficiency of virtue for happiness. They comfortably engage Plato in this conversation as a proponent of eudaimonism. This is as true for the Plato of Republic and Laws as for the earlier dialogues. These older readers of Platonic ethics demonstrate that it is indeed possible to discern a unified view of the relation between goodness and happiness, without violence to the texts. While Plato may speak with "many voices," as Arius Didymus averred, this does not entail that he held "many doctrines" (9).Another modern shibboleth which the older readers can help us dislodge concerns the proper understanding of the Republic. We have tended to classify it as political theory (and in this are supported by the Library of Congress, as Annas points out). While recognizing the hefty core of more individual ethical thinking which goes into the definition of justice in the soul, we have insisted that the "Fairest City" is a serious utopian project description and should shape and contain the Republic's ethical teachings. Here too the ancients were much less inhibited than we; most of them cheerfully ignore the city-building and attend mainly to the implications for moral life. Annas finds this not only salubrious and unity-supporting but more faithful to the text, whose political content she finds "brief and underdeveloped" (82).Many readers will find the treatment of Republic's political significance (or lack thereof) objectionable. Many readers will also find the idea of relinquishing developmentalism to be unappealing or even frightening. But Annas makes a strong case for [End Page 115] seriously consulting the ancient readers if only for their medicinal value; they can "... wake us from our developmental slumbers" (165). Moreover, she provides a friendly and accessible entree to their world, one which will be of value to many modern readers who have been mystified by them heretofore.All texts quoted are in translation, and the occasional bits of original texts are transliterated. An extremely helpful "cast of characters" (which everyone will be tempted to xerox and... (shrink)

BackgroundHealth decisions occur in a context with omnipresent social influences. Information concerning what other patients decide may present certain interventions as more desirable than others.ObjectivesTo explore how physicians refer to what other people decide in conversations about the relevancy of cardio-pulmonary resuscitation or do-not-attempt-resuscitation orders.MethodsWe recorded forty-three physician–patient admission interviews taking place in a hospital in French-speaking Switzerland, during which CPR is discussed. Data was analysed with conversation analysis.ResultsReference to what other people decide in regards to CPR is used five (...) times, through reported speech. The reference is generic, and employed as a resource to deal with trouble encountered with the patient’s preference, either because it is absent or potentially incompatible with the medical recommendation. In our data, it is a way for physicians to present decisional paths and to steer towards the relevancy of DNAR orders. By calling out to a sense of membership, it builds towards the patient embracing norms that are associated with a desirable or relevant social group.ConclusionsIntroducing DNAR decisions in terms of what other people opt for is a way for physicians to bring up the eventuality of allowing natural death in a less overt way. Formulating treatment choices in terms of what other people do has implications in terms of supporting autonomous and informed decision making, since it nudges patients towards conformity with what is presented as the most preferable choice on the basis of social norms. (shrink)

Despite an abundance of academic conferences, clinical ethicists lacked a forum to share innovative practices with peers and to generate solutions to common challenges. Organizers of the first Clinical Ethics Un-Conference developed a working event centered on active participation and problem solving through peer learning, with the goal of improving realworld practice. Registrants included 95 individuals from 64 institutions. Attendees were surveyed immediately after the Un-Conference, and again eight months later. After eight months, 85 percent (n = 33/39) of the (...) survey respondents reported that they found the event “highly impactful” or “some-what impactful” to their clinical practice, and 23 attendees reported that they had implemented ideas or projects inspired by the event. Three sets of best practice guidelines and four white papers were published from the event. As the field of clinical ethics continues to advance and evolve, this working event format offers an innovative, disruptive alternative to a traditional conference format and may serve as a model for future efforts aimed at improving real-world clinical ethics practice. (shrink)

While COVID-19 spreads aggressively and rapidly across the globe, many societies have also witnessed the spread of other viral phenomena like misinformation, conspiracy theories, and general mass suspicions about what is really going on. This study investigates how exposure to and trust in information sources, and anxiety and depression, are associated with conspiracy and misinformation beliefs in eight countries/regions during the COVID-19 pandemic. Data were collected in an online survey fielded from May 29, 2020 to June 12, 2020, resulting in (...) a multinational representative sample of 8,806 adult respondents. Results indicate that greater exposure to traditional media is associated with lower conspiracy and misinformation beliefs, while exposure to politicians and digital media and personal contacts are associated with greater conspiracy and misinformation beliefs. Exposure to health experts is associated with lower conspiracy beliefs only. Higher feelings of depression are also associated with greater conspiracy and misinformation beliefs. We also found relevant group- and country differences. We discuss the implications of these results. (shrink)

The distinguishing characteristic of complex co-evolving systems is their ability to create new order. In human systems this may take the form of new ways of working or relating, new ideas for products, procedures, artefacts, or even the creation of a different culture or a new organizational form. This article will explore the creation of new order using the principles of complexity and the concepts of creativity and innovation. It will argue that innovation can be facilitated by an enabling environment (...) based on the logic of complexity and describe how one organization (the Humberside Training and Enterprise Council) co-created an innovative environment and changed its culture, ways of working, thinking, and relating. (shrink)

Background Noninvasive prenatal testing (NIPT) provides important benefits yet raises ethical concerns. We surveyed Canadian pregnant women and their partners to explore their views regarding pressure to test and terminate a pregnancy, as well as other societal impacts that may result from the routinization of NIPT.Methods A questionnaire was offered (March 2015 to July 2016) to pregnant women and their partners at five healthcare facilities in four Canadian provinces.Results 882 pregnant women and 395 partners completed the survey. 64% of women (...) anticipated feeling no pressure to take the test if it were offered routinely, and 39% were not concerned about routinization leading to increased pressure to terminate a pregnancy of a fetus with Down Syndrome. Regarding other social concerns possibly resulting from routinization, pregnant women were most concerned regarding a reduction in resources available for people with Down Syndrome and their families and least concerned regarding a decrease in the population of people with Down Syndrome.Conclusions Our findings reflect the concerns expressed by pregnant women and their partners, both personal (pressure to test, pressure to terminate) and societal (e.g., regarding potential negative impact on people with disabilities and their families). Even if most women were not concerned about feeling pressured to test due to NIPT routinization, a large minority express concerns that should not be taken lightly. Moreover, a majority of respondents were concerned regarding pressure to terminate pregnancies due to NIPT routinization as well as regarding most societal impacts they were queried on, especially the possible future reduction in resources available for people with DS and their families. Canadian policy-makers should consider these potential negative ramifications of NIPT and ensure that appropriate social policies accompany its implementation. (shrink)

When patients are not able to speak for themselves, surrogate decision makers are asked to guide treatment decisions and formulate a plan of care in accordance with what the patients would have wanted. This necessitates an exploration into the patients’ views about life and how it should be lived, how the patients constructed their identity or life story, and their attitudes towards sickness and suffering. When an individual appoints a surrogate, such as a healthcare power of attorney, a common presumption (...) is that this designation evinces merit. This obscures the possibility of multiple other considerations that influence individual choice. This article presents a clinical case in which the claim to know someone best created a controversy that brought treatment decisions to a standstill. Further, it illuminates how the question, “Given the current medical condition, what would this person want?” risks presuming that a singular, unambiguous preference exists and that one person can provide the answer. Clinical ethicists can play a vital role in situations when there is a dispute among a designated surrogate and family members over a patient’s preference. By embracing the complexity of the desire to synthesize seemingly irreconcilable perspectives about identity, uncovering the reasons that underlie disagreement, and guiding inquiry in such a way that allows stakeholders to move beyond the conflict, clinical ethicists can facilitate decision making that honors the patient and may mitigate moral distress. (shrink)

Sponges branch basally in the metazoan phylogenetic tree and are believed to be composed of four distinct lineages with still uncertain relationships. Indeed, some molecular studies propose that Homoscleromorpha may be a fourth Sponge lineage, distinct from Demospongiae in which they were traditionally classified. They harbour many features that distinguish them from other sponges and are more evocative of those of the eumetazoans. They are notably the only sponges to possess a basement membrane with collagen IV and specialized cell‐junctions, thus (...) possessing true epithelia. Among Homoscleromorphs, we have chosen Oscarella lobularis as a model species. This common and easily accessible sponge is characterized by relatively simple histology and cell composition, absence of skeleton, and strongly pronounced epithelial structure. In this review, we explore the specific features that make O. lobularis a promising homoscleromorph sponge model for evolutionary and developmental researches. (shrink)

Discussions on original sin conduced over the last 50 years yield the conclusion that the second half of the 20th century brought about the most far-reaching changes in the perception of original sin since the times of St. Augustine. In spite of these profound changes, the matter in question continues to give rise to controversies. Thus, Alfred Vanneste considers the omission of monogenism in the Catechism of the Catholic Church 2 to be a gross oversight on the part of the (...) drafting committee. During deliberations on the transformations of modern culture, an issue may arise, which implied that the notion of human nature encumbered with the weakness of original sin is one of the truths of highest empirical confirmation. It should be noted, however, that an immense diversity of standpoints In expressing his truth exist. (shrink)

Discussions on original sin conduced over the last 50 years yield the conclusion that the second half of the 20th century brought about the most far-reaching changes in the perception of original sin since the times of St. Augustine. In spite of these profound changes, the matter in question continues to give rise to controversies. Thus, Alfred Vanneste considers the omission of monogenism in the Catechism of the Catholic Church 2 to be a gross oversight on the part of the (...) drafting committee. During deliberations on the transformations of modern culture, an issue may arise, which implied that the notion of human nature encumbered with the weakness of original sin is one of the truths of highest empirical confirmation. It should be noted, however, that an immense diversity of standpoints In expressing his truth exist. (shrink)

This essay focuses on conceptual engineers who aim to improve other people's patterns of inference and attention by shaping their concepts. Such conceptual engineers sometimes engage in a form of epistemic paternalism that I call paternalistic cognitive engineering: instead of explicitly persuading, informing and educating others, the engineers non-consultatively rely on assumptions about the target agents’ cognitive systems to improve their belief forming. The target agents could reasonably regard such benevolent exercises of control as violating their sovereignty over their own (...) belief formation. This is a pro tanto reason against such engineering. In addition to the relevant projects of conceptual engineering, paternalistic cognitive engineering plausibly includes certain kinds of nudging and evidence suppression. I distinguish the sovereignty-based concern from other ethical worries about conceptual engineering and discuss how one might justify the relevant conceptual engineering projects despite the sovereignty-based reason against them. (shrink)

This book offers a new approach to the analysis of the multiple meanings of English modals, conjunctions, conditionals, and perception verbs. Although such ambiguities cannot easily be accounted for by feature-analyses of word meaning, Eve Sweetser's argument shows that they can be analyzed both readily and systematically. Meaning relationships in general cannot be understood independently of human cognitive structure, including the metaphorical and cultural aspects of that structure. Sweetser shows that both lexical polysemy and pragmatic ambiguity are shaped by our (...) metaphorical folk understanding of epistemic processes and of speech interaction. Similar regularities can be shown to structure the contrast among root, epistemic and speech act uses of modal verbs, multiple uses of conjunctions and conditionals, and certain processes of historical change observed in Indo-European languages. Since polysemy is typically the intermediate step in semantic change, the same regularities observable in polysemy can be extended to an analysis of semantic change. (shrink)

The book contains twelve chapters, prefaced by acknowledg­ments, and followed by a short index. It derives from the author's doctoral dissertation in philosophy at Washington University in St. Louis, and thanks are offered to committee members Robert B. Barrett, Joseph Ullian and Roger Gibson. The reader who is not inclined to review the large related literature on Quine's view of cognitive meaning and translation may also be attracted to this book for concise summaries and treatment of the Quinean view from (...) St. Louis. -/- . (shrink)

As we know, the sacred books of the three religions are not characterized by a gender-friendly approach. In the very beginning of the Old Testament we find the tale of the Fall of Man, where the serpent tempts Eve, who in turn tempts Adam to commit the original sin: to eat the fruit of the Tree of Knowledge. Eve’s guilt is taken for granted, and rarely discussed. The question of Eve’s guilt was first taken up in Augustine’s De Genesi ad (...) Litteram, and was then later further systematized in Peter Lombard’s Sentences. Isotta Nogarola was a pioneer in taking this discussion beyond university walls, to the intellectual Veronese circles. When Isotta Nogarola pleads for Eve’s case in her Dialogue on the Equal or Unequal Sin of Adam and Eve, she may not be the first to defend Eve, but she has the merit of being a woman who is pleading for a woman’s case. We examine the background of this discussion in Isotta, focusing especially on the scholastic antecedents to this debate. Although most of the quotations cited by Isotta are attributed to early Christian and pagan authors—sources that are typical of humanistic literature—we will demonstrate that many of them are in fact taken from scholastic sources discussing original sin, which are the true immediate sources of Isotta’s dialogue. (shrink)

In the context of a new wave of women’s activism for equality, the body is once again at the centre of the discussion today, in the USA and globally. Analysing American discourses about health and illness at the turn of the twenty-first century, Tasha Dubriwny has argued that the current narratives are dominated by neoliberal and postfeminist philosophies that have thrived in a framework of biomedicalisation and self-surveillance. What happens, then, when a successful feminist artist is diagnosed with uterine cancer? (...) How does Eve Ensler, author of The Vagina Monologues and founder of V-Day, face the fact that her life may have a painful ending? How does a woman so aware of her physical and psychological self come to terms with illness? Is she willing to put her political project aside to become a patient? Through a close reading of Ensler’s uterine cancer memoir In the Body of the World, and focusing particularly on its structure and narrative strategies, this article situates her work within the corpus of female literature about health and illness in the twenty-first century, exploring her meaning-making process in the light of the current tensions between feminism and postfeminism. (shrink)

"These essays advance a reinterpretation of pivotal categories such as self-knowing, moral agency, and altruism.

I will defend explication, in a Carnapian sense, as a strategy for revisionary ontologists and radical sceptics. The idea is that these revisionary philosophers should explicitly commit to using expressions like “S knows that p” and “Fs exist” differently from how these expressions are used in everyday contexts. I will first motivate this commitment for these revisionary philosophers. Then, I will address the main worries that arise for this strategy: the unintelligibility worry and the topic shift worry. I will focus (...) on the latter worry and provide a solution that makes use of a distinction between practically and theoretically oriented beliefs. On my view, the revisionary philosophers who admit to departing from the everyday language can still criticize everyday knowledge and existence claims, by arguing that while the language embedded in these claims is suitable for beliefs-1, it is not suitable for beliefs-2. (shrink)

In this paper, the principal objections to unconditional forgiveness are canvassed, primarily that it fails to take wrongdoing seriously enough, and that it displays a lack of self-respect. It is argued that these objections stem from a mistaken understanding of what forgiveness actually involves, including the erroneous view that forgiveness involves some degree of condoning of the offence, and is incompatible with blaming the offender or punishing him. Two positive reasons for endorsing unconditional forgiveness are considered: respect for persons and (...) human solidarity; and it is argued that the latter provides more plausible grounds for it than the former. (shrink)

No other area of human activity than science and technology has achieved as much intellectually and in terms of technical innovation. Nevertheless, despite these unchallengeable advances, science and technology do not inevitably lead to moral and social progress for humanity: The dreams of reason may also imply nightmares. As this century draws to a close, the most crucial change is occurring in science and technology policy, altering in particular the special status that science has enjoyed since World War II, affecting (...) the conditions under which academic research is carried out, compelling to more collaborative international research efforts and leading at the same time to growing ethical issues at the forefront of choices in relation to the environment, to the new technologies, and even to scientific research per se. Future generations will observe the twists and turns of history partly because of and partly in spite of these choices. (shrink)

Abstract“Science Is Politics By Other Means” (SIPBOM) was coined in The Pasteurization of France, Latour’s 1984 empirical study of the birth of microbiology. Yet, it encapsulates an outstanding political theory of science that Latour has never formalized and that has remained unnoticed to this day. The theory is comprised of two dimensions. The first one is the ontological labor performed by science, that is, the laboratory production of new nonhumans. The second one is the ability of science to devise and (...) implement novel policies targeted at the new beings it produces. These “other means” are incorporated in political projects and contribute to the shaping of society. Fifteen years later, Latour published Politics of Nature ([1999] 2004), a full-blown political treatise equally devoted to the political character of science. It would be mistaken, however, to assume that it falls in the same SIPBOM paradigm as the Pasteur study. The compositionist theory it offers redefines politics as the institution of the nonhumans that make up external reality, a task that has traditionally been monopolized by Science. In this sense, “science is politics by other means” has become “politics is science by other means,” these “other means” now referring to “cosmopolitics,” that is, the due process advocated by compositionism. The first claim of the present paper is that the respective weight ascribed to politics and ontology is different in The Pasteurization of France and in Politics of Nature. The second claim is that compositionism is not as successful as Latour’s early theory to account for the politicity of science. (shrink)

"These essays advance a reinterpretation of pivotal categories such as self-knowing, moral agency, and altruism... A must for all students and researchers/faculty engaged in the study of ethics." —Choice "This is an extraordinarily valuable collection of essays in feminist ethics." —Teaching Philosophy A range of recent work in feminist ethics, exploring such issues as the ethic of care, a viable feminist ethics, Pythagoreanism, existentialism, utilitarianism, self-knowing, emotion, and moral vision. Also discussed is the process of applying feminist ethics to work (...) situations. The concluding essays point to the future and present new visions for the field. (shrink)

Charts the development of feminist philosophy as a recognized contributor to intellectual debate, beginning with its origins outside the philosophical establishment in activism, cultural criticism, and social engagement. The fresh approaches of black feminists, lesbian philosophers, American Indian feminists, and ecological feminists are brought into the dialogue. In addition, Cole surveys feminist criticism of the traditional philosophical problems of metaphysics, epistemology, and ethics. She concludes that neither feminism nor philosophy thrives when viewed as the "property" of specialists or in-groups, but (...) that feminist philosophy is a powerful, vital, and inclusive conversation about the concerns most basic to human beings. Suggestions for further readings at the end of each chapter assist students to explore subjects of interest in more depth. (shrink)

Xenophon (430—354 B.C.E.) Xenophon was a Greek philosopher, soldier, historian, memoirist, and the author of numerous practical treatises on subjects ranging from horsemanship to taxation. While best known in the contemporary philosophical world as the author of a series of sketches of Socrates in conversation, known by their Latin title Memorabilia, Xenophon also wrote a […].

This article analyzes the institutionalization of the global organic agriculture field and sheds new light on the conventionalization debate. The institutions that shape the field form a tripartite standards regime of governance that links standard-setting, certification, and accreditation activities, in a layering of markets for services that are additional to the market for certified organic products. At each of the three poles of the TSR, i.e., for standard-setting, certification, and accreditation, we describe how the corresponding markets were constructed over time (...) and the role of the different actors in their evolution. We analyze the politics at stake among the actors at each pole, their competing or cooperative interests and visions, and the tensions between them in the promotion of markets. Through the lens of the TSR heuristic, we show that the institutionalization of the organic field beginning in the 1990s and its de facto inclusion in the broader sustainability field beginning in the 2000s contribute to a progressive distancing between the organic movement and its initial political project of alterity, to which public and private actors both contribute actively. As a set of interlinked market institutions, the TSR orients and narrows the scope of debate, which becomes restricted to “market-compatible” dimensions and objects. We conclude that the TSR is a promising heuristic for analyzing contemporary global regulation. (shrink)

The debate between Bloor and Latour is based on a fundamental misunderstanding due to too narrow a view of what Bloor calls ‘the field’. The boundaries of this ‘field’ are not defined by the sociological analysis of the content of science: SSK and Latour do not share the same object of study. Latour's approach marks a shift from the social determinants of scientific knowledge to the ontological labour performed by scientific activity. The research on the science/society interface has generated two (...) approaches. Some works tackle the social factors which determine science. Their object is society in science. Other works address the social role of science. Their object of study is science in society. The difference in the way SSK and Latour look at science is an incarnation of this division. A re-conceptualization of ‘the field’ based on the acknowledgement of these two objects is perhaps the only way to allow for a diversity of approaches in the study of the science/society interface. (shrink)

The jury remains out about the bottom-line relevance of organisational spirituality. This article reviews the arguments made thus far, using those sources most commonly cited as providing ‹evidence’ that organisational spirituality adds value to the bottom line. Having collated the evidence, this article offers some observation about the robustness of this existing ‹business case’. It then offers some preliminary conclusions on the literature review, examining the merits of pursuing a ‹business case’ in this field and identifying some specific questions for (...) future research. (shrink)