For over three decades, clinical ethicists in the United States have recorded their consulting activities to supplement documentation in the medical record, often using locally developed instrument...

After decades of single issue movements and identity politics on the U.S. left, the series of large demonstrations beginning in 1999 in Seattle have led many to wonder if activist politics can now come together around a common theme of global justice. This book pursues the prospects for progressive political movements in the 21st century with case studies of ten representative movements, including the anti-globalization forces, environmental interest groups, and new takes on the peace movement.

Frank E. Zachos offers a comprehensive review of one of today's most important and contentious issues in biology: the species problem. After setting the stage with key background information on the topic, the book provides a brief history of species concepts from antiquity to the Modern Synthesis, followed by a discussion of the ontological status of species with a focus on the individuality thesis and potential means of reconciling it with other philosophical approaches. More than 30 different species concepts (...) found in the literature are presented in an annotated list, and the most important ones, including the Biological, Genetic, Evolutionary and different versions of the Phylogenetic Species Concept, are discussed in more detail. Specific questions addressed include the problem of asexual and prokaryotic species, intraspecific categories like subspecies and Evolutionarily Significant Units, and a potential solution to the species problem based on a hierarchical approach that distinguishes between ontological and operational species concepts. A full chapter is dedicated to the challenge of delimiting species by means of a discrete taxonomy in a continuous world of inherently fuzzy boundaries. Further, the book outlines the practical ramifications for ecology and evolutionary biology of how we define the species category, highlighting the danger of an apples and oranges problem if what we subsume under the same name ("species") is in actuality a variety of different entities. A succinct summary chapter, glossary and annotated list of references round out the coverage, making the book essential reading for all biologists looking for an accessible introduction to the historical, philosophical and practical dimensions of the species problem. (shrink)

The dominant, individualistic understanding of autonomy that features in clinical practice and research is underpinned by the idea that people are, in their ideal form, independent, self-interested and rational gain-maximising decision-makers. In recent decades, this paradigm has been challenged from various disciplinary and intellectual directions. Proponents of ‘relational autonomy’ in particular have argued that people’s identities, needs, interests – and indeed autonomy – are always also shaped by their relations to others. Yet, despite the pronounced and nuanced critique directed at (...) an individualistic understanding of autonomy, this critique has had very little effect on ethical and legal instruments in clinical practice and research so far. In this article, we use four case studies to explore to what extent, if at all, relational autonomy can provide solutions to ethical and practical problems in clinical practice and research. We conclude that certain forms of relational autonomy can have a tangibl... (shrink)

The historical development of a field of human knowledge progresses like the solution of a jig-saw puzzle, the full extent of which is completely unknown. What begins as an ocean may become only a lake; what starts as a grove of trees may develop into a forest. As study advances through the decades, the situation is repeatedly surveyed and the interpretation of the whole is modified to accord with the added information. For these reasons, conceptions and generalizations periodically undergo alteration, (...) as effectively stated and discussed by Cooper. Universal conformity in such conceptions is of course hardly to be expected in matters that deal largely with speculation rather than with simple experimental data. (shrink)

Foucault’s remarks concerning psychoanalysis are ambivalent and even prima facie contra-dictory, at times lauding Freud and Lacan as anti-humanists, at others being severely criti-cal of their imbrication within psychiatric power. This has allowed a profusion of interpretations of his position, between so-called ‘Freudo-Foucauldians’ at one extreme and Foucauldians who condemn psychoanalysis as such at the other. In this article, I begin by surveying Foucault’s biographical and theoretical relationship to psychoanalysis and the sec-ondary scholarship on this relationship to date. I pay (...) particular attention to the discussion of the relationship in feminist scholarship and queer theory, and that by psychoanalytic thinkers, as well as attending to the particular focus in the secondary literature on Fou-cault’s late work and his relationship to the figure of Jacques Lacan. I conclude that Fou-cault’s attitude to psychoanalysis varies with context, and that some of his criticisms of psychoanalysis in part reflect an ignorance of the variety of psychoanalytic thought, partic-ularly in its Lacanian form. I thus argue that Foucault sometimes tended to overestimate the extent of the incompatibility of his approach with psychoanalytic ones and that there is ultimately no serious incompatibility there. Rather, psychoanalysis represents a substantively different mode of inquiry to Foucault’s work, which is neither straightforwardly ex-clusive nor inclusive of psychoanalytic insights. (shrink)

This article deals with the relationship between the thought of Michel Foucault and that of Axel Honneth, arguing in favour of the former against the latter. I begin by considering Honneth’s early engagement in The Critique of Power with Foucault’s thought. I rebut Honneth’s criticisms of Foucault here as a misreading, one which prevents Honneth from coming to grips with Foucault’s position and hence the challenge that it poses to Honneth’s project. I then move on to offer a Foucauldian critique (...) of Honneth’s own position, arguing for a Foucauldian alternative to Critical Theory. (shrink)

ExcerptIn 2021, in the pages of this journal, I contended that a coalition of interests in the United States had coalesced in opposition to the presidency of Donald Trump and duly taken power through the vehicle of Joe Biden.1 This coalition includes the Democratic Party, corporate elites, the media, academia, and—the subject of the present article—the national security (natsec) state. In that earlier piece, I focused on particular components of this coalition: legacy and social media. I went on in a (...) subsequent Telos piece to examine another of its elements: the academy.2 These fractions all appear, however, to be relatively minor players. While I argue that the legacy media have staged a counterrevolution to seize back control of the public sphere, this exhausts their parochial, pecuniary agenda; beyond this, they are simply part of a wider activist liberal cause. Contemporary liberal activism is in turn ideologically rooted in ideas propagated by sectors of the academy and hegemonic within it, but this has not, on my analysis, empowered the academy so much as the forces that make it increasingly redundant. (shrink)

Many drugs used in paediatric medicine are off-label. There is a rising call for the use of adaptive clinical trial designs in responding to the need for safe and effective drugs given their potential to offer efficiency and cost-effective benefits compared with traditional clinical trials. ADs have a strong appeal in paediatric clinical trials given the small number of available participants, limited understanding of age-related variability and the desire to limit exposure to futile or unsafe interventions. Although the ethical value (...) of adaptive trials has increasingly come under scrutiny, there is a paucity of literature on the ethical dilemmas that may be associated with paediatric adaptive designs. This paper highlights some of these ethical concerns around safety, scientific/social value and caregiver/guardian comprehension of the trial design. Against this background, the paper develops a non-static conceptual lens for understanding PADs. It shows that ADs are epistemically open and reduce some of the knowledge-associated uncertainties inherent in clinical trials as well as fast-track the time to draw conclusions about the value of evaluated drugs/treatments. On this note, the authors argue that PADs are ethically justifiable given they have multiple layers of safety, exposing enrolled children to lesser potential risks, create social/scientific value generally and for paediatric populations in particular, specifically foster the flourishing of paediatric populations and can significantly improve paediatric trial efficiency when properly designed and implemented. However, because PADs are relatively new and their regulatory, ethical and logistical characteristics are yet to be clarified in some jurisdictions, the cooperation of various public and private stakeholders is required to ensure that the interests of children, their caregivers and parents/guardians are best served while exposing paediatric research subjects to the most minimal of risks when they are enrolled in paediatric trials that use ADs. Data sharing not applicable as no datasets generated and/or analysed for this study. Not applicable. (shrink)

IntroductionAs we near the semicentennial of the 1976 publication of the first volume of Foucault’s History of Sexuality, for all its influence in the interim, this work remains today extraordinarily challenging in relation to our sexual mores. In this article, I will attempt to reapply its insights to analyze contemporary trends in sexuality and gender. Questions that I will consider include the continuing applicability of Foucault’s analyses, to what extent and how they may need to be revised in light of (...) historical developments, and what reading Foucault can tell us about our contemporary conjuncture. I will argue that volume 1 of The History of Sexuality remains highly relevant in this regard, although I will also indicate some ways in which things have moved on since Foucault’s time, and thus in which his thesis might be modified. Despite Foucault having apparently been extremely influential on academic thinking about sex, we seem nonetheless to have become or remained “other Victorians,” perversely mimicking the nineteenth-century sexology that Foucault pilloried. I will argue that we have continued to believe exactly the great myths about sex that Foucault sought to dispense with: namely, that sexuality has primarily been shaped by historic “repression,” that sexuality needs to be “liberated” from this repression, and that there is a “truth of sex” that is on the side of freedom. These beliefs have all mutated, however, to the extent that questions of sex (like many other social questions) are increasingly oriented around individual identities and the supposed sovereignty of the individual to determine their own truth. (shrink)

The sociology of knowledge can most generally be defined as the discipline devoted to the social origins of thought. It is an analysis concerned with specifying the existential basis of thought, and with establishing the relationship obtained between mental structures or thought, and that existential basis. Some very interesting and difficult problems arise from this conception of the sociology of knowledge. Perhaps the most obvious of these is whether or not a sociology of knowledge, as here conceived, is theoretically possible. (...) This is a problem I do not intend to deal with at present because limitations of time prevent me from doing even partial justice to it. (shrink)

Theravāda Buddhists draw a doctrinal distinction between otherworldly (lokuttara) and this-worldly (lokiya) actions, and also an ecclesiastical distinction between bhikkhu (wandering mendicant or 4 "monastic") action and lay action. Within the Theravāda tradition these modes of action have overlapped to form a more empirically relevant set. This set is constituted by the otherworldly action of the path winning bhikkhus, the this-worldly action of ordinary bhikkhus, the path winning or bodhisatta (future Buddha) action of exceptional laymen, and the this-worldly action of (...) ordinary laymen. These four modes of action have meshed together to form the basis for very complex and persistent Theravāda societies in Sri Lanka and Southeast Asia. The article concludes with some methodological observations concerning the relationship between the study of action (as carried out in the body of the article), and the study of ethics (as carried out by most contemporary scholars in the field of religious ethics). (shrink)

In this response, while agreeing with Balibar’s substantive positive position, I take issue with the way he situates it. Specifically, he casts it as a via negativa in relation to all previously existing thought. I suggest that it would be more accurate to say he is positioning the notion of the transindividual as a via media between two alleged extremes, individualism and organicism. I argue that the idea that there is an opposite and equal error to individualism is mistaken, and (...) that in actuality Balibar’s concept of the transindividual is not a radical departure from a long history of anti-individualism. (shrink)

In this article, I review recent findings in cognitive neuroscience in learning, particularly in the learning of mathematics and of reading. I argue that while cognitive neuroscience is in its infancy as a field, theories of learning will need to incorporate and account for this growing body of empirical data.

Three recent research reports by Topping and Trickey, by Fair and colleagues, and by Gorard, Siddiqui and Huat See have produced data that support the conclusion that a Philosophy for Children program of one-hour-per-week structured discussions has a marked positive impact on students. This article presents data from a follow up study done three years after the completion of the study reported in Fair et al.. The data show that the positive gains in scores on the Cognitive Abilities Test were (...) still present and had not faded after three years. Given the strength of these confirmations of the positive durable impact of the P4C program of structured discussions and given the relatively low cost of implementing the P4C program, it is recommended that it become a standard part of the school curriculum. (shrink)

This study is an attempt partially to describe the sociological foundations of modern science. When the question is put, under what social circumstances did the idea of science develop, one sees that there is here an inadequately explored sociological area. Perhaps a definition and a contrast will make this clearer. By the idea of science is meant simply the proposition that the valid source of human knowledge is to be found in the analysis of experience. But knowledge in this sense (...) was not a problem in the medieval period. In the first place, it was then taken for granted that the universe was intelligible to man on the basis of divinely revealed principles. Secondly, man constituted the center of the universe, which in its entirety was thought to be subordinate to man's destiny. Thirdly, not only was the universe which existed for man then known by him, but it was endowed with human qualities. The categories of interpretation were substance, essence, form, matter, quality, and purpose. The reason why rain fell upon the earth was to grow crops; the purpose of the moon and the stars was to light the earth at night, and to act as guideposts for him on his travels. Bodies tended to their proper places, light ones upward, heavy ones earthward. Quantitative differences were inferred from these qualitative ones. It is well-known, for example, how tenaciously was the knowledge held, that heavier objects fall more quickly than lighter ones. And finally, the universe was religious. If the world existed for the benefit of man, man existed for the glory of God. Human sojourn upon the earth was merely preparation for permanent residence in eternity. (shrink)

A major problem of the philosophy of science is the construction of a comprehensive science of man and the universe. The sociology of science has a part to play in this tremendous task by indicating the extra-scientific influences bearing upon science at any given period, assisting, in this way, in developing a self-consciousness of science. It is believed that this self-consciousness is necessary to a scientific appraisal of the method of scientific inquiry, as well as being necessary to any attempt (...) to direct the development of science as an institution. This paper is to be regarded as a sociological evaluation of a work in the field of the philosophy of science, namely, F. S. C. Northrop's The Meeting of East and West. (shrink)

Positivists since the time of Comte have defined objectivity in science in terms of the absence of prejudice on the part of the scientist towards the phenomena with which he deals. It has been assumed that if the observer would contemplate the facts himself, this objectivity—an absence of bias—could be attained. However, social psychologists, notably C. H. Cooley and G. H. Mead, have shown that this is not necessarily the case. In the study of culture, an outstanding positivist, W. G. (...) Sumner, in his discussion of folkways and mores, has shown that this objectivity is impossible to attain. These men have described the process through which objects arise in one's experience, and come to be defined in terms of that experience, so that the same object may mean different things to different people. This seems to be the case with certain areas of social theory. (shrink)

The thought of Bernard Lonergan provides an epistemological position that is both true to the exigencies of modern science and yet open to the possibility of God and revealed religion. In this paper I outline Lonergan's “transcendental method,” which describes the basic pattern of operations involved in any act of human knowing, and discuss how Lonergan uses this cognitional theory as a basis for an epistemological position of critical realism. Then I explain how his approach handles some philosophical problems raised (...) by classical and modern science and show how his thought provides an intelligible link between the scientific and religious horizons. (shrink)

We have developed a process model that learns in multiple ways while finding faults in a simple control panel device. The model predicts human participants' learning through its own learning. The model's performance was systematically compared to human learning data, including the time course and specific sequence of learned behaviors. These comparisons show that the model accounts very well for measures such as problem‐solving strategy, the relative difficulty of faults, and average fault‐finding time. More important, because the model learns and (...) transfers its learning across problems, it also accounts for the faster problem‐solving times due to learning when examined across participants, across faults, and across the series of 20 trials on an individual participant basis. The model shows how learning while problem solving can lead to more recognition‐based performance, and helps explain how the shape of the learning curve can arise through learning and be modified by differential transfer. Overall, the quality of the correspondence appears to have arisen from procedural, declarative, and episodic learning all taking place within individual problem‐solving episodes. (shrink)

1. Introduction. Cultural relativity is one of the most important conceptions to which anthropology and sociology have devoted much attention in recent years. It is a theory of human conduct based upon observational studies of different cultures and different societies. Many of the leaders in the various social sciences are currently among the advocates of this viewpoint. The burden of these pages, however, is that cultural relativity is flying under false colors: it claims to be empirical but is illogical; it (...) claims to be objective but is surreptitiously moral; it claims to be reasonable but elevates irrationalism; it claims to be scientific but prevents the development of an experimental science of sociocultural conduct. These are serious charges to lodge against leading social scientists; to detail them all would require much more space than is here available. Therefore this paper will be devoted to an incomplete exposition of only two points, namely, that cultural relativity is surreptitiously moral, and, that it deprives man of rational grounds for decision in certain crucial areas. To put the matter bluntly, the advocates of cultural relativity, while they allege themselves to be scientifically amoral, sneak in through the back door a peculiarly crude form of ethnocentric morality which is clearly contrary to the observable facts of human behavior; and, while presenting a presumably scientific analysis of human conduct, leave us only with personal taste as the basis for making certain important decisions.2. Cultural Relativity Defined. Cultural relativity, briefly stated, asserts that any set of customs and institutions, or way of life, is as valid as any other. It may be well to let some representative cultural relativists speak for themselves at this point, in order to show that the summary statement of their position, just given, is correct. The author of an excellent and widely adopted textbook in cultural anthropology stresses the dignity inherent in every body of custom, and abjures us to be tolerant of the ways of other people:… cultural relativism is a philosophy which … lays stress on the dignity inherent in every body of custom, and on the need for tolerance of conventions though they may differ from one's own … the relativistic point of view brings into relief the validity of every set of norms for those people whose lives are guided by them, and the values these represent. … The very core of cultural relativism is the social discipline that comes of respect for differences—of mutual respect. Emphasis on the worth of many ways of life, not one, is an affirmation of the values of each culture. Such emphasis seeks to understand and to harmonize goals, not to judge and destroy those that do not dovetail with our own,. (shrink)

1. Introduction. The purpose of this paper is to present an initial sociological analysis of science as an institution. This kind of analysis has long been made of other aspects of culture: of the family, the state, religion, economic enterprise and the like. An institution, as the term is used here, is simply… a definite and established phase of the public mind … often seeming, on account of its permanence and the visible customs and symbols in which it is clothed, (...) to have a somewhat distinct and independent existence. (shrink)