BackgroundIn the Canadian Alliance for Healthy Hearts and Minds (CAHHM) cohort, participants underwent magnetic resonance imaging (MRI) of the brain, heart, and abdomen, that generated incidental findings (IFs). The approach to managing these unexpected results remain a complex issue. Our objectives were to describe the CAHHM policy for the management of IFs, to understand the impact of disclosing IFs to healthy research participants, and to reflect on the ethical obligations of researchers in future MRI studies.MethodsBetween 2013 and 2019, 8252 participants (...) (mean age 58 ± 9 years, 54% women) were recruited with a follow-up questionnaire administered to 909 participants (40% response rate) at 1-year. The CAHHM policy followed a restricted approach, whereby routine feedback on IFs was not provided. Only IFs of severe structural abnormalities were reported.ResultsSevere structural abnormalities occurred in 8.3% (95% confidence interval 7.7–8.9%) of participants, with the highest proportions found in the brain (4.2%) and abdomen (3.1%). The majority of participants (97%) informed of an IF reported no change in quality of life, with 3% of participants reporting that the knowledge of an IF negatively impacted their quality of life. Furthermore, 50% reported increased stress in learning about an IF, and in 95%, the discovery of an IF did not adversely impact his/her life insurance policy. Most participants (90%) would enrol in the study again and perceived the MRI scan to be beneficial, regardless of whether they were informed of IFs. While the implications of a restricted approach to IF management was perceived to be mostly positive, a degree of diagnostic misconception was present amongst participants, indicating the importance of a more thorough consent process to support participant autonomy.ConclusionThe management of IFs from research MRI scans remain a challenging issue, as participants may experience stress and a reduced quality of life when IFs are disclosed. The restricted approach to IF management in CAHHM demonstrated a fair fulfillment of the overarching ethical principles of respect for autonomy, concern for wellbeing, and justice. The approach outlined in the CAHHM policy may serve as a framework for future research studies.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/nct02220582. (shrink)

1 Evidence-based policy requires researchers to provide the answers to ecological questions that are of interest to policy makers. To find out what those questions are in the UK, representatives from 28 organizations involved in policy, together with scientists from 10 academic institutions, were asked to generate a list of questions from their organizations. 2 During a 2-day workshop the initial list of 1003 questions generated from consulting at least 654 policy makers and academics was used as a basis for (...) generating a short list of 100 questions of significant policy relevance. Short-listing was decided on the basis of the preferences of the representatives from the policy-led organizations. 3 The areas covered included most major issues of environmental concern in the UK, including agriculture, marine fisheries, climate change, ecosystem function and land management. 4 The most striking outcome was the preference for general questions rather than narrow ones. The reason is that policy is driven by broad issues rather than specific ones. In contrast, scientists are frequently best equipped to answer specific questions. This means that it may be necessary to extract the underpinning specific question before researchers can proceed. 5 Synthesis and applications. Greater communication between policy makers and scientists is required in order to ensure that applied ecologists are dealing with issues in a way that can feed into policy. It is particularly important that applied ecologists emphasize the generic value of their work wherever possible. (shrink)

Attempts to understand farmer conservation behavior based on quantitative socio-demographic, attitude, and awareness variables have been largely inconclusive. In order to understand fully how farmers are making conservation decisions, 32 in-depth interviews were conducted in the Eagle Creek watershed in central Indiana. Coding for environmental attitudes and practice adoption revealed several dominant themes, representing multi-dimensional aspects of environmental attitudes. Farmers who were motivated by off-farm environmental benefits and those who identified responsibilities to others (stewardship) were most likely to adopt conservation (...) practices. Those farmers who focused on the farm as business and were most concerned about profitability were less likely to adopt practices. The notion of environmental stewardship in particular was found to be much more complex than the way it is traditionally measured in quantitative studies. The interplay between on-farm and off-farm benefits to practice adoption is an issue that quantitative studies largely do not address. This study seeks to increase understanding of farmers’ environmental attitudes and the connections to conservation behavior. (shrink)

Sara Ruddick's Maternal Thinking represents a great contribution to moral philosophy-in particular, by bringing women's "private" virtues into the public sphere. However, there remain problems in the analysis which need to be addressed: How can one possibly generalize about the practice of mothering from one, necessarily limited, perspective, given the facts of cultural diversity? Is Ruddick's normative account of mothering congruent with the reflective judgments of others? Is her account of the transformation of parochial mothering into feminist peace work viable? (...) After exploring these three questions, this reviewer calls, with Ruddick, for the telling of more maternal stories, from different cultural, racial and economic perspectives. (shrink)

La comprensión del conocimiento como sistema en el Tratado de la naturaleza humana de David Hume reconoce tres aspectos: primero, el conocimiento implica su distancia de la idea de sustancia y de ideas generales abstractas. Segundo, el conocimiento comprende la conexión entre impresiones e ideas. El enlace de nuestras impresiones e ideas surge del principio de asociación el cual ordena y reconfigura el conocimiento en virtud de la atracción, conexión articulada por las facultades de la memoria y la imaginación. Tercero, (...) el conocimiento constituye un sistema constituido por la reiteración de hábitos y costumbres configurados por el principio de asociación desde la relación integrada de impresiones e ideas. (shrink)

Foundation for a conversation on ethics -- Introduction -- What are ethics? -- Why do people act unethically? -- Understanding why and how we do what we do -- Dispositional factors influencing ethical decisions -- Psychological processes and mechanisms -- Justifications that allow immoral behavior -- Situational factors influencing ethical decisions -- Recalibrating your moral compass -- Expanding your lens -- Changing your lens and learning to re-engage -- Applying what you've learned -- Guided practice with case studies.

Throughout the development of an "ethic of care" different from an "ethic of justice," the relationship between the two has been problematic. Are they theories between which one must choose? Are they complementary? Are they domain-specific? In support of my view that neither is adequate by itself, I here examine the private domain of care of the dying by intimates, and find there important issues both of care and of justice.

A longitudinal perspective on motherhood that spans the experience of gestation, birthing, the care of young children, and the mother’s relation to her grown children makes way for a conception of the mother as essentially plural. It shall be argued in this paper that maternity is necessarily tied to surrogacy, that it is divided into a multiplicity of tasks inevitably parceled out to multiple agents. In this essay, the analysis of maternal surrogacy is focused on the phenomenon of mothering from (...) a distance, a maternal practice engendered by the feminization and globalization of labor markets. By both affirming the value of maternal surrogates and questioning the limits of surrogacy, this analysis of motherhood challenges both the economic exploitation that engenders and sustains distant mothering and the gendered division of care labor that supports the global economy of care. (shrink)

Sara Ruddick's Maternal Thinking represents a great contribution to moral philosophy—in particular, by bringing women's “private” virtues into the public sphere. However, there remain problems in the analysis which need to be addressed: How can one possibly generalize about the practice of mothering from one, necessarily limited, perspective, given the facts of cultural diversity? Is Ruddick's normative account of mothering congruent with the reflective judgments of others? Is her account of the transformation of parochial mothering into feminist peace work viable? (...) After exploring these three questions, this reviewer calk, with Ruddkk, for the telling of more maternal stories, from different cultural, racial and economic perspectives. (shrink)

This dissertation originated in a reasoned conviction that character is of crucial importance for moral theory; that its neglect in the modern period is regrettable. Considerations of character can illuminate judgments of the rightness of actions and the goodness of ends. Indeed, good character is one of the greatest goods. Further, the understanding of character and its development provides an essential link between moral theory and social philosophy. ;The particular content of this dissertation is Kant's theory of character. Recent scholars (...) have illuminated his treatment of character and the virtues; although these interpretations are valuable, there remains a need for the systematic articulation of the theory as a whole. ;My procedure has been to establish preliminary criteria for any theory of character, in the form of questions to which any adequate theory must given cogent answers, and then to discover Kant's answers to those questions. After the theory has been articulated, its adequacy is assessed. ;In Chapter One I review recent literature, contrasting act-centered with agent-centered approaches, and propose tentative criteria for theory of character. Chapters Two and Three present the rudiments of Kant's theory, and Chapter Three addresses standard criticisms. Chapter Four presents Kant's view of the development of character in its social context, and Chapter Five the problem which Kant's view of women's character presents for his theory as a whole. The final chapter evaluates its strengths and weaknesses. ;Although Kant's theory is shown to be flawed by his underlying conception of human nature, and by his inconsistent view of female character, I shall argue that it is basically sound. His analysis of character as related to choice, reason, freedom and society is comprehensive, and his emphasis on the importance of the moral agent, rather than on outcomes or general rules, makes him preeminently a philosopher of character. (shrink)

cal basis of consciousness. We continue by discussing the relation between spatiotem- One of the outstanding problems in the cog- poral patterns of brain activity and con- nitive sciences is to understand how ongo- sciousness, with particular attention to pro- ing conscious experience is related to the cesses in the gamma frequency band. We workings of the brain and nervous system. then adopt a critical perspective and high-.

Sara Ruddick's Maternal Thinking represents a great contribution to moral philosophy-in particular, by bringing women's "private" virtues into the public sphere. However, there remain problems in the analysis which need to be addressed: How can one possibly generalize about the practice of mothering from one, necessarily limited, perspective, given the facts of cultural diversity? Is Ruddick's normative account of mothering congruent with the reflective judgments of others? Is her account of the transformation of parochial mothering into feminist peace work viable? (...) After exploring these three questions, this reviewer calls, with Ruddick, for the telling of more maternal stories, from different cultural, racial and economic perspectives. (shrink)

Growing economic inequality, workforce precarity, the perceived meaninglessness of many jobs, and the prospect of widespread technological unemployment have led to an unprecedented level of critical scrutiny of the institution of work. Some scholars go so far as to propose that we should take seriously, or even embrace, a “post-work” future. This volume aims to provide the first critical overview of the scholarly arguments about the design and desirability of such a “post-work” world. Topics addressed in its chapters include the (...) historical origins of the work ethic; work’s relation to freedom, leisure, and self-realization; alternative visions of a post-work world; the intersection of post-work thinking with economic justice; and post-work’s relevance to environmental sustainability, care work, and democratic change. (shrink)

The Strange Situation procedure was developed by Ainsworth two decades agoas a means of assessing the security of infant-parent attachment. Users of the procedureclaim that it provides a way of determining whether the infant has developed species-appropriate adaptive behavior as a result of rearing in an evolutionary appropriate context, characterized by a sensitively responsive parent. Only when the parent behaves in the sensitive, species-appropriate fashion is the baby said to behave in the adaptive or secure fashion. Furthermore, when infants are (...) observed repeatedly in the Strange Situation,the pattern of behavior is said to be highly similar, and this pattern is said to predict the infants' future behavior in a diverse array of contexts. After an exhaustive review of the literature, it is shown that these popular claims are empirically unsupported in their strong form, and that the interpretations in terms of biological adaptationare misguided. There is little reliable evidence about the specific dimensions of parental behavior that affect Strange Situation behavior, although there does appear to be some relationship between these constructs. Temporal stability in security of attachment ishigh only when there is stability in family and caretaking circumstances. Likewise, patterns of Strange Situation behavior only have substantial predictive validity in similarly stable families. Implications for future research and theorizing — particularly as they relate to the use of evolutionary biology in psychological theory — are discussed. (shrink)

There is a new Bayesian, or probabilistic, paradigm in the psychology of reasoning, with new psychological accounts of the indicative conditional of natural language. In psychological experiments in this new paradigm, people judge that the probability of the indicative conditional, P(if A then C), is the conditional probability of C given A, P(C | A). In other experiments, participants respond with what has been called the 'de- fective' truth table: they judge that if A then C is true when A (...) holds and C holds, is false when A holds and C does not, and is neither true nor false when A does not hold. We argue that these responses are not 'defective' in any negative sense, as many psychologists have implied. We point out that a number of normative researchers, including de Finetti, have proposed such a table for various coherent interpretations of the third value. We review the relevant general tables in the normative literature, in which there is a third value for A and C and the logically compound forms of the natural language conditional, negation, conjunction, disjunction, and the material conditional. We describe the results of an experiment on which of these tables best describes ordinary people's judgements when the third value is interpreted as indicating uncertainty. (shrink)

Jean-Paul Sartre: Mind and Body, Word and Deed celebrates Sartre's polyvalence with an examination of Sartrean philosophy, literature, and politics. In four distinct yet related sections, twelve scholars from three continents examine Sartre's thought, writing and action over his long career. "Sartre and the Body" reappraises Sartre's work in dialogue with other philosophers past and present, including Maine de Biran, Maurice Merleau-Ponty and Didier Anzieu. "Sartre and Time" offers a first-hand account by Michel Contat of Sartre and Beauvoir working (...) together, and a "philosophy in practice" analysis by François Noudelmann. "Ideology and Politics" uses Sartrean notions of commitment and engagement to address modern and contemporary politics, including insights into Castro, De Gaulle, Sarkozy and Obama. Finally, an important but neglected episode of Sartre's life the visit that he and Beauvoir made to Japan in 1966 is narrated with verve and humour by Professor Suzuki Michihiko, who first met Sartre during that visit and remained in touch subsequently. Taken together, these twelve chapters make a strong case for the continued relevance of Sartre today. (shrink)