It has been said that pragmatism's "merely instrumental" truths fail to motivate radical change whereas absolute ideals make excellent guiding and driving forces for justice. However, in Radical Equations: Math Literacy and Civil Rights, Robert Moses speaks of the radical success of pragmatic principles, used in the Civil Rights Movement, that are continued today in the Algebra Project. This paper applies Dewey's claims about education and community to Moses's own arguments as a means of depicting the role that pragmatic ideals (...) play in achieving radical social change. (shrink)

Background: The Voluntary Assisted Dying Act 2017 passed into law in Victoria, Australia, on the 29 November 2017. Internationally, nurses have been shown to be intimately involved in patient care throughout the voluntary assisted dying process. However, there is a paucity of research exploring Australian nurses’ perspectives on voluntary assisted dying and, in particular, how Victorian nurses anticipate the implementation of this ethically controversial legislation will impact their professional lives. Objectives: To explore Victorian nurses’ expectations of the ethical and practical (...) impacts the voluntary assisted dying legislation will have on their professional lives. Research design: This qualitative study analysed nurses’ free text responses collected as part of a larger mixed methods online survey investigating staff views on the Voluntary Assisted Dying Act. Data were collected during the period between the passing of the voluntary assisted dying legislation and the start date and were analysed using inductive content analysis. Participants and research context: Free text survey responses were analysed from 1873 nurses employed across seven Victorian health services located in both metropolitan and regional areas of the state. Ethical considerations: The study obtained research ethics approval and all participants were informed of the voluntary and anonymous nature of their participation. Findings: This study identified three broad areas of Victorian nurses’ professional lives that they expected to be impacted by the implementation of voluntary assisted dying: professional identity, career development and workplace relationships. Conclusion: Participants anticipate diverse and nursing-specific impacts of the implementation of voluntary assisted dying in Victoria. Their insights can inform health services in jurisdictions considering or already implementing voluntary assisted dying, to develop policies, procedures and staff training programmes that safeguard the well-being and legal rights of their nursing staff. (shrink)

In a crisis, societal needs take precedence over a patient’s best interests. Triage guidelines, however, differ on whether limited resources should focus on maximizing lives or life-years. Choosing between these two approaches has implications for neonatology. Neonatal units have ventilators, some adaptable for adults. This raises the question of whether, in crisis conditions, guidelines for treating extremely premature babies should be altered to free-up ventilators. Some adults who need ventilators will have a survival rate higher than some extremely premature babies. (...) But surviving babies will likely live longer, maximizing life-years. Empiric evidence demonstrates that these babies can derive significant survival benefits from ventilation when compared to adults. When “triaging” or choosing between patients, justice demands fair guidelines. Premature babies do not deserve special consideration; they deserve equal consideration. Solidarity is crucial but must consider needs specific to patient populations and avoid biases against people with disabilities and extremely premature babies. (shrink)

ABSTRACT The article analyzes recent Western interpretations of the Theravāda Buddhist position on free will in order to reveal how differences in worldview and methodology impact claims about agency—exposing assumptions about the meaning of will, cause, and self—and how commonalities across traditions enable us to discover what may be at stake, more generally, in the philosophical problem of free will. Embedded in different ontologies and expressed by disparate means are similar intuitions about consciousness, coercion, and the transformative power of wisdom (...) as well as deeply human concerns about what we can and cannot change and with whom we should or should not find fault. Ultimately, this study of cross-cultural conversations aims to demonstrate how careful attention to assumptions underlying the concepts of will, causation, selfhood, and desert can prove both edifying and liberating. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 12.3 (2005) 235-237 [Access article in PDF] Determined by Chaos: The Nonlinear Dynamics of Free Will Jessica Wahman Keywords free will, chaos theory, determinism, materialism In "antidepressants and the Chaotic Brain: Implications for the Respectful Treatment of Selves," Douglas Heinrichs provides an intriguing justification of individuated and longer term therapy for depressive clients. He does not reject medication as a therapeutic strategy, nor (...) does he question the materialist basis of the traditional medical model. Rather, he offers a physically deterministic account of depression that is at the same time compatible with a sense of human agency and individuality. Heinrichs suggests that human physiology and its psychiatric disorders are better accounted for by the nonlinear dynamics of chaos theory than by the traditional account of neurotransmitter production and reuptake. Because the latter, microscopic, explanation suggests a direct cause-and-effect relationship between synaptic activity and subjective affect, it cannot account for the wide variation of responses to the same medications, nor can it satisfy the client's fears that her drug-induced well-being is not fully hers to control. Chaos theory, he asserts, can provide a better explanation by treating the human organism as a complex holistic system whose patterns resemble a topographical map of probability more than they do a unidirectional vector model of cause to effect. Like the weather, human affect and behavior are physically determined but difficult to predict, and so careful attention to both the individual history of the client and the uniqueness of responses to medication are a necessary part of any successful therapeutic program.Connected to this theory of nonlinear physiology is Heinrichs's account of autonomy and agency under this rubric. He notes that a psychology based on chaos theory is not only compatible with the notion of free will, it can better explain why the successful use of medication actually increases freedom and autonomy instead of limiting it. It is here that I wish to focus my comments, because his interpretation of free will may give us, to borrow a phrase from Daniel Dennett, a "variet[y] of free will worth wanting" (1984, title page). Free will, in this case, is not a metaphysical ability to act above and beyond our material causes, but is instead a property of the material system itself, namely when that system feels itself capable of greater psychic mobility around the topographical map of probabilistic patterns.According to this model, our ability to reason, plan, and act on the decisions we make is itself a [End Page 235] part of our chaotically determined neurologic system. When we are healthy, we are able to reason in our best interests and act on those reasons. This is modeled as an ability for the organism to metaphorically "move about" the map of its own possibilities, and more important, to both enter and escape certain states, known as chaotic attractors, into which it is likely to be drawn. "Where" we wind up, psychologically speaking, at any point in time is determined by our own system, and so we may say that in such a case we are autonomous and our choices are made freely. Depression, on the other hand, can be compared to a deep groove in the map, a chaotic attractor that is hard to escape, and so the system quite literally becomes "stuck in a rut." This is subjectively experienced as the tendency for thought processes and activities to fall into negative and self-defeating patterns despite the best efforts of the client to escape these habits. So long as the organism does not have a sense of being "trapped" in an attractor (whether a depressive or, for example, manic or compulsive state), then that organism may be said to be free. Medication and the therapy that accompanies it, so far as it facilitates our ability to escape deep chaotic attractors, promotes our own freedom of will. If a car cannot spin its way out of a ditch, does the tow truck hinder or promote its freedom by hauling it back onto solid pavement where it may again... (shrink)

Presents a plethora of approaches to developing human potential in areas not conventionally addressed. Organized in two parts, this international collection of essays provides viable educational alternatives to those currently holding sway in an era of high-stakes accountability.

ABSTRACT This essay reflects on what it would mean to have faith in the reality of truth, particularly in light of current affairs and the apparent insignificance and impotence of truth to sway opinion or affect behavior. In doing so, it draws on American pragmatism's consequentialist epistemology, C. S. Peirce's “Fixation of Belief,” and George Santayana's concept of a realm of truth.

The recent development of a field known as experimental philosophy—in particular, its subfield devoted to moral decision making—invites us to reflect on what it means to experiment in ethics and how it is that philosophers determine the good. Furthermore, as this new discipline uses the methods of experimental psychology to examine our intuitions about such things as praise, blame, and moral responsibility, we ought to consider the relationship between ethics and our psychological makeup. To this end, it will be beneficial (...) to consider the American pragmatists' interpretations of these issues. Ethics, for these thinkers, was both a psychological and an experimental enterprise, one in which all of our psychological .. (shrink)

This article will consider the unique contribution that the dramatic arts can make to philosophical practices of communication and reflection. While argumentation typically advocates a particular position over and against less plausible options, dramatic performance can convey the rich possibilities and tensions among conflicting points of view without ultimately taking a definitive stance. This genre, as a performed narrative involving multiple perspectives, can illuminate the complexity and legitimacy of a plurality of—often competing—theoretical commitments, whereas direct argumentation, by its very nature, (...) must weaken the opposition by putting it in a less compelling light. Theater, by its very methods, can .. (shrink)

The recent development of a field known as experimental philosophy— in particular, its subfield devoted to moral decision making—invites us to reflect on what it means to experiment in ethics and how it is that philosophers determine the good. Furthermore, as this new discipline uses the methods of experimental psychology to examine our intuitions about such things as praise, blame, and moral responsibility, we ought to consider the relationship between ethics and our psychological makeup. To this end, it will be (...) beneficial to consider the American pragmatists’ interpretations of these issues. Ethics, for these thinkers, was both a psychological and an experimental enterprise, one in which all of our psychological capabilities are brought to bear in solving specific moral problems through the testing of hypothetical and tentative solutions. I plan to argue here that the future of experimental ethics will find itself indebted to the American past, not only in its attempts to address the empirical data it already collects but in rethinking the scope of ethics and experimentation. (shrink)

Neste artigo, argumento que a marca de uma metafísica viável é tanto prática e ética quanto é lógica e sistemática. Para tal, analiso os Diálogos no Limbo de George Santayana, no qual ele afirma seu apoio ao materialismo atomístico de Demócrito em bases pragmáticas. Uma metafísica, ele sugere, é uma visão de mundo que acomoda uma pessoa – vista como um determinado tipo de organismo psicológico – sabiamente às forças da natureza e da melhor forma possibilita essa pessoa a levar (...) uma vida próspera. Ao mesmo tempo, Santayana coloca sua marca no materialismo ao questionar a possibilidade da caracterização geométrica dos átomos de Demócrito ser uma explicação literal da substância material. Ele interpreta a metafísica Democritiana como uma posição poética e mitológica que desconsidera a experiência subjetiva e, em vez de, volta nossa atenção para as origens substrativas do nosso ser. (shrink)

The article considers liberal progressivism as an ambivalent set of ideological commitments and uses Tony Kushner’s Angels in America to make this point. In addition, it considers John Dewey’s theory of religious ideals and his progressivism as a way of making sense of both the themes of the play and the overall thesis.

I argue that the dichotomous treatment of agency and free will is problematic because it rests on a Cartesian interpretation of self and world that many present-day thinkers take themselves to be denying. I do so in order to reconstruct the concept of human agency using the psychologies of American philosophers John Dewey and George Santayana. Identifying the self with the entire organism, as these thinkers do, allows for an importantly different sense of agency. In embracing an organismic interpretation of (...) the self, we achieve a more realistic yet mitigated sense of agency, where real responsibility for action is placed in a context of biological and environmental (including social, cultural, and historical) influences. (shrink)

Addressing perspectives about who "we" are, the importance of place and home, and the many differences that still separate individuals, this volume reimagines cosmopolitanism in light of our differences, including the different places we all inhabit and the many places where we do not feel at home. Beginning with the two-part recognition that the world is a smaller place and that it is indeed many worlds, Cosmopolitanism and Place critically explores what it means to assert that all people are citizens (...) of the world, everywhere in the world, as well as persons bounded by a universal and shared morality. (shrink)

Philosophy has become trapped by the belief that precision is our surest path to knowledge. It is my aim to challenge this assumption and to affirm in its place a wide variety of means by which we may “speak” philosophically. Drawing on George Santayana’s ontological realm of truth and his concept of literary psychology, I will argue that the varieties of human expression, in their relationship to truth, are not fundamental differences in kind but exist on a continuum of expression, (...) where the referent ranges from descriptions closest to the material facts to those closest to the human relationship to those facts. (shrink)

This book addresses the nature of consciousness and the relation of mind to brain, body, and the material world. Against mechanistic and physicalist approaches, it employs a literary worldview that accommodates plural narratives, including those of neuroscience, pharmacology, psychology, and everyday experience.

The title of this book invites the question "what makes a metaphysical club real?" Overthinkers like myself may wonder whether metaphysical clubs can partake of varying degrees of reality or whether the distinction is, more likely, one between imposters and the genuine article. It only heightens the curiosity to read, in the general introduction to the book, that metaphysical clubs both preceded and followed the so-called "real" one and that the real one was itself divided into two phases. Given, then, (...) that there appear to have been more than one actual metaphysical club, what is the point of characterizing the subject of this anthology as real?The Real Metaphysical Club focuses entirely and thoroughly on the club... (shrink)

Humor is an indispensable element of George Santayana's philosophy. Santayana is, in many ways, philosophy's fool, poking fun at endeavors to obtain epistemological and moral mastery over existence. Moreover, he reminds us of the over-arching benefits of a humorous attitude, suggesting a humility by which we may put into relative perspective our otherwise totalizing aspirations and pursue a moral life without succumbing to moralism. Ultimately, a sense of humor reminds us that comedy is as honest a narrative as tragedy and (...) that the benefit in living is the fun of it. (shrink)

The COVID-19 pandemic has presented a global threat to physical and mental health worldwide. Research has highlighted adverse impacts of COVID-19 on wellbeing but has yet to offer insights as to how wellbeing may be protected. Inspired by developments in wellbeing science and guided by our own theoretical framework, we examined the role of various potentially protective factors in a sample of 138 participants from the United Kingdom. Protective factors included physical activity, tragic optimism, gratitude, social support, and nature connectedness. (...) Initial analysis involved the application of one-sample t-tests, which confirmed that wellbeing in the current sample was significantly lower compared to previous samples. Protective factors were observed to account for up to 50% of variance in wellbeing in a hierarchical linear regression that controlled for a range of sociostructural factors including age, gender, and subjective social status, which impact on wellbeing but lie beyond individual control. Gratitude and tragic optimism emerged as significant contributors to the model. Our results identify key psychological attributes that may be harnessed through various positive psychology strategies to mitigate the adverse impacts of hardship and suffering, consistent with an existential positive psychology of suffering. (shrink)

Although pride has been central to philosophical and religious discussions of emotion for thousands of years, it has largely been neglected by psychologists. However, in the past decade a growing body of psychological research on pride has emerged; new theory and findings suggest that pride is a psychologically important and evolutionarily adaptive emotion. In this article we review this accumulated body of research and argue for a naturalist account of pride, which presumes that pride emerged by way of natural selection. (...) In this view, pride is prevalent in human life because of the functional and adaptive role it has played in the attainment, maintenance, and communication of social status throughout our evolutionary history. (shrink)

Common-sense morality seems to tell us that a rescuer who can save either one individual or five other individuals from death has a duty to save the greater number. But contractualism, a moral theory on which principles must be justifiable to individuals, seems to imply that it is permissible to save the one. This is because a commitment to individual justification blocks the possibility of appealing to the aggregate amount of lives saved. Does contractualism really have this implication? If so, (...) should we side with the common-sense approach, or is there any reason to side with the contractualist? In this paper, I first examine a new argument from Jay Wallace which claims to reconcile contractualism with a duty to save the greater number. I find the argument to be unsuccessful. I then suggest that common-sense morality doesn't support a duty to save the greater number as straightforwardly as it might initially seem as it might initially seem. I introduce two mundane cases in which the permissibility of saving either the lesser or greater number is intuitively plausible, and I offer some reasons to think that the permissibility of saving the lesser number coheres with our value judgements more generally. (shrink)

Serious ethical violations in medicine, such as sexual abuse, criminal prescribing of opioids, and unnecessary surgeries, directly harm patients and undermine trust in the profession of medicine. We review the literature on violations in medicine and present an analysis of 280 cases. Nearly all cases involved repeated instances of intentional wrongdoing, by males in nonacademic medical settings, with oversight problems and a selfish motive such as financial gain or sex. More than half of cases involved a wrongdoer with a suspected (...) personality disorder or substance use disorder. Despite clear patterns, no factors provide readily observable red flags, making prevention difficult. Early identification and intervention in cases requires significant policy shifts that prioritize the safety of patients over physician interests in privacy, fair processes, and proportionate disciplinary actions. We explore a series of 10 questions regarding policy, oversight, discipline, and education options. Satisfactory answers to these questions will require input from diverse stakeholders to help society negotiate effective and ethically balanced solutions. (shrink)

Williams and DeSteno (2010) and Gladkova (2010) question the validity, utility, and theoretical support for the bifurcation of pride into hubristic and authentic facets. Though these commentators highlight unanswered questions and important directions for future research, we argue that the broad, evolutionarily informed framework for the two facets, presented in our target article nonetheless provides the best fit and explanation for the existing pattern of evidence. We offer several empirical suggestions for future studies addressing the questions raised by the commentators, (...) and emphasize the need for emotion researchers to hew closely to empirical data in developing theoretical accounts. (shrink)

The United States, along with other nations and international organizations, has developed an elaborate system of ethical norms and legal rules to govern biomedical research using human subjects. These policies govern research that might provide direct health benefits to participants and research in which there is no prospect for participant health benefits. There has been little discussion, however, about how well these rules would apply to research designed to improve participants’ capabilities or characteristics beyond the goal of good health. When (...) mentioned at all in the literature, this so-called enhancement research, as opposed to research aimed at diagnosing, preventing, curing, or treating illnesses or medical conditions, is usually dismissed without explanation. (shrink)

Emerging adult newlywed couples often experience many demands on their time, and three common problems may surface as couples try to balance these demands—problems related to finances, sleep, and sex. We used two waves of dyadic data from 1,001 emerging adult newlywed couples to identify four dyadic latent profiles from husbands’ and wives’ financial management behaviors, sexual satisfaction, and sleep quality: Flounderers, Financially Challenged Lovers, Drowsy Budgeters, and Flourishers. We then examined how husbands’ and wives’ marital satisfaction, in relation to (...) profile membership, varied at a later wave. We found that Financially Challenged Lovers and Flourishers had significantly higher marital satisfaction than Drowsy Budgeters and Flounderers. Whereas, Financially Challenged Lovers and Flourishers did not differ in terms of marital satisfaction, Drowsy Budgeters seemed to have slightly higher marital satisfaction than Flounderers for wives only. However, we did not find evidence that these connections meaningfully differed by sex. Implications for the efforts of clinicians and educators are discussed. (shrink)

In Clark’s thoughtful analysis of the evolution of the two facets of pride, he suggests that the concurrent existence of hubristic and authentic pride in humans represents a “persistence problem,” wherein the vestigial trait (hubristic pride) continues to exist alongside the derived trait (authentic pride). In our view, evidence for the two facets does not pose a persistence problem; rather, hubristic and authentic pride both likely evolved as higher-order cognitive emotions that solve uniquely human—but distinct— evolutionary problems. Instead of being (...) conceptualized as serial homologues, with one the vestigial form of the other, we argue that hubristic and authentic pride are both derived homologues of a vestigial proto-pride emotion that existed in our shared ancestry with other primates. (shrink)

Pancreatitis is a complex, progressively destructive inflammatory disorder. Alcohol was long thought to be the primary causative agent, but genetic contributions have been of interest since the discovery that rare PRSS1, CFTR and SPINK1 variants were associated with pancreatitis risk. We now report two associations at genome-wide significance identified and replicated at PRSS1-PRSS2 and X-linked CLDN2 through a two-stage genome-wide study. The PRSS1 variant likely affects disease susceptibility by altering expression of the primary trypsinogen gene. The CLDN2 risk allele is (...) associated with atypical localization of claudin-2 in pancreatic acinar cells. The homozygous CLDN2 genotype confers the greatest risk, and its alleles interact with alcohol consumption to amplify risk. These results could partially explain the high frequency of alcohol-related pancreatitis in men. © 2012 Nature America, Inc. All rights reserved. (shrink)

Drawing on a landscape analysis of existing data-sharing initiatives, in-depth interviews with expert stakeholders, and public deliberations with community advisory panels across the U.S., we describe features of the evolving medical information commons. We identify participant-centricity and trustworthiness as the most important features of an MIC and discuss the implications for those seeking to create a sustainable, useful, and widely available collection of linked resources for research and other purposes.

Fallibilists claim that one can know a proposition on the basis of evidence that supports it even if the evidence doesn't guarantee its truth. Jessica Brown offers a compelling defence of this view against infallibilists, who claim that it is contradictory to claim to know and yet to admit the possibility of error.

The capacity to generate recursive sequences is a marker of rich, algorithmic cognition, and perhaps unique to humans. Yet, the precise processes driving recursive sequence generation remain mysterious. We investigated three potential cognitive mechanisms underlying recursive pattern processing: hierarchical reasoning, ordinal reasoning, and associative chaining. We developed a Bayesian mixture model to quantify the extent to which these three cognitive mechanisms contribute to adult humans’ performance in a sequence generation task. We further tested whether recursive rule discovery depends upon relational (...) information, either perceptual or semantic. We found that the presence of relational information facilitates hierarchical reasoning and drives the generation of recursive sequences across novel depths of center embedding. In the absence of relational information, the use of ordinal reasoning predominates. Our results suggest that hierarchical reasoning is an important cognitive mechanism underlying recursive pattern processing and can be deployed across embedding depths and relational domains. (shrink)