Background The prioritization protocols for accessing adult critical care in the extreme pandemic context contain tiebreaker criteria to facilitate decision-making in the allocation of resources between patients with a similar survival prognosis. Besides being controversial, little is known about the public acceptability of these tiebreakers. In order to better understand the public opinion, Quebec and Ontario’s protocols were presented to the public in a democratic deliberation during the summer of 2022. Objectives (1) To explore the perspectives of Quebec and Ontario (...) citizens regarding tiebreakers, identifying the most acceptable ones and their underlying values. (2) To analyze these results considering other public consultations held during the pandemic on these criteria. Methods This was an exploratory qualitative study. The design involved an online democratic deliberation that took place over two days, simultaneously in Quebec and Ontario. Public participants were selected from a community sample which excluded healthcare workers. Participants were first presented the essential components of prioritization protocols and their related issues (training session day 1). They subsequently deliberated on the acceptability of these criteria (deliberation session day 2). The deliberation was then subject to thematic analysis. Results A total of 47 participants from the provinces of Quebec (n = 20) and Ontario (n = 27) took part in the online deliberation. A diverse audience participated excluding members of the healthcare workforce. Four themes were identified: (1) Priority to young patients - the life cycle - a preferred tiebreaker; (2) Randomization - a tiebreaker of last resort; (3) Multiplier effect of most exposed healthcare workers - a median acceptability tiebreaker, and (4) Social value – a less acceptable tiebreaker. Conclusion Life cycle was the preferred tiebreaker as this criterion respects intergenerational equity, which was considered relevant when allocating scarce resources to adult patients in a context of extreme pandemic. Priority to young patients is in line with other consultations conducted around the world. Additional studies are needed to further investigate the public acceptability of tiebreaker criteria. (shrink)

In this paper, I address the charge that the category species should be abandoned in biological work. The widespread appeal to species in scientific discourse provides a presumption in favor of the category’s usefulness, but a defeasible presumption. Widely acknowledged troubles attend species: these troubles might render the concept unusable by showing that ‘species’ is equivocal or meaningless or in some similar way fatally flawed. Further, there might be better alternatives to species. I argue that the presumption in favor of (...) species is not defeated on these scores. Troubles attending species, which arise on account of contextual variation attending the use of ‘species’, do not indicate that the concept is unusable. And alternatives to the use of ‘species’, which have been proposed in connection with rank-free systematics and in connection with conservation efforts, fail to provide a proper replacement for species. (shrink)

The COVID-19 pandemic has highlighted the difficult task of balancing access to misinformation with respect for patient decision-making. Due to its innate antagonism, the paradigm of “physician paternalism” versus “patient autonomy” may not adequately capture the clinical relationship. The authors hypothesized that most patients would, in fact, prefer significant physician input as opposed to unopinionated information when making medical decisions. There is a lack of empirical data corroborating this in the United States. To that end, a survey was distributed to (...) 650 individuals through Amazon Mechanical Turk, of which 499 responses met pre-determined quality criteria. Most respondents believed their doctor's insight would be better than their own if injured or gravely ill. When asked to affirm preferences separately, a significantly higher proportion of respondents preferred guidance from their doctor when making medical decisions compared to being presented with unopinionated information ( p < 0.001). Encouragingly, 93.1% believed that the doctor's primary goal was their health. When asked directly to compare physician guidance to unopinionated information, 69.1% respondents stated they would prefer physician guidance. We found a consistent association between educational/economic background and affirmative responses ( p < 0.001), suggesting particular attention should be paid to patients that are disadvantaged with respect to these demographic factors. The belief in a shared goal, and a consistent preference for physician input, suggests that patients endorse a more collaborative view of the clinical dynamic than is suggested by the paternalism-autonomy paradigm. This pilot study suggests physicians should not be afraid to communicate conviction with regard to treatment decisions. (shrink)

Les noms sous-spécifiés, qui peuvent apparaitre dans une construction spécificationnelle, de la forme Leur ambition a été d’innover, sont par ailleurs souvent des prédicats régissant des arguments, dans une phrase élémentaire de la forme Ils ont eu l’ambition d’innover, où Nss est le prédicat accompagné d’un verbe support et de ses arguments N0 et N1. Nous avons étudié des noms entrant à la fois dans les deux constructions et avec le même sens, et trouvé trois cas de figure. Avec des (...) noms tels que ambition, et ont presque le même sens. Dans d’autres entrées, telles que souvenir et preuve, les deux constructions ne sont pas équivalentes : l’attribut phrastique de est absent de, tandis que l’argument N1 de peut apparaitre comme complément de nom du Nss sujet dans, et spécifie souvent le thème du propos contenu dans l’attribut phrastique de. Enfin, d’autres noms tels que embarras ne sont pas des Nss typiques car l’attribut phrastique de y joue un rôle causal ; il n’a pas le même contenu que N1. Ainsi, dans les types souvenir/preuve et embarras, est à analyser comme une combinaison de plusieurs phrases élémentaires. (shrink)

Free logic, an alternative to traditional logic, has been seen as a useful avenue of approach to a number of philosophical issues of contemporary interest. In this collection, Karel Lambert, one of the pioneers in, and the most prominent exponent of, free logic, brings together a variety of published essays bearing on the application of free logic to philosophical topics ranging from set theory and logic to metaphysics and the philosophy of religion. The work of such distinguished philosophers as Bas (...) van Fraassen, Dana Scott, Tyler Burge, and Jaakko Hintikka is represented. Lambert provides an introductory essay placing free logic in the logical tradition beginning with Aristotle, developing it as the natural culmination of a trend begun in the Port Royal logic of the 1600s, and continuing through current predicate logic--the trend to rid logic of existence assumptions. His Introduction also provides a useful systematic overview of free logic, including both a standard syntax and some semantical options. (shrink)

Molecular Revolution in BrazilFélix Guattari and Suely Rolniktranslated by Karel Clapshow and Brian HolmesYes, I believe that there is a multiple people, a people of mutants, a people of potentialities that appears and disappears, that is embodied in social, literary, and musical events.... I think that we're in a period of productivity, proliferation, creation, utterly fabulous revolutions from the viewpoint of this emergence of a people. That's molecular revolution: it isn't a slogan or a program, it's something that I feel, (...) that I live....--from Molecular Revolution in BrazilFollowing Brazil's first democratic election after two decades of military dictatorship, French philosopher Félix Guattari traveled through Brazil in 1982 with Brazilian psychoanalyst Suely Rolnik and discovered an exciting, new political vitality. In the infancy of its new republic, Brazil was moving against traditional hierarchies of control and totalitarian regimes and founding a revolution of ideas and politics. Molecular Revolution in Brazil documents the conversations, discussions, and debates that arose during the trip, including a dialogue between Guattari and Brazil's future President Luis Ignacia Lula da Silva, then a young gubernatorial candidate. Through these exchanges, Guattari cuts through to the shadowy practices of globalization gone awry and boldly charts a revolution in practice.Assembled and edited by Rolnik, Molecular Revolution in Brazil is organized thematically; aphoristic at times, it presents a lesser-known, more overtly political aspect of Guattari's work. Originally published in Brazil in 1986 as Micropolitica: Cartografias do desejo, the book became a crucial reference for political movements in Brazil in the 1980s and 1990s. It now provides English-speaking readers with an invaluable picture of the radical thought and optimism that lies at the root of Lula's Brazil. Félix Guattari, post-'68 French psychoanalyst and philosopher, is the author of Anti-Oedipus, The Anti-Oedipus Papers, 2006), and other books. Semiotext has published the first two volumes of his complete essays, Chaosophy and Soft Subversions, and will publish the final volume, Chaos and Complexity, in 2008. Suely Rolnik is a psychoanalyst, cultural critic, and curator who lives and works in São Paulo, Brazil. She was a close collaborator of Guattari during her exile in Paris from the military dictatorship in Brazil. (shrink)

Public debate on acceptable farm animal husbandry suffers from a confusion of tongues. To clarify positions of various stakeholder groups in their joint search for acceptable solutions, the concept of animal welfare was split up into three notions: no suffering, respect for intrinsic value, and non-appalling appearance of animals. This strategy was based on the hypothesis that multi-stakeholder solutions should be based on shared values rather than on compromises. The usefulness of such an artificial value distinction strategy was tested in (...) a small series of experiments. The results demonstrate that the chosen concept to distinguish between values is effective in a stakeholder context. Farmers’ views on doing good to animals appeared to be largely based on their value to prevent suffering and predominantly focused on the provision of regular care. Their priority for this value is clearly shared with other stakeholders, providing a basis for joint solutions. The concept of intrinsic value does not play a discernable role in farmers’ considerations. Based on the varying views on welfare, it can be inferred that there is a gradual rather than a principal difference between government legislation and farmers’ values, whereas public perception and acceptance of farm practices remains complicated. Distinction between value groups and focusing on a selected notion (such as no suffering) proved to be effective in bringing representatives of stakeholder groups together, but is unlikely to bridge the emotional gap between commercial farm practices and public ideals. (shrink)

En lisant la République et le Timée de Platon, ce livre propose une enquête sur les deux formes de temporalité irréductibles (celle de la cité armée, celle de l'âme immortelle) pour éclairer la question principale, celle de la nature et de la structure de l'âme, de la cité et du cosmos.

Dostoevsky wrote that love in action is a harsh and terrible thing compared to love in dreams. That reality is particularly evident in medicine, where there is an almost universal, involuntary participation of physicians and other healthcare workers in the suffering of their patients. This paper explores this phenomenon through the paradigm of ‘mystery’ as explained by the French existentialist philosopher Gabriel Marcel. A mystery is different from a problem in the sense that the former requires the active immersion of (...) the person involved in order to be truly experienced. It is a ‘meta-problem’ that cannot be analyzed objectively and separately from the person that it affects, without changing the nature of the thing experienced. The authors contend that the human suffering encountered in medicine is one such phenomenon, and the paper draws on illustrations of this concept in art and literature. Awareness of the subtle but important difference between mystery and problem may help physicians better understand their personal entanglement with the suffering of patients. (shrink)

This paper provides a finer analysis of the well-known form of the Local Deduction Theorem in contraction-free logics . An infinite hierarchy of its natural strengthenings is introduced and studied. The main results are the separation of its initial four members and the subsequent collapse of the hierarchy.

The Planteome project provides a suite of reference and species-specific ontologies for plants and annotations to genes and phenotypes. Ontologies serve as common standards for semantic integration of a large and growing corpus of plant genomics, phenomics and genetics data. The reference ontologies include the Plant Ontology, Plant Trait Ontology, and the Plant Experimental Conditions Ontology developed by the Planteome project, along with the Gene Ontology, Chemical Entities of Biological Interest, Phenotype and Attribute Ontology, and others. The project also provides (...) access to species-specific Crop Ontologies developed by various plant breeding and research communities from around the world. We provide integrated data on plant traits, phenotypes, and gene function and expression from 95 plant taxa, annotated with reference ontology terms. (shrink)

Intentionally or not, our clinical practice is informed by our philosophical premises. A subtle misunderstanding can have frequent, though insidious, implications in day-to-day clinical encounters....

According to the received tradition, the language used to to refer to natural kinds in scientific discourse remains stable even as theories about these kinds are refined. In this illuminating book, Joseph LaPorte argues that scientists do not discover that sentences about natural kinds, like 'Whales are mammals, not fish', are true rather than false. Instead, scientists find that these sentences were vague in the language of earlier speakers and they refine the meanings of the relevant natural-kind terms to (...) make the sentences true. Hence, scientists change the meaning of these terms, This conclusions prompts LaPorte to examine the consequences of this change in meaning for the issue of incommensurability and for the progress of science. This book will appeal to students and professional in the philosophy of science, the philosophy of biology and the philosophy of language. (shrink)

In Liberalism’s religion, Laborde defends a liberal egalitarian position and tackles, from a new perspective, some issues dealt with in his republican writings. This article examines some of these issues, paying attention to the place that the recognition of identities occupies both in her republican and in her liberal theories, as well as the type of justification advanced in both cases. The article shows that the recognition of identities has gone from having a peripheral and instrumental role in her republican (...) writings to having a central role in her liberal theory. (shrink)

Openness of knowledge was in the Dutch Republic no more a natural state of affairs than in other parts of Europe at the time, but it became dominant there at an earlier date than elsewhere. This puzzling phenomenon is the subject of this essay. The article shows that tendencies to secrecy in crafts and trades in the Netherlands were by no means absent and that public authorities were not principled supporters of openness. Openness of knowledge did not prevail because arguments (...) in favour of a free exchange of knowledge won the day against a rhetoric in defense of secrecy or because a rapid change in methods of production and marketing rendered the maintenance of craft secrecy practically impossible. The weakness of secrecy in the early-modern Netherlands, this essay argues, can be explained by the relative tardiness of the growth of the corporate system and the typical features of the institutional structure of the Dutch Republic. Craft secrecy in the Dutch Republic, as far as it existed before the middle of the eighteenth century, was normally based on a contractual relationship between individual actors rather than on any form of enforcement by public agencies. (shrink)

Pojem řádu má své veliké dějiny od předsókratiků až k H. Kringsovi, který v roce 1941 vydává knihu Ordo. U nás se pojmu řádu a řádovosti věnoval po celý život ze­jména brněnský a olomoucký myslitel J. L. Fischer (1894–1973). Idea řádu byla také jedním z pilířů jeho skladebné filosofie, jež měla základní problémy moderní společnosti vyřešit účinněji než marxismus. Současně s „laickým“ Fischerem usilovala v kritických 30. letech dvacátého století o nastolení kýženého řádu vyhraněně katolická skupina sou­středěná kolem tehdy nově (...) založené revue Řád. Oběma pólům šlo sice o podobný cíl (skoncovat s vládou neblahého kapitalismu), ale neporozuměly si pro různost svých věr. Toto osudové neporozumění bychom měli především na univerzitách v Brně a Olomou­ci napravovat využitím odkazu W. C. Smithe, který zásadně rozlišil setrvačnou tradiční víru (belief) a otevřenou víru všech opravdu tvůrčích lidí (faith). Takovou víru měl totiž podle autora také a snad především nový řád usilovně hledající Josef Ludvík Fischer. (shrink)

[Analytical Philosophy in the USA at the end of the 20th Century.].

Under the influence of Leibnitz in oposition to Kant, especially against his philosophy of mathematics, Bolzano analyses several topics discussed in analytic philosophy of today. His starting point is a distinction of concepts and intuitions, being two basic kinds of ideas-in-themselves, based on the postulates of nonemptiness, singularity and simplicity. This dichotomy is utilized in the analysis of conceptual and empirical sentences , the analytic/synthetic distinction and the a priori and a posteriori differentiation. His classification of analytic sentences, based on (...) his logic of variation and the degree of validity, in a narrow and broader sense corresponds to the contemporary view of analyticity for logical and linguistic reasons. Inspite of his ontological atomism he anticipates Quine´s holism according to which empirical sciences are theory-laden. He even accepts, at least for historical reasons, his empiricism concerning the role of observation sentences in theoretical sciences. According to Bolzano, no sharp demarcation between conceptual and empirical sciences can be drawn. (shrink)

Rigid designators for concrete objects and for properties -- On the coherence of the distinction -- On whether the distinction assigns to rigidity the right role -- A uniform treatment of property designators as singular terms -- Rigid appliers -- Rigidity - associated arguments in support of theoretical identity statements: on their significance and the cost of its philosophical resources -- The skeptical argument impugning psychophysical identity statements: on its significance and the cost of its philosophical resources -- The skeptical (...) argument further examined: on resources, allegedly overlooked, for confirming psychological identities. (shrink)

Supporters of neutrality as benign neglect argue that a neutral state should not grant any type of recognition to cultural or religious groups. Liberal multiculturalists argue instead that due to the non-neutral nature of public institutions, democratic states must adopt policies that recognize and accommodate the distinctive needs of ethnocultural groups. This article examines a different way of conceiving the principle of neutrality. In this conception, developed by Alan Patten in the framework of liberal multiculturalism, a state can only be (...) neutral when it extends equivalent levels of assistance/hindrance to rival conceptions of the good. Neutrality is thus reinterpreted to become a principle justifying the religious exemptions. The article highlights some aspects of this theory that should be reconsidered.// -/- Les défenseurs de la neutralité bienveillante soutiennent qu’un État neutre ne doit accorder aucun type de reconnaissance aux groupes culturels ou religieux. Les multiculturalistes libéraux avancent pour leur part que, en raison de la nature non neutre des institutions publiques, les États démocratiques doivent adopter des politiques vi-sant la reconnaissance et l’accommodement des besoins distinctifs des groupes ethnoculturels. Cet article examine une manière diffé-rente de concevoir le principe de neutralité. Dans cette conception, développée par Alan Patten dans le cadre du multiculturalisme libé-ral, un État ne peut être neutre que s’il assiste ou entrave de manière équivalente les différentes conceptions du bien. La neutralité est ainsi réinterprétée pour devenir un principe permettant de justifier les exemptions religieuses. L’article souligne certains aspects de cette théorie qui méritent d’être repensés. (shrink)