From co-authored publications to sponsored projects involving multiple partner institutions, collaborative practice is an expected part of work in the academy. As evaluators of a National Science Foundation Alliances for Graduate Education and the Professoriate grant awarded to four university partners in a large southern state, the authors recognized the increasing value of collaborative practice in the design, implementation, evaluation, and dissemination of findings in the partnership over time. When planning a program among partnering institutions, stakeholders may underestimate the need (...) for, and value of, collaborative practice in facilitating partnership functioning. This method paper outlines an evaluative model to increase the use of collaborative practice in funded academic partnership programs. The model highlights collaborative practice across multiple stakeholder groups in the academic ecology: Sponsors of funded programs, Program partners and participants, Assessment and evaluation professionals, academic researchers, and the national and global Community. The SPARC model emphasizes evidence-based benefits of collaborative practice across multiple outcome domains. Tools and frameworks for evaluating collaborative practice take a view of optimizing partnership operational performance in achieving stated goals. Collaborative practice can also be an integral element of program activities that support the academic success and scholarly productivity, psychosocial adjustment, and physical and psychological well-being of stakeholders participating in the program. Given the goal of our alliance to promote diversification of the professoriate, the model highlights the use of collaborative practice in supporting stakeholders from groups historically underrepresented in STEM fields across these outcome domains. Using data from a mixed-methods program evaluation of our AGEP alliance over 4 years, the authors provide concrete examples of collaborative practice and their measurement. Results discuss important themes regarding collaborative practice that emerged in each stakeholder group. Authors operationalize the SPARC model with a checklist to assist program stakeholders in designing for and assessing collaborative practice in support of project goals in funded academic partnership projects, emphasizing the contributions of collaborative practice in promoting diversification of the professoriate. (shrink)

Harms and risks to groups and third-parties can be significant in the context of research, particularly in data-centric studies involving genomic, artificial intelligence, and/or machine learning technologies. This article explores whether and how United States federal regulations should be adapted to better align with current ethical thinking and protect group interests. Three aspects of the Common Rule deserve attention and reconsideration with respect to group interests: institutional review board (IRB) assessment of the risks/benefits of research; disclosure requirements in the informed (...) consent process; and criteria for waivers of informed consent. In accordance with respect for persons and communities, investigators and IRBs should systematically consider potential group harm when designing and reviewing protocols, respectively. Research participants should be informed about any potential group harm in the consent process. We call for additional public discussion, empirical research, and normative analysis on these issues to determine the right regulatory and policy path forward. (shrink)

BackgroundThe Public Health Service Increased Risk designation identified organ donors at increased risk of transmitting hepatitis B, hepatitis C, and human immunodeficiency virus. Despite clear data demonstrating a low absolute risk of disease transmission from these donors, patients are hesitant to consent to receiving organs from these donors. We hypothesize that patients who consent to receiving offers from these donors have decreased time to transplant and decreased waitlist mortality.MethodsWe performed a single-center retrospective review of all-comers waitlisted for liver transplant from (...) 2013 to 2019. The three competing risk events (transplant, death, and removal from transplant list) were analyzed. 1603 patients were included, of which 1244 (77.6%) consented to offers from increased risk donors.ResultsCompared to those who did not consent, those who did had 2.3 times the rate of transplant (SHR 2.29, 95% CI 1.88–2.79, p < 0.0001), with a median time to transplant of 11 months versus 14 months (p < 0.0001), as well as a 44% decrease in the rate of death on the waitlist (SHR 0.56, 95% CI 0.42–0.74, p < 0.0001). All findings remained significant after controlling for the recipient age, race, gender, blood type, and MELD. Of those who did not consent, 63/359 (17.5%) received a transplant, all of which were from standard criteria donors, and of those who did consent, 615/1244 (49.4%) received a transplant, of which 183/615 (29.8%) were from increased risk donors.ConclusionsThe findings of decreased rates of transplantation and increased risk of death on the waiting list by patients who were unwilling to accept risks of viral transmission of 1/300–1/1000 in the worst case scenarios suggests that this consent process may be harmful especially when involving “trigger” words such as HIV. The rigor of the consent process for the use of these organs was recently changed but a broader discussion about informed consent in similar situations is important. (shrink)

DBS Think Tank IX was held on August 25–27, 2021 in Orlando FL with US based participants largely in person and overseas participants joining by video conferencing technology. The DBS Think Tank was founded in 2012 and provides an open platform where clinicians, engineers and researchers can freely discuss current and emerging deep brain stimulation technologies as well as the logistical and ethical issues facing the field. The consensus among the DBS Think Tank IX speakers was that DBS expanded in (...) its scope and has been applied to multiple brain disorders in an effort to modulate neural circuitry. After collectively sharing our experiences, it was estimated that globally more than 230,000 DBS devices have been implanted for neurological and neuropsychiatric disorders. As such, this year’s meeting was focused on advances in the following areas: neuromodulation in Europe, Asia and Australia; cutting-edge technologies, neuroethics, interventional psychiatry, adaptive DBS, neuromodulation for pain, network neuromodulation for epilepsy and neuromodulation for traumatic brain injury. (shrink)

In the present review we focus on what we take to be some remaining issues with the Behaviour Change Intervention Ontology (BCIO). We are in full agreement with the authors’ endorsement of the principles of best practice for ontology development In particular, we agree that an ontology should be “logically consistent and having a clear structures [sic], preferably a well-organised hierarchical structure,” and that “Maximising the new ontology’s interoperability with existing ontologies by reusing entities from existing ontologies where appropriate” is (...) critically important (Wright et al., 2020, p. 17). Our remaining concerns with BCIO relate directly to these two principles. First, we identify a number of issues with some of the classifications and definitions in BCIO that seem to be in tension with the just-mentioned principle . Second, we note some reservations about the reuse of certain classes in BCIO, namely from the Gazetteer (GAZ), the Ontology of Medically Related Social Entities (OMRSE), and the Information Artifact Ontology (IAO). While the latter principle of “reuse” is important, it is also important not to let the reuse of existing classes (or their corresponding definitions) compromise the logical integrity or the realist nature of one’s ontology. (shrink)

In ‘The nature of moral judgments and the extent of the moral domain’, Fraser criticises findings by Kelly et al. that speak against the moral/conventional distinction, arguing that the experiment was confounded. First, we note that the results of that experiment held up when confounds were removed . Second, and more importantly, we argue that attempts to prove the existence of a M/C distinction are systematically confounded. In contrast to Fraser, we refer to data that support our view. We (...) highlight the implications for the moral/conventional theory. (shrink)

Residency selection is a challenging process for medical students, one further complicated in the USA by the recentDobbs v Jackson Women’s Health Organization(Dobbs) decision over-ruling the federal right to abortion. We surveyed medical students to examine howDobbsis influencing the ideological, personal and professional factors they must reconcile when choosing where and how to complete residency.Between 6 August and 22 October 2022, third-year and fourth-year US medical students applying to US residency programmes were surveyed through social media and direct outreach to (...) medical schools. Analysis of quantitative and qualitative data from 494 responses was performed to assess downstream effects ofDobbson residency applicants’ family, health and career choices.Most respondents said changes in abortion access would likely or very likely influence their decision regarding location of considered residency programme (76.9%), where to start a family (72.2%) and contraceptive planning for them or their partner (57.9%). Cis-gender females were more influenced byDobbsregarding where (5 (4, 5) p<0.001) and when (3 (3, 5) p<0.001) to start a family. In qualitative responses, medical trainees highlighted the importance of abortion access for their patients, themselves and their loved ones.Medical trainees are incorporating state abortion access into their residency programme choices. Future physicians care about both the quality of care they will be able to provide and their own health. For personal and professional reasons, reproductive healthcare access is now a key factor in residency match decisions. (shrink)

The people and the value of their experience, by N. T. Pratt.--From kingship to democracy, by J. P. Harland.--Democracy at Athens, by G. M. Harper.--Athens and the Delian League, by B. D. Meritt.--Socialism at Sparta, by P. R. Coleman-Norton.--Tyranny, by M. Mac Laren.--Federal unions, by C. A. Robinson.--Alexander and the world state, by O. W. Reinmuth.--The Antigonids, by J. V. A. Fine.--Ptolemaic Egypt: a planned economy, by S. L. Wallace.--The Seleucids: the theory of monarchy, by G. Downey.--The political status of (...) the independent cities of Asia Minor in the Hellenistic period, by D. Magie.--The ideal states of Plato and Aristotle, by W. J. Oates.--Epilogue, by A. C. Johnson.--Bibliography (p. 225-233).--Index, by H. V. M. Dennis, III. (shrink)

Gordon Baker and I had been colleagues at St John’s for almost ten years when we resolved, in 1976, to undertake the task of writing a commentary on Wittgenstein’s Philosophical Investigations. We had been talking about Wittgenstein since 1969, and when we cooperated in writing a long critical notice on the Philosophical Grammar in 1975, we found that working together was mutually instructive, intellectually stimulating and great fun. We thought that we still had much to say about Wittgenstein’s philosophy, and (...) it seemed to us that misinterpretations of passages in the Investigations were so extensive that it would be worth trying to write a detailed analytical commentary. It is difficult to recapture the excitement of those early days in being among the first to work on the microfilms and, subsequently, on the photocopies of Wittgenstein’s Nachlass. We spent many hundreds of hours poring over the typescripts and the often only semi-legible manuscripts, fascinated and privileged to be able to try to follow the development of the thoughts of a great philosophical genius. We talked endlessly about what we had found in Wittgenstein’s manuscripts and typescripts, and debated how it should be understood. The first fruit of our labours was Wittgenstein – Understanding and Meaning. Its guiding idea was to draw attention to the manner in which Wittgenstein linked the concepts of meaning, understanding and explanation, and so to bypass the connections between meaning, truth and truth-conditions that so fascinated philosophers of the 1970s, and to abandon the red-herring of assertion-conditions and anti-realism. After a hiatus of four years, during which time we wrote a controversial book entitled Frege – Logical Excavations and a polemical book on contemporary philosophy of language – Language, Sense. (shrink)

Sympathy, empathy, and compassion are strands in the network of love and essential corollaries of friendship. Together with love and friendship, they are the saving graces of mankind. This chapter aims to clarify the relationship between sympathy and empathy. It may be helpful first to list the relevant dispositions, tendencies, powers, and feelings. The most important contributions to the analysis of sympathy were Hume's A Treatise of Human Nature and Adam Smith's The Theory of Moral Sentiments. It was they who (...) provided the first extensive phenomenological description and philosophical anatomy of sympathy. It is noteworthy that Theodor Lipps had translated Hume's Treatise into German. His account of empathy had its roots in Hume's projectivism. With the demise of behaviourism in the 1970s, the notion of empathy became an object for reflections of experimental and practical psychologists and therapists. (shrink)

The distinction between shame cultures and guilt cultures is due to the anthropologist Ruth Benedict. The moral education of the youth in a shame culture will involve a multitude of prescriptions determining how to conduct oneself. Heroic societies with a closed aristocratic warrior class are typically shame cultures. The form of the dominant norms of a guilt culture is the imperative or dominative tense, which determines what one is obligated to do. This is the typical form of the obligation‐imposing commandments (...) of God. A primary focus of shame in the emerging guilt culture became sexuality and the body, and shame became forcefully riveted to the notion of sin. Feeling shame, like feeling pride, lies at the centre of a ramifying cluster of emotions and emotional attitudes. Shame bears a kinship to embarrassment. Embarrassment is distinguished from feeling shame in so far as it is essentially an audience‐involving emotion. (shrink)

Given the ubiquity of the phenomena of anger and the roots of the emotion in the animal nature, it is not surprising that human languages have a rich vocabulary to express, report, describe, and evaluate the various manifestations and expressions of anger. Different cultures and different languages have evolved their distinctive orgetic vocabularies. This chapter is concerned with the family of concepts of anger, as expressed in English. The doctrine of the humours is reflected in the iconography of anger. Eichler's (...) engraved illustration for Ripa's iconological analysis of Cholericus depicts an angry youth – for the young, Ripa explained, like the choleric, lack judgement. The chapter discusses the physiognomy, behavioural manifestations, and verbal expressions of anger. So much for the connective analysis of anger. People's understanding of the place of anger in human life can be deepened and enriched by scrutiny of some of the ancient literary and philosophical descriptions and analyses of the phenomena. (shrink)

Actions done out of jealousy or envy are vicious. The corresponding character traits – having a jealous or envious disposition – are vices. Envy motivates ever greater efforts in the pursuit of private wealth, and, coupled with greed and covetousness, stimulates acquisitive competition, thus benefiting the economy. Envy is often linked to Schadenfreude. Jealousy characteristically involves hostility if not hatred towards the person who is taking away the love one feels is due to one, and engenders bitterness, hostility, or hatred (...) towards the person one loved. Like many emotions, envy and jealousy provide motives for action. For in both cases there are characteristic patterns of backward‐ and forward‐looking reasons for action. There are numerous biblical tales to illustrate the evils of envy, and others that demonstrate the vice of jealousy. For the most part, qin'ah is condemned as a serious and self‐destructive vice. (shrink)

Jealousy often wreaks havoc among those who love each other. There are many different forms of jealousy. These can be brought to light by scrutiny of grammar, which discloses the scope and limits of the concept of jealousy and hence too of the emotion it subsumes. In Bronzino's painting, Jealousy has a livid complexion (a mixture of yellow and black bile). Robert Herrick's poem in Anthony Frederick Sandys's painting, however, associates jealousy with yellow. In this, he too was following the (...) doctrine of the humours, which explained jealousy by reference to an excess of the choleric humour of yellow bile that causes anger, irritability, boldness, envy, jealousy, and courage. The chapter elaborates the manifold differences between two emotions, envy and jealousy, and the corresponding character traits and motives. The comparison involves numerous for the most parts, and normallys. (shrink)

Each person should have their pride – a proper sense of their worth and dignity. Improper pride is arrogance; proper pride, one might say, is necessary for self‐respect. As an emotion, pride may take the form of a momentary emotional occurrence, as when, for example, one is complimented by people whose approval one appreciates on some achievement of one's own, of one's spouse, or of one's children. Pride may also take the form of a persistent, enduring, emotion, as when one (...) feels proud of one's beauty and figure, or of the good looks of one's spouse or children; of one's achievements; of some admirable possession one owns; of one's dog or horse; and of one's high rank and office. Christian theologians have taken certain forms of pride to be contraries, the former a deadly vice and the latter a virtue. Hume too took pride and humility to be contraries. (shrink)

The emotions distinctive of human beings, as opposed to other animals, are emotions that presuppose possession of a language and hence powers of intellect and rational will. The objects distinctive of human emotions presuppose mastery of a language and possession of rational abilities. Music itself has been considered to be the purest artistic expression of human emotions and of the striving of the human will. The emotions, in particular temporary emotions, have characteristic multiple associations, manifestations, and forms of expression. This (...) chapter distinguishes between the neural/physiological and somatic associations, on the one hand, and the behavioural manifestations and verbal expressions of the emotions, on the other. Behavioural manifestations and expressions of emotion and emotionally motivated actions lie along a volitional spectrum that ranges from the non‐voluntary to the involuntary, and from the voluntary but not intentional to the intentional and deliberate. (shrink)

Manifestations and expressions of emotion are elements of an ensemble of immediate reactive and responsive behaviour, emotion‐eliciting situation, past relationships and events, persistent emotions exhibited in intentional and emotionally motivated speech and action. These elements form, and reform, highly complex patterns – but, like the patterns of tribal carpets, the patterns display varying degrees of irregularity and asymmetry, which vary from rug to rug. The constitutional indeterminacy of the emotions, of their depth and authenticity, and of the motives to which (...) they give rise is part of the human condition. Susceptibility to emotions is a feature of advanced forms of animal life. For one's emotions should be felt for the right reasons, directed at the right objects, made manifest and expressed on the right occasions, and felt to the right degree. Then one's emotions are reasonable and justifiable, even though people cannot feel an emotion at will. (shrink)

Passions subsumes the natural human appetites (hunger, thirst, lust, and addictions); felt desires, such as urges, cravings, and impulses; some obsessions (obsessive emotions and compulsive obsessions); and the affections (agitations, moods, and emotions) of a living being. It is important to clarify the concept of emotion that is to locate it among the concepts of the passions thus construed, and to describe the differences between emotions and other passions. This chapter describes the conceptual boundaries that distinguish the emotions from other (...) affections, such as agitations and moods; from felt desires, such as urges and cravings; from obsessions and appetites; and also from attitudes. Emotions are classified as negative or positive, according as to whether one would (normally) prefer to feel such emotions (delighted, excited, overjoyed, contented, amused, affection), or prefer not to be subjected to them (feeling bored, envious, jealous, frightened, sorrow, embarrassed, humiliated). (shrink)

... 243-) INTRODUCTION §§243- constitute the eighth 'chapter' of the book. Its point of departure is a natural query with respect to the conclusion of the ...

This chapter contains section titled: Baker's New Conception Waismann and Wittgenstein Wittgenstein on the Psychoanalytic Analogy Wittgenstein's Methodology Reconsidered Wittgenstein and Ryle 1: Categorial Confusions Wittgenstein and Ryle 2: Logical Geography Baker's Wittgenstein.

Throughout its long history metaphysics has been variously conceived. At its most sublime, it has been taken to be the study of the super‐sensible, in particular of the existence of a god, the nature of the soul, and the possibility of an afterlife. When the young Ludwig Wittgenstein entered the lists, it was entirely reasonable to conceive of metaphysics in this manner. Its subject matter was held to be the language‐independent and thought‐independent de re necessities of the world. The Tractatus (...) is dominated by three problems: first, the nature of logic and logical necessity; secondly, the essence of the proposition and hence the characterization of the general propositional form; and thirdly, the intentionality of the proposition. Logical propositions are combinations of elementary propositions by means of truth‐functional logical connectives. The metaphysics adumbrated in the Tractatus, Wittgenstein thought, was required for the possibility of representation and for the possibility of logic. (shrink)

For all his peculiarities, man is not the only animal who knows. But he is, as far as it is possible to judge, the only animal who knows that he knows, and who seeks to understand the nature and meaning of the act of knowing itself. Michael Polanyi has been engaged in this search for more than twenty years, and the book here under review is an ‘interim report’ on the development of his thought since the publication of Personal Knowledge (...) and The Study of Man just ten years ago. Its three short chapters are substantially the Terry Lectures which he delivered at Yale University in 1962. This review will attempt no more than to summarise the central theme of Polanyi’s argument. A detailed, critical analysis of its philosophical significance is beyond the competence of a biologist. (shrink)

When ethics committees are consulted about patients who have or need court-appointed guardians, they lack empirical evidence about several common issues, including the relationship between guardianship and prolonged, potentially medically unnecessary hospitalizations for patients. To provide information about this issue, we conducted quantitative and qualitative analyses using a retrospective cohort from Veterans Healthcare Administration. To examine the relationship between guardianship appointment and hospital length of stay, we first compared 116 persons hospitalized prior to guardianship appointment to a comparison group (n (...) = 348) 3:1 matched for age, diagnosis, date of admission, and comorbidity. We then compared 91 persons hospitalized in the year following guardianship appointment to a second matched comparison group (n = 273). Mean length of stay was 30.75 days (SD = 46.70) amongst those admitted prior to guardianship, which was higher than the comparison group (M = 7.74, SD = 9.71, F = 20.75, p. (shrink)

Throughout much of human history most people conceived of death as a transitional event. An alternative, secular, conception of death is as the permanent cessation of all life‐sustaining biological functions. The death of the physical organism is the death of the person or human being. However death be conceived, human beings are the only creatures that are aware of their mortality. The death penalty is often thought to be the most severe punishment of all, far worse than life imprisonment. Attitudes (...) towards death vary according to the acceptance or rejection of belief in an afterlife. Death in old age is generally held to be less deplorable than death in one's prime. Premature death, however, is commonly deemed to be tragic, but not because merely being alive is a good of one kind or another, let alone good in itself. Lucretius exaggerated the symmetry between prenatal and post‐ mortem events. (shrink)