Health research has increased during the last decade, which has enhanced the importance of research ethics. However, little is known regarding the knowledge, awareness, attitudes, and practices of investigators in Myanmar. To assess awareness, knowledge, and attitudes of post-graduates regarding research ethics and research ethics committees (RECs) and their informed consent practices and to determine the association between their responses and certain independent factors. We conducted a cross-sectional study using a questionnaire that was distributed to a convenience sample of post-graduates (...) at the Defence Services Medical Academy in Myanmar. We used descriptive, t test, and chi-square statistics to analyze the data. Significance was set at p < 0.05. We obtained surveys from 204 participants, which included 177 MSc and 27 PhDs of whom 63.6% had performed research and 86.5% had prior ethics training. Regarding awareness, 92.2% were aware of an REC at their academy, but only 47.1% were “fully aware” of the functions of an REC and only 52.9% stated they were familiar with ethical principles that govern human subject research. More than 90% thought that research involving human subjects should be submitted to an REC and that post-graduates should have training on research ethics. However, several of their attitudes were sub-optimal; for example, 20.2% said that informed consent is only necessary from the community leader of a village rather than from the individual, 32.8% agreed it is acceptable to fabricate research data, and 33.0% believed that ethical review of research should be restricted to international collaborative research. Calculated mean total attitude scores were statistically significantly higher in post-graduates with PhDs compared with those with MSc and higher in those with knowledge of research ethics principles compared with those lacking such knowledge. Significant gaps exist among post-graduates regarding their knowledge, awareness, and attitudes regarding research ethics and RECs. We recommend that post-graduates receive further training in research ethics to ensure the ethical conduct of research. Further studies should be performed to determine the generalizability of our findings to other institutions in Myanmar. (shrink)

Background There is a growing concern about artificial intelligence (AI) applications in healthcare that can disadvantage already under-represented and marginalised groups (eg, based on gender or race). Objectives Our objectives are to canvas the range of strategies stakeholders endorse in attempting to mitigate algorithmic bias, and to consider the ethical question of responsibility for algorithmic bias. Methodology The study involves in-depth, semistructured interviews with healthcare workers, screening programme managers, consumer health representatives, regulators, data scientists and developers. Results Findings reveal (...) considerable divergent views on three key issues. First, views on whether bias is a problem in healthcare AI varied, with most participants agreeing bias is a problem (which we call the bias-critical view), a small number believing the opposite (the bias-denial view), and some arguing that the benefits of AI outweigh any harms or wrongs arising from the bias problem (the bias-apologist view). Second, there was a disagreement on the strategies to mitigate bias, and who is responsible for such strategies. Finally, there were divergent views on whether to include or exclude sociocultural identifiers (eg, race, ethnicity or gender-diverse identities) in the development of AI as a way to mitigate bias. Conclusion/significance Based on the views of participants, we set out responses that stakeholders might pursue, including greater interdisciplinary collaboration, tailored stakeholder engagement activities, empirical studies to understand algorithmic bias and strategies to modify dominant approaches in AI development such as the use of participatory methods, and increased diversity and inclusion in research teams and research participant recruitment and selection. (shrink)

Myanmar has recently surfaced from total military rule and efforts at conducting research to enhance the health of the population has increased during the recent democratization process, both from the military and civil sectors as well as support from international agencies. International guidelines mandate that such research requires prior ethics review in accordance with international standards. Previous commentators have expressed concerns, however, regarding the degree of adequate training in research ethics for investigators, the optimal functioning of Research Ethics Committees, and (...) the extent of responsible conduct in research in low and middle-income countries. Such concerns might also be applicable to Myanmar, especially since it has recently emerged from a long period of military rule where there has been lack of basic freedoms and human rights abuses. We herein review the current gaps in research ethics capacity in Myanmar, the status of the existing RECs and the current efforts to establish training programs to enhance capacity in research ethics. (shrink)

Recent studies have explored the effectiveness of open-label placebos for a variety of conditions, including chronic pain, cancer-related fatigue and irritable bowel syndrome. OLPs are thought to sidestep traditional ethical worries about placebos because they do not involve deception: with an OLP, patients or subjects are told outright that they are not given an active substance. As deception is framed as the primary hurdle to ethical placebo use, the door is ostensibly opened to ethical studies of OLPs. In this article, (...) I suggest that even though OLPs seemingly do not involve deception, there are other ethical considerations in their clinical investigation and subsequent use. Research ethics often focusses on informed consent—of which, deception and honesty are a piece—as a means to justify research practices with human subjects. Yet, it is but one of the ethical considerations that should be taken into account. With research into placebo effects in particular, I argue that the history of clinical placebo use grounds special considerations for OLP research that go beyond respect for the autonomy of individual patients through informed consent and encompass structural concerns about the type of patient for whom a placebo has historically been thought appropriate. (shrink)

Relational egalitarianism, the view that social equality is fundamentally about equal relationships, has a problem addressing intergenerational justice. Specifically, how can we have any relationship, egalitarian or otherwise, with people that we do not overlap with temporally? I argue that the problem is even greater than that since we do not overlap in many other relevant ways, and are not in relationships with most of our temporal peers either. If relational equality relies on actual relationships, it cannot succeed as (...) an account of justice. However, we stand in certain social relations to one another, less direct than relationships, that might connect us, in an egalitarian fashion, to many more people than the ones with whom we have relationships. If this account, or one like it, cannot succeed, however, we may have to give up on relational egalitarianism altogether. (shrink)

ABSTRACT Many recent articles argue that participants who seroconvert during HIV prevention trials deserve treatment when they develop AIDS, and there is a general consensus that the participants in HIV/aids treatment trials should have continuing post‐trial access. As a result, the primary concern of many ethicists and activists has shifted from justifying an obligation to treat trial participants, to working out mechanisms through which treatment could be provided. In this paper I argue that this shift frequently conceals an important (...) assumption: that if there is an obligation to supply treatment, then any party who could provide it may be prevailed upon to discharge the obligation. This assumption is false. The reasons why trial participants should get ART affect who has the duty to provide it. We should not burden governments with the obligations of sponsors, nor researchers with the obligations of the international community. And we should not deprive a group of treatment because their need is less salient than that of research participants. Insisting otherwise may lead to people being wrongfully deprived of access to antiretrovirals. (shrink)

In recent decades in North American social and moral philosophy, alongside the development and discussion of widely influential theories of justice, taken as Rawls takes it as the ‘first virtue of social institutions,’ there has been a counter-movement gathering strength, one coming from some interesting sources. For some of the most outspoken of the diverse group who have in a variety of ways been challenging the assumed supremacy of justice among the moral and social virtues are members of those (...) sections of society whom one might have expected to be especially aware of the supreme importance of justice, namely blacks and women. Those who have only recently won recognition of their equal rights, who have only recently seen the correction or partial correction of long-standing racist and sexist injustices to their race and sex, are among the philosophers now suggesting that justice is only one virtue among many, and one that may need the presence of the others in order to deliver its own undenied value. Among these philosophers of the philosophical counterculture, as it were - but an increasingly large counterculture - I include Alasdair MacIntyre, Michael Stocker, Lawrence Blum, Michael Slote, Laurence Thomas, Claudia Card, Alison Jaggar, Susan Wolf and a whole group of men and women, myself included, who have been influenced by the writings of Harvard educational psychologist Carol Gilligan, whose book In a Different Voice caused a considerable stir both in the popular press and, more slowly, in the philosophical journals. (shrink)

In recent decades in North American social and moral philosophy, alongside the development and discussion of widely influential theories of justice, taken as Rawls takes it as the ‘first virtue of social institutions,’ there has been a counter-movement gathering strength, one coming from some interesting sources. For some of the most outspoken of the diverse group who have in a variety of ways been challenging the assumed supremacy of justice among the moral and social virtues are members of those (...) sections of society whom one might have expected to be especially aware of the supreme importance of justice, namely blacks and women. Those who have only recently won recognition of their equal rights, who have only recently seen the correction or partial correction of long-standing racist and sexist injustices to their race and sex, are among the philosophers now suggesting that justice is only one virtue among many, and one that may need the presence of the others in order to deliver its own undenied value. Among these philosophers of the philosophical counterculture, as it were - but an increasingly large counterculture - I include Alasdair MacIntyre, Michael Stocker, Lawrence Blum, Michael Slote, Laurence Thomas, Claudia Card, Alison Jaggar, Susan Wolf and a whole group of men and women, myself included, who have been influenced by the writings of Harvard educational psychologist Carol Gilligan, whose book In a Different Voice caused a considerable stir both in the popular press and, more slowly, in the philosophical journals. (shrink)

In recent decades in North American social and moral philosophy, alongside the development and discussion of widely influential theories of justice, taken as Rawls takes it as the ‘first virtue of social institutions,’ there has been a counter-movement gathering strength, one coming from some interesting sources. For some of the most outspoken of the diverse group who have in a variety of ways been challenging the assumed supremacy of justice among the moral and social virtues are members of those (...) sections of society whom one might have expected to be especially aware of the supreme importance of justice, namely blacks and women. Those who have only recently won recognition of their equal rights, who have only recently seen the correction or partial correction of long-standing racist and sexist injustices to their race and sex, are among the philosophers now suggesting that justice is only one virtue among many, and one that may need the presence of the others in order to deliver its own undenied value. Among these philosophers of the philosophical counterculture, as it were - but an increasingly large counterculture - I include Alasdair MacIntyre, Michael Stocker, Lawrence Blum, Michael Slote, Laurence Thomas, Claudia Card, Alison Jaggar, Susan Wolf and a whole group of men and women, myself included, who have been influenced by the writings of Harvard educational psychologist Carol Gilligan, whose book In a Different Voice caused a considerable stir both in the popular press and, more slowly, in the philosophical journals. (shrink)

Multiculturalism has become a political touchstone in many countries around the world. While many of those on the right oppose it, and many of those on the left embrace it, things are not this simple. For those who defend them, multicultural policies are generally seen as key to the fair and successful integration of minorities, many of whom are immigrants, into diverse democratic societies. For those who oppose multiculturalism, who have become part of the so-called "backlash" against multiculturalism, they (...) are charged with generating segregation rather than inclusion, undermining national cultures, reinforcing difference, and privileging minority groups. Around the world, we see failing attempts at migrant integration, persistent religious intolerance and racial and ethnic discrimination, resurgent national minorities, emboldened majorities, permanent minorities, continuing social isolation, and increasing extremism, including in the form of white nationalism. But is multiculturalism the solution to these problems or does it just make them worse? In this for-and-against book, two prominent scholars of multiculturalism put forward different answers to this important question. While Patti Tamara Lenard argues for minority rights as both the consequence of a right to culture and a way to redress the effects of nation-building, Peter Balint rejects minority rights altogether, instead arguing for a re-imagined liberal neutrality. This theoretical disagreement plays out in real-world policy disagreement. Lenard, for example, argues strongly in favor of exemptions from general rules for minority cultures including the right of Sikhs to be exempt from helmet laws, and for Jews and Muslims to be exempt from bans on male circumcision. She also defends the right of minority cultures to have government-supported separate spaces. Balint, on the other hand, argues directly against these types of exemptions and government support. He is opposed to any form of differentiation based on culture, religion, or ethnicity. The book uses a wide range of real-world examples to demonstrate their significant theoretical disagreement, and to recommend very different policy proposals. (shrink)

This account of the good will has struck many readers as counterintuitive. Whereas Kant seems to think that the person in whom a sense of duty must overcome indifference or contrary inclination can and does display a good will, our intuitions about human goodness suggest that there is something deficient or lacking in the grudging agent. Aristotle, for example, would think that the grudging moralist displays continence, rather than virtue, because he thinks it is the mark of (...) the virtuous person that he does not experience a conflict between the rational and nonrational parts of the soul and that his emotions and appetites harmonize with rational judgments. (shrink)

The International Federation of Gynecology and Obstetrics (FIGO) Committee for the Ethical Aspects of Human Reproduction and Women9s Health advises against tubal occlusion (TO) performed at the time of caesarean section (CS/TO) or following a vaginal delivery (VD/TO) if this sterilisation has not been discussed with the woman in an earlier phase of her pregnancy. This advice is neither in accordance with existing medical custom nor evidence based. Particularly in less-resourced locations, adherence to it would deny much wanted one-off sterilisation (...) opportunities to hundreds of thousands of women, many of whom have no reliable contraceptive alternative. To be sure, a well-timed discussion in pregnancy about a potential peripartum TO is preferable and, if conducted as a matter of course (as the Committee appears to promote), would represent an enormous improvement on current practice. Earlier counselling has the advantage that it results in fewer women who regret having rejected the CS/TO or VD/TO option. However, there is no evidence that earlier counselling leads to a smaller proportion of regretted sterilisations. Consequently, where early TO counselling has been impossible, forgotten or deliberately omitted on pronatalist, traditional, financial, cultural or religious grounds, offering a perinatal sterilisation belatedly and in an unbiased, culturally sensitive manner is often verifiably better than not presenting that option at all, notably where high parity and uterine scars are particularly dangerous. Belated counselling, as will be demonstrated in this paper, saves many lives. The Committee9s blanket rejection of belated counselling on perinatal sterilisation is therefore unjustified. (shrink)

The "impure" indexicality of the pronoun we is exploited to widen or reduce its scope, depending on rhetorical expediency. This has powerful and mostly damaging effects on public discourse. In fact, collective identities are seldom precisely defined, and when they are they often turn out to be less discriminating than the “we” rhetoric assumes them to be.

BackgroundThe Covid-19 pandemic caused situations where, in some hospitals, there were more patients in need of urgent treatment in intensive care units (ICU) than were available. In particular, there were not sufficient ventilators or critical care resources for all patients in danger of dying from respiratory failure or other organ failures.DiscussionAs the “first come, first served” criterion was not considered adequate, more nuanced and fairer clinical criteria were proposed to assess whom to treat first. One type (...) of patients that has not been considered in the literature so far is that of “important patients”, individuals that many people might consider worthy of priority treatment for the contribution they made or might make to society as a whole.SummaryIn this article, we discuss the moral insights behind the possible treatment of “important patients” and suggest a supererogatory solution of voluntary renunciation/withdrawal. Details of the proposal are explained, and potential objections are addressed. (shrink)

The COVID-19 emergency has hit the whole world, finding all countries unprepared to face it. The first studies focused on the medical aspects, neglecting the psychological dimension of the populations that were forced to face changes in everyday life and in some cases to stay forcedly at home in order to reduce contagion. The present research was carried out in Italy, one of the countries hardest hit by the pandemic. The aim was to analyze the perception of happiness, mental health, (...) and the sense of loneliness experienced by adults during the lockdown due to the COVID pandemic. Specifically, the variables will be examined in relation to gender difference, living alone, with partner, or with partner and children. The research followed a quantitative approach using an online questionnaire. The project involved 1100 subjects from whom 721 participants were extrapolated. Of them, 17.3% claimed to live alone, 39.5% with their partner, and 43.1% with their partner and children. The results show that people in general experienced a lower level of happiness and mental health and higher levels of loneliness compared to normative sample. The lockdown and pandemic condition due to COVID-19 seems to have canceled the gender differences in the perception of happiness and mental health, while it seems to have increased the perception of loneliness experienced by males compared to the pre-pandemic condition. In addition, those who lived alone perceived a greater level of loneliness than those who lived with their partner or partner and children. Unexpectedly, no significant differences emerged regarding the level of happiness and mental health between those who had direct contact with the virus and those who did not. These data should make political decision-makers reflect on the need to pay more attention to the implications that such drastic measures as a lockdown can have on people’s psychological well-being. (shrink)

In recent years, the growing number of persons to whom basic human rights have been explicitly denied—stateless persons, refugees, undocumented workers, sans papiers and unlawful combatants—has evidenced the logic of contemporary nation-state politics. According to this logic, the state defines itself by virtue of what it excludes while what is excluded is given no other recourse than the state for its protection. Hannah Arendt elucidates this logic when she observes that the stateless and the refugee can only be (...) recognized as human beings when they have already been recognized as citizens. Their appeal to human rights for protection was fruitless because they needed to have citizen rights, the recognition of a government, or of other citizens who can appeal to that government, in order to invoke these rights. In the terms Arendt uses to name political action, one needs to be seen and heard already, the privileges of those who are citizens, in order to appeal to be seen and heard. Just as political life (bios), in order to be free, was only possible once the necessities were accounted for in natural life (zoē), so citizenship is recognized to the exclusion of the non-citizen, that is, the merely human. -/- . (shrink)

There is nothing that renders this punctuation and the standard understanding of these verses impossible. Parallels can certainly be found . It is however true that this ellipse of seu has no good parallel in the Odes and the two examples in the Satires are much easier to tolerate than the use here. Thus, it may be worth noting that a different view of the verse seems possible. Remove the comma from line 16 and take tollere with maior: (...) ‘than whom there is no master of the Adriatic greater at raising or calming – if he desires – the waters.’ Seu then = vel si, as frequently. Horace has a particular affection for infinitives governed by adjectives ; Wickham provides a lengthy list at vol. 1, pp. 316–17. At Satire 2.3,313 minor is so used. (shrink)

There is a relatively recent trend in treating negation as a modal operator. One such reason is that doing so provides a uniform semantics for the negations of a wide variety of logics and arguably speaks to a longstanding challenge of Quine put to non-classical logics. One might be tempted to draw the conclusion that negation is a modal operator, a claim Francesco Berto, 761–793, 2015) defends at length in a recent paper. According to one such modal account, the (...) negation of a sentence is true at a world x just in case all the worlds at which the sentence is true are incompatible with x. Incompatibility is taken to be the key notion in the account, and what minimal properties a negation has comes down to which minimal conditions incompatibility satisfies. Our aims in this paper are twofold. First, we wish to point out problems for the modal account that make us question its tenability on a fundamental level. Second, in its place we propose an alternative, non-modal, account of negation as a contradictory-forming operator that we argue is superior to, and more natural than, the modal account. (shrink)

The question, 'Why is there something rather than nothing?', has a strong claim to be philosophy's central, and most perplexing, question; it has a capacity to set the head spinning which few other philosophical problems can rival. Bede Rundle challenges the stalemate between theistic and naturalistic explanations with a rigorous, properly philosophical approach, and presents some startlingly novel conclusions.

I develop a new theory of properties by considering two central arguments in the debate whether properties are dispositional or categorical. The first claims that objects must possess categorical properties in order to be distinct from empty space. The second argument, however, points out several untoward consequences of positing categorical properties. I explore these arguments and argue that despite appearances, their conclusions need not be in conflict with one another. In particular, we can view the second argument as supporting only (...) the claim that there is not a plurality of categorical properties, and not the stronger claim that there are no categorical properties whatsoever. I then develop a new account of properties which capitalizes on this insight. (shrink)

There is a widespread assumption that B-theorists (according to whom there is nothing metaphysically special about the present moment in virtue of which it is present) should interpret the standard tense operators (‘it was the case that’, ‘it will be the case that’) as implicit quantifier-restrictors – so that, for example, an utterance at instant t of the sentence ‘It was the case that there are dinosaurs’ is true just in case there are dinosaurs located (...) at some instant t* earlier than t. However, it is easy to show that this interpretation of the tense operators creates serious problems for B-theorists when combined with certain other relatively uncontroversial B-theoretic assumptions. In this paper, I argue that the best way for B-theorists to respond to these problems is to treat the standard tense operators as redundant when the sentences in their scope are qualitative (i.e. not about any particular individuals). (shrink)

Four-dimensionalists claim that their take on the temporal versions of the puzzles of coincidence favors their view over three-dimensionalism. In this paper I argue otherwise. In particular, I argue that the four-dimensionalist’s treatment of such puzzles doesn’t give her an edge over so-called `standard theorists’, i.e. three-dimensionalists according to whom there are distinct material objects that coincide at some time. I look at two ways in which the dispute between four-dimensionalists and standard theorists might be construed. First, as (...) an issue about commitment to distinct coincident material objects: the purported advantage of the four-dimensionalist’s approach is supposed to lie in its being compatible with there being no such things. Second, as an issue about explanation of such objects: the alleged superiority of the four-dimensionalist’s view is supposed to lie in its being able to provide a better account of how distinct material things manage to share their parts and exact location at some time. I argue that four-dimensionalism falls short of expectations in either case: the existence of distinct overlapping worms requires the existence of distinct coincident material objects, and temporal parts do not afford any better an explanation of such things than is available to the standard theorist. (shrink)

Abstract:What makes a leader ethical? This paper critically examines the answer given by developmental theory, which argues that individuals can develop through cumulative stages of ethical orientation and behavior (e.g. Hobbesian, Kantian, Rawlsian), such that leaders at later developmental stages (of whom there are empirically very few today) are more ethical. By contrast to a simple progressive model of ethical development, this paper shows that each developmental stage has both positive (light) and negative (shadow) aspects, which affect the (...) ethical behaviors of leaders at that stage. It also explores an unexpected result: later stage leaders can have more significantly negative effects than earlier stage leadership. (shrink)

Abstract:What makes a leader ethical? This paper critically examines the answer given by developmental theory, which argues that individuals can develop through cumulative stages of ethical orientation and behavior (e.g. Hobbesian, Kantian, Rawlsian), such that leaders at later developmental stages (of whom there are empirically very few today) are more ethical. By contrast to a simple progressive model of ethical development, this paper shows that each developmental stage has both positive (light) and negative (shadow) aspects, which affect the (...) ethical behaviors of leaders at that stage. It also explores an unexpected result: later stage leaders can have more significantly negative effects than earlier stage leadership. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Conflicts—and Consensus—about Conflicts of Interest in MedicineMatthew K. Wynia and Bette–Jane Crigger*This fascinating collection of essays about individual experiences of conflict of interest leaves little doubt that physicians remain divided about the importance, impact and meaning of conflicts of interest in their work. These essays offer differing views about what conflicts of interest look and feel like “on the ground” and about whether specific conflicts of interest are bad, (...) just a fact of life, or maybe even good.Conflict, Conflict EverywhereThese essays situate conflict of interest in a variety of contexts: the treatment recommendations a physician makes for an individual patient; the relationship between teaching physician and medical student or practicing physician and health care organization; the interaction between academic researchers and industry collaborators or professional bodies and industry supporters. In this, the narratives taken together reflect the scope of concern about conflict of interest in medicine familiar in the literature. In his classic 1993 essay, Dennis Thompson noted that concerns about conflict of interest encompass issues of physician self–referral, risk sharing between physicians and health care institutions, gifts from industry, hospital purchasing practices, as well as sponsored research and research with patients (Thompson 1993). To that list have subsequently been added relationships with industry in medical education at all levels, physicians’ service as consultants to industry or members of industry speakers bureau, and development of clinical practice guidelines (Lo & Fields 2009).That almost none of these essays draw attention to some widely publicized situations of conflict of interest—for example, gifts to physicians or the provision of drug samples—should, we think, be seen more as an artifact of the authors’ varied individual experiences than as a failure by the authors to engage key concerns in the ongoing professional and public debate. It could also be that the authors, asked to submit personal stories, assumed that yet another essay about the ‘traditional’ issues in the conflicts of interest literature would be seen as redundant, routine or even boring. Or, there is the tantalizing possibility that the absence of some of the more familiar conflicts from these narratives is the early fruit of efforts to address these traditional issues through policies governing interactions between physicians and industry promulgated by academic medical centers and health systems, medical specialty societies, and industry.One significant area of concern that has emerged in recent years is conflict of interest in the development of clinical practice guidelines. E.g., Choudry et al. 2002; Sniderrman & Furberg 2009; Guyatt et al. 2010. Although none of the essays in this [End Page 101] collection address it head on, Perlmutter touches on several key issues. His depiction of how an FDA committee process limited the input he was able to provide as an expert, undermined his potential to contribute to the professional dialogue, and raised concerns about the objectivity of the drug approval process echoes concerns about objectivity, the role of expert opinion, and the presence on guideline development panels of individuals with financial interests in the recommendations to be developed that have been explored at some length in the literature, most recently by the Institute of Medicine in reports on evidentiary standards (Eden et al 2011) and principles for guideline development (Graham et al. 2011).Conflict of Interest or Dual Agency?Several essays set out physicians’ experience in navigating situations of diverging expectations. Bierut, for example, reflects on the disjunction between the goals and products of academic researchers and commercial sponsors. She saw herself advancing basic knowledge and was forced to grapple with the reality of sponsors’ goals to advance commercial ends as well. Nagldinne and Mikulec each recall struggles to reconcile their obligation to exercise professional judgment on behalf of patients with the demands of health care organizations focussed also on the bottom line. Cruz–Flores attests to the challenge of making recommendations for care when one is both a practicing clinician and a clinical investigator engaged in research that might offer benefit to a patient for whom there are limited options.Thompson defined conflicts of interest as “a set of conditions in which professional judgment concerning a primary interest (such as a patient’s welfare or the validity of... (shrink)

THERE COULD BE MORE THAN ONE GOD (DEFINED BY THE NORMAL DIVINE PREDICATES), ONLY IF A FIRST GOD BRINGS ABOUT (FROM ETERNITY) A SECOND GOD, AND THE FIRST TWO BRING ABOUT A THIRD GOD. IN ORDER TO EVINCE THE GOODNESS OF SHARING AND COOPERATING IN SHARING, THEY WILL DO THIS NECESSARILY. BUT THEY DO NOT HAVE TO PRODUCE A FOURTH GOD; AND SINCE A GOD MUST EXIST NECESSARILY IF AT ALL, THERE WILL BE AND CAN BE ONLY (...) THREE GODS. BUT SINCE THEY MUTUALLY SUSTAIN EACH OTHER, THEY FORM A TRINITY. (shrink)

Neil Van Leeuwen argues that many religious people do not act and infer as we would expect believers to act and infer, and on this basis argues that they are not genuine believers. They take some other, nondoxastic, attitude to the claims they profess to believe. In this short commentary, I argue that in many (but far from all) such cases, the content, and not the attitude, explains the departures from the inferential and behavioral stereotype we associate with belief.

In a large and detailed survey on the ethics of scientific coauthorship, members of the American Physical Society (APS) were asked to judge the number of appropriate coauthors on his or her last published paper. Results show that the first or second coauthor are more appropriate than later coauthors about whom there is equal and considerable doubt. The probability of any third and subsequent coathors being judged as inappropriate is 23% for the APS guideline, 67% for the (...) tighter guideline of the International Committee of Medical Journal Editors, 59% if the guideline requires “direct contributions to scientific discovery or invention”. Only 3% of respondents report having personally rejected an undeserving scientist who expected to be an author on the last published paper. Respondents seem to be divided into two non-overlapping populations—those who report no inappropriate coauthorship and those who have a more graduated view. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Courtesans and Tantric Consorts: Sexualities in Buddhist Narrative, Iconograhy, and RitualRita M. GrossCourtesans and Tantric Consorts: Sexualities in Buddhist Narrative, Iconograhy, and Ritual. By Serinity Young. New York and London: Routledge, 2004. 256 pp.This book is a welcome addition to the growing literature on Buddhism and gender. It presents information and explores issues on this topic in new and innovative ways. It is also well researched and well (...) written. Part of Young's innovation is her use of Buddhist art and iconography, which she takes as seriously as textual sources are usually taken in Buddhist studies. Many of her most interesting suggestions and conclusions result from the seriousness with which she takes Buddhist art as resource for understanding Buddhism more accurately and completely. The other foci are clear from her subtitle: narrative and ritual. There is much less attention to the canonical and philosophical texts of Buddhism that are so often invoked in studies of Buddhism and gender.Studies of sexuality or gender often end up primarily discussing new information about women and new ways of understanding women's participation in or exclusion from religion. This study is no exception, which is not in any way to fault the book. Young's analyses center on ways that women have been both included in the Buddhist world and excluded from that world. Among the many varieties of Buddhism, Young primarily focuses on early Indian Buddhism and Tantric Buddhism, which have the most provocative teachings about gender and sexuality. In Young's analyses, we see how women participated in early Buddhism in ways that have not been recognized in most earlier scholarship and ways in which they are excluded from Tantric Buddhism and most later forms of Buddhism that have not always been acknowledged.Young's interpretations of the traditional life stories of the Buddha are extremely innovative and interesting. She argues that the future Buddha's rejection of women when he left his home and family must be balanced with his reintegration into the world of women before and during his enlightenment experience. She argues that this reintegration is evidenced especially in his acceptance of food from Sujata and in the help he received from the Earth Goddess during his trials with Mara. Young argues that many Buddhists throughout the ages have focused on episodes in his life that deal with rejection of women but have not fully taken in the implications of the stories in which women become important allies in the mission of the Buddha.The sources for early Indian Buddhism most invoked by Western scholars of Buddhism are textual. These textual sources present a very mixed picture of women's lot in early Indian Buddhism. On the one hand, the Therigatha and some stories from the life of the Buddha present a relatively optimistic picture of women's possibilities and their acceptance in the early Buddhist community. On the other hand, texts present a constant message of the importance of renunciation, and much of the recommended renunciation involves women. Texts written by and for monks frequently conflate women with sexuality and hold women responsible for wayward monks' sexual temptations. Against this widely known material, Young calls upon the evidence of early Indian Buddhist art to argue that the monks' anti-women texts [End Page 174] do not tell the whole story about women in early Indian Buddhism. The art work, which was much more important for tutoring largely illiterate Buddhist laypeople, consistently portrays women voluptuously and positively. This contrast between text and art is so great that recently, during a slide show in a class I taught on ancient Indian Buddhism, a student asked point blank how monks could possibly sanction the voluptuous portrayals of women common in early Indian Buddhist sanctuaries. I didn't remember Young's cogent analysis at first, but eventually did reply, using her analysis. The monastic establishment controlled the discourse that eventually became the texts of early Buddhism, but the lay donors controlled the visual representations that decorated the sites where Buddhism was preserved. The lay donors were more than happy to represent the fecundity and beauty of women, without whom there would be no future donors or... (shrink)

LUCRETIUS, AFTER HE HAS EXPOUNDED THAT NOTHING comes out of nothing and nothing goes into nothing, and there are only bodies and void, turns to three pre-Socratics: Heraclitus, Empedocles, and Anaxagoras. He characterizes Heraclitus, clarus ob obscuram linguam, as having a bright principle and a dark account; he says of Empedocles, than whom Sicily nil... habuisse praeclarius... videtur, that his principles are as bright as his song about them; and he says of Anaxagoras, who must resort to (...) quaedam latitandi copia tenvis, that his principles are as dark as his account. He then turns to himself; he borrows brightness from Empedocles and darkness from Anaxagoras and turns Heraclitus inside out: he has a bright song about completely dark principles : clarius audi. nec me animi fallit quam sint obscura. Without denying the difficulty of putting together Heraclitean fire and Heraclitean logos, which seems intended to formulate a problem rather than a solution—it is nothing less than a demand that the causality of things and the equations that model their motions be one and the same—I would like to bring some clarity to the Heraclitean logos and make it at least as bright as his fire. Heraclitus’s logos is nothing but his name for thinking when it is philosophic. If Heraclitus did not coin the word philosophos, he is the first we know of who used it. (shrink)

In European law, "non-contractual liability arising out of damage caused to another" is one of the three main non-contractual obligations dealt with in the Draft of a Common Frame of Reference. The law of non-contractual liability arising out of damage caused to another â?? in the common law known as tort law or the law of torts, but in most other jurisdictions referred to as the law of delict â?? is the area of law which determines whether one who has (...) suffered a damage, can on that account demand reparation â?? in money or in kind â?? from another with whom there may be no other legal connection than the causation of damage itself. Besides determining the scope and extent of responsibility for dangers of one's own or another's creation, this field of law serves to protect fundamental rights in the private law domain, that is to say horizontally between citizens inter se. Based on pan-European comparative research which annotates the work, this book presents model rules on liability. Explanatory comments and illustrations amplify the policy decisions involved. During the drafting process, comparative material from over 25 different EU jurisdictions has been taken into account. The work therefore is not only a presentation of a future model for European rules to come, but also provides a fairly detailed indication of the present legal situation in the Member States. (shrink)

I borrow the notion of echo from Proust. Proust describes the last phase in the experience of a love that has died down in the following terms: “While the great tide of love has ebbed forever, yet, strolling through ourselves, we can still gather strange and charming sea shells and, lifting them to the ear, can hear, with a melancholy pleasure and without suffering, the mighty roar of the past.” Someone whom we have loved utterly but love no more (...) is in the first place “worse than dead to us.” We revile or despise that person to such a degree that we become incapable of all judgment, as if the sea’s retreat could only leave behind a beach overcome by evil. But then there is this sea shell, this reminder of past evil that diminishes its initially insuperable force, ultimately making it bearable. And once all power of judgment has yielded to the pure remembrance of a past that no longer has any influence on us, we are ready to receive what Proust calls “the omnipotent virtue of justice”; we are ready to bring the one we loved before the law, to face the “final judgment.” It is a judgment that “we render calmly and with eyes full of tears.” The paradox is that this echo of evil derives its sweetness from the fact that it is dissociated from its source, since the shell is transportable, whereas the original evil was unbearable because it is associated with the person for whom there is nothing we have not suffered. We can truly measure up to the evil, and thereby recover our powers of judgment, at least one last time, only by hearkening to its echo. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Cambridge History of Philosophy in Late AntiquityJohn RistLloyd P. Gerson, editor. The Cambridge History of Philosophy in Late Antiquity. 2 vols. Cambridge-New York: Cambridge University Press, 2010. Pp. 1313. Cloth, $240.00.1313 pages, including 915 pages of text and 200 of bibliography; 51 authors—in about 800 words! The editor of the present Cambridge History makes plain that his new two-volume monument is the successor to Armstrong’s Cambridge History (...) of Late Greek and Early Medieval Philosophy—8 contributors—and is intended to build on its strengths and correct its deficiencies in the light of some 40 years of highly successful investigation of the thought of late antiquity. The result is a professional structure in which the “giants” (Plotinus and Augustine) are awarded comparatively modest coverage, while figures often neglected, such as Damascius, of whom our understanding has greatly increased of late, are given much more space. Damascius secures 30 pages: the only individual to get more is Porphyry (33), while Augustine has 29 and Plotinus 24 (four more than Hierocles). There are those (as Tacitus might have put it) who will fear that the wood has been lost for the trees, and at least it must be said that one overall impression of these volumes is that some of their authors are recounting what will be of interest to a worldwide group of aficionados whose number can be counted on the fingers of a mutilated hand—and the importance of which lies less in philosophical achievement than in the handing on of a great tradition.Gilbert Ryle is supposed to have asserted that in France everyone can talk about philosophy but that there are no philosophers; some of Gerson’s more philosophically minded readers may find their prejudices confirmed that in late antiquity there were many who talked about Plato and Aristotle but few who understood what they were trying to do. For it is clear that a general theme of the present volumes is that in late antiquity philosophers were largely concerned to “interpret” Plato and (especially after Porphyry) Aristotle while occasionally seizing the opportunity not merely to rubbish their similarly-engaged predecessors but to add (if shamefacedly) something of their own. Except, that is, for the Christians, whose enterprise was very different and who, quite properly, are more visible in Gerson’s account of late antique thought than in that of Armstrong (though there remain strange omissions in a work on this scale: Methodius, Ambrose, Evagrius).Gerson has tried to contextualize his story by including short (and helpful) historical introductions by Elizabeth DePalma Digeser to the various epochs with which his volumes are concerned, and which can perhaps be divided into four sections: pre-Plotinian Platonism [End Page 136] (plus extras) from Cicero to Numenius; later pagan Platonism, including extensive treatment of the Neoplatonic commentators on Aristotle; Christian thought before Constantine; and later Christian philosophy-cum-theology. Rounding off the volume are introductions to the transition from “ancient” to “medieval” thought in the Latin West (Gersh), in Byzantium—a remarkably honest presentation of a largely stagnant philosophical world by Ierodiakonou and Zografidis—and (in a magisterial improvement on what is to be found in Armstrong) in Islam (Cristina d’Ancona) where (inter multa alia) the roots of the virtually inevitable later destruction of a flourishing philosophical tradition founded by al-Kindi and al-Farabi are identified in the more “orthodox” and theocratic approach—here there are Byzantine parallels—of the followers of al-Ash’ari (885).Gerson’s readers can inspect philosophical wisdom and conceptual muddle among late antique intellectuals—Christians, a few Muslims, pagans—down to Scotus Eriugena and al-Farabi. But some of them may suspect that an opportunity has been lost to reflect on the origins and nature of early Christian thought, and to ask why Christians soon jumped for Platonism rather than Stoicism (Aristotle, let alone Epicurus, was not—yet—considered a serious option)—and that is not intended as criticism of the excellent, if brief, treatment of important Christian thinkers such as Origen. But it was an adventure for Christians to begin to philosophize, and when they embarked on this adventure—here the significance... (shrink)

The account of the death of Patroklos occupies a strategic position in the narrative economy of the Iliad: before this event, Achilles has withdrawn from combat out of indignation against Agamemnon; afterwards, his anger turns against Hector, whom he holds responsible for his friend's death. Achilles returns to battle and kills Hector in an act of vengeance that, as we have known from the beginning of the poem, will lead to his own demise, which is not actually recounted in (...) the Iliad. This episode stands out because it is atypical both in the contents of the narration and in the means of expression used (what are generally termed “formulas”). I will give some examples of these oddities and then propose an interpretation. Here is the text, in the translation by Richmond Lattimore:So long as the sun was climbing still to the middle heaven, so long the thrown weapons of both took hold, and men dropped under them; but when the sun had gone to the time for unyoking of cattle, then beyond their very destiny the Achaians were stronger and dragged the hero Kebriones from under the weapons and the clamour of the Trojans, and stripped the armour from his shoulders. And Patroklos charged with evil intention in on the Trojans. Three times he charged in with the force of the running war god, screaming a terrible cry, and three times he cut down nine men; but as for the fourth time he swept in, like something greater than human, there, Patroklos, the end of your life was shown forth, since Phoibos came against you there in the strong encounter dangerously, nor did Patroklos see him as he moved through the battle, and shrouded in a deep mist came in against him and stood behind him, and struck his back and his broad shoulders with a flat stroke of the hand so that his eyes spun. Phoibos Apollo now struck away from his head the helmet four-horned and hollow-eyed, and under the feet of the horses it rolled clattering, and the plumes above it were defiled by blood and dust. Before this time it had not been permitted to defile in the dust this great helmet crested in horse-hair; rather it guarded the hear and the gracious brow a godlike man, Achilleus; but now Zeus gave it over to Hektor to wear on his head, Hektor whose own death was close to him. And in his hands was splintered all the huge, great, heavy, iron-shod, far-shadowing spear, and away from his shoulders dropped to the ground the shield with its shield sling and its tassels. The lord Apollo, son of Zeus, broke the corselet upon him. Disaster caught his wits, and his shining body went nerveless. He stood stupidly, and from close behind his back a Dardanian man hit him between the shoulders with a sharp javelin: Euphorbos, son of Pantho(s, who surpassed all men of his own age with the throwing spear, and in horsemanship and the speed of his feet. He had already brought down twenty men from their horses since first coming, with his chariot and his learning in warfare. He first hit you with a thrown spear, o rider Patroklos, nor broke you, but ran away again, snatching out the ash spear from your body, and lost himself in the crowd, not enduring to face Patroklos, naked as he was, in close combat. (shrink)

This study investigates the role of perceived power relation between target and perpetrator regarding victimization and turnover intent following exposure to bullying behavior at the workplace. We hypothesized that targets of bullying behavior who self-label as victims experiences a larger power imbalance with the perpetrator compared to targets who do not self-label as victims, and that the association between exposure to bullying behavior and intent to leave the job is stronger when there is power balance between target and perpetrator (...) than when there is a power imbalance. The hypotheses were tested in a probability sample of employees working in the child welfare service in Oslo municipality, Norway, and that had been exposed to at least one instance of mistreatment from a colleague at their workplace. Targets of bullying behavior whom self-labeled as victims reported a larger power imbalance with the perpetrator. Supporting the study hypothesis, and representing a reverse buffering effect, exposure to bullying behavior was most strongly associated with intent to leave among targets in power balance with the perpetrator. For targets in a perceived power imbalance, both low and high exposure to bullying behavior were associated with higher levels of intent to leave. These findings highlight the importance of implementing measures directed at preventing bullying and other forms of mistreatment, irrespective of the power relation between the two parties. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:John P. Sisk DOCTOR JOHNSON KICKS A STONE Readers OF Boswell's Life ofJohnson will remember the great Doctor's refutation of Bishop Berkeley's idealism. He and Boswell had just come out of a church in Harwich and were discussing the Bishop's "ingenious sophistry to prove the nonexistence of matter." Boswell observed "that though we are satisfied his doctrine is not true, it is impossible to refute it." To mis Johnson (...) responded, "striking his foot with mighty force against a large stone, till he rebounded from it, T refute it thus.'" For Boswell diis was an argument from first principles diat are as fundamental to metaphysics as axioms are to mathematics. To use Johnson's own phrase, it is an argument based on "the experience of mankind" — the ground upon which he confidendy stood when he expressed his disapproval of such other phUosophical contemporaries as Hume, Voltaire, and Rousseau (the latter "a rascal who ought to be hunted out of society"). Or as WalterJackson Bate puts it in TheAchievement ofSamuelJohnson, the first principle ofhis thinking was "To go back to the living and concrete nature of experience."1 Boswell thought Johnson a philosopher, though he admits in a famous passage that his table manners might have suggested otherwise. Apparently G. K. Chesterton thought he had some claim to the term, for he called Johnson's novel Rasselas "a sort of philosophical satire on philosophy." Most likelyJohnson thought ofhimselfas among many other things a philosopher: the humanities had not yet setded snugly into dieir modern compartments. Now, of course, any undergraduate student of philosophy is willing to believe that Johnson's argument against Berkeley isn't worth much (he may be no less willing to believe that the Bishop's argument isn't worth much eitiier). He may also know that in the perspective of die modern physicist Johnson's stone was not as solid as Johnson thought it was — though it is likely he would have thought diis information 65 66Philosophy and Literature no more relevant to die argument dian Thaïes' belief diat all diings are made of water or Pydiagoras' diat all diings are numbers. The important thing was whether a drinker violated die experience of mankind. When the Scotchman Lord Hunderland praised the ancient philosophers for the candor and good humor widi which they disputed with one anotherJohnson would have none of it: "They disputed with good humour upon dieir fanciful dieories," he said, "because diey were not interested in the truth of them." It is not hard to imagine the Doctor's reaction to our own fanciful theories in philosophy, linguistics, and literary criticism. Suppose him at the Mitre Tavern for an evening's defense of die experience of mankind against die ingenious sophistries of a company made up ofJacques Derrida, Geoffrey H. Hartman, Stanley Fish, Michel Foucault, Paul de Man, and Jacques Lacan — the lot of them variously committed to the belief diat the proper job of philosophy is not the pursuit of the truth but the pursuit of die trudi about die pursuit of die truth. Johnson eyes die group warily, expecting the worst. There are too many Frenchmen present, and as he made clear at supper one July evening in the Turk's Head coffee house, French writers are superficial "because they are not scholars, and so proceed upon the mere power of dieir own minds." Nevertheless, the assembled gendemen present their positions: we are all prisoners ofthe total epistemological environment of our age, our episteme; locked linguistically into interpretive communities, we cannot know die text in itself; die proper function of the critic is creative free play, the text being merely a convenient occasion; language, being self-referential, cannot reveal a subject; human agency is a flattering but deceptive myth; transcendent systems of thought are impossible; if literature touches reality anywhere we cannot know it. MeanwhileJohnson, than whom no man ever had "a more ardent love of literature, or a higher respect for it," is in high dudgeon, kicking figurative stones right and left, no real ones being available inside the Mitre. His adversaries observe him with indulgent good humor, amused but not impressed with this crude bourgeois display, having... (shrink)

In Chapter 12 of his book Material Beings (Van Inwagen, Peter. 1990. Material Beings. Ithaca: Cornell University Press) van Inwagen argues that there are no artefacts, or very few, certainly fewer than most people believe. Artisans very rarely create, at least in the sense of causing things to come into existence. The argument in Chapter 12 is a very powerful one. I do not think that it establishes van Inwagen’s conclusion, but it does, I think, given its (plausible) (...) premise, establish that if there are not far fewer material things in the world than we ordinarily believe, then there are far more. In this sense it establishes, as Russell once said, ‘the truth about physical objects must be strange’. Furthermore, I argue at the end, we cannot avoid this conclusion even if we reject van Inwagen’s premise. Thus the defender of our common sense ontology is caught on the horns of a dilemma. So our commonsense ontology is indefensible. (shrink)

It is sometimes supposed that, in principle, we cannot offer an explanation for why there is something rather than nothing. I argue that this supposition is a mistake, and stems from a needlessly myopic conception of the form explanations can legitimately take. After making this more general point, I proceed to offer a speculative suggestion regarding one sort of explanation which can in principle serve as an answer to the question “why is there something rather than (...) nothing?” The suggestion is that there may be something rather than nothing in virtue of the truth of certain sorts of subjunctive conditionals. (shrink)

This paper looks at the role of imagery in cognition from the standpoint of treating images as forms of symbolization. It begins by making some basic distinctions about different kinds of symbolic functioning. It then proceeds to examine issues concerning: the variety of types of symbol systems used in cognition, the analog-digital distinction, image picture-percept relations, and propositionality.

There are a number of reasons for doubting the standard view that scientific theories (understood as sets of connected statements) are the best units for investigating scientific continuity and change (that is, research programs continue as long as groups of scientists accept the central tenets of such theories). Here it is argued that one weakness of this approach is that it cannot be used to demarcate adequately scientific communities or conceptual systems (that is, it fails as a classificatory scheme). (...) Recent alternative proposals by Philip Kitcher and David Hull are assessed in terms of their usefulness in demarcating "Darwinism" and the "Darwinians" in the first decade or so after the publication of The Origin of Species, focusing on the case of Charles Lyell. (shrink)

Our concern in this paper is with the question of how irrational an intentional agent can be, and, in particular, with an argument Stephen Stich has given for the claim that there are only very minimal a priori requirements on the rationality of intentional agents. The argument appears in chapter 2 of The Fragmentation of Reason.1 Stich is concerned there with the prospects for the ‘reform-minded epistemologist’. If there are a priori limits on how irrational we can (...) be, there are limits to how much reform we could expect to achieve. With this in mind, Stich sets out to determine what a priori limits there are on irrationality by examining `a cluster of influential arguments aimed at showing that there are conceptual constraints on how badly a person can reason’ (p. 30). Stich aims to remove the threat of a priori limits on the project of reforming our cognitive practices by showing, first, that these influential arguments are bad arguments, and, second, that at best there are only minimal constraints on how irrational we can be.2 We aim to show three things. The first is that Stich’s own arguments against strong a priori limits on how badly a person can reason are unsuccessful, because Stich fails to take into account that the concept of rationality is an epistemic, not just a logical concept, and because he fails to take into account the connection between having a concept and being able to recognize conceptually simple inferences involving the concept. The second is that the position Stich argues for, on the basis of Richard Grandy’s principle of humanity, turns out not to be distinct from the one he rejects. The third is that, in any case, the position that Stich rejects in order to preserve some scope for the project of improving our reasoning is not only no danger to that project but must be presupposed by it. (shrink)