A hub and spoke model offers an effective and efficient approach to providing informed guidance to those who need it. The National Center for Ethics in Health Care (NCEHC) at the Veterans Health Administration, Department of Veterans Affairs, is the largest known hub and spoke healthcare ethics delivery model. In this article, we describe ways NCEHC’s hub and spoke configuration succeeded during the COVID- 19 pandemic, as well as limitations of the model and possible improvements to inform adoption at other (...) healthcare systems. (shrink)

This essay has examined a women's subculture within a broader discipline. In the Victorian era physiology, understood in its then-dominant meaning as hygiene, en- tered the women's colleges and was likely also to have been found in modified form in other types of colleges. Toward the turn of the century physiology began to be redefined as a male-oriented experimental biomedical science. Physiology in the five women's colleges under discussion was transformed in light of that new meaning, but in such a (...) manner as to preserve a female network with an identity of its own. (shrink)

The binary between the figure of the child and the fully human being is invoked with regularity in analyses of race, yet its centrality to the conception of race has never been fully explored. For most commentators, the figure of the child operates as a metaphoric or rhetorical trope, a non-essential strategic tool in the perpetuation of White supremacy. As I show in the following, the child/human binary does not present a contingent or merely rhetorical construction but, rather, a central (...) feature of racialization. Where Black peoples are situated as objects of violence it is often precisely because Blackness has been identified with childhood and childhood is historically identified as the archetypal site of naturalized violence and servitude. I proceed by offering a historical account of how Black peoples came to inherit the subordination and dehumanization of European childhood and how White youth were subsequently spared through their partial categorization as adults. (shrink)

As we understand them, dispositions are relatively uncontroversial 'predicatory' properties had by objects disposed in certain ways. By contrast, powers are hypothetical 'ontic' properties posited in order to explain dispositional behaviour. Chapter 1 outlines this distinction in more detail. Chapter 2 offers a summary of the issues surrounding analysis of dispositions and various strategies in contemporary literature to address them, including one of our own. Chapter 3 describes some of the important questions facing the metaphysics of powers including why they're (...) worth positing, and how they might metaphysically explain laws of nature and modality. (shrink)

In this paper we explore whether or not the use of risk assessment tools in criminal sentencing can be made compatible with a retributivist justification of punishment. While there has been considerable discussion of the accuracy and fairness of these tools, such discussion assumes that one’s recidivism risk is relevant to the severity of punishment that one should receive. But this assumption only holds on certain accounts of punishment, and seems to conflict with retributivist justifications of punishment. Drawing on the (...) broader desert literature, we explain the source of this conflict, and suggest that a retributivist approach on which the severity of punishment partly depends on one’s character in addition to their acts offers some hope of reconciling retributivism with the use of risk assessment tools in considerations of sentencing reduction in particular. Ultimately, however, even this limited attempt at reconciliation fails, so long as risk assessment tools fail to distinguish between risk that one is responsible for, and risk that one is not responsible for. (shrink)

Humanity stands at a precipice. -/- Our species could survive for millions of generations — enough time to end disease, poverty, and injustice; to reach new heights of flourishing. But this vast future is at risk. With the advent of nuclear weapons, humanity entered a new age, gaining the power to destroy ourselves, without the wisdom to ensure we won’t. Since then, these dangers have only multiplied, from climate change to engineered pandemics and unaligned artificial intelligence. If we do not (...) act fast to reach a place of safety, it may soon be too late. -/- The Precipice explores the science behind the risks we face. It puts them in the context of the greater story of humanity: showing how ending these risks is among the most pressing moral issues of our time. And it points the way forward, to the actions and strategies we can take today to safeguard humanity’s future. (shrink)

Nietzsche offers us an account of how different drives interact with one another; it is rich but also appears to risk the homunculus fallacy. Competing attempts to deflect this charge on his behalf share an implicit consensus about the ‘epistemic ends’ of the account: they assume Nietzsche is trying to provide true explanations of psychological phenomena. I argue against this consensus. I claim that Nietzsche's characterisations of drive interaction are to be taken as fictive and are not intended to have (...) explanatory value. They nevertheless facilitate genuine epistemic achievement. Drawing on Catherine Elgin's account of the epistemic role of idealised models in science, I argue that Nietzsche's account of drive interaction is a ‘model of the mind’ that, despite relying on falsehoods, can exemplify features of our psychology that aid us in making novel predictions. We then see that Nietzsche neatly sidesteps the homunculus fallacy; we can further understand more fully what Nietzsche hopes his drive psychology will teach us. We can now resolve, for example, outstanding interpretative puzzles about the relationship between psychic integration and Nietzsche’s distinctive notion of spiritual health. (shrink)

We think we know what healers do: they build on patients' irrational beliefs and treat them in a 'symbolic' way. If they get results, it's thanks to their capacity to listen, rather than any influence on a clinical level. At the same time, we also think we know what modern medicine is: a highly technical and rational process, but one that scarcely listens to patients at all. In this book, ethnopsychiatrist Tobie Nathan and philosopher Isabelle Stengers argue that this commonly (...) posed opposition between traditional and modern medicine is misleading. They show instead that healers are interesting precisely because they don't listen to patients, using techniques of 'divination' rather than 'diagnosis'. Healers construct genuine therapeutic strategies by identifying the origins of symptoms in external forces, outside of the mind of the sufferer, and in this regard African healers are virtuosos. Though it may claim otherwise, modern medicine, for its part, is characterised by empiricism rather than rationality. What appears to be the pursuit of rationality is ultimately only a means to dismiss and exclude other forms of treatment. Blurring the distinctions between traditional and modern practices and drawing on perspectives from across the globe, this ethnopsychiatric manifesto encourages us to think in radically new ways about illness, challenging accepted notions on the relationship between sufferer and symptom. It will be of great interest to those working in medicine and healthcare, as well as anthropologists, social scientists and those in the humanities more broadly. (shrink)

Anita Chari revives the concept of reification from Marx and the Frankfurt School to spotlight the resistance to neoliberal capitalism now forming at the level of political economy and at the more sensate, experiential level of subjective transformation. Reading art by Oliver Ressler, Zanny Begg, Claire Fontaine, Jason Lazarus, and Mika Rottenberg, as well as the politics of Occupy Wall Street, Chari identifies practices through which artists and activists have challenged neoliberalism's social and political logics, exposing its inherent tensions (...) and contradictions. (shrink)

In line with Christopher Preston’s argument in the introduction to this volume, I argue here that, although it is helpful to identify potential injustices associated with SRM, it is also crucial both to evaluate how SRM compares to other available options and to consider empirical conditions under which deployment might occur. In arguing for this view, I rely on a distinction between two types of question: (1) whether SRM would produce just or unjust outcomes in some case and (2) whether (...) it would be just to deploy SRM in that same case. The former question pertains to whether some distribution of benefits and burdens is morally good or bad, whereas the latter pertains to whether some action or policy is morally permissible, impermissible, or obligatory. Although related, these two uses of justice do not come to the same thing. It may be that some climate policy involving SRM carries risks of substantial distributive injustice and yet is permissible or even obligatory. This is because, as I argue, considering what would be just to do should be comparative, taking into consideration both empirical conditions and the morally valuable and disvaluable features of alternative climate policies. (shrink)

It has often been noted that there is some tension between engaging in decision-making and believing that one’s choices might be predetermined. The possibility that our choices are predetermined forces us to consider, in our decisions, act-state pairs which are inconsistent, and hence to which we cannot assign sensible utilities. But the reasoning which justifies two-boxing in Newcomb’s problem also justifies associating a non-zero causal probability with these inconsistent act-state pairs. Put together these undefined utilities and non-zero probabilities entail that (...) expected utilities are undefined whenever it is a possibility that our choices are predetermined. There are three ways to solve the problem, but all of them suffer serious costs: always assume that, contrary to our evidence, the outcome of our present decision-making is not predetermined; give up the reasoning that justifies unconditional two-boxing in Newcomb’s problem; or allow epistemically impossible outcomes to contribute to expected utility, leading to the wrong results in a series of cases introduced by Ahmed :665–685, 2014a, Evidence, decision and causality, Cambridge University Press, Cambridge, 2014b). However they choose to respond, causal decision theorists cannot remain silent: the intuitive tension between decision-making and the possibility of predetermination can be made precise, and resolving it will require giving up something. Causal decision theorists have a predetermination problem. (shrink)

This chapter suggests that, when considering the philosophical problem of other minds, we distinguish between "thick" and "thin" versions of it. While traditional approaches take the problem to be a thick one, more recent work can be seen as addressing only a thin variant. Dretske, while acknowledging the thick problem, proposes a perceptual model of our knowledge of other minds which addresses only the thin version. The chapter proposes that, in the place of the thick problem, we consider the quality (...) of our interactions with others. Following Wittgenstein, it suggests that where individuals share a nature their interactions exhibit a quality that it calls "depth." Where that nature is not, or is only partially, shared, there one might expect to find the quality of the interaction between persons disturbed. The chapter suggests that this disturbance might explain the impaired quality of interaction between autistic and non-autistic individuals. (shrink)

How do I know whether there are any minds beside my own? This problem of other minds in philosophy raises questions which are at the heart of all philosophical investigations--how it is that we know, what is in the mind, and whether we can be certain about any of our beliefs. In this book, Anita Avramides begins with a historical overview of the problem from the Ancient Skeptics to Descartes, Malebranche, Locke, Berkeley, Reid, and Wittgenstein. The second part of (...) the book investigates the views of influential contemporary philosophers such as Strawson, Davidson, Nagel and Searle. (shrink)

The Ontology for Biomedical Investigations (OBI) is an ontology that provides terms with precisely defined meanings to describe all aspects of how investigations in the biological and medical domains are conducted. OBI re-uses ontologies that provide a representation of biomedical knowledge from the Open Biological and Biomedical Ontologies (OBO) project and adds the ability to describe how this knowledge was derived. We here describe the state of OBI and several applications that are using it, such as adding semantic expressivity to (...) existing databases, building data entry forms, and enabling interoperability between knowledge resources. OBI covers all phases of the investigation process, such as planning, execution and reporting. It represents information and material entities that participate in these processes, as well as roles and functions. Prior to OBI, it was not possible to use a single internally consistent resource that could be applied to multiple types of experiments for these applications. OBI has made this possible by creating terms for entities involved in biological and medical investigations and by importing parts of other biomedical ontologies such as GO, Chemical Entities of Biological Interest (ChEBI) and Phenotype Attribute and Trait Ontology (PATO) without altering their meaning. OBI is being used in a wide range of projects covering genomics, multi-omics, immunology, and catalogs of services. OBI has also spawned other ontologies (Information Artifact Ontology) and methods for importing parts of ontologies (Minimum information to reference an external ontology term (MIREOT)). The OBI project is an open cross-disciplinary collaborative effort, encompassing multiple research communities from around the globe. To date, OBI has created 2366 classes and 40 relations along with textual and formal definitions. The OBI Consortium maintains a web resource providing details on the people, policies, and issues being addressed in association with OBI. (shrink)

Settler colonialism is structured in part according to the principle of civilizational progress yet the roots of this doctrine are not well understood. Disparate ideas of progress and practices related to colonial dispossession and domination can be traced back to the Enlightenment, and as far back as ancient Greece, but there remain unexplored logics and continuities. I argue that civilizational progress and settler colonialism are structured according to the opposition between politics governed by reason or faith and the figure of (...) the child as sinful or bestial. Thus, it is not contingent, but rather necessary that justificatory frameworks of European empire and colonialism depict Indigenous peoples as children. To illustrate how the theoretical link between Indigenous peoples and children emerges not as a simple analogy, but rather, as the source of the premodern/modern and savage/civilized binaries, I trace the various historical iterations of the political/childhood opposition through the classical, medieval, enlightenment, and modern eras. I show how the model of civilizational progress from a premodern and savage state of childhood continues to serve as the model for settler colonial exclusion and domination of Indigenous peoples. (shrink)

Subjectivity, identity and desire -- Gender -- Queer -- Symbolic violence -- Ethics.

In this article, I outline the major themes of ‘anti-theodicy’. Anti-theodicy is characterised as a reaction, as rejection, against traditional solutions to the problem of evil and against the traditional formulations of the problem of evil to which those solutions respond. I detail numerous ‘moral’ anti-theodical objections to theodicy, illustrating the central claim of anti-theodicy: Theodicy is morally objectionable. I also detail some ‘non-moral’ anti-theodical objections, illustrating the second major claim of anti-theodicy: Traditional formulations of the problem of evil are (...) conceptually misguided. My focus remains on the analytic philosophical tradition throughout, but I briefly allude to the rich theological tradition of anti-theodicy. Although we should recognise the significant degree of diversity amongst anti-theodical arguments and the philosophical views of their proponents, this article should serve to illustrate the general theme: ‘Theodicies mediate a praxis that sanctions evil.’. (shrink)

The deliberative systems approach is a recent innovation within the tradition of deliberative democratic theory. It signals an important shift in focus from the political legitimacy produced within isolated and formal sites of deliberation (e.g., Parliament or deliberative mini-publics), to the legitimacy produced by a number of diverse interconnected sites. In this respect, the deliberative systems (DS) approach is better equipped to identify and address defects arising from the systemic influences of power and coercion. In this article, I examine one (...) of the least explored and least understood defects: the exclusion of non-speaking political actors generated by the uniform privileging of speech in all sites within a system. Using the examples of prefigurative protest, Indigenous refusal to deliberate, and the non-deliberative agency of disabled citizens, I argue that the DS approach allows theorists to better understand forms of domination related to the imposition of speech on those who are either unwilling or unable to speak. (shrink)

The public discourse surrounding sex and severe disability over the past 40 years has largely focused on protecting vulnerable populations from abuse. However, health professionals and activists are increasingly recognising the inherent sexuality of disabled persons and attempting to find ways to accommodate their intimacy needs. This essay explores several ethical issues arising from such efforts.

The Gricean account of language is at the center of much current work in the philosophy of language and the philosophy of mind. Anita Avramides maintains that Grice's paradigm can be used to defend very different conceptions of mind and of meaning. In this clearly argued book she describes Grice's analysis of meaning and proposes two interpretations of it, one reductive and one nonreductive. Much current work in cognitive science assumes that the content of words and thoughts can be (...) explained in naturalistic terms. A leading idea (advanced mainly by Stephen Schiffer and Brian Loar) is that the naturalistic account of content will proceed in two stages: a reduction of the semantic features of word; to the contents of propositional attitudes and then a reduction of the latter to physical or functional notions. The appeal of Grice's work on meaning to this two stage reductionist strategy is that Gricean definitions seem to provide the only way of reducing the semantic to the psychological, a reduction that is required for a naturalistic account of intentionality. While Avramides defends the method of analysis as one suited to the concept of meaning, she rejects a reductive interpretation of the analysis. She argues that any attempt to reduce the semantic to the psychological leads to a mistaken conception of mind. She exposes the assumptions behind the reductive interpretation and offers fresh and original arguments for the antireductionist position. Against the reductive Gricean she defends the idea that there is a deep epistemological symmetry between semantic and propositional attitude notions, a result of which is that semantically characterized linguistic behavior is central to our concept of belief. Anita Avramides is Lecturer in Philosophy at The Queens College, The University of Oxfor. A Bradford Book. (shrink)

One of the most intriguing of philosophical puzzles concerns other minds. How do you know there are any? Yes, you're surrounded by living organisms that look and behave much as you do. They even say they have minds. But do they? Perhaps other humans are mindless zombies: like you on the outside, but lacking any inner conscious life, including emotions, thoughts, experiences and even pain. What grounds do you possess for supposing that other humans aren't zombies? Perhaps less than you (...) think. Anita Avramides tackles this fascinating question. (shrink)

'Anita L. Allen breaks new ground...A stunning indictment of women's status in contemporary society, her book provides vital original scholarly research and insight.' |s-NEW DIRECTIONS FOR WOMEN.

It is possible to tease out two questions in connection with the epistemological problem of other minds: (i) How do I know what others think and feel? and (ii) How do I know that others think and feel? Fred Dretske offers a perceptual account of our knowledge of other minds that yields an answer to (i) but not (ii). Quassim Cassam uses Dretske’s perceptual account to show how we can answer both (i) and (ii). In this paper I show how (...) we can use Dretske’s work to understand some work by Stanley Cavell. I suggest that, where Dretske claims that we cannot answer (ii), Cavell holds that (ii) is a question that reflects a misunderstanding of our relations to others. In the place of asking how I can know that others think and feel, Cavell holds that I must acknowledge the other. And at the heart of this acknowledgment is an acceptance of others as separate from me. I must acknowledge the other as an other to me. (shrink)

This book departs from the premise that context represents a complex relational configuration which can no longer be conceived as an analytic prime but rather requires a parts-whole perspective to capture its inherent dynamism. The edited volume presents a collection of papers which examine the connectedness between context, contextualization and entextualization. They address the questions how meaning and speech acts are situated in context, how both are influenced by context, how context influences speech acts and meaning, how context is imported (...) into the discourse, and how context is entextualized in discourse. The papers cover institutional and non-institutional contexts, the language of Greek laws, political discourse, confrontational media discourse and task-oriented face-to-face and back-to-back interactions. They reflect current moves in pragmatics and discourse analysis to cross disciplinary and methodological boundaries by integrating relevant premises and insights, in particular cognition, adaptive action, negotiation of meaning, sequentiality, recipient design and genre. (shrink)

The article shows the importance of a Christmas carol in the poetic imagination of Tadeusz Nowak. First of all is the presence of a word carol itself, especially because many poems, titled carol are not even connected with the carol’s motives. Then it’s vital, how Nowak is referring to traditional carols and how he is reinterpreting typical themes connected with it, such as: annunciation, motherhood (and parenthood generally), relation between man and animals, identity of the Other, of someone, who (like (...) Jesus, Holly Family) is different than everybody else. It turns out that words specifically connected with carol like: hay, the Star of Bethlehem, Christmas eve, chorus from polish folk song hej kolęda, kolęda are part of his language, he uses them to describe his world, apart from idyllic associations, even apart from Christmas context. (shrink)

Feminist Ethics provides an overview of feminist contributions to normative ethics, moral psychology, and metaethics. It argues that through their criticisms of traditional ethics and proposals for changes, feminists are advancing 'robust agency,' an account of ideal moral and rational agency that promises to give us better responses than those given in traditional ethics to problems in ethics, including how we know our duties, the kind of persons we should strive to become, and why we should act morally.