Background:Person-centred care is often described as an ideal way of preserving vulnerable persons’ wellbeing and dignity and an essential component of quality-care delivery. However, the staff find that making the care dignified is the most challenging issue, often because of effectivity, everyday stress and overload. In the interests of making the care more person-centred, systematic intervention involving ‘one-to-one contact’ (resident – carer) was trialled for 30 min twice a week over 12 months in two units in a nursing home in (...) Eastern Norway.Objectives:The aim of the study was to elicit healthcare staff’s experiences of implementing ‘one-to-one contact’ between residents and carers in nursing homes.Methods:The study has a grounded-theory inspired design. Two groups of health care staff were each interviewed three times. Data were collected over an 18-month period.Ethical considerations:The study was approved by the Data Protection Official for Research under the auspices of the Norwegian Social Science Data Services.Findings:The core category is ‘One-to-one contact’ at a nursing home is possible, but requires open-mindedness. The core category indicates that open-mindedness is required, since it does not take much for scepticism to take over and cause reversion to habitual practices. The category Expectant but Sceptical describes staff thoughts and experiences before the implementation phase got underway. The category Positive but Undecided describes staff experiences 6 months into the intervention and after 12 months.Conclusions:This study has revealed that systematic ‘one-to-one contact’ between resident and carer in nursing home is achievable, and that such a simple action might be an important step towards achieving more person-centred care as the resident is seen more as a person. However, in order to make a more person-centred and dignified approach to care constant attentiveness and awareness is required, as there were ongoing factors counteracting it. (shrink)

Ethical considerationsThe study was conducted according to the principles of Declaration of Helsinki, and was approved by the Norwegian Social Science Data Services.ObjectiveTo describe patients’ experiences of staying in multiple- and single-bed rooms.Patients and methodsThis qualitative study employed a descriptive and exploratory approach, and systematic text condensation was used to analyze the material. Data were collected in a hospital trust in Norway. A total of 39 in-depth interviews were performed with patients discharged from the medical, surgical, and maternity departments.ResultsPatients had (...) ambiguous views on whether multiple-bed rooms or single-bed rooms were to be preferred. Main results include how patients cherished “the importance of others” but at the same time valued “the importance of privacy.” Being hospitalized in multiple-bed rooms was for many patients a very positive experience in terms of social interaction. Patients in single-bed rooms reported being more dependent on nurses to maintain social contact and obtain safety.ConclusionThis research provides new knowledge on how the need for privacy can be in contradiction with the need for socializing with other patients. When hospitalized, the physical structure of a hospital impacts with whom patients interact and to what extent they depend on the nursing staff to have their social needs met. (shrink)

We contend that diagrams are tools not only for communication but also for supporting the reasoning of biologists. In the mechanistic research that is characteristic of biology, diagrams delineate the phenomenon to be explained, display explanatory relations, and show the organized parts and operations of the mechanism proposed as responsible for the phenomenon. Both phenomenon diagrams and explanatory relations diagrams, employing graphs or other formats, facilitate applying visual processing to the detection of relevant patterns. Mechanism diagrams guide reasoning about how (...) the parts and operations work together to produce the phenomenon and what experiments need to be done to improve on the existing account. We examine how these functions are served by diagrams in circadian rhythm research. (shrink)

The field of “BERTology” aims to locate linguistic representations in large language models (LLMs). These have commonly been interpreted as representing structural descriptions (SDs) familiar from theoretical linguistics, such as abstract phrase-structures. However, it is unclear how such claims should be interpreted in the first place. This paper identifies six possible readings of “linguistic representation” from philosophical and linguistic literature, concluding that none has a straight-forward application to BERTology. In philosophy, representations are typically analyzed as cognitive vehicles individuated by intentional (...) content. This clashes with a prevalent mentalist interpretation of linguistics, which treats SDs as (narrow) properties of cognitive vehicles themselves. I further distinguish between three readings of both kinds, and discuss challenges each brings for BERTology. In particular, some readings would make it trivially false to assign representations of SDs to LLMs, while others would make it trivially true. I illustrate this with the concrete case study of structural probing: a dominant model-interpretation technique. To improve the present situation, I propose that BERTology should adopt a more “LLM-first” approach instead of relying on pre-existing linguistic theories developed for orthogonal purposes. (shrink)

This article explores the contribution of the virtue of integrity to the concept of mature care. The virtue of integrity is understood as both a personal and a social virtue. The argument is that the virtue of integrity is a necessary condition for providing mature care. An example from a psychiatric acute ward illustrates that a nurse acting with the virtue of integrity displays clear self‐boundaries and self‐respect as well as respect towards the inherent integrity of the patient. The article (...) also addresses some problems related to lack of the virtue of integrity by discussing the problems connected to detachment and rigidity. (shrink)

Cognitive science is, more than anything else, a pursuit of cognitive mechanisms. To make headway towards a mechanistic account of any particular cognitive phenomenon, a researcher must choose among the many architectures available to guide and constrain the account. It is thus fitting that this volume on contemporary debates in cognitive science includes two issues of architecture, each articulated in the 1980s but still unresolved: " • Just how modular is the mind? – a debate initially pitting encapsulated mechanisms against (...) highly interactive ones. • Does the mind process language-like representations according to formal rules? – a debate initially pitting symbolic architectures against less language-like architectures. " Our project here is to consider the second issue within the broader context of where cognitive science has been and where it is headed. The notion that cognition in general—not just language processing—involves rules operating on language-like representations actually predates cognitive science. In traditional philosophy of mind, mental life is construed as involving propositional attitudes—that is, such attitudes towards propositions as believing, fearing, and desiring that they be true—and logical inferences from them. On this view, if a person desires that a proposition be true and believes that if she performs a certain action it will become true, she will make the inference and perform the action. (shrink)

Diagrams have distinctive characteristics that make them an effective medium for communicating research findings, but they are even more impressive as tools for scientific reasoning. Focusing on circadian rhythm research in biology to explore these roles, we examine diagrammatic formats that have been devised to identify and illuminate circadian phenomena and to develop and modify mechanistic explanations of these phenomena.

We contrast reactive and endogenously active perspectives on brain activity. Both have been pursued continuously in neurophysiology laboratories since the early 20thcentury, but the endogenous perspective has received relatively little attention until recently. One of the many successes of the reactive perspective was the identification, in the second half of the 20th century, of the distinctive contributions of different brain regions involved in visual processing. The recent prominence of the endogenous perspective is due to new findings of ongoing oscillatory activity (...) in the brain at a wide range of time scales, exploiting such techniques as single-cell recording, EEG, and fMRI. We recount some of the evidence pointing to ways in which this endogenous activity is relevant to cognition and behavior. Our major objective is to consider certain implications of the contrast between the reactive and endogenous perspectives. In particular, we relate these perspectives to two different characterizations of explanation in the new mechanistic philosophy of science. In a basic mechanistic explanation, the operations of a mechanism are characterized qualitatively and as functioning sequentially until a terminating condition is realized. In contrast, a dynamic mechanistic explanation allows for non-sequential organization and emphasizes quantitative modeling of the mechanisms's behavior. For example, with appropriate parameter values a set of differential equations can be used to demonstrate ongoing oscillations in a system organized with feedback loops. We conclude that the basic conception of mechanistic explanation is adequate for reactive accounts of brain activity, but dynamical accounts are required to explain sustained, endogenous activity. (shrink)

Aisha, age 24 months, sees her older sister trip over a toy and squeals “Kiki fell!” At 30 months her doll falls behind the couch, and she asks “Where dolly falled?” At 48 months her computer mouse falls behind a stack of computer manuals under the desk, and she asks “Where did that silly mouse fall?” Both her world and her sentences are getting more complex as she gets older, but there is one oddity: the past‐tense verb fell shows a (...) U‐shaped developmental pattern. Aisha gets it right at 24 months, wrong at 30 months, and right again at 48 months. Why? (shrink)

Explanations in the life sciences frequently involve presenting a model of the mechanism taken to be responsible for a given phenomenon. Such explanations depart in numerous ways from nomological explanations commonly presented in philosophy of science. This paper focuses on three sorts of differences. First, scientists who develop mechanistic explanations are not limited to linguistic representations and logical inference; they frequently employ diagrams to characterize mechanisms and simulations to reason about them. Thus, the epistemic resources for presenting mechanistic explanations are (...) considerably richer than those suggested by a nomological framework. Second, the fact that mechanisms involve organized systems of component parts and operations provides direction to both the discovery and testing of mechanistic explanations. Finally, models of mechanisms are developed for specific exemplars and are not represented in terms of universally quantified statements. Generalization involves investigating both the similarity of new exemplars to those already studied and the variations between them. (shrink)

This scarce antiquarian book is a facsimile reprint of the original. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment for protecting, preserving, and promoting the world's literature in affordable, high quality, modern editions that are true to the original work.

Trusting and its Tribulations -- Contents -- Illustrations -- Preface -- Introduction -- 1 Unfixed Trust -- 2 Witchcraft -- 3 Trusting the Untrustworthy -- 4 The Puzzle of the Animal Witch -- 5 'Sharing Secrets' -- 6 Eddies of Distrust -- 7 Intimate Documents -- 8 Trustworthy Bodies -- 9 Habitus of Trust -- 10 'You Can Tell the Company We Done Quit' -- Index.

Something remarkable is happening in the cognitive sciences. After a quarter of a century of cognitive models that were inspired by the metaphor of the digital computer, the newest cognitive models are inspired by the properties of the brain itself. Variously referred to as connectionist, parallel distributed processing, or neutral network models, they explore the idea that complex intellectual operations can be carried out by large networks of simple, neuron-like units. The units themselves are identical, very low-level and 'stupid'. Intelligent (...) performance is derived from the pattern of connection strengths between units, and the fundamental cognitive activity is pattern recognition and completion. Connectionism and the Mind provides an introduction to this newly emerging approach to understanding the mind. The first few chapters focus on network architecture, offering accessible treatment of the equations that describe learning and the propagation of activation. Furthermore, the reader is walked step-by-step through the activities of networks engaged in pattern recognition, learning, and cognitive tasks such as memory retrieval and prototype formation. The remainder of the book addresses the implications of connectionism for theories of the mind, both philosophical and psychological. Foe example: What Role is played by pattern recognition and completion as basic as cognitive functions? Connectionist models have particular strength in learning and pattern recognition; should they be limited to those functions, or can they provide an overall account of cognitive functioning? In particular, can connectionist models provide an adequate account of the ability to employ linguistic and other symbol systems, or must an adequate system incorporate symbol processing as a basic cognitive capacity? Finally, Connectionism and the Mind examines the relation of connectionist models to philosophical accounts of propositional attitudes, and to a variety of other inquiries in cognitive psychology, linguistics, developmental psychology, artificial intelligence and neuroscience. (shrink)

Two widely accepted assumptions within cognitive science are that (1) the goal is to understand the mechanisms responsible for cognitive performances and (2) computational modeling is a major tool for understanding these mechanisms. The particular approaches to computational modeling adopted in cognitive science, moreover, have significantly affected the way in which cognitive mechanisms are understood. Unable to employ some of the more common methods for conducting research on mechanisms, cognitive scientists’ guiding ideas about mechanism have developed in conjunction with their (...) styles of modeling. In particular, mental operations often are conceptualized as comparable to the processes employed in classical symbolic AI or neural network models. These models, in turn, have been interpreted by some as themselves intelligent systems since they employ the same type of operations as does the mind. For this paper, what is significant about these approaches to modeling is that they are constructed specifically to account for behavior and are evaluated by how well they do so—not by independent evidence that they describe actual operations in mental mechanisms. (shrink)

This study explores the business ethics education literature published between 1982 and 2021. A systematic literature review and bibliometric analysis of 862 scholarly articles spanning 40 years of research on business ethics education revealed a thematic shift in the literature. Whereas older articles were predominantly concerned with ethics, relatively newer articles mainly focus on addressing the broader concept of sustainability. A content analysis of the 25 most locally cited articles between 1987 and 2012 identified two main research streams: (a) integration (...) of business ethics into business school curricula and (b) the pedagogical approaches and tools used to teach business ethics. An additional content analysis of the 15 most locally cited articles published between 2016 and 2021 revealed that discussions related to integration and pedagogical approaches and tools were still ongoing in the literature, albeit with a focus on sustainability-related concepts such as the Sustainable Development Goals (SDGs) and the Principles for Responsible Management Education (PRME). Building upon our findings and existing literature, we develop a framework that we refer to as Transforming Ethics Education in Business Schools (TEEBS), which we argue may help business schools reclaim the ‘ethics’ in business ethics education. (shrink)

Developing models of biological mechanisms, such as those involved in respiration in cells, often requires collaborative effort drawing upon techniques developed and information generated in different disciplines. Biochemists in the early decades of the 20th century uncovered all but the most elusive chemical operations involved in cellular respiration, but were unable to align the reaction pathways with particular structures in the cell. During the period 1940-1965 cell biology was emerging as a new discipline and made distinctive contributions to understanding the (...) role of the mitochondrion and its component parts in cellular respiration. In particular, by developing techniques for localizing enzymes or enzyme systems in specific cellular components, cell biologists provided crucial information about the organized structures in which the biochemical reactions occurred. Although the idea that biochemical operations are intimately related to and depend on cell structures was at odds with the then-dominant emphasis on systems of soluble enzymes in biochemistry, a reconceptualization of energetic processes in the 1960s and 1970s made it clear why cell structure was critical to the biochemical account. This paper examines how numerous excursions between biochemistry and cell biology contributed a new understanding of the mechanism of cellular respiration. (shrink)

ObjectivesA fitness club may be an important arena to promote regular exercise. However, authors have reported low attendance rates the first months after individuals sign up for membership. It is therefore important to understand the reasons for poor exercise adherence. In this project, we aimed to investigate different psychosocial factors that might increase the likelihood of reporting regular exercise the first year of a fitness club membership, including self-efficacy, motives, social support, life satisfaction, and customer satisfaction.MethodsNew members classified as novice (...) exercisers from 25 multipurpose gyms were followed for 1 year. Data were collected by an electronic survey including background and health factors, self-efficacy, social support, life satisfaction, motives, customer satisfaction, and exercise attendance, and was answered at start-up and after three, six, and 12 months. It is well established in the literature that ≥2 exercise sessions/week improve physical fitness in novice exercisers. Hence, we divided the participants into regular exercise attendance and non-regular exercise attendance in the analysis.ResultsA mixed-effects logistic regression model revealed that the strongest predictor for reporting regular exercise attendance was higher levels of the motive “enjoyment”, followed by self-efficacy “sticking to it” and social support from friends and family.ConclusionIn novice exercisers, regular exercise at three, six, and 12 months was associated with higher scores of the motive “enjoyment,” self-efficacy, and social support compared with non-regular exercise. Our results show that the majority of new fitness club members do not achieve regular exercise behavior. (shrink)

Connectionism and the Mind provides a clear and balanced introduction to connectionist networks and explores theoretical and philosophical implications. Much of this discussion from the first edition has been updated, and three new chapters have been added on the relation of connectionism to recent work on dynamical systems theory, artificial life, and cognitive neuroscience. Read two of the sample chapters on line: Connectionism and the Dynamical Approach to Cognition: http://www.blackwellpublishing.com/pdf/bechtel.pdf Networks, Robots, and Artificial Life: http://www.blackwellpublishing.com/pdf/bechtel2.pdf.

The mechanistic perspective has dominated biological disciplines such as biochemistry, physiology, cell and molecular biology, and neuroscience, especially during the 20th century. The primary strategy is reductionist: organisms are to be decomposed into component parts and operations at multiple levels. Researchers adopting this perspective have generated an enormous body of information about the mechanisms of life at scales ranging from the whole organism down to genetic and other molecular operations.

We explore the crucial role of diagrams in scientific reasoning, especially reasoning directed at developing mechanistic explanations of biological phenomena. We offer a case study focusing on one research project that resulted in a published paper advancing a new understanding of the mechanism by which the central circadian oscillator in Synechococcus elongatus controls gene expression. By examining how the diagrams prepared for the paper developed over the course of multiple drafts, we show how the process of generating a new explanation (...) vitally involved the development and integration of multiple versions of different types of diagrams, and how reasoning about the mechanism proceeded in tandem with the development of the diagrams used to represent it. (shrink)

Mechanistic explanation is the dominant approach to explanation in the life sciences, but it has been challenged as incompatible with a conception of humans as agents whose capacity for self-direction endows them with freedom and dignity. We argue that the mechanical philosophy, properly construed, has sufficient resources to explain how such characteristics can arise in a material world. Biological mechanisms must be regarded as active, not only reactive, and as organized so as to maintain themselves far from thermodynamic equilibrium. Notions (...) from systems biology make key contributions, particularly Gánti’s chemoton, Ruiz-Mirazo and Moreno’s basic autonomy, and Barandiaran and Moreno’s adaptive autonomous agents. The reconstrual is then extended to mental life by conceiving of cognitive mechanisms as control components in inherently active systems, as illustrated in models offered by Randall Beer and Cees van Leeuwen. (shrink)

Mechanistic explanation is the dominant approach to explanation in the life sciences, but it has been challenged as incompatible with a conception of humans as agents whose capacity for self-direction endows them with freedom and dignity. We argue that the mechanical philosophy, properly construed, has sufficient resources to explain how such characteristics can arise in a material world. Biological mechanisms must be regarded as active, not only reactive, and as organized so as to maintain themselves far from thermodynamic equilibrium. Notions (...) from systems biology make key contributions, particularly Gánti’s chemoton, Ruiz-Mirazo and Moreno’s basic autonomy, and Barandiaran and Moreno’s adaptive autonomous agents. The reconstrual is then extended to mental life by conceiving of cognitive mechanisms as control components in inherently active systems, as illustrated in models offered by Randall Beer and Cees van Leeuwen. (shrink)

Regulation of the subcellular localization of certain proteins is a mechanism for the regulation of their biological activities. FGF‐2 can be produced as distinct isoforms by alternative initiation of translation on a single mRNA and the isoforms are differently sorted in cells. High molecular weight FGF‐2 isoforms are not secreted from the cell, but are transported to the nucleus where they regulate cell growth or behavior in an intracrine fashion. 18 kDa FGF‐2 can be secreted to the extracellular medium where (...) it acts as a conventional growth factor by binding to and activation of cell‐surface receptors. Furthermore, following receptor‐mediated endocytosis, the exogenous FGF‐2 can be transported to the nuclei of target cells, and this is of importance for the transmittance of a mitogenic signal. The growth factor is able to interact with several intracellular proteins. Here, the mode of action and biological role of intracellular FGF‐2 are discussed. BioEssays 28: 504–514, 2006. © 2006 Wiley Periodicals, Inc. (shrink)

Regulation of the subcellular localization of certain proteins is a mechanism for the regulation of their biological activities. FGF‐2 can be produced as distinct isoforms by alternative initiation of translation on a single mRNA and the isoforms are differently sorted in cells. High molecular weight FGF‐2 isoforms are not secreted from the cell, but are transported to the nucleus where they regulate cell growth or behavior in an intracrine fashion. 18 kDa FGF‐2 can be secreted to the extracellular medium where (...) it acts as a conventional growth factor by binding to and activation of cell‐surface receptors. Furthermore, following receptor‐mediated endocytosis, the exogenous FGF‐2 can be transported to the nuclei of target cells, and this is of importance for the transmittance of a mitogenic signal. The growth factor is able to interact with several intracellular proteins. Here, the mode of action and biological role of intracellular FGF‐2 are discussed. BioEssays 28: 504–514, 2006. © 2006 Wiley Periodicals, Inc. (shrink)

Both in biology and psychology there has been a tendency on the part of many investigators to focus solely on the mature organism and ignore development. There are many reasons for this, but an important one is that the explanatory framework often invoked in the life sciences for understanding a given phenomenon, according to which explanation consists in identifying the mechanism that produces that phenomenon, both makes it possible to side-step the development issue and to provide inadequate resources for actually (...) explaining development. When biologists and psychologists do take up the question of development, they find themselves confronted with two polarizing positions of nativism and empiricism. However, the mechanistic framework, insofar as it emphasizes organization and recognizes the potential for self-organization, does in fact provide the resources for an account of development which avoids the nativism-empiricism dichotomy. (shrink)

Cognitive science is the multidisciplinary scientific study of cognition and its role in intelligent agency. It examines what cognition is, what it does, and how it works.

Mechanistic explanations of cognitive activities are ubiquitous in cognitive science. Humanist critics often object that mechanistic accounts of the mind are incapable of accounting for the moral agency exhibited by humans. We counter this objection by offering a sketch of how the mechanistic perspective can accommodate moral agency. We ground our argument in the requirement that biological systems be active in order to maintain themselves in nonequilibrium conditions. We discuss such consequences as a role for mental mechanisms in controlling active (...) systems and agents’ development of a self concept in which the self is represented as a moral agent. (shrink)

Explaining the complex dynamics exhibited in many biological mechanisms requires extending the recent philosophical treatment of mechanisms that emphasizes sequences of operations. To understand how nonsequentially organized mechanisms will behave, scientists often advance what we call dynamic mechanistic explanations. These begin with a decomposition of the mechanism into component parts and operations, using a variety of laboratory-based strategies. Crucially, the mechanism is then recomposed by means of computational models in which variables or terms in differential equations correspond to properties of (...) its parts and operations. We provide two illustrations drawn from research on circadian rhythms. Once biologists identified some of the components of the molecular mechanism thought to be responsible for circadian rhythms, computational models were used to determine whether the proposed mechanisms could generate sustained oscillations. Modeling has become even more important as researchers have recognized that the oscillations generated in individual neurons are synchronized within networks; we describe models being employed to assess how different possible network architectures could produce the observed synchronized activity. (shrink)

This collection of essays provides a reassessment of the question of sexual difference, taking into account important shifts in feminist thought, post-humanist theories, and queer studies. The contributors offer new and refreshing insights into the complex question of sexual difference from a post-feminist perspective, and how it is reformulated in various related areas of study, such as ontology, epistemology, metaphysics, biology, technology, and mass-media.

Although a reactive framework has long been dominant in cognitive science and neuroscience, an alternative framework emphasizing dynamics and endogenous activity has recently gained prominence. We review some of the evidence for endogenous activity and consider the implications not only for understanding cognition but also for accounts of explanation offered by philosophers of science. Our recent characterization of dynamic mechanistic explanation emphasizes the coordination of accounts of mechanisms that identify parts and operations with computational models of their activity. These can, (...) and should, be extended to incorporate attention to mechanisms that are not only active, but endogenously active. (shrink)

Background Equal access to healthcare is a core principle in Norway’s public healthcare system. The COVID-19 pandemic challenged healthcare systems in the early phase – in particular, related to testing and hospital capacity. There is little knowledge on how older people experienced being infected with an unfamiliar and severe disease, and how they experienced the need for healthcare early in the pandemic Aim To explore the experiences of older people infected by COVID-19 and their need for testing and hospitalisation. Research (...) design An explorative and descriptive approach, with qualitative interviews conducted in October 2020. Participants and research context Seventeen participants above 60 years of age hospitalised due to COVID-19 during spring 2020 were recruited 6 months after discharge. Ethical considerations Ethical approval was granted by the Regional Committee for Medical and Health Research Ethics in South-Eastern Norway (155425). Findings The main finding was that the informants experienced vulnerability and arbitrariness. This finding was supported by three sub-themes: experiences with a severe and unfamiliar disease, the strict criteria and the importance of someone advocating needs. Discussion Participants described varying access to healthcare. Those who did not meet the national criteria to be tested or hospitalised struggled against the system. Findings reveal arbitrary access to healthcare, in contrast to Norway’s ethical principle of fair and just access to health services. Moreover, to access and receive necessary healthcare, informants were dependent on their next-of-kin’s advocacy. Conclusion Even when dealing with an unfamiliar disease, health professionals’ assessments of symptoms must be performed with an ethical obligation to applicate competent appraisal and the exercise of discernment; this is in line with care ethics and ethical standards for nurses. These perspectives are a significant part of caring and the intension of doing good. (shrink)

This book presents a thorough study and an up to date anthology of Plato’s Protagoras. International authors' papers contribute to the task of understanding how Plato introduced and negotiated a new type of intellectual practice – called philosophy – and the strategies that this involved. They explore Plato’s dialogue, looking at questions of how philosophy and sophistry relate, both on a methodological and on a thematic level.