Advocates of “concordance” describe it as a new model of shared decision-making between physicians and patients based on a partnership of equals. “Concordance” is meant to make obsolete the notion of “compliance,” in which patients are seen as, ideally, following doctors’ orders. This essay offers a critical view of concordance, arguing that the literature itself on concordance, including materials at the web site of Medicines Partnership, the implementation arm in Great Britain of the concordance (...) model, is full of contradiction; concordance, in fact, harbors an ideology of compliance. The essay suggests that an improvement in patient medication use will more likely come from a frank consideration of the relation of compliance issues and commercial ones, and that a key question across domains is, “how are patients/health agents/consumers persuaded to acquire certain drugs and take them as directed?”. (shrink)

In 1997 the Royal Pharmaceutical Society of Great Britain published a report entitledFrom Compliance to Concordance: Achieving Shared Goals in Medicine Taking. This article applies this new model—of doctors and patients working together towards a shared goal—to the prescribing of hormonal forms of contraception. It begins by critically evaluating the current dominant model of contraceptive prescribing. It claims that this model tends to stereotype all women, but particularly young, poor and black women, as unreliable and ill-informed (...) contraceptors who need to be advised and even controlled by much more knowledgeable and socially responsible family planning experts. The article then suggests how a much more egalitarian model of contraceptive prescribing might be put into practice, whilst acknowledging the existence of many serious obstacles to such a radical shift within family planning services. In conclusion, the article suggests that until contraceptive prescribers begin to take women’s experiences of, and concerns about, hormonal contraceptives seriously they will fail to develop a potentially much more effective and liberating model of family planning. (shrink)

In 1997 the Royal Pharmaceutical Society of Great Britain published a report entitledFrom Compliance to Concordance: Achieving Shared Goals in Medicine Taking. This article applies this new model—of doctors and patients working together towards a shared goal—to the prescribing of hormonal forms of contraception. It begins by critically evaluating the current dominant model of contraceptive prescribing. It claims that this model tends to stereotype all women, but particularly young, poor and black women, as unreliable and ill-informed (...) contraceptors who need to be advised and even controlled by much more knowledgeable and socially responsible family planning experts. The article then suggests how a much more egalitarian model of contraceptive prescribing might be put into practice, whilst acknowledging the existence of many serious obstacles to such a radical shift within family planning services. In conclusion, the article suggests that until contraceptive prescribers begin to take women’s experiences of, and concerns about, hormonal contraceptives seriously they will fail to develop a potentially much more effective and liberating model of family planning. (shrink)

The impacts of COVID-19 may be magnified in a shared environment like the household, especially with people spending extended time at home during the pandemic. Family resilience is the ability of a family to adapt to crisis and can be a protective factor against stress and negative affect. While there have been calls to address family resilience during the pandemic, there is a lack of empirical study on its benefit. In this dyadic observational study, we sought to investigate the (...) class='Hi'>concordance of family members’ psychological responses to COVID-19, whether dyad members’ risk factors mutually affected each other’s psychological responses, and importantly, whether family resilience was a significant factor in these responses. A total of 200 family dyads from the same household completed the Family Resilience Assessment Scale and questionnaires on COVID-19 threat perception, impacts, and exposure. We found concordant dyad responses for COVID-19 threat perception, but not for psychological impact. Using the Actor-Partner-Interdependence Model framework, we found that one’s psychological impact was affected by the financial impact from both dyad members. After controlling for risk factors and demographic covariates, we found that family resilience significantly associated with lower COVID-19 psychological impact, though not with threat perception. The findings suggest that both family and individual factors need to be addressed and there may be benefit in addressing multilevel risk and protective factors using an ecological systems approach, which may help prepare the population for future crises. (shrink)

Recent studies by experimental philosophers demonstrate puzzling asymmetries in people’s judgments about intentional action, leading many philosophers to propose that normative factors are inappropriately influencing intentionality judgments. In this paper, I present and defend the Deep Self Model of judgments about intentional action that provides a quite different explanation for these judgment asymmetries. The Deep Self Model is based on the idea that people make an intuitive distinction between two parts of an agent’s psychology, an Acting Self that (...) contains the desires, means-end beliefs, and intentions that are the immediate causal source of an agent’s actions, and a Deep Self, which contains an agent’s stable and central psychological attitudes, including the agent’s values, principles, life goals, and other more fundamental attitudes. The Deep Self Model proposes that when people are asked to make judgments about whether an agent brought about an outcome intentionally, in addition to standard criteria proposed in traditional models, people also assess an additional ‘Concordance Criterion’: Does the outcome concord with the psychological attitudes of the agent’s Deep Self? I show that the Deep Self Model can explain a very complex pattern of judgment asymmetries documented in the experimental philosophy literature, and does so in a way that has significant advantages over competing models. (shrink)

The Assess Model of Intellectual Capital and a Company's Value Added Cohesion Nowadays intangible assets are especially important in every company and can help to increase a company's value added. The importance is so huge that many companies invest more money in intellectual capital than in material assets. Why has this happened? Scientists answer this question very quickly and easily - many companies have already been disappointed and damaged by their materials, goods, equipment, buildings, cars, machinery that cost a (...) lot of money but do not give effective productivity. On the contrary, intellectual capital that usually costs only the salary of an employee brings significant benefits. The research purpose is to evaluate the cohesion between intellectual capital and a company's value added and to provide the model of this cohesion. The methods used are analysis of scientific literature, GBN matrix method, expert evaluation, average comparison method, and Kendall's coefficient of concordance. Scientific aims: to reveal the cohesion between intellectual capital and a company's value added; to introduce a model of a company's value added and its intellectual capital; to demonstrate the results of expert evaluation on the model of intellectual capital and a company's value. The findings are as follows: intellectual capital is considered as a unit of social capital, communicational capital, and psychological capital; intellectual capital has a huge influence for the growth of a company's value added; employee motivation is the most important factor either for the growth of intellectual capital or a company's value added. Conclusions: expert evaluation was performed in order to investigate the importance of intellectual capital factors for the growth of intellectual capital itself and a company's value added. Experts were taken from two areas: business environment and academic environment. It is possible that experts from other environments could answer the questions in a completely different way, and this model could be improved even more. (shrink)

We compared the ability of three different contextual models of lexical semantic memory and of a simple associative model to predict the properties of semantic networks derived from word association norms. None of the semantic models were able to accurately predict all of the network properties. All three contextual models over-predicted clustering in the norms, whereas the associative model under-predicted clustering. Only a hybrid model that assumed that some of the responses were based on a contextual (...) class='Hi'>model and others on an associative network successfully predicted all of the network properties and predicted a word's top five associates as well as or better than the better of the two constituent models. The results suggest that participants switch between a contextual representation and an associative network when generating free associations. We discuss the role that each of these representations may play in lexical semantic memory. Concordant with recent multicomponent theories of semantic memory, the associative network may encode coordinate relations between concepts, and contextual representations may be used to process information about more abstract concepts. (shrink)

Expiratory flow limitation (EFL) can occur in mechanically ventilated patients with chronic obstructive pulmonary disease and other disorders. It leads to dynamic hyperinflation with ensuing deleterious consequences. Detecting EFL is thus clinically relevant. Easily applicable methods however lack this detection being routinely made in intensive care. Using a simple mathematical model, we propose a new method to detect EFL that does not require any intervention or modification of the ongoing therapeutic. The model consists in a monoalveolar representation of (...) the respiratory system, including a collapsible airway that is submitted to periodic changes in pressure at the airway opening: EFL provokes a sharp expiratory increase in the resistance Rc of the collapsible airway. The model parameters were identified via the Levenberg-Marquardt method by fitting simulated data on the airway pressure and the flow signals recorded in 10 mechanically ventilated patients. A sensitivity study demonstrated that only 8/11 parameters needed to be identified, the remaining three being given reasonable physiological values. Flow-volume curves built at different levels of positive expiratory pressure, PEEP, during PEEP trials (stepwise increases in positive end-expiratory pressure to optimize ventilator settings) have shown evidence of EFL in three cases. This was concordant with parameter identification (high Rc during expiration for EFL patients). We conclude from these preliminary results that our model is a potential tool for the non-invasive detection of EFL in mechanically ventilated patients. (shrink)

Prior research supports the learnability of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition Alternative Model of Personality Disorders. However, researchers have yet to compare novice ratings on the AMPD’s Level of Personality Functioning Scale and the 25 pathological personality traits with expert ratings. Furthermore, the AMPD has yet to be examined with the idiographic Shedler-Westen Assessment Procedure. We compared the aggregated AMPD clinical profile of a group of psychology doctoral students who learned the AMPD to high (...) levels of reliability to that of an expert rater using the crucible of the classical case of “Madeline G.” Examination of AMPD and SWAP ratings of “Madeline G.” revealed excellent overall concordance but suggests that novice raters tend to perceive lower levels of personality impairment. (shrink)

The majority of workplace incivility research has focused on implications of such acts for victims and observers. We extend this work in meaningful ways by proposing that, due to its norm-violating nature, incivility may have important implications for perpetrators as well. Integrating social norms theory and research on guilt with the behavioral concordance model, we take an actor-centric approach to argue that enacted incivility will lead to feelings of guilt, particularly for prosocially-motivated employees. In addition, given the interpersonally (...) burdensome _as well as_ the reparative nature of guilt, we submit that incivility-induced guilt will be associated with complex behavioral outcomes for the actor across both home and work domains. Through an experience sampling study (Study 1) and two experiments (Studies 2a and 2b), we found that enacting incivility led to increased feelings of guilt, especially for those higher in prosocial motivation (Studies 1 and 2a). In addition, supporting our expectations, Study 1 revealed that enacted incivility—via guilt—led to increased venting to one’s spouse that evening at home, increased performance the next day at work, as well as decreased enacted incivility the next day at work. Our findings demonstrate that enacted incivility has complex effects for actors that span the home and work domains. We discuss the theoretical and practical implications of our results. (shrink)

In this paper we summarise the constraints that low-redshift data—such as supernovae Ia, baryon acoustic oscillations and cosmic chronometers —are able to set on the concordance model and its extensions, as well as on inhomogeneous but isotropic models. We provide a broad overlook into these cosmological scenarios and several aspects of data analysis. In particular, we review a number of systematic issues of SN Ia analysis that include magnitude correction techniques, selection bias and their influence on the inferred (...) cosmological constraints. Furthermore, we examine the isotropic and anisotropic components of the BAO data and their individual relevance for cosmological model-fitting. We extend the discussion presented in earlier works regarding the inferred dynamics of cosmic expansion and its present rate from the low-redshift data. Specifically, we discuss the cosmological constraints on the accelerated expansion and related model-selections. In addition, we extensively talk about the Hubble constant problem, then focus on the low-redshift data constraint on \ that is based on CC. Finally, we present the way in which this result compares to the high-redshift \ estimate and local measurements that are in tension. (shrink)

For an observation time equal to the universe age, the Heisenberg principle fixes the value of the smallest measurable mass at mH=1.35×10-69\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$m_\mathrm{H}=1.35 \times 10^{-69}$$\end{document} kg and prevents to probe the masslessness for any particle using a balance. The corresponding reduced Compton length to mH\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$m_\mathrm{H}$$\end{document} is, and represents the length limit beyond which masslessness cannot be proved using a metre ruler. In turns, is (...) equated to the luminosity distance dH\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$d_\mathrm{H}$$\end{document} which corresponds to a red shift zH\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$z_\mathrm{H}$$\end{document}. When using the Concordance-Model parameters, we get dH=8.4\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$d_\mathrm{H} = 8.4$$\end{document} Gpc and zH=1.3\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$z_\mathrm{H}=1.3$$\end{document}. Remarkably, dH\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$d_\mathrm{H}$$\end{document} falls quite short to the radius of the observable universe. According to this result, tensions in cosmological parameters could be nothing else but due to comparing data inside and beyond zH\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$z_\mathrm{H}$$\end{document}. Finally, in terms of quantum quantities, the expansion constant H0\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$H_0$$\end{document} reveals to be one order of magnitude above the smallest measurable energy, divided by the Planck constant. (shrink)

Can a set of musical metaphors in a treatise on ethics reveal something about the nature and source of moral autonomy? This article argues that it can. It shows how metaphorical usage of words like tone, pitch, and concord in Adam Smith's Theory of Moral Sentiments can be understood as elements of an analogical model for morality. What this model tells us about morality depends on how we conceptualise music. In contrast to earlier interpretations of Smith's metaphors that (...) have seen music as an aesthetic object, this article sees music as a practice. Understood in this way, the analogy allows us to see morality too as a practice––as moral tuning. This in turn reveals a novel answer to the intractable problem of conventionalism: moral autonomy consists in the freedom inherent in the constant need to interpret and reinterpret the strictly formal ideal of perfect propriety. (shrink)

Can a set of musical metaphors in a treatise on ethics reveal something about the nature and source of moral autonomy? This article argues that it can. It shows how metaphorical usage of words like tone, pitch, and concord in Adam Smith's Theory of Moral Sentiments can be understood as elements of an analogical model for morality. What this model tells us about morality depends on how we conceptualise music. In contrast to earlier interpretations of Smith's metaphors that (...) have seen music as an aesthetic object, this article sees music as a practice. Understood in this way, the analogy allows us to see morality too as a practice––as moral tuning. This in turn reveals a novel answer to the intractable problem of conventionalism: moral autonomy consists in the freedom inherent in the constant need to interpret and reinterpret the strictly formal ideal of perfect propriety. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Toward an East–West Ultramontane Polyphony:On Dogma, Ecclesial Unity, and the FilioqueThomas Joseph White O.P.The book that the contributors to this symposium have commented upon with graciousness and remarkable intellectual acuity is a work consisting of four parts. There are four main claims to the book associated with these four parts, each of which is divided into sub-themes. Thus, one can denote a number of inevitably controversial ideas advanced by (...) the book. In clarifying the nature of these claims, I can initially respond to some of the main points advanced by various of the helpful review essays in this symposium.Framing the Argument of the BookThe first part of the work posits that there is a fundamental developmental continuity between Old and New Testament revelation, wherein God is revealed first to Israel as the one Creator, and subsequently in Jesus Christ as three distinct persons, the eternal Father, Son, and Holy Spirit.1 This revelation is in turn received in the pre-Nicene era of the early Church, principally under a twofold conceptual format, according firstly to a model of God as a single transcendent subject of wisdom who sends his Word into the world in human nature, and inspires the prophets by his Spirit (the apologists' monotheistic model, exemplified by Justin Martyr) and, secondly, to [End Page 569] a model of economic Trinitarian activity, of the Father, Son and Spirit, who are each divine and one in being, active in sacred history (Irenaeus).2 Nicene Trinitarian authors sought in various ways to find a deeper concordance of the two approaches, one of which emphasized more the immanent unity of God (potentially tending toward a danger of Sabellianism) and the other of which emphasized real distinction of persons active in the economy (potentially tending toward the danger of subordinationism).3 Pro-Nicene figures like Athanasius, Gregory of Nazianzus, and Augustine, among others, paved the way for a mature doctrine of immanent Trinitarian life, in which God was understood to be characterized, mysteriously, by eternal processions of the Word and the Spirit who originate from the Father, and receive from him the plenitude of their deity or divine nature, and thus are equally and identically the one God.4 God is mysteriously three persons who are truly one both in essence and being.The second part of the book is concerned with the theological exploration of what it means to speak of God as one, and of the divine nature of God. This determination of Christian theological wisdom stems from a threefold exigency: first, to uncover the inner unity of revelation itself, as indeed the Israelite revelation of the divine unity and the oneness of God the transcendent Creator is thematic to both Testaments;5 second, to consider the preconditions of Nicene orthodoxy, as indeed the claim that the three persons in God are one in essence or nature presupposes that there is a nature of God that is one common to the three persons;6 third, to consider what must be said about the inner life of God as truth and love, as a precondition for thinking about the processional life of the Word and Spirit, who are immanent distinct persons in God who receive and possess this fullness of life but who do not divide this one eternal life in God or cause it to evolve due to their relational proceeding.7I argue that a consideration of God's nature as simple, perfect, good, eternal, immutable, and so forth is essential to any theology that takes the biblical revelation of the unity and transcendence of God seriously, and therefore confesses the revelation of the Trinity integrally.8 Furthermore, regarding [End Page 570] the apophatic contours of this form of reflection, I hold that it is precisely in order to guarantee the kind of circumspect avoidance of "non-biblical speculation" about positive knowledge of God outside of Christ that it is necessary to qualify rightly how God is not identifiable with creation and thus remains unknown in his inner divine nature and eternal life apart from and outside of his divine self-disclosure in the revelation of the Old and New Testaments. Philosophical... (shrink)

As is well known, the late Husserl warned against the dangers of reifying and objectifying the mathematical models that operate at the heart of our physical theories. Although Husserl’s worries were mainly directed at Galilean physics, the first aim of our paper is to show that many of his critical arguments are no less relevant today. By addressing the formalism and current interpretations of quantum theory, we illustrate how topics surrounding the mathematization of nature come to the fore naturally. Our (...) second aim is to consider the program of reconstructing quantum theory, a program that currently enjoys popularity in the field of quantum foundations. We will conclude by arguing that, seen from this vantage point, certain insights delivered by phenomenology and quantum theory regarding perspectivity are remarkably concordant. Our overall hope with this paper is to show that there is much room for mutual learning between phenomenology and modern physics. (shrink)

We develop and test a trickle-down model of how authentic leadership at the department level flows down the organizational hierarchy to encourage team leader authentic leadership and consequently, promotes team and individual-level supervisor-directed helping behavior. Analyses of multi-level and multi-source data collected from a total of 487 employees comprising 122 teams, 47 departments, and 4 different working areas of a major public sector organization in Taiwan show that team leaders’ authentic leadership mediates the relationship between departmental authentic leadership and (...) individual-level leader–member exchange. We also found that intra-team trust completely mediates the influence of team authentic leadership on both team helping behavior and individual-level supervisor-directed helping behavior. Finally, the results reveal that self-concordance mediates the influence of team authentic leadership on individual-level supervisor helping behavior as well as the influence of individual-level LMX on individual-level supervisor-directed helping behavior. Theoretical and practical implications of these findings are discussed. (shrink)

Two problems seem to plague Adam Smith’s account of sympathy and approbation in The Theory of Moral Sentiments (TMS). First, Smith’s account of sympathy at the beginning of TMS appears to be inconsistent with the account of sympathy at the end of TMS. In particular, it seems that Smith did not appreciate the distinction between ‘self-oriented sympathy’ and ‘other-oriented sympathy’, that is, between imagining being oneself in the actor’s situation and imagining being the actor in the actor’s situation. Second, Smith’s (...) account of approbation, according to which a sentiment of approval arises when there is recognition of concordance between the spectator’s sympathetic passion and the actor’s original passion, seems to face the following problem: since the spectator attains both his own sympathetic passion and the actor’s original passion by sympathizing with the actor, the sympathetic passion of the spectator and the original passion of the actor will necessarily be identical. Therefore, Smith’s account of approbation requires that the spectator utilize both self-oriented and other-oriented sympathy (‘the double-sympathy model of approbation’). I offer a novel developmental account of sympathy in TMS that renders Smith’s account of sympathy consistent and allows for the utilization of the double-sympathy model of approbation. (shrink)

Main goal of this article is to present perceptions of the world of two different and meaningfully promiscuous ways of thinking: from the one hand the perception formed during the contemporary times and from the other the perception formed during ‘’post-histoire’’. What has to be firstly clarified regarding the matter of post-modern is that it does not fight against its modern ancestor. Post in postmodernity does not mean the replacement of modernity. In other words, post is not connected with a (...) time period that has passed and be replaced with something novel. The entirely analysis goes all the way based upon Derrida’s Thought. To be more specific that means that the goal is the signalization of the differences between modernity and postmodernity without a breath of identification, conciliation or concordant connections but through the percept of complementarity. It is also anticipated to be clarified a model of historic perspective, during its progression social configurations are structured after this model has been firstly approached through the prism of Rousseau’s thought. (shrink)

Carroll Izard’s theoretical and research contributions to the study of early socioemotional development are profiled. His studies of early emotional expression and the formulations of differential emotions theory have stimulated contemporary inquiry into the organization of early emotional life, the developmental processes by which distinct feelings and facial expressions become progressively concordant, and how the emotional expressions of others become imbued with emotion meaning. His work on emotion, attachment, and emotion–cognition relations has contributed to contemporary study of the emotional bases (...) of attachment organization and the development of the internal working models associated with attachment security. Because of Izard’s contributions, developmental emotions research is theoretically richer, and emotion has a more central place in our understanding of development and motivation. (shrink)

I begin by examining how genetics drivesschizophrenia research, and raise both familiar andrelatively novel criticisms of the evidence putativelysupporting the genetic basis of schizophrenia. Inparticular, I call attention to a set of concernsabout the effects of placentation on concordance ratesof schizophrenia in monozygotic twins, which furtherweakens the case for schizophrenia''s so-called stronggenetic component. I then underscore two criticalpoints. First, I emphasize the importance of takingseriously considerations about the complexity of bothontogenesis and the development of hereditarydiseases. The recognition of developmentalconstraints (...) and supports is crucial, for attention todevelopment exposes the naivete of too many models ofgene action in the aetiology of disease. Secondly, Iattend to those schizophreniologists who ignoremethodological criticisms and thus presume a geneticbasis for schizophrenia, and then seek the schizophrenic genotype lacking an adequatephenotype. In response I attempt to demonstrate thenecessity of a sustained effort at characterizing thephenotype of schizophrenia as an enabling conditionfor the whole enterprise of psychiatric genetics – andfor psychiatry itself. Without the organism-levelphenotype, research at the level of genes will remainunproductive – assuming of course that research at thegenetic level is appropriate at all. (shrink)

In most socialised health systems there are formal processes that manage resource scarcity and determine the allocation of funds to health services in accordance with their priority. In this analysis, part of a larger qualitative study examining the ethical issues entailed in doctors’ participation as technical experts in priority setting, we describe the values and ethical commitments of doctors who engage in priority setting and make an empirically derived contribution towards the identification of an ethical framework for doctors’ macroallocation work. (...) We conducted semi-structured interviews with 20 doctors, each of whom participated in macroallocation at one or more levels of the Australian health system. Our sampling, data-collection, and analysis strategies were closely modelled on grounded moral analysis, an iterative empirical bioethics methodology that employs contemporaneous interchange between the ethical and empirical to support normative claims grounded in practice. The values held in common by the doctors in our sample related to the domains of personal ethics, justice, and practices of argumentation. Applying the principles of grounded moral analysis, we identified that our participants’ ideas of the good in macroallocation and their normative insights into the practice were strongly aligned with the three levels of Paul Ricoeur’s ‘little ethics’: ‘aiming at the “good life” lived with and for others in just institutions’. Our findings suggest new ways of understanding how doctors’ values might have procedural and substantive impacts on macroallocation, and challenge the prevailing assumption that doctors in this milieu are motivated primarily by deontological considerations. Our empirical bioethics approach enabled us to identify an ethical framework for medical work in macroallocation that was grounded in the values and ethical intuitions of doctors engaged in actions of distributive justice. The concordance between Ricoeur’s ‘little ethics’ and macroallocation practitioners’ experiences, and its embrace of mutuality, suggest that it has the potential to guide practice, support ethical reflection, and harmonise deliberative practices amongst actors in macroallocation generally. (shrink)

The main task of a critical theory of medicine should be to develop a perspectival, context-fair, and multidimensional science of actions which integrates both diversity and heterogeneity within medicine without eliminating either one. Such a theory should employ diversity in the following areas: (1) in systems, subsystems, and professions, because different medical professions embody different health-care subsystems, thereby influencing the way manpower is utilized, (2) in actors, (e.g., patients, health-care experts, and society), processes, and situations, because each actor potentially conceptualizes (...) health, illness, and desired outcomes differently; and (3) in models of medicine (i.e., as an object science versus an action science). Situational influences modify concepts and explanatory models; even the particular terms, such as illness, disease, and sickness, are not necessarily concordant with each other. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Philosophy 41.3 (2003) 426-427 [Access article in PDF] Timothy Smiley, editor. Mathematics and Necessity: Essays in the History of Philosophy. New York: Oxford University Press, 2000. Pp. ix + 166. Cloth, $35.00.Mathematics and Necessity contains essays by M. F. Burnyeat, Ian Hacking, and Jonathan Bennett based on lectures given to the British Academy in 1998. All concern the history of the philosophical treatment of (...) mathematics, necessity, or both, although there is no single thread running through all three essays.Burnyeat focuses on Plato's understanding of mathematics in the Republic, making use of the Timeaus in particular to defend his interpretation. Plato claimed that in the ideal society mathematics should be studied for a full ten years, which many have thought excessive. To explain it, Burnyeat argues that the role of mathematics is pervasive: ethics and politics are mathematical, because in Plato's view mathematics is a constitutive part of ethical understanding. On Burnyeat's interpretation, goodness is part of the objective world, and mathematics is a science of values. The link between mathematics and goodness in the objective world is forged by the concord, harmony, and unity of proportions, which express the goodness of the Divine Craftsman's beneficent design. Proportions are both intrinsically good and the proper study of mathematics.Burnyeat explains why Plato thinks abstract kinematics (the pure non-sensible counterpart to astronomy) and abstract harmonics lead to knowledge of the good. Abstract kinematics concerns the "harmony of the spheres" described in the Republic. Drawing heavily on the Timeaus, Burnyeat argues that the circular motions of the spheres are motions in the intelligence of the world soul and that there are similar motions in human souls. The world soul and human souls are spatial and have circular motions (invisibility and intangibility make them incorporeal). Souls are the most important subject matter of abstract harmonics—the study of good proportions. A soul that understands the various mathematical disciplines and their relations takes on the harmony and hence goodness of the world soul. Such a soul serves as a model for organizing the social world, a model which properly trained rulers can use to shape a community. Burnyeat's well-argued essay is compelling and exciting. [End Page 427]Ian Hacking's views provide a great contrast to Burnyeat's Plato. Hacking conducts a phenomenological inquiry into why some philosophers have become obsessed by mathematics as a source of philosophical inspiration. He holds that mathematics concerns a relatively minor part of human culture and that the influence of mathematics on philosophy is pernicious; he even describes it as an infection.Hacking examines the views of six philosophers: Plato, Leibniz, Mill, Descartes, Lakatos, and Wittgenstein. Hacking's assessment of the six philosophers is at times disputable, but it is also interesting and stimulating, and serves his phenomenological inquiry.Hacking traces philosophy's infection by mathematics to two factors. A mathematical proof can be perspicuous; that is, a proof can be "grasped," which requires seeing directly why something must be true and being able to recapitulate it. A mathematical proof can also anticipate facts about the world. He thinks that these two factors affect us in two ways: they give us the idea of a priori knowledge, and they dazzle us into unreasoned conviction in proofs. One might respond that, setting aside the feeling proofs give us, we are still justified in being impressed by them. Hacking argues that much of what impresses is based on a misunderstanding of their nature, which he attempts to correct.According to Hacking, a mathematical demonstration involves shifts of meaning that analytically bind the proof and the theorem it establishes. They thereby mutually support each other and provide what he calls self-authentication. The correctness of the proof is supported by the "analytified" truth of the theorem and the theorem is considered true because proven.This bootstrapping feature of mathematical proofs supports Hacking's deflationary account of necessity. Hacking suggests that the "must" of logical necessity rests upon our unwillingness to accept empirical counter-examples to the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Abailard and the Problem of Universals JOHN F. BOLER ABAILARD t IS A CLEVERman, but in one respect he is just like the rest of us: Given one clear idea of which he is convinced, he tends to become intolerant, thinking the worst of everyone else. Abailard's clear idea goes something as follows. In what does universality consist? It consists, says Abailard, in the signifying of many things by (...) one sign? Abailard's predecessors had been searching for some thing which was universal. But a sign must signify many things to be universal; and furthermore, the sign itself, as a thing--a noise, gesture, or statue--is individual. ~ It may help to describe the model which crops up here and there in Abailard's examples and which, I think, dominates his analysis. Consider, then, a statue which is not meant to stand for any one particular individual: for example, the Minute Man at Concord, Massachusetts.* First of all, the statue is an individual thing. Second, just as a piece of metal, it need not stand for anything--anymore than a bird bath would, had the town council decided to build that instead. What is more, it is information from other sources which leads us to take the statue as "general" rather than as depicting some individual (like Nathan Hale). And even though the statue stands for "all" minute men, not only is the statue an individual thing but all those things for which it stands are (or were) individuals. And finally, we might also point out that the statue must be taken as signifying; it does not have "representative" qualities in quite the same way that it has properties like weight and shape. t The text of Abailard to which I have referred is: Peter Abaelards Philosophische Schrqte, herausgegeben yon Dr. Bernhard Geyer, I Die Logica "Ingredientibus,'" II Die Logica "'Nostrorum Petitioni Sociorum" which is to be found in Beitraege zur Geschichte der Philosophie und Theologie des Mittelalters, Band XXI (1933). A partial translation of this text appears in R. McKeon, Selections from Medieval Philosophers (New York: Scribners, 1929), II, 208-258. Hereafter I shall refer to the latin text as "G" followed by the page number and lines; and to the translation, where possible, as "'M" with the page number. 9Abailard feels that when Aristotle says that a universal is what is fitted for being predicated of many things, it is the signifying of many things which is at stake; and he chides Aristotle for seeming to ascribe universality to things as well as to words. G ~ (M 221). The reference to Aristotle is On Interpretation, 17a (38-40). *See note 7, below. 9I have interpolated on two passages: G 22t~-~ (M 241-242), and G 522*t-=. [37] 38 HISTORY OF PHILOSOPHY The upshot of Abailard's insight is that universality pertains to the interpretation of signs: the effort to locate universal things is misguided. Some want to say that the universal is a collection; but do collections signify their members? ~ Some want to say that the universal is a substance of which individuals are accidents; but is a substance predicated of its accidents? e And some want to say that universals are words--that is noises; but noises are also individual things. ~ In short, to signify or to show ("monstrare") pertains to words; to be signified or shown pertains to things. 8 And to transfer the properties of one to the other leads to hopeless difficulties. ~ One can understand Abailard's exultation (and exaltation) at having shown both sides of a seething controversy to be equally misguided? ~ But what then remains as the problem of universals? It is this: one would expect that every sign would have some subject which it signifies; but universals seem to lack a proper subject. And does this not mean that universals are fictions (like goat-stag or chimera)? = Having thus set out rather baldly what I take to be Abailard's "clear idea," let me now try to show more fully how he goes about establishing the problem and providing for a solution. Abailard's position on universals is set forth in his two logic books, both of which begin... (shrink)

Many work on flushing out what our consciousness means in cognitive and phenomenological terms, but no one has yet connected the dots on how consciousness and truth intersect, much less how our phenomenal consciousness can form the ground for most of our models of truth. Here, I connect those dots and argue that the basic structure of our phenomenal consciousness grounds the nature of truth as concordance, to harmonize in agreement, and that most extant theories on truth are well (...) explained in that grounding. Said another way, the unifying and bifurcating intentional structure of phenomenal consciousness is the non-epistemic ground of truth, such that most theories of truth can be explained as particular expressions of concordance based upon the differing aspects of that ground. (shrink)

In this article we provide a mathematical model of Kant?s temporal continuum that satisfies the (not obviously consistent) synthetic a priori principles for time that Kant lists in the Critique of pure Reason (CPR), the Metaphysical Foundations of Natural Science (MFNS), the Opus Postumum and the notes and frag- ments published after his death. The continuum so obtained has some affinities with the Brouwerian continuum, but it also has ‘infinitesimal intervals’ consisting of nilpotent infinitesimals, which capture Kant’s theory of (...) rest and motion in MFNS. While constructing the model, we establish a concordance between the informal notions of Kant?s theory of the temporal continuum, and formal correlates to these notions in the mathematical theory. Our mathematical reconstruction of Kant?s theory of time allows us to understand what ?faculties and functions? must be in place for time to satisfy all the synthetic a priori principles for time mentioned. We have presented here a mathematically precise account of Kant?s transcendental argument for time in the CPR and of the rela- tion between the categories, the synthetic a priori principles for time, and the unity of apperception; the most precise account of this relation to date. We focus our exposition on a mathematical analysis of Kant’s informal terminology, but for reasons of space, most theorems are explained but not formally proven; formal proofs are available in (Pinosio, 2017). The analysis presented in this paper is related to the more general project of developing a formalization of Kant’s critical philosophy (Achourioti & van Lambalgen, 2011). A formal approach can shed light on the most controversial concepts of Kant’s theoretical philosophy, and is a valuable exegetical tool in its own right. However, we wish to make clear that mathematical formalization cannot displace traditional exegetical methods, but that it is rather an exegetical tool in its own right, which works best when it is coupled with a keen awareness of the subtleties involved in understanding the philosophical issues at hand. In this case, a virtuous ?hermeneutic circle? between mathematical formalization and philosophical discourse arises. (shrink)

The integrity of the patient–physician relationship depends on maintaining professional boundaries. While ethicists and professional organisations have devoted significant consideration to the subject of sexual boundary transgressions, the subject of non-sexual boundaries, especially outside the mental health setting, has been largely neglected. While professional organisations may offer guidance on specific subjects, such as accepting gifts or treating relatives, as well as general guidance on transparency and conflict of interest, what is missing is a principle-based method that providers can use to (...) assess non-sexual interactions with patients that transcend norms of practice. This paper attempts to offer an operational model for such assessment that considers not only the traditional emphasis on beneficence, but also incorporates concerns over entanglement and concordance. (shrink)

Whether there exist causal relations between guns firing and people dying, between pedals pressed and cars accelerating, or between carbon dioxide emissions and global warming, is typically taken to be a mind-independent, objective, matter of fact. However, recent contributions to the literature on causation, in particular theories of contrastive causation and causal modelling, have undermined this central causal platitude by relativising causal facts to models or to interests. This thesis flies against the prevailing wind by arguing that we must pay (...) greater attention to which elements of our causal talk vary with context and which elements track genuine features of the world around us. I will argue that once these elements are teased apart we will be in a position to better understand some of the most persistent problems in the philosophy of causation: pre-emption cases, absence causation, failures of transitivity and overdetermination. The result is a naturalist account of causation, concordant with the contextual variability we find in our ordinary causal talk, and parsimonious with respect to the theoretical entities posited. (shrink)

ABSTRACT This study examined how lifestyle factors and gender affect kidney allocation to transplant patients by 99 British and Singaporean participants. Thirty hypothetical patients were generated from a combination of six factors and randomly paired four times. Participants saw 60 patient pairings and, in each pair, chose which patient would receive treatment priority. A Bradley-Terry model was used to derive coefficients for each factor per participant. A mean factor score was then calculated across all participants for each factor. Participants (...) gave lower priority to patients who drank more, were overweight, smoked more and exercised less. A patient’s diet and gender had no significant effect on allocation. There were no significant cross-cultural differences. There were moderate correlations between participants’ self-reported pre- and post-experiment ordering of decision criteria, and these measures and factor coefficients, suggesting a modest level of decision-making consistency. Between participants, moderate levels of concordance with respect to factor importance were observed for self-reported orderings of factors, and weaker agreement for model-derived coefficients. Very similar results were obtained for both British and Singaporean participants, and the implications of the findings are discussed. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Diacritics 29.4 (1999) 58-83 [Access article in PDF] Imagi-Nation: The Imagined Community and the Aesthetics of Mourning Marc Redfield Of the many relics of the Romantic era that continue to shape our (post)modernity, the nation-state surely ranks among the most significant. Two decades ago Benedict Anderson commented that "'the end of the era of nationalism,' so long prophesied, is not remotely in sight" [IC 3], and the intervening years (...) have made it increasingly clear that the developments and processes we summarize as "globalization" operate in mingled synchrony and tension with the political form of the nation-state. 1 That the nation-state should remain the premier vehicle of political and economic legitimation in an era dominated by American imperialism and international capital--forces that, of course, regularly and flagrantly violate the sovereignty of disadvantaged nations--is unsurprising if one accepts the continuing pertinency and power of a Western master-narrative of modernity, according to which the nation represents the emergence of a people into history and prefigures the global achievement of universal human concord. As the proper subject of history, the nation-state can prefigure history's end because, as David Lloyd writes, "the particularism of [nationalism's] contents, potentially in contradiction with the universalism of modernity, is subsumed in the formal congruence between its own narratives of identity, directed at one people, and the narrative of identity that universal history represents for humanity in general" ["Nationalisms" 178]. Lloyd goes on to note that the nation's intermediate status in this narrative--halfway between primitive tribalism and modernity's ever-deferred perpetual peace--accounts for nationalism's irreducibly double association with modernization and atavism. In consequence, the modernist paradigm continues to rule many skeptical or hostile accounts of nationalism, for so long as the nation-state is taken to supersede other political or social formations, the cosmopolitan critique fails to challenge "the fundamental philosophy of universal history that underwrites nationalism's inscription in modernity" ["Nationalisms" 177]. Indeed, both in the corporate media and in mainstream Western political discourse generally, nations and nationalisms are commonly treated as atavistic or progressive depending on the degree to which their behavior harmonizes with globalizing imperatives. That these imperatives emanate quite blatantly from Wall Street in no way seriously troubles the effectiveness of modernity as a narrative paradigm. 2Seeking to discredit universalizing narrative, much cultural criticism in recent years has exchanged cosmopolitanism and the abstract question of "nationalism" for an emphasis [End Page 58] on the contextual construction of national movements or identities. 3 This valuable body of work has sought to recover the particularity of cultural and socioeconomic circumstance, stressed the fundamental role of racism in colonialist contexts, and noted ways in which nationalist movements draw on or unleash forms of resistance that challenge representationalist politics. The pages that follow, however, remain focused on the nationalist fantasy proper to the discourse of modernity. Cultural critique can only profit from knowing as much as possible about the favored turns of the universal-historicist model, particularly since, as Lloyd and others have emphasized, this model is an aesthetic one that grants a world-historical role to "culture." The state, in a tradition that in its main lines runs from Schiller through Hegel and Matthew Arnold and is still very much alive today, represents the community to itself, thereby giving the community form and in a certain sense giving it an ethical imperative and a future: the state represents "our best self" [Arnold 99, passim], "the archetype of a human being" [Schiller 17], because it signifies the formal unification both of the citizen with the community and of the community with universal humanity. Because this unification is ideal rather than actual, it can be projected as the ethical terminus of history (that is, as the ideal of an accomplished modernity). The state's core mission thus becomes pedagogical: its job is to acculturate its subjects into citizens. The production of a docile citizenry thereby obtains an ethical aura and an aesthetic character, insofar as the artwork and the domain of aesthetic or "cultural" experience generally become... (shrink)

Two recent publications highlight the role of bone‐forming cells, the osteoblasts, in controlling the development of neighboring haematopoietic stem cells (HSCs).1,2 Using two distinct transgenic mouse models, one using the conditional deletion of the Bone Morphogenetic Protein Receptor 1A (BMPR1A) gene, the other using over‐expression of an active PTH/PTHrP receptor (PPR) mutant within osteoblasts, the authors show parallel, concordant increases in the generation of trabecular osteoblasts and the number of HSCs. In situ staining showed that rarely cycling HSCs sporadically attach (...) to endosteal osteoblasts, while in vitro assays indicated that ligation of Jag1 on osteoblasts by Notch1 on HSCs promotes HSC proliferation. These two independent works have revived and revitalized the notion that osteoblasts are a major, defining component of the HSC niche within the bone marrow (BM). This minireview discusses these results in the context of other recent studies of mesenchymal cells within the BM microenvironment, presents one potential unified model of the functional anatomy of the BM HSC niche, and highlights new questions raised by these and other studies of osteoblasts and HSCs. BioEssays 26:595–599, 2004. © 2004 Wiley Periodicals, Inc. (shrink)

This paper outlines the full details of Lucretius’ treatment of parental love. It shows that Lucretius is faithful to Epicurus’ notorious claim that parental love is not natural: in addition to orthodox Epicurean hedonist concerns, Lucretius asserts that children do not “belong to” their parents by nature; as such, even though parental love is now ubiquitous and indeed a cultural norm, there is no basis for the naturalness of parental love. This model of the relationship between parents and children (...) does not, however, apply in the case of certain animals, who do have natural parental love for their offspring. Focusing on two famous scenes, the sacrifice of Iphigenia and the forlorn heifer seeking her sacrificed calf, the paper argues that by highlighting the fragility of human parental love in comparison to that of the animals Lucretius brings to his Roman readers’ attention the relative weakness of the familial ties that bond human beings together, and at the same time he emphasizes the need to maintain them if social and political concord, with all its benefits, is to continue. It transpires that unlocking the details of Lucretius’ treatment of parental love brings a key lesson of the poem into clearer focus. (shrink)

The aim of this article is to examine the actuality of Simone Weil's concept of the impersonal, as expressed in La personne et le sacré. To this end, I address the theme of authenticity by proposing two alternative models. According to the first model, "being oneself" corresponds to the immediate self-expression. Weil's critique of the "person's right to self-fulfillment", on the other hand, gives rise to an anthropology of mediation, which constitutes a second model centered on the notion (...) of work. Hence, my original contribution consists in the argumentation of the thesis that in Weil's oeuvre the access to the self is structured in concordance to a "work of desire", which constitutes the human being's essence. Taking up the various allusions to the "desire for the good", scattered throughout the Weilian corpus, the article unveils what this affective work, that transforms the subject, consists of, and emphasizes the importance of the experience of the transcendent Good as a condition for a free interpretation of the value of the desired goods. (shrink)

There are two main paradigms for brain-related science, with different implications for brain-focused intervention or advancement. The paradigm of homeostasis (“stability through constancy,” Walter Cannon), originating from laboratory-based experimental physiology pioneered by Claude Bernard, shows that living systems tend to maintain system functionality in the direction of constancy (or similitude). The aim of physiology is elucidate the factors that maintain homeostasis, and therapeutics aim to correct abnormal factor functions. The homeostasis paradigm does not formally recognize influences outside its controlled experimental (...) frames and it is variable in its modelling of neural contributions. The paradigm of allostatic orchestration (PAO) extends the principle of allostasis (“stability through change”) as originally put forth by Peter Sterling. The PAO originates from an evolutionary perspective and recognizes that biological set points change in anticipation of changing environments. The brain is the organ of central command, orchestrating cross-system operations to support optimal behavior at the level of the whole organism. Alternative views of blood pressure regulation and posttraumatic stress disorder illustrate differences between the paradigms. For the PAO, complexities of top-down neural effects and environmental context are foundational (not to be “factored out”), and anticipatory regulation is the principle of their interface. The allostatic state represents the integrated totality of brain-body interactions. Health itself is an allostatic state of optimal anticipatory oscillation, hypothesized to relate to the state of criticality, a mathematical point of poise between phases, on the border between order and disorder (or the “edge of chaos”). Diseases are allostatic states of impaired anticipatory oscillations, demonstrated as rigidifications of set points across the brain and body (disease comorbidity). Conciliation of the paradigms is possible, with “reactive homeostasis” resolved as an illusion stemming from anticipation of environmental monotony. Considerations are presented with respect to implications of the two paradigms for brain-focused intervention or advancement; the hypothesis that the state of criticality is a vehicle for evolutionary processes; concordance with a philosophy of freedom based on ethical individualism as well as self-creativity, non-obsolescence, empowerment, and citizenship; and concluding reflections on the science and ethics of the placebo, and the potential for virtuous cycles of brain-Anthropocene interactions. (shrink)

The figures visualizing single and combined classifiers coming from decision trees group and Bayesian parametric and nonparametric discriminant functions show the importance of diversity of bagging or boosting combined models and confirm some theoretical outcomes suggested by other authors. For the three medical sets examined, decision trees, as well as linear and quadratic discriminant functions are useful for bagging and boosting. Classifiers, which do not show an increasing tendency for resubstitution errors in subsequent boosting deterministic procedures loops, are not useful (...) for fusion, e.g. kernel discriminant function. For the success of resampling classifiers’ fusion, the compromise be- tween accuracy and diversity is needed. Diversity important in the success of boosting and bagging may be assessed by concordance of base classifiers with the learning vector. (shrink)

This paper explores the issue of performative spaces in the medieval Latin Church, examining the mindsets of the time and the ways practitioners adopted the Platonic notion of world harmony. We then look at the Palatine Chapel of Aachen in the light of the Plato’s doctrine. At the heart of this analysis will be the cosmological drama at the creation of the world, described by Ambrose as a chorus of the constitutive elements. It is from this image that the proto- (...) class='Hi'>model of the Christian Church as ‘moving waters’ was derived, a vision shared by both the Eastern and the Western world. To this day, the Palatine chapel of Aquisgranum conveys the appearance of the Ambrosian vision of the primordial waters, with its renewed marble revetments imitating the cosmic waters. The church is designed according to propria dispositione, i. e. modularity. Augustine’s concept of modularity and his psychology of sound, space, movement, and time will be explored in the hypothetical inquiry into the dramatization of space at Aachen. Here, we find that the Chapel has two choreographies which unfold in the space like-stage set up as a synthesis of the arts shaped according to numbers. Relevant concepts to our topic will emerge in the analysis, such as concord, consonance and agreement, measure and movement – metaphors of the idea of a ‘dance’ that exceeds the character of a mere performance. (shrink)

ObjectivesTo investigate which of two sources of information about an older adult’s wishes—choices made in an advance directive or proxy’s opinion—provides better insight into the older adult’s preferences measured in hypothetical clinical situations involving decisional incapacity.MethodsSecondary analyses of data collected from 157 community-dwelling, decisionally competent adults aged 70 years and over who attended a group information session on advance directives with their proxy. Older adults were invited to complete a directive introduced during the session, designed to express healthcare preferences. An (...) average of 3 months later, older adults were asked during an interview whether they would want to receive each of four medical interventions and what their goals of care would be should they develop one of three sudden health events, assuming that they had severe dementia. Proxies were asked to guess the older adult’s answers in each of the seven scenarios.ResultsEighty per cent of the older adults completed the directive. Choices they made in the directive were more in line with the preferences they stated during the interview than were their proxies’ guesses at their answers. However, concordance was relatively low, with percentages of agreement ranging from 43% to 83% across scenarios.ConclusionsFindings suggest that a directive might provide better insight into a person’s wishes than the person’s proxy, although neither source is perfect. A multifaceted decision-making model that includes both sources of information might better serve the interests of older adults who have lost the capacity to make decisions on their own.Trial registration numberISRCTN89993391; Post-results. (shrink)

We formulate a cosmogonic indifference principle in cosmology in terms of a dynamical system theory. While the choice between generic and fine tuned initial condition for our Universe has a rather philosophical character, there is a very generic set of initial conditions which give rise to the concordance inflectional ΛCDM model which becomes in good agreement with astronomical observations.

How can one be a good person? That, in essence, is the question I ask in this dissertation. More specifically, I ask how we, in general, can best go about the complex and never-ending task of trying to figure out what we should do and then do it. I answer that question in four articles, each dealing with an aspect of the model of morality presented by Adam Smith in The Theory of Moral Sentiments. The title of the dissertation, (...) ‘How to be a good sentimentalist’, thus refers to that particular philosophical framework. However, the answers I give should be relevant to any person concerned with how to be a good person. The first article, Moral Tuning, deals with the first part of the question, namely how we can best go about figuring out what it is that we should and should not do. Specifically, it deals with the question of whether, and if so how, individuals like you and I can critically reflect upon the norms of our own society, sorting the chaff of merely conventional norms from the wheat of genuinely moral ones. In brief, it is the question of whether we as individuals are autonomous in our relation to the norms of our own society. In answering this question, my co-authors and I argue that Smith’s use of musical metaphors in TMS, words like tone, pitch, and concord, can be understood as elements of an analogical model of morality. In contrast to earlier interpretations of Smith’s musical metaphors, which have seen music as an aesthetic object, we draw on recent developments in musicology to argue that music may also be construed as a practice. Construing the source domain of this analogical model as musical practice allows us to construe the target domain also as a practice—as moral tuning. This in turn allows us to argue that moral autonomy consists in realising the freedom inherent in the constant need to translate norms into action, and in so doing, to interpret and reinterpret, not only the actions, but the norms themselves. In other words, following the norms of our own society already implies that we are autonomous in relation to them. Being good sentimentalists thus begins with realising that we are free to question and reshape the moral standard of our own society. The second article, Love Redirected, deals with the second part of the question, namely how we can best go about doing what we already think we should do. This, then, is a question of moral motivation, more specifically a question about the difference between genuinely moral motivation and other kinds of motivation, like a selfish desire for praise. Smith himself argues that we not only desire the actual praise of other people, but to be worthy of their praise, to be ‘praiseworthy’. The desire to be praiseworthy, the ‘love of praiseworthiness’ is then the genuinely moral motivation, for it aims at nothing but the satisfaction of having done the right thing. The trouble with Smith’s answer is that he does not adequately connect his claim about praiseworthiness to the rest of his model. This has lead to some confusion in the secondary literature, and in the first part of Love Redirected, I seek to end this confusion by combining what Smith says in the various editions of TMS into a coherent argument for how the desire to be praiseworthy comes from redirecting our desire for praise from other people towards the ideal of the ‘impartial spectator’. I then go on to show how this reading also fits with modern psychological research on the moral development of children. Finally, I conclude that this redirection of our desire for praise requires not just negative, but positive emotional reinforcement. Therefore, becoming good sentimentalists involves taking pleasure in our moral successes, no less than we are pained at our failures. The third article, The Practical Impossibility of Being both Impartial and Well-informed, makes a first pass at dealing with the idea of the impartial spectator itself, an idea that is central to the answers given in the two first articles. The problem with the impartial spectator is that she is also supposed to be well-informed about those she judges. However, the demands of impartiality and of understanding pull in opposite directions: To be well-informed—to properly understand the situation and character of the person we judge—we must, typically, be sufficiently physically close to that person to see with our own eyes what they are going through. At the same time, this kind of physical closeness tends to entangle us in the kinds of emotional bonds that hinder an impartial evaluation. One might think that this tension could be eased or eliminated by relying less on physical closeness and more on the powers of our imagination to, as Smith frequently puts it, ‘bring home to us’ the situation of the person we are judging. However, using Construal Level Theory, I argue that merely imagining someone’s situation in detail and/or taking their perspective produces a similar effect to physical closeness, and hence that the tension between understanding and impartiality is practically inescapable. To be good sentimentalists, we must therefore recognise our limitations, and give up on the illusion of ever being fully understanding and perfectly impartial at the same time. The fourth article, The Partially Impartial Spectator as an Ethical Ideal, makes a second pass at dealing with the idea, or rather ideal, of the impartial spectator. It begins with the recognition that we frequently fail to be impartial spectators, both of others, and of ourselves. This is especially true in those cases where our views conflict with those of someone else. Building on research detailing the various ways in which cognitive and affective biases impact our perception of the world, our reasoning about our own views, and our ability to resolve disputes with others, I argue that merely trying harder to be impartial spectators is liable to backfire, rendering us just as biased as ever, to which is added an unshakeable confidence that we were right all along. Therefore, I go on to argue, we must try smarter. Trying smarter, I conclude, involves aiming for something less ideal, more achievable, and, most importantly, humbler, namely to be partially impartial spectators. Being a good sentimentalist thus beings with realising our freedom to interpret, continues in our taking pleasure in our moral successes, pauses at the realisation that we will never be truly impartial spectators, and ends with a commitment to continued improvement under the lodestar of the ideal of the partially impartial spectator. (shrink)

The centenary of the Louvain Institute of Philosophy (which was founded to contribute to a renewal of philosophy within the Christian community „by adhering as closely as possible to the doctrine of Thomas Aquinas”) is the occasion for a critical examination of the particular form of Thomism developed by Désiré Mercier, the first president of the Institute. In Mercier's view, the appeal to Thomas can not be a submission to tradition or authority. Since philosophy is always a personal, free, rational (...) investigation, the only reason for adhering to a certain doctrine, is its intrinsic philosophical value. The mean argument for preferring Thomas „in philosophicis” is the fact that he „combines observation and rational-speculation, analysis and synthesis”, whereby all empirical facts are integrated and made intelligible in a larger metaphysical frame. By so doing Thomas avoids the extremes of empiricism, which leads to materialism, and idealism, which goes hand in hand with dualistic spiritualism. One may doubt whether this is a good characteristic of the „essence of Thomism”. However, Mercier follows Thomas, not so much for any original doctrine, but because he best represents the great scholastic tradition starting from Aristotle. This tradition should not be admired as an ideal of perfection that cannot be improved upon, but should be further developed and renewed, especially by integrating the achievements of modern experimental investigations within it. (Besides the sciences, we should expect not too much from modern philosophy, except in the discussion of the „critical problem”). Mercier thus bases his philosophical option for Thomism on his judgment that it better than any other philosophy offers a metaphysical synthesis within which the investigations of the modern sciences can be integrated, while at the same time being in concordance with the Christian view on man and world. However, when one studies the Thomism as elaborated in Mercier's manuals, it turns out that his attempt at integration fails. For there is no intrinsic link between the scientific findings he considers and the philosophical theses he develops. Herein lies the inherent weakness of the neo-scholastic construction as it was advocated by Mercier. When one defends Thomism by arguing that it offers a „comprehensive synthesis of all knowledge”', and at the same time one stresses the autonomy of scientific inquiry without apologetic intentions, one can expect that as these sciences develop, there will also arise the need for new conceptual schemes and new philosophical models which better fit these new findings. At that moment Thomistic doctrine also seems to fall away as a superfluous superstructure. One can argue that Mercier too easily understood philosophy as a „natural complement” of the sciences and that for that reason he could not really succeed in renewing Thomism. Most neothomists will try to base their option for Thomas upon the originality of his metaphysics. But this search for the „essence of Thomism” is problematic. At the end of the paper it is argued that no intrinsic philosophical arguments can be given for a normative preference for Thomas. The demand to philosophize „ad mentem Thomae” only makes sense when the relation of reason to faith is considered. As É. Gilson has shown, most neothomists were reluctant to develop this argument, except in a negative way : to argue for the autonomy of their philosophical (thomistic) arguments (although they were, in fact, motivated by a religious interest). (shrink)

The COVID-19 pandemic has drastically altered the education sector. Rather than the impact of COVID-19, many higher education institutions are on the verge of insolvency due to a lack of digital transformation readiness and poor business models. The bleak financial future many HEIs will face while others may be forced to close their doors completely will erode HEIs’ ability to fulfil their societal responsibilities. However, HEIs that have survived and maintained their operations anticipate the transition to online learning or the (...) effects of any economic crisis, including university closures in the short, medium, or long term. The entire educational ecosystem was forced to transform its operations quickly and entirely to an online teaching-learning scenario in just a few weeks. Notably, HEIs that have long offered online courses worldwide can easily transition to digital teaching and learning when necessary. The second roundtable session’s result of the International Higher Education Conference, organized by INTI International University on March 31 2022, was used to organize a Delphi method to identify further factors that positively impact HEIs by COVID-19. The importance of these factors was then determined using Kendall’s coefficient of concordance. Recommendations on how HEIs should move towards institutional sustainability during the endemic phase are presented accordingly. (shrink)

IntroductionCerebral visual impairment results from damage to cerebral visual processing structures. It is the most common cause of pediatric visual impairment in developed countries and rising in prevalence in developing nations. There is currently limited understanding on how neurologic, developmental, and ophthalmic factors predict outcome for pediatric CVI.MethodA retrospective manual chart review of pediatric CVI patients seen at the tertiary pediatric hospital neurology and neuro-ophthalmology service between 2010 and 2019 was conducted. Patients were stratified into severity groups, and followed over (...) time to identify outcome predictors. Collected baseline characteristics included perinatal, genetic, developmental, and neurologic history, along with neuroimaging and fundoscopic findings on examination. Longitudinal data collected included age, seizure control, and type of therapy received. Linear mixed-effect models were used for longitudinal CVI grade outcome analysis.ResultsA total of 249 individuals spanning 779 patient visits were identified. Mean age at diagnosis was 18.8 ± 16.8 months. About 64.3% were born at term age. Perinatal history revealed hypoxic ischemic encephalopathy in 16.5%, intraventricular hemorrhage in 11.6%, and seizures in 21.7%. At presentation, 60.3% had a diagnosis of cerebral palsy and 84.7% had developmental delay. Among all subjects, 78.6% had epilepsy; 33.8% had an epileptic encephalopathy, with spasms/hypsarrhythmia being most common. Abnormal neuroimaging was present in 93.8%. Genetic anomalies were present in 26.9%. Baseline visual examination revealed no blink-to-light in 24.5%; only BTL in 34.5%, fixation/tracking in 26.5%, and optokinetic drum follow in 14.4%. Longitudinal data analysis showed that perinatal history of HIE, a positive epilepsy history, using multiple epilepsy medications, cerebral palsy, and abnormal fundoscopic findings were all negatively associated with CVI grade change over time. After controlling for significant confounders, receiving any type of therapy [early childhood intervention, physical and occupational therapy, refractive error correction or glasses] was significantly associated with longitudinal improvement in CVI grade compared to patients who did not receive any therapy, with glasses yielding the largest benefit.ConclusionThis study offers extensive insights into neurologic, developmental and ophthalmologic features in patients with moderate to severe CVI. In concordance with previous findings, aspects of perinatal history and epilepsy/seizure control may help inform severity and prognosis in the general neurology or ophthalmology clinic. Conversely, these aspects, as well as genetic and specific epilepsy traits may alert vision health care providers in the clinic to pursue visual evaluation in at-risk individuals. Longitudinal follow-up of CVI patients showed that interventional therapies demonstrated vision function improvement greater than no therapy and maturational development. (shrink)

I offer two potential diagnoses of the behavioral norms governing post‐truth politics by comparing the view of language, communication, and truth‐telling put forward by David Lewis (extended by game theorists), and John Searle. My first goal is to specify the different ways in which Lewis, and game theorists more generally, in contrast to Searle (in the company of Paul Grice and Jurgen Habermas), go about explaining the normativity of truthfulness within a linguistic community. The main difference is that for Lewis (...) and game theorists, “truthful” signaling follows from an align- ment of interests, and deception follows from mixed motives leading to the calculation that sending false information is better for oneself. Following in the Enlightenment tradition, Searle argues that practical reasoning, which involves mastery of at least one language, requires that actors intend to communicate. This intention includes constraining the content of statements to uphold veracity conditions. After distinguishing between these two accounts, I will artic- ulate the implications for explaining, and even informing actions, constitutive of post‐truth politics. I argue that the strategic view of communication is suffi- cient neither to model everyday conversation nor to reflect a public sphere useful for democratic govern- ment. Both the pedagogy of strategic communication as cheap talk, and its concordance with new digital information technologies, challenge norms of truthful- ness that underlie modern institutions essential to an effective public sphere. (shrink)

Writing The History of the Sevarambians in the 1670s, the Huguenot Denis Veiras borrowed many ideas from Garcilaso de la Vega, also known as El Inca, whose Royal Commentaries of the Incas was published in 1609. Both works describe the history of an empire and justify it on the ground that it brought peace and unity. While Garcilaso’s book purported to be a history, his selection of facts reflected his goal of improving the treatment of the Incas by the Spanish. (...) Veiras’s story also claimed to be a history, but it was transparently a fiction, even to the point of lifting many elements from Garcilaso’s book. What both works equally emphasized was that empires could aim at, and could be justified by, the benefits they provided their subjects. Both tell stories of benevolent and paternalistic rulers who founded nearly ideal societies in the countries they conquered. These were models of empire for peace and unity rather than merely promoting toleration of differences or concord among differing parties. Veiras’s utopia thus offers an instructive case study of the effects of cross-cultural borrowings of literary and political ideas. (shrink)

The present study investigates the collocation-induced semiosis of the linguistic sign AFRICA as being used in the academic section of the Corpus of Contemporary American English (known as COCA) (Davies, Mark. 2008. The Corpus of Contemporary American English (COCA): one billion words, 1990-present. Available online at https://corpus.byu.edu/coca/). Drawing on a hybrid theoretical framework, the study utilizes Charles Peirce’s (1931–58) semiotic model of the sign and Roman Jakobson’s theory of “markedness” (Jakobson, Roman. 1972. Verbal communication. Scientific American (Special Issue, September (...) 1). 73–80) as well as Stuart Hall’s treatment of “code” (Hall, Stuart. 1980. Encoding/decoding. In Stuart Hall, Doothy Hobson, Andrew Lowe, & Paul Willis (eds.), Culture, media, language: Working papers in cultural studies, 1972–79, 117–127. New York: Routledge) and John Swales’ notion of “discourse community” (Swales, John M. 1990. Genre analysis: English in academic and research settings. Cambridge: Cambridge University Press). The study empirically tests the hypothesis that, in a given discourse domain, the relevant interpretant can decode a linguistic sign (representamen) in the co-text of its marked collocates in a way that is collocationally used via the two modes of iconic and indexical signification. The concordance-based analysis conducted in the present study offers two findings, theoretical and practical. First, the study proposes the theoretical concept of collocational semiosis as one way of methodologically integrating the study of collocation into a structural-linguistic analytic framework that richly intersects with the genre-based notion of “discourse community.” Second, in the academic discourse community of the COCA, to the expert interpretant, the representamen AFRICA has been decoded due to its marked collocates which have been technically used in two modes of signification, viz. iconic and indexical. (shrink)

In Republic 436a-c Plato introduces, for the first time, the problematic postulate of the tripartition of the species-functions of the soul to pass on to justify it by starting from the so-called “Principle of conflict” or “of the impossibility of opposites”. To reach this point in the dialogue, we will firstly place this passage in the conceptual architecture of the work, taking the topic of stasis (sedition, revolt, civil war) as the thread for the reconstruction of the argumentative sequence that (...) leads into the psychological model of the parts in conflict. We actually start from the hypothesis that Plato gets to the tripartition of the soul from the evidence that in the psychological reality of the individual there exists a stasis that is produced in the soul due to injustice, contrasting to the concord and friendship that is a result of justice. On the basis of the psychological model of the parts in conflict, the psycho-political objective looked for in Republic, points to the achievement of the psychic unity as a condition for the political unity; since Plato’s political objective is to make citizens become better, which can only be reached through an improvement of the individual soul. Through the topic of stasis and the lexis of the conflict that derives from it, we uphold that Plato intends to prove not only the political and tripartite constitution of the soul, but first and foremost the priority that the psychic tripartition holds over the political order. (shrink)

The first part of this contribution is devoted to my recollection of Christoph Schwöbel; both of us were pupils of Carl Heinz Ratschow, albeit at different times and in different roles. However, we both have been following a twofold counsel of our teacher, first not to restrict theology to value judgments but to strive for an ontology of Christian belief and second to work with a “Trinitarian definition of Christology”. Part two recounts the turmoil around Andreas Osiander in a turbulent (...) time of a crisis of authority around 1550. He was in the end judged to be heretic and was excluded from “true” Lutheranism in the Formula of Concord 1577. Indeed, his doctrine of justification, influenced by humanistic Neoplatonism and even the Kabbala was contrary to the predominant position of the Wittenberg school. However, the crucial point was Osiander’s constellation of Soteriology, Christology and Trinitarian concept of God on a strictly exegetic basis. Part three offers a sketch of the interrelation of Osiander’s soteriological model of the believer’s ascension to God, his Christology of a mediator, and his concept of the divine Logos. In his time, Osiander in a way fulfilled Ratschow’s twofold counsel, in opposition to Christological functionalism and theological positivism. Even today, in view of the ecumenical debate on the doctrine of justification, his thought might give useful hints for revising the aforementioned tasks in fundamental theology. (shrink)