ABSTRACTMemory bias is a risk factor for depression. In two independent studies, the efficacy of one CBM-Memory session on negative memory bias and depressive symptoms was tested in vulnerable samples. We compared positive to neutral CBM-Memory trainings in highly-ruminating individuals and individuals with elevated depressive symptoms. In both studies, participants studied positive, neutral, and negative Swahili words paired with their translations. In five study–test blocks, they were then prompted to retrieve either only the positive or neutral translations. Immediately following the (...) training and one week later, we tested cued recall of all translations and autobiographical memory bias; and also measured mood, depressive symptoms, and rumination. Retrieval practice resulted in training-congruent recall both immediately after and one week after the training. Overall, there was no differential decrease in symptoms or difference in autobiographical memory bias between the tra... (shrink)

Legally blind participants were able to identify a visual stimulus attribute in the absence of consciously identifying its presence. Specifically, participants—with their corrective lenses removed—correctly guessed the hour-hand position above chance on a clockface shown on a computer screen. This occurred both when presented in a 1-clockface display , as well as when shown a display containing 4 clockfaces , in which only 1 face contained a hand. Even more striking, hand identification accuracy in the 4-clockface condition was comparable whether (...) the clockface containing the hand was or was not correctly identified. That legally blind individuals are capable of identifying stimulus attributes without conscious awareness provides an additional vehicle for exploring implicit perception. Consistent with previous research, the visualsystem can apparently cope with degraded visual input through information available through a secondary pathway via the superior colliculi. (shrink)

"Golf day 2005 @ federal golf club, red hill." Ethos: Official Publication of the Law Society of the Australian Capital Territory, (196), pp. 7.

We propose a formal framework for interpretable machine learning. Combining elements from statistical learning, causal interventionism, and decision theory, we design an idealised explanation game in which players collaborate to find the best explanation for a given algorithmic prediction. Through an iterative procedure of questions and answers, the players establish a three-dimensional Pareto frontier that describes the optimal trade-offs between explanatory accuracy, simplicity, and relevance. Multiple rounds are played at different levels of abstraction, allowing the players to explore overlapping causal (...) patterns of variable granularity and scope. We characterise the conditions under which such a game is almost surely guaranteed to converge on a optimal explanation surface in polynomial time, and highlight obstacles that will tend to prevent the players from advancing beyond certain explanatory thresholds. The game serves a descriptive and a normative function, establishing a conceptual space in which to analyse and compare existing proposals, as well as design new and improved solutions. (shrink)

Given its non-invasive nature, there is increasing interest in the use of transcutaneous vagus nerve stimulation across basic, translational and clinical research. Contemporaneously, tVNS can be achieved by stimulating either the auricular branch or the cervical bundle of the vagus nerve, referred to as transcutaneous auricular vagus nerve stimulation and transcutaneous cervical VNS, respectively. In order to advance the field in a systematic manner, studies using these technologies need to adequately report sufficient methodological detail to enable comparison of results between (...) studies, replication of studies, as well as enhancing study participant safety. We systematically reviewed the existing tVNS literature to evaluate current reporting practices. Based on this review, and consensus among participating authors, we propose a set of minimal reporting items to guide future tVNS studies. The suggested items address specific technical aspects of the device and stimulation parameters. We also cover general recommendations including inclusion and exclusion criteria for participants, outcome parameters and the detailed reporting of side effects. Furthermore, we review strategies used to identify the optimal stimulation parameters for a given research setting and summarize ongoing developments in animal research with potential implications for the application of tVNS in humans. Finally, we discuss the potential of tVNS in future research as well as the associated challenges across several disciplines in research and clinical practice. (shrink)

Given its non-invasive nature, there is increasing interest in the use of transcutaneous vagus nerve stimulation across basic, translational and clinical research. Contemporaneously, tVNS can be achieved by stimulating either the auricular branch or the cervical bundle of the vagus nerve, referred to as transcutaneous auricular vagus nerve stimulation and transcutaneous cervical VNS, respectively. In order to advance the field in a systematic manner, studies using these technologies need to adequately report sufficient methodological detail to enable comparison of results between (...) studies, replication of studies, as well as enhancing study participant safety. We systematically reviewed the existing tVNS literature to evaluate current reporting practices. Based on this review, and consensus among participating authors, we propose a set of minimal reporting items to guide future tVNS studies. The suggested items address specific technical aspects of the device and stimulation parameters. We also cover general recommendations including inclusion and exclusion criteria for participants, outcome parameters and the detailed reporting of side effects. Furthermore, we review strategies used to identify the optimal stimulation parameters for a given research setting and summarize ongoing developments in animal research with potential implications for the application of tVNS in humans. Finally, we discuss the potential of tVNS in future research as well as the associated challenges across several disciplines in research and clinical practice. (shrink)

Berkeley's essay on vision was published in the spring of 1709. It was recognised at once as a book of considerable importance, and there was a second edition within the first year. The author was still only 24. His design, he wrote, was to show the ‘manner we perceive by sight the distance, magnitude and situation of objects’. Hitherto, writers on optics had ‘proceeded on wrong principles’.

Marx’s critical theory of slavery is the operational subtext throughout his critique of political economy. For Marx, the movement from modern slavery to capital represents a historical transition of significance, not only (or foremost) as an empirical transition but also as a transformation of social substance. Marx reveals why, in retrospect, production based on slavery, as logical configuration, must give way to the generalising logic of wage labour. Marx’s critical theory of slavery historicises wage labour (qua category) as the dissolution (...) and inversion of enslaved labour (qua category). Plantation slavery production in the colonised territories initiates a qualitative development that constitutes the historical condition for the emergence of a mode of sociality that we can call ‘value’. Marx’s theoretical account of modern slavery is a lever in his broader critique of capital and is fundamentally distinct from empirical, historical accounts. (shrink)

This seminal paper, which marks a turning point of the chemical revolution, is presented for the first time in a complete English translation. In this first half Lavoisier undermines phlogiston chemistry by arguing that his French contemporaries had replaced Stahl’s original theory with radically different systems that conceptualised the phlogiston principle in completely incompatible ways. He refutes their claims by showing that these later models were riddled with inconsistencies as to phlogiston’s weight, its ability to penetrate glass and its role (...) as a source of colour and odour in chemical compounds. (shrink)

Having refuted the phlogiston theory, Lavoisier uses this second portion of his essay to expound his new theory of combustion, based on the oxygen principle. He gives a mechanistic account of thermodynamic phenomena in terms of a subtle fluid and its ability to penetrate porous bodies. He uses this hypothetical fluid to explain volume changes, heat capacity and latent heat. Beyond the three types of combustion that he distinguishes and defines, Lavoisier also explains other chemical sources of heat, such as (...) the heat of solution. (shrink)

Massive geopolitical shifts and dramatic developments in computerization and biotechnology are heralding the transformation from the modern to the postmodern age. We are confronted with altered modes of work, communication, and entertainment; new postindustrial and political networks; novel approaches to warfare; genetic engineering; and even cloning. This compelling book explores the challenges to theory, politics, and human identity that we face on the threshold of the third millennium. It follows on the success of Best and Kellner s two previous books: (...) Postmodern Theory, acclaimed as the best critical introduction to the field, and The Postmodern Turn, which provides a powerful mapping of postmodern developments in the arts, politics, science, and theory. In The Postmodern Adventure, Best and Kellner analyze a broad array of literary, cultural, and political phenomena--from fiction, film, science, and the Internet, to globalization and the rise of a transnational image culture. They use the best of modern and postmodern perspectives to illuminate contemporary life and to strive for a just and viable future. Gold Medal Winner in Philosophy--ForeWord Magazine's Book of the Year Awards. (shrink)

How are Christians to understand God’s grace for individuals in the midst of severe trauma, particularly in light of a global epidemic of sexual violence against so many women and children? How does the call to witness to the good news of Christ’s love translate into specific obligations that respond to the needs of sexual abuse survivors? The purpose of this article is to explore these questions in the context of Karl Rahner’s theology of grace. When seeking to understand God’s (...) gracious presence in the midst of sexual violation, it is particularly helpful to explore Rahner’s insight that God’s grace is mediated through acts of neighbour-love both within and beyond Christian communities. Such insight into the social mediation of grace has exciting potential to transform perceptions of what is at stake in loving our neighbour and the forms that neighbour-love can take, mobilising Christians for greater social justice in the service of God. (shrink)

Christians have traditionally claimed a kind of invulnerability to harm that would render them incapable of responding to God's grace. This claim to invulnerability will be examined in light of trauma theory's insistence that, in situations of overwhelming violence, a person's capacity for responsive agency can be severely disabled. Drawing from incest survivors' experiences of recovery, I argue that a critical re-examination of the human capacity to receive God's grace must include greater appreciation for how God's love is mediated, at (...) least in part, through loving interpersonal relations. Ethical implications resulting from this insight should challenge our communities in profound ways. (shrink)

Many believe that nanotechnology will be disruptive to our society. Presumably, this means that some people and even whole industries will be undermined by technological developments that nanoscience makes possible. This, in turn, implies that we should anticipate potential workforce disruptions, mitigate in advance social problems likely to arise, and work to fairly distribute the future benefits of nanotechnology. This general, somewhat vague sense of disruption, is very difficult to specify – what will it entail? And how can we responsibly (...) anticipate and mitigate any problems? We can't even clearly state what the problems are anticipated to be. In fact, when we move from sweeping policy statements to more concrete accounts, nanotechnology seems to bifurcate into two divergent streams: one is fairly continuous with current developments, extending extant science in a quantitative way; the other is radically new, and includes science fiction-like dreams of molecular manufacturing and assemblers, with their utopian scenarios of absolute plenty. In these cases, “disruption” takes on the valence of Huxley's brave new world. (shrink)

Ice Cube "What's a brother gotta do to get a message through to the Red, White, and Blue?" Ice-T Rap music has emerged as one of the most distinctive and controversial music genres of the past decade. A significant part of hip hop culture, [1] rap articulates the experiences and conditions of African-Americans living in a spectrum of marginalized situations ranging from racial stereotyping and stigmatizing to struggle for survival in violent ghetto conditions. In this cultural context, rap provides a (...) voice to the voiceless, a form of protest to the oppressed, and a mode of alternative cultural style and identity to the marginalized. Rap is thus not only music to dance and party to, but a potent form of cultural identity. It has become a powerful vehicle for cultural political expression, serving as the "CNN of black people", or upping the high-tech ante, as their "satellite communication system". It is an informational medium to tune into, one that describes the rage of African-Americans facing growing oppression, declining opportunities for advancement, changing moods on the streets, and everyday life as a matter of sheer survival. In turn, it has become a cultural virus, circulating its images, sounds, and attitude throughout the culture and body politic. (shrink)

Proper interpretations of symbols of authority are important for navigating both our cultural settings and the contours of Scripture. This paper looks at the ways the Book of Revelation contrasts images of competing authoritative kings, asking the question, who is worthy of worship, Caesar or Christ? In the African Folk-Islamic context of the Makua-Metto people of Mozambique, familiar national and traditional symbols of authority provide a framework for a robust reading of John’s Apocalypse.

My text is written to answer the questions asked at the APA Meeting's presentation of the book Moral Textures: Feminist Narratives in the Public Sphere by professors María Lugones and Eduardo Mendieta. The answer seeks to clarify that Lugones's infrapolitics position is not so distant from mine. I also address Mendieta's question directed more to the aesthetic domain. There, I seek to show how my position could be taken as a creative effort to extend some of Habermas's early work on (...) the public sphere, and to develop the thesis of the important relations between the aesthetic and the moral realms. (shrink)

A trait is of adaptive value if it confers a fitness advantage to its possessor. Thus adaptiveness is an ahistorical identification of a trait affording some selective advantage to an agent within some particular environment. In results reported here we identify a trait within natural language discourse as having adaptive value by computing a trait/fitness covariance; the possession of the trait correlates with the replication success of the trait’s possessor. We show that the trait covaries with fitness across multiple unrelated (...) discursive groups. In our analysis the trait in question is a particular statistically derived word-in-context, that is, a word set. Variation of the word-usage is measured as the relative presence of the word set within a particular text, that is, the percentage of the text devoted to this set of words. Fitness is measured as the rate in which the text is responded to, or replicates, within an online environment. Thus we are studying the micro-evolutionary dynamics of natural language discourse. (shrink)

Taking their starting point from the nineteenth-century reformer Robert Owen’s concern to promote the education of the poor, Hopkins (2016) together with the other authors in the volume, investigat...

Challenges of interpersonal harm for a theology of freedom and grace -- Karl Rahner's theological anthropology -- The role of freedom and grace in the construction of the human self -- The vulnerable self and loss of agency -- Trauma theory and the challenge to a Rahnerian theology of freedom and grace -- The fragmented self and constrained agency -- Feminist theories as correctives to a Rahnerian anthropology -- Response to the challenge -- Rahner's theology revisited -- Ethical directions -- (...) Implications of a revised theology of freedom and grace. (shrink)

A major oversight in Catholicism’s clergy abuse crisis is its failure to examine how assumptions about children and norms concerning adult-children interactions contributed to child sexual abuse and bishops’ systematic cover-up. An adequate response must include new practices based on a revised child-centered account of what constitutes justice for children. In this paper, I develop an account of justice drawing on four sources: 1) Margaret Farley’s account of justice; 2) research findings from my ethnographic study observing and interviewing Catholic second (...) graders about receiving the Sacrament of Reconciliation; 3) the interdisciplinary field of childhood studies; and 4) the Catholic tradition. (shrink)

Some critics argue that Marx has conflicting models of history: a "continuist" model that interprets history as a unified, evolutionary movement, and a "discontinuist" model that sees capitalist society as a break from all preceding social formations. I argue that Marx in fact does have multiple models of history, but that these are not incompatible or contradictory. Rather, Marx adopts a "perspectival" or "contextualist" approach that employs different models to gain different perspectives on the historical process. I provide a close (...) reading of the "discontinuity" model based on an analysis of Marx's Grundrisse. (shrink)

This chapter contains sections titled: Modern Theory and Kierkegaard's Assault on Reason Nietzsche and the Postmodern Nietzsche's Progeny and the Postmodern Turn: From Heidegger through Derrida Foucault's Critique of Rationality and Modernity Lyotard's “Postmodern Condition”: Polemics and Aporia Richard Rorty, the Attack on Theory, and Renunciation of Radical Politics For Theory and Politics.

In theorizing the postmodern, one inevitably encounters the postmodern assault on theory, such as Lyotard's and Foucault's attack on modern theory for its alleged totalizing and essentializing character. The argument is ironic, of course, since it falsely homogenizes a heterogeneous "modern tradition" and since postmodern theorists like Foucault and Baudrillard are often as totalizing as any modern thinker (Kellner 1989 and Best 1995). But where Lyotard seeks justification of theory within localized language games, arguing that no universal criteria are possible (...) to ground objective truths or universal values, Foucault steadfastly resists any efforts, local or otherwise, to validate normative concepts and theoretical perspectives. For Foucault, justification ensnares one in metaphysical illusions like "truth" and the only concern of the philosopher-critic is to dismantle old ways of thinking, to attack existing traditions and institutions, and to open up new horizons of experience for greater individual freedom. What matters, then, is results, and if actions bring greater freedom, the theoretical perspectives informing them are "justified." From this perspective, theoretical discourse is seen not so much as "correct" or true," but as "efficacious," as producing positive effects. (shrink)

"Sir Hermann Bondi, NatureThe late S. Chandrasekhar was best known for his discovery of the upper limit to the mass of a white dwarf star, for which he received ...

The self-disorder model provides a phenomenological framework for understanding how the core symptoms of Schizophrenia Spectrum Disorders (SSDs) are rooted in an instability of minimal selfhood. This instability involves a range of “anomalous experiences”: transformations in an individual’s perceptual field and sense of being an agent of action. The explanatory value of this theoretical model can be summarized in two claims about the role of anomalous experiences in self-disorders: (1) anomalous experiences express a common trait-like disturbance that is characteristic of (...) SSDs, and (2) anomalous experiences contribute to explanations regarding how self-disorders progress into SSDs. While hypotheses consistent with the first claim have been substantiated in several studies, hypotheses consistent with the second claim remain underexamined. We argue that attending to this gap in the literature requires considering which methodological strategies are best suited for investigating if and how anomalous experiences contribute to the development of self-disorders into SSDs and psychotic states. Network modeling is discussed as one such strategy suitable for examining the role of anomalies of lived-world in the maintenance of paranoid delusions in SSDs. (shrink)

The IHME Covid-19 prediction model has been one of the most influential Covid models in the United States. Early on, it received heavy criticism for understating the extent of the epidemic. I argue that this criticism was based on a misunderstanding of the model. The model was best interpreted not as attempting to forecast the actual course of the epidemic. Rather, it was attempting to make a conditional projection: telling us how the epidemic would unfold, given certain assumptions. This misunderstanding (...) of the IHME’s model prevented the public from seeing how dire the model’s projections actually were. (shrink)

In this issue of the Hastings Center Report, Moti Gorin, Steven Joffe, Neal Dickert, and Scott Halpern offer a comprehensive defense of the use of nudging techniques in the clinical context, with the aim of promoting the best interests of patients. Their argument is built on three important claims: Nudging is ubiquitous and inescapable in clinical choice situations, and there is no neutral way of informing patients about their treatment choices; many patients do not have authentic preferences concerning their treatment (...) choices, and those that do can easily resist nudging; and, finally, since many people lack authentic preferences and those that do can still act on their preferences, nudging in the patients’ best interest is justified. I agree with the authors that if these three claims stand up to scrutiny, then they will provide a justification for many types of clinical nudging. I am, however, skeptical as to whether the claims can be sustained, despite the valiant efforts of Gorin and colleagues. (shrink)

We propose a formal framework for interpretable machine learning. Combining elements from statistical learning, causal interventionism, and decision theory, we design an idealised explanation game in which players collaborate to find the best explanation for a given algorithmic prediction. Through an iterative procedure of questions and answers, the players establish a three-dimensional Pareto frontier that describes the optimal trade-offs between explanatory accuracy, simplicity, and relevance. Multiple rounds are played at different levels of abstraction, allowing the players to explore overlapping causal (...) patterns of variable granularity and scope. We characterise the conditions under which such a game is almost surely guaranteed to converge on a optimal explanation surface in polynomial time, and highlight obstacles that will tend to prevent the players from advancing beyond certain explanatory thresholds. The game serves a descriptive and a normative function, establishing a conceptual space in which to analyse and compare existing proposals, as well as design new and improved solutions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 23 (2003) 189-193 [Access article in PDF] Buddhist Learning and Textual Practice in Eighteenth-Century Lankan Monastic Culture. By Anne M. Blackburn. Princeton, N.J.: Princeton University Press, 2001. x + 241 pp. Buddhist Learning is an important study of the emergence of the Siyam Nikaya (monastic order) in eighteenth-century Kandy, Sri Lanka's last Buddhist kingdom (which fell to the British only in 1815). Blackburn focuses on educational institutions (...) in her account, but frames it also to address larger issues in the study of Buddhist and non-Buddhist texts and history.An introductory chapter sets forth Blackburn's three central arguments (4): colonial and postcolonial scholarly constructions of Sri Lankan Buddhist "tradition" obscure the eighteenth-century phenomena that she reconstructs; the idea of "textual communities," developed in dialogue with contemporary scholarship on medieval European Christianity, provides a useful tool for analyzing those phenomena; [End Page 189] thus analyzed, the early Siyam Nikaya turns out to represent an innovative "reformulation" of Sri Lankan Buddhism, made possible by the establishment of the order itself, its systematization of monastic education, and the development of a bilingual commentarial genre for use within that system.Chapter 2 provides nonspecialists "at least a glimpse of the larger social context in which the emerging Siyam Nikaya participated" (23), with brief sketches of Sri Lankan Buddhist history, the structure and politics of the Kandyan court, the organization of monasticism prior to the rise of the Siyam Nikaya, and the presence of non-Buddhist religious leaders in Kandyan society. Chapter 3 begins with a discussion of Sri Lankan monastic education prior to 1730, then analyzes three stages in the emergence of distinctive Siyam Nikaya educational institutions (the early career of founder Valivita Saranamkara [1698-1778]; the late 1730s creation of a prototypical educational institution at Niyamakanda; and the 1753 importation of higher ordination [ upasampada ] from Thailand/formal establishment of the Siyam Nikaya, respectively), the history of royal patronage of these institutions, their new curriculum, its implementation and administration, its impact on monastic identity and lay-monastic relations, and the relationship of monastic erudition to prestige and patronage.Chapter 4 surveys Siyam Nikaya histories to argue that the order's rise was attended by "an innovative discourse on monasticism" that bolstered its authority by depicting its education-based interpretation of monastic virtue as "natural and desirable Buddhist practice" (105). Though these histories employed the rhetorical trope of decline and revival, their emphasis on Buddhist learning "signals a moment of profound change in Lankan Buddhism" (76-77), because they provided a charter for the new Nikaya while creating a perception that Siyam Nikaya monks practiced the best form of Buddhist monasticism. When imbibed by members of the royal court, this assured these monks steady patronage and prestige over their rivals, called ganinnanses, whom they directly and indirectly attacked. Chapter 5 zeroes in on Saranamkara and his Sararthadipani, a bilingual (Sinhala and Pali) commentary on the "four recitation sections" (catubhanavara) of protective (paritta) texts in Pali. This monumental work and the genre of bilingual commentaries (called sutra sannayas ) that it inspired, Blackburn maintains, were central to Saranamkara's claim to authority and created a distinctive monastic identity for Siyam Nikaya monks. Through close analysis of selected passages from Sararthadipani, Blackburn reveals the inner workings of bilingual commentary, particularly insofar as it allowed Saranamkara and his disciples to demonstrate their proper command of the classic Pali texts.In chapter 6 Blackburn argues that the sutra sannayas produced "a new Buddhist textual community" united in its reading and/or hearing of them. Exploring the ways in which Sararthadipani and the other sutra sannayas "constrained" readers to accept Saranamkara's vision of proper monasticism (such as direct instructions to readers and rhetorical structures), but recognizing that they also left open (in their use of simile, metaphor, and illustrative stories) the possibility of "less constrained" and "resistant" readings, Blackburn suggests that the genre extended the Siyam Nikaya's program beyond the small circle of Saranamkara's disciples to transform Sri Lankan monasticism [End Page 190] more generally. Moreover, she argues that given... (shrink)

We propose a formal framework for interpretable machine learning. Combining elements from statistical learning, causal interventionism, and decision theory, we design an idealisedexplanation gamein which players collaborate to find the best explanation(s) for a given algorithmic prediction. Through an iterative procedure of questions and answers, the players establish a three-dimensional Pareto frontier that describes the optimal trade-offs between explanatory accuracy, simplicity, and relevance. Multiple rounds are played at different levels of abstraction, allowing the players to explore overlapping causal patterns of (...) variable granularity and scope. We characterise the conditions under which such a game is almost surely guaranteed to converge on a (conditionally) optimal explanation surface in polynomial time, and highlight obstacles that will tend to prevent the players from advancing beyond certain explanatory thresholds. The game serves a descriptive and a normative function, establishing a conceptual space in which to analyse and compare existing proposals, as well as design new and improved solutions. (shrink)

Best known as a philosopher, one of the founders of existentialism, Kierkegaard also wrote books whose themes were primarily religious, psychological or literary. He was opposed to much in organised Christianity, stressing the necessity for individual choice against prescribed dogma and ritual. In this book, he concentrates his penetrating psychological observations on the theme of despair.

The story of Ashley, a nine-year-old from Seattle, has caused a good deal of controversy since it appeared in the Los Angeles Times on January 3, 2007.1 Ashley was born with a condition called static encephalopathy, a severe brain impairment that leaves her unable to walk, talk, eat, sit up, or roll over. According to her doctors, Ashley has reached, and will remain at, the developmental level of a three-month-old.

Next SectionBackground: Physicians face ethical difficulties daily, yet they seek ethics consultation infrequently. To date, no systematic data have been collected on the strategies they use to resolve such difficulties when they do so without the help of ethics consultation. Thus, our understanding of ethical decision making in day to day medical practice is poor. We report findings from the qualitative analysis of 310 ethically difficult situations described to us by physicians who encountered them in their practice. When facing such (...) situations, the physicians sought to avoid conflict, obtain assistance, and protect the integrity of their conscience and reputation, as well as the integrity of the group of people who participated in the decisions. These goals could conflict with each other, or with ethical goals, in problematic ways. Being aware of these potentially conflicting goals may help physicians to resolve ethical difficulties more effectively. This awareness should also contribute to informing the practice of ethics consultation. Objective: To identify strategies used by physicians in dealing with ethical difficulties in their practice. Design, setting, and participants: National survey of internists, oncologists, and intensive care specialists by computer assisted telephone interviews (n = 344, response rate = 64%). As part of this survey, we asked physicians to tell us about a recent ethical dilemma they had encountered in their medical practice. Transcripts of their open-ended responses were analysed using coding and analytical elements of the grounded theory approach. Main measurements: Strategies and approaches reported by respondents as part of their account of a recent ethical difficulty they had encountered in their practice. Results: When faced with ethical difficulties, the physicians avoided conflict and looked for assistance, which contributed to protecting, or attempting to protect, the integrity of their conscience and reputation, as well as the integrity of the group of people who participated in the decisions. These efforts sometimes reinforced ethical goals, such as following patients’ wishes or their best interests, but they sometimes competed with them. The goals of avoiding conflict, obtaining assistance, and protecting the respondent’s integrity and that of the group of decision makers could also compete with each other. Conclusion: In resolving ethical difficulties in medical practice, internists entertained competing goals that they did not always successfully achieve. Additionally, the means employed were not always the most likely to achieve those aims. Understanding these aspects of ethical decision making in medical practice is important both for physicians themselves as they struggle with ethical difficulties and for the ethics consultants who wish to help them in this process. (shrink)

Environmentalist philosophers often paint a holistic picture, stressing such things as the continuity of humanity with wider nature and our membership of the 'natural community' . The implication seems to be that a non-anthropocentric philosophy requires that we strongly identify ourselves with nature and therefore that we downplay any human/non-human distinction. An alternative view, I think more interesting and plausible, stresses the distinction between humanity and a nature valued precisely for its otherness. In this article I discuss some of its (...) main elements, and some of the difficulties involved with keeping nature's otherness in focus. Firstly (in sections 1-5), I try to clarify what I take to be the otherness-based position by distinguishing it from the apparently similar views of John Passmore, Robert Elliott and Keekok Lee, and some opposed holistic views, especially of J. Baird Callicott. Then, in the second half of the article (sections 6-7), I argue that if nature is valued in virtue of its otherness, this value is best thought of as an extrinsic, final and objective good, where 'objectivity' is a 'method of understanding', in Thomas Nagel's sense. Although I give some reasons for preferring an otherness account to certain alternative positions, I make no overall attempt to 'prove' that nature is valuable for its otherness. My aim is to show that, if it is, then this seems the best way to understand that value. (shrink)

Define teleology as the view that requirements hold in virtue of facts about value or goodness. Teleological views are quite popular, and in fact some philosophers (e.g. Dreier, Smith) argue that all (plausible) moral theories can be understood teleologically. I argue, however, that certain well-known cases show that the teleologist must at minimum assume that there are certain facts that an agent ought to know, and that this means that requirements can't, in general, hold in virtue of facts about value (...) or goodness. I then show that even if we grant those 'ought's teleology still runs into problems. A positive justification of teleology looks like it will require an argument of this form: O(X); if X, then O(Y); therefore O(Y). But this form of argument isn't in general valid. I conclude by offering two positive suggestions for those attracted to a teleological outlook. (shrink)

Taking up the controversial issue of the value of the laws of non-ideal cities in Plato’s Statesman, the paper argues for a modified version of the traditional interpretation, as defended against Christopher Rowe’s influential criticism. The paper agrees with the traditional view that the established laws of non-ideal cities are assumed to be good laws and that the Eleatic Stranger’s justification for this assumption can be found in 300b. But it also argues that this defence of the traditional interpretation must (...) be based on a revised understanding of the role of legislation in the Stranger’s conception of ideal rule. The unique contribution of the expert to good government consists in his distinctive ability to judge what is appropriate in each case, not in his work as legislator, which, on closer inspection, turns out to be based on the very same ancestral traditions that the second best city must resort to. (shrink)

We suggest a teleological approach to subjective experiencing or phenomenal consciousness. Like living, subjective experiencing is a teleology-constituting mode of being, which is made up of coupled, functional processes. We explicate our notion of a 'teleological mode of being' and distinguish between three different modes: a living (non-sentient) mode of being, a sentient mode of being, and a rational-symbolic (human) mode of being, which correspond to the three levels of soul suggested by Aristotle. These evolved teleological modes of being are (...) characterized by the possession of distinct, hierarchically nested goals and value systems. We argue that the functions of parts and processes within living systems have to be situated within the appropriate teleological frame of reference. Our evolutionary and comparative approach to the mode of being of subjectively experiencing animals clarifies why functions are best attributed to the parts that constitute sentience. Our proposal resolves the problem of attributing functions to phenomenal consciousness, resonates with basic teleological intuitions and distinctions, and corresponds to the modern broad understanding of selection and evolution. (shrink)

Definite descriptions, I shall argue, have two possible functions. 1] They are used to refer to what a speaker wishes to talk about, but they are also used quite differently. Moreover, a definite description occurring in one and the same sentence may, on different occasions of its use, function in either way. The failure to deal with this duality of function obscures the genuine referring use of definite descriptions. The best known theories of definite descriptions, those of Russell and Strawson, (...) I shall suggest, are both guilty of this. Before discussing this distinction in use, I will mention some features of these theories to which it is especially relevant. (shrink)

The civilizational turn in sociological theory is best understood as an attempt to do full justice to the autonomy of culture (against all versions of structural-functional theory) without conceding the issue to cultural determinism. Civilizational formations are based on combinations of cultural visions of the world with regulative frameworks of social life, but the relationship between the two levels is open to conflicting interpretations and strategic uses of them. Axial age civilizations open up new structural and historical dimensions of interaction (...) between cultural and social patterns, and are therefore central to the agenda of civilizational analysis. Among the later breakthroughs which draw on Axial sources, the emergence of modernity stands out as particularly important; the cultural and political program of modernity may be seen as a new and distinctive civilization, but it remains open to more or less formative influences from older civilizational legacies. (shrink)

This article discusses the question of whether, as is often claimed, nursing is properly described as an art. Following critical remarks on the claims of Carper, Chinn and Watson, and Johnson, the account of art provided by RG Collingwood is described, with particular reference to his influential distinction between art and craft. The question of whether nursing is best described as an art or a craft is then discussed. The conclusion is advanced that nursing cannot properly be described as an (...) art, given acceptance of Collingwood’s influential definition of art. Moreover, it is shown that, due to difficulties inherent in specifying the ‘ends’ of nursing, nursing is only problematically described as a craft. (shrink)