The aim of this study was to analyse experiences of moral concerns in intensive care nursing. The theoretical perspective of the study is based on relational ethics, also referred to as ethics of care. The participants were 36 intensive care nurses from 10 general, neonatal and thoracic intensive care units. The structural characteristics of the units were similar: a high working pace, advanced technology, budget restrictions, recent reorganization, and shortage of experienced nurses. The data consisted of the participants’ examples of (...) ethical situations they had experienced in their intensive care unit. A qualitative content analysis identified five themes: believing in a good death; knowing the course of events; feelings of distress; reasoning about physicians’ ‘doings’ and tensions in expressing moral awareness. A main theme was formulated as caring about - caring for: moral obligations and work responsibilities. Moral obligations and work responsibilities are assumed to be complementary dimensions in nursing, yet they were found not to be in balance for intensive care nurses. In conclusion there is a need to support nurses in difficult intensive care situations, for example, by mentoring, as a step towards developing moral action knowledge in the context of intensive care nursing. (shrink)

This paper outlines, from a sociological and social psychological perspective, a theoretical framework with which to define and analyse consciousness, emphasizing the importance of language, collective representations, conceptions of self, and self-reflectivity in understanding human consciousness. It argues that the shape and feel of consciousness is heavily social, and this is no less true of our experience of collective consciousness than it is of our experience of individual consciousness. The paper is divided into two parts. Part One argues that the (...) problem of consciousness can be approached fruitfully by beginning with human group and collective phenomena: community, language, language-based communication, institutional and cultural arrangements, collective representations, self-conceptions, and self-referentiality. A collective is understood as a group or population of individuals that possesses or develops collective representations of itself: its values and goals, its structure and modes of operating, its strategies, developments, strengths and weaknesses, etc. Collective reflectivity emerges as a function of an organization or group producing and making use of collective representations of the self in its discussions, critical reflections, and planning. A collective monitors its activities, achievements and failures, and reflects on itself as a defined and on-going collective being. In this perspective, human consciousness is understood as a type of reflective activity: observing, monitoring, judging and re-orienting and re-organizing self; considering what characterizes the self, what self perceives, judges, could do, should do . The reflectivity is encoded in language and developed in conversations about collective selves. Part Two of the paper applies the framework to analysing the individual experience of consciousness, self-representation, self-reference, self-reflectivity and self-development. (shrink)

This article argues that parliamentary institutions have increasing difficulty in addressing and dealing with the growing complexity, highly technical character and rapidity of many developments in modern societies. Deficits in representation, in knowledge and competence, and in engagement or commitment effectively erode the authority and status of parliamentary government. Major rule- and policy-making activities are being substantially displaced from parliamentary bodies and central governments to global, regional and local agents as well as agents operating in the many sectors of a (...) highly differentiated, modern society. Governance - and sovereignty - are increasingly diffused upward, downward and outward beyond parliament and its government. The author identifies problems, practical as well as normative, with this general development and discusses the possibilities and limitations of reform. (shrink)

This article illustrates the important scientific role that a systems approach might play within the social sciences and humanities, above all through its contribution to a common language, shared conceptualizations, and theoretical integration in the face of the extreme (and growing) fragmentation among the social sciences (and between the social sciences and the natural sciences). The article outlines a systems theoretic approach, actor-system-dynamics (ASD), whose authors have strived to re-establish systems theorizing in the social sciences (after a period of marginalization (...) since the late 1960s). This is done, in part, by showing how key social science concepts are readily incorporated and applied in social system analysis. (shrink)

This article presents a relatively straightforward theoretical framework about distributive justice with applications. It draws on a few key concepts of Sociological Game Theory. SGT is presented briefly in section 2. Section 3 provides a spectrum of distributive cases concerning principles of equality, differentiation among recipients according to performance or contribution, status or authority, or need. Two general types of social organization of distributive judgment are distinguished and judgment procedures or algorithms are modeled in each type of social organization. Section (...) 4 discusses briefly the larger moral landscapes of human judgment – how distribution may typically be combined with other value into consideration. The article suggests that Rawls, Elster, and Machado point in this direction. Finally, it is suggested that the SGT framework presented provides a useful point of departure to systematically link it and compare the Warsaw School of Fair Division, Rawls, and Elster, among others. (shrink)

Next SectionMaking threats and offers to patients is a strategy used in community mental healthcare to increase treatment adherence. In this paper, an ethical analysis of these types of proposal is presented. It is argued (1) that the primary ethical consideration is to identify the professional duties of care held by those working in community mental health because the nature of these duties will enable a threat to be differentiated from an offer, (2) that threatening to act in a way (...) that would equate with a failure to uphold the requirements of these duties is wrong, irrespective of the benefit accrued through treatment adherence and (3) that making offers to patients raises a number of secondary ethical considerations that need to be judged on their own merit in the context of individual patient care. The paper concludes by considering the implications of these arguments, setting out a pathway designed to assist community mental healthcare practitioners to determine whether making a specific proposal to a patient is right or wrong. (shrink)

Emotion processing is known to be impaired in psychopathy, but less is known about the cognitive mechanisms that drive this. Our study examined experiencing and suppression of emotion processing in psychopathy. Participants, violent offenders with varying levels of psychopathy, viewed positive and negative images under conditions of passive viewing, experiencing and suppressing. Higher scoring psychopathics were more cardiovascularly responsive when processing negative information than positive, possibly reflecting an anomalously rewarding aspect of processing normally unpleasant material. When required to experience emotional (...) response, by ‘getting into the feeling’ of the emotion conveyed by a negative image, higher factor 1 psychopathic individuals showed reduced responsiveness, suggesting that they were less able to do this. These data, together with the absence of corresponding differences in subjective self-report might be used to inform clinical strategies for normalising emotion processing in psychopathic offenders to improve treatment outcome, and reduce risk amongst this client group. (shrink)

Community treatment orders are a legal mechanism to extend powers of compulsion into outpatient mental health settings in certain circumstances. Previous ethical analyses of these powers have explored a perceived tension between a duty to respect personal freedoms and autonomy and a duty to ensure that patients with the most complex needs are able to receive beneficial care and support that maximises their welfare in the longer-term. This empirical ethics paper presents an analysis of 75 interviews with psychiatrists, patients and (...) family carers to show how these ethical considerations map onto the different ways that community treatment orders are used and experienced in practice. A complex and nuanced account of how the requirements to respect patients’ autonomy, to respect patients’ liberty and to act beneficently should be interpreted in order to make judgements about the ethics of community treatment orders is presented. The article argues that, due to such complexity, no general ethical justification for community treatment orders can be provided, but a justification on the basis of the promotion of patients’ autonomy could provide an ethical reason for community mental health practitioners to make use of a community treatment order in some limited circumstances. (shrink)

Community treatment orders are a legal mechanism to extend powers of compulsion into outpatient mental health settings in certain circumstances. Previous ethical analyses of these powers have explored a perceived tension between a duty to respect personal freedoms and autonomy and a duty to ensure that patients with the most complex needs are able to receive beneficial care and support that maximises their welfare in the longer-term. This empirical ethics paper presents an analysis of 75 interviews with psychiatrists, patients and (...) family carers to show how these ethical considerations map onto the different ways that community treatment orders are used and experienced in practice. A complex and nuanced account of how the requirements to respect patients’ autonomy, to respect patients’ liberty and to act beneficently should be interpreted in order to make judgements about the ethics of community treatment orders is presented. The article argues that, due to such complexity, no general ethical justification for community treatment orders can be provided, but a justification on the basis of the promotion of patients’ autonomy could provide an ethical reason for community mental health practitioners to make use of a community treatment order in some limited circumstances. (shrink)

In this article, Tom Wanchick addresses a common criticism of theism — that the concept of God is logically incoherent. Elizabeth Burns responds to Wanchick in the piece that follows.

How to Read the Old Testament. By Etienne Charpentier. Pp.124, London, SCM Press, 1982, £3.95. How to Read the New Testament. By Etienne Charpentier. Pp.129, London, SCM Press, 1982. £3.95. Beginning Old Testament Study. Edited by John Rogerson. Pp.vi, 157, London, SPCK, 1982, £3.95. Welt aus der die Bibel kommt Welt aus der die Bibel kommt: Biblische Hil ‘swissenschaften’. By Mechthild Kellermann, Stanisław Medala, Michele Piccirillo and Eugene Sitarz. Pp.263, Kevelaer, Butzon und Bercker; Stuttgart, Verlag Katholisches Bibelwerk, 1982, DM 28. (...) The Structure of Biblical Myths. The Structure of Biblical Myths. By Heinz Westman. Pp.xxii, 477, Dallas, Spring Publications, 1983, no price given. Toward Old Testament Ethics. Toward Old Testament Ethics. By Walter C. Kaiser, Pp.xii, 345, Grand Rapids, Academie Books, 1983, £13.95. Das Evangelium and die Evangelien. Das Evangelium and die Evangelien. Edited by Peter Stuhlmacher. Pp.viii, 454, Tubingen, J.C.B. Mohr, 1983, DM 178. Once More Astonished Once More Astonished: The Parables of Jesus. By Jan Lambrecht. Pp.xiv, 245, New York, Crossroad Publishing, 1983, $9.95. Mark: The Gospel as Story. Mark: The Gospel as Story. By Ernest Best. Pp.vii, 155, Edinburgh, T & T. Clark, 1983, £8.95. The ‘Son of Man’ as The Son of God. The ‘Son of Man’ as The Son of God. By Seyoon Kim. Pp.x, 118, Tübingen, J.C.B. Mohr, 1983, DM 48. Paul and the Law. Paul and the Law. By Heikki Räisänen. Pp.xi, 320, Tübingen, J.C.B. Mohr, 1983, DM 108. Pauline Christianity. Pauline Christianity. By John Ziesler, Pp.ix, 157, Oxford University Press, 1983, £3.50. God as the Mystery of the World God as the Mystery of the World: On the Foundations of the Theology of the Crucified One in the Dispute between Theism and Atheism. By Eberhard Jüngel, translated by Darrell L. Guder.Pp. xvi, 414, Edinburgh, T. and T. Clark, 1983, £14.95. Theologia: The Fragmentation and Unity of Theological Education. Theologia: The Fragmentation and Unity of Theological Education. By Edward Farley. Pp.xiv, 206, Philadelphia, Fortress Press, 1983, $14.50. Unity in Theology Unity in Theology: Lonergan's Framework for Theology in its New Context. By Michael C. O'Callaghan. Pp.xlii, 553, Lanham, University Press of America, 1980, $24.50, $16.75. Understanding Karl Rahner, vol.1: A Theologian in Search of a Philosophy. Understanding Karl Rahner, vol.1: A Theologian in Search of a Philosophy. By George Vass. Pp.xix, 153, London, Sheed and Ward, 1985, £8.50. Understanding Karl Rahner, vol.2: The Mystery of Man and the Foundations of a Theological System. By George Vass. Pp.xvii, 200, London, Sheed and Ward, 1985, £9.50. Ignatius von Loyola Ignatius von Loyola: Die Exerzitien. By Lothar Lies, Pp. 142, Innsbruck‐Vienna, Tyrolia Verlag, 1983, DM 26. The Name of Christ The Name of Christ: The Names of Jesus Used by the Early Cristians, The Development of the Jesus Prayer. By Irenée Hausherr. Pp.viii, 358, Kalamazoo, Cistercian Publications, 1978, $8.00. The Easter Sermons of Gregory of Nyssa. The Easter Sermons of Gregory of Nyssa. Edited by Andreas Spira and Christopher Klock. Pp.x, 384, Cambridge, The Philadelphia Patristic Foundation, 1981, $10.00. Anonymus in Ecclesiasten Commentarius qui dicitur Catena Trium Patrum. Anonymus in Ecclesiasten Commentarius qui dicitur Catena Trium Patrum. Edited by Santo Lucá. Pp.lvi, 139, Turnhout, Brepols, and Leuven, University Press, 1983, no price given. The Medieval Inquistion. The Medieval Inquistion. By Albert Clement Shannon. Pp viii, 153, Washington D.C., Augustinian College Press, 1983, $10.00. John Calvin. John Calvin. Edited by G.R. Potter and M. Greengrass. Pp.xvi, 176, London, Edward Arnold, 1983, £4.95. When Fathers Ruled. Family Life in Reformation Europe. When Fathers Ruled. Family Life in Reformation Europe. By Steven Ozment. Pp.x, 238, Cambridge, Harvard University Press, 1983, £14.85. The Apocalypse in English Renaissance Thought and Literature. The Apocalypse in English Renaissance Thought and Literature. Edited by C.A. Patrides and Joseph Wittreich. Pp. ix, 452, Manchester University Press, 1984, £37.50. The Contribution of British Writers between 1560 and 1830 to the Interpretation of Revelation 13.16–18. By David Brady, Pp.vii, 335, Tubingen, J.C.B. Mohr, 1983, DM 98. Typologies in England, 1650–1820. Typologies in England, 1650–1820. By Paul J. Korshin. Pp.xvii, 437, Princeton University Press, 1982, £26.10. The Great Debate on Miracles. The Great Debate on Miracles. By R.M. Burns. Pp.305, Lewisburg, Bucknell University Press, 1981, £12.00. Coleridge's Religious Imagination. Coleridge's Religious Imagination. By Stephen Happel. Pp.xii, 943, Salzburg, Institut für Anglistik und Amerikanistik, 1983, no price given. Jacques Maritain and the French Catholic Intellectuals. Jacques Maritain and the French Catholic Intellectuals. By Bernard Doering, Pp.x, 268, Notre Dame, University of Notre Dame Press, 1983, £18.25. Dorothy Day: A Biography. Dorothy Day: A Biography. By William D. Miller. Pp.xv, 527, New York, Harper and Row, 1982, $18.00, $10.50. For God and Clarity: New Essays in Honour of Austin Farrer. For God and Clarity: New Essays in Honour of Austin Farrer. Edited by Jeffrey C. Easton and Ann Loades. Pp.xiii, 205, Allison Park, Pickwick Publications; Edinburgh, T. & T. Clark, 1983, £11.75. God, Free Will, and Morality. God, Free Will, and Morality. By Robert J. Richman. Pp.xi, 195, Dordrecht, D. Reidel, 1983, $36.95. God and Skepticism: A Study in Skepticism and Fideism. God and Skepticism: A Study in Skepticism and Fideism. By Terence Penelhum. Pp.xii, 186, Dordrecht, D. Reidel, 1983, $34.00. Religious Belief and Religious Skepticism. Religious Belief and Religious Skepticism. By Gary Gutting. Pp.xi, 192, Notre Dame, University of Notre Dame Press, 1982, £11.20. A Philosopher's Search for the Infinite. A Philosopher's Search for the Infinite. By Jules M. Brady. Pp.94, New York, Philosophical Library, 1983, $10.00 Realism and Reason: Philosophical Papers, Vol.3. Realism and Reason: Philosophical Papers, Vol.3. By Hilary Putnam. Pp.xviii, 312, Cambridge University Press, 1983, £22.50. Perception, Learning and the Self. Perception, Learning and the Self. By D.W. Hamlyn. Pp.viii, 311, London, Routledge and Kegan Paul, 1982, £14.95. Science and Speculation: Studies in Hellenistic Theory and Practice. Science and Speculation: Studies in Hellenistic Theory and Practice. Edited by Jonathan Barnes. Pp.xxvii, 351, Cambridge University Press, 1983, £25.00. Plato: Hippias Major. Plato: Hippias Major. Translated with a commentary and essay by Paul Woodruff. Pp.xvi, 211, Oxford, Basil Blackwell 1983, £12.50. Max Scheler: The Man and his Work. Max Scheler: The Man and his Work. By John H. Nota, translated by T. Plantinga and J. Nota. Pp.vii, 213, Chicago, Franciscan Herald Press, 1983, $12.00. Searching: Practices and Beliefs of the Religious Cults and Human Potential Groups. Searching: Practices and Beliefs of the Religious Cults and Human Potential Groups. By Harriet S. Mosatche. Pp.432, New York, Straven Educational Press, 1983, £10.95. (shrink)

A response to the preceding article by Tom Wanchick.

More than twenty years after its original publication, The Case for Animal Rights is an acknowledged classic of moral philosophy, and its author is recognized as the intellectual leader of the animal rights movement. In a new and fully considered preface, Regan responds to his critics and defends the book's revolutionary position.

To understand Self-Representationalism you need to understand its family. Self-Representationalism is a branch of the Meta-Representationalist family, and according to theories in this family what distinguishes conscious mental representations from unconscious mental representations is that conscious ones are themselves the target of a mental meta¬-representational state. A mental state M1 is thus phenomenally conscious in virtue of being suitably represented by some mental state M2. What distinguishes the Self-Representationalist branch of the family is the claim that M1 and M2 must (...) be the same token mental state, so a mental state is phenomenally conscious in virtue of suitably representing itself. This Self-Representationalist branch of the family divides into further branches, giving us specific implementations of the Self-Representationalist approach. But before asking whether we should adopt Self-Representationalism, and in what form, we should reflect on why Meta-Representationalism is an attractive family in the first place. After all, Self-Representationalist theories trade on their family name, claiming to deliver on the promises that drive the Meta-Representationalist approach. The two most important promises of Meta-Representationalism are: a) the promise of capturing the transitivity of consciousness and; b) the promise of rendering consciousness naturalisable. I discuss each in turn. (shrink)

If we were to connect two individuals’ brains together, how would this affect the individuals’ conscious experiences? In particular, it is possible for two people to share any of their conscious experiences; to simultaneously enjoy some token experiences while remaining distinct subjects? The case of the Hogan twins—craniopagus conjoined twins whose brains are connected at the thalamus—seems to show that this can happen. I argue that while practical empirical methods cannot tell us directly whether or not the twins share conscious (...) experiences, considerations about the locality of content processing in the brain entails that they most likely do so. (shrink)

Abstract Temporal Externalism is the view that future events can contribute to determining the present content of our thoughts and utterances. Two objections to Temporal Externalism are discussed and rejected. The first is that Temporal Externalism has implausible consequences for the epistemology of biology and other taxonomic sciences (Brown, 2000). The second is that it is committed to implausible claims about dispositions.

It is an important feature of creatures like us that our various motivations compete for control over our behaviour, including mental behaviour such as imagining and attending. In large part, this competition is adjudicated by the stimulation of affect — the intrinsically pleasant or unpleasant aspects of experience. In this paper I argue that the motivation-affect system controls a sub-type of attention called 'alerting attention' to bring various goals and stimuli to consciousness and thereby prioritize those contents for action. This (...) view allows me to flesh out the global workspace theory of consciousness, as well as some of the phenomenal characteristics of conscious experience. (shrink)

How wrong is it to deceive someone into sex by lying, say, about one's profession? The answer is seriously wrong when the liar's actual profession would be a deal breaker for the victim of the deception: this deception vitiates the victim's sexual consent, and it is seriously wrong to have sex with someone while lacking his or her consent.

From Platonism to phenomenology -- Kant's epistemological shift to phenomenology -- Hegel's phenomenology as epistemology -- Husserl's phenomenological epistemology -- Heidegger's phenomenological ontology -- Kant, Merleau-Ponty's descriptive phenomenology, and the primacy of perception -- On overcoming the epistemological problem through phenomenology.

This volume will collect Tom Beauchamp's 15 most important published articles in bioethics, most of which were published over the last 25 years, and most of ...

Deflationists believe that the question “What is truth?” should be answered not by means of a metaphysical inquiry into the nature of truth, but by figuring out what use we make of the concept of truth, and the word ‘true’, in practice. This article accepts this methodology, and it thereby rejects pluralism about truth that is driven by ontological considerations. However, it shows that there are practical considerations for a pluralism about truth, formulated at the level of use. The theory (...) expounded by this article states that truth is a dual-purpose tool; it can be used as a device for transferring justificatory burdens and, for select areas of discourse, it can also be used as a standard, a norm. This contrast in how truth is used introduces a bifurcation in our discourse that is reminiscent of metaphysical divides traced by more traditional versions of alethic pluralism. However, my pluralism “at the level of use” states that truth is plural solely at the level of use. It is unified at both the conceptual as well as the metaphysical level. At those levels, the theory takes its cue from deflationism. As such, this theory is offered as a midway point and as a potential way forward in the debate between deflationism and pluralism. (shrink)

In this essay we critically evaluate the progress that has been made in solving the problem of meaning in artificial intelligence (AI) and robotics. We remain skeptical about solutions based on deep neural networks and cognitive robotics, which in our opinion do not fundamentally address the problem. We agree with the enactive approach to cognitive science that things appear as intrinsically meaningful for living beings because of their precarious existence as adaptive autopoietic individuals. But this approach inherits the problem of (...) failing to account for how meaning as such could make a difference for an agent’s behavior. In a nutshell, if life and mind are identified with physically deterministic phenomena, then there is no conceptual room for meaning to play a role in its own right. We argue that this impotence of meaning can be addressed by revising the concept of nature such that the macroscopic scale of the living can be characterized by physical indeterminacy. We consider the implications of this revision of the mind-body relationship for synthetic approaches. (shrink)

Abstract: I argue that practically all vague language is context-sensitive in a covert and unfamiliar way. I first outline a novel puzzle concerning the interaction of conditionals and vagueness. I then argue that the best way of resolving the puzzle is through positing context-sensitive penumbral connections between sundry parts of language. I argue that these penumbral connections shift through a distinct form of Lewisian accommodation. The upshot is that meaning is a far shiftier thing than has typically been thought.

To understand Self-Representationalism you need to understand its family. Self-Representationalism is a branch of the Meta-Representationalist family, and according to theories in this family what distinguishes conscious mental representations from unconscious mental representations is that conscious ones are themselves the target of a mental meta¬-representational state. A mental state M1 is thus phenomenally conscious in virtue of being suitably represented by some mental state M2. What distinguishes the Self-Representationalist branch of the family is the claim that M1 and M2 must (...) be the same token mental state, so a mental state is phenomenally conscious in virtue of suitably representing itself. This Self-Representationalist branch of the family divides into further branches, giving us specific implementations of the Self-Representationalist approach. But before asking whether we should adopt Self-Representationalism, and in what form, we should reflect on why Meta-Representationalism is an attractive family in the first place. After all, Self-Representationalist theories trade on their family name, claiming to deliver on the promises that drive the Meta-Representationalist approach. The two most important promises of Meta-Representationalism are: a) the promise of capturing the transitivity of consciousness and; b) the promise of rendering consciousness naturalisable. I discuss each in turn. (shrink)

Abstract -- Background, context, overview, and guiding philosophy -- Emotional intelligence meets virtue ethics : implications for educators -- Emotional intelligence as a component of business ethics pedagogy -- Nourishing life, the daoist concept of virtue -- Cultivation of virtue (dé) 1 according to the neiye -- Cultivation of virtuous leaders according to the huainanzi -- Is there a place for contemplation and inner work in business ethics education? -- Incorporating the inner work of ei and contemplation in ethics education (...) -- Glossary -- About the author. (shrink)

Throughout the two-thousand-year span of Christian history, believers in Jesus have sought to articulate their faith and their understanding of how God works in the world. How do we, as we examine the vast and varied output of those who came before us, understand the unity and the diversity of their thinking? How do we make sense of our own thought in light of theirs? The Christian Understandings series offers to help. In this exciting volume, Charlene Burns offers a (...) brief but thorough tour through more than two millennia of thought on the nature of evil. Starting with the contexts of the Hebrew Bible and moving forward, Burns outlines the many ways that Christian thought has attempted to deal with the reality of evil and suffering. From a personal Satan and demonic activity, to questions of free will and autonomy, to the nature of God and Gods role in suffering, Burns offers a clear and compelling overview. (shrink)

Critical responses to Wide Sargasso Sea have seized upon Rhys's novel as an exemplary model of writing back. Looking beyond the actual repetitions which recall Brontë’s text, I explore Rhys's novel as an expression of virtual difference and becomings that exemplify Deleuze's three syntheses of time. Elaborating the processes of becoming that Deleuze's third synthesis depicts, Antoinette's fate emerges not as a violence against an original identity. Rather, what the reader witnesses is a series of becomings or masks, some of (...) which are validated, some of which are not, and it is in the rejection of certain masks, forcing Antoinette to become-Bertha, that the greatest violence lies. (shrink)