The conception of thought as a kind of argumentative dialogue has been influential in curricula designed to promote the development of thinking skills. Educators have sought to “teach” this kind of thinking by providing their students with opportunities to participate in argumentative exchange. This practice is based on the belief that thinking processes will mirror or mimic the interpersonal exchanges in which the thinker engages. In this article, another approach to teaching argumentative thought is developed. It is argued that while (...) training and practice in interpersonal argumentation increases students’ overall argumentation skills, it is not particularly effective in helping students to develop the practice of engaging dialogically with their own beliefs. On this other approach, students are required to engage in “metacognitive inquiry” in which their own judgments in respect of curriculum materials, and in respect of the various strategies they have deployed to generate these judgments, become a subject matter for reflection and critical evaluation. The article concludes with the discussion of an in-class experiment in using the metacognitive approach. (shrink)

This paper explores the potential benefits and obstacles in the incorporation of a critical attitude in a critical thinking curriculum. Critical thinking entails more than just the transfer of information and critical thinking concepts to student within a course. The author suggests that professors should exemplify critical traits in the classroom to students as a means to develop a critical attitude or disposition. The adoption of a critical attitude encourages students to ascertain critical concepts and tools, and cultivate a critical (...) disposition, which would further allow students to internalize the insights and values of critical thought and thus be able to readily apply them to arguments. Despite its perceived benefits, the author is also aware of potential roadblocks in the path of developing a students’ critical disposition, such as different epistemic values and upsetting student psychological well-being. Nevertheless, the author contends that adopting a critical attitude provides students and educators with pedagogical tools and goals that enhance the overall effectiveness of critical theory courses. (shrink)

RÉSUMÉ: L'idée que les images mentales sont des tableaux ou des objets dans l'esprit joue un rôle extrêmement important dans la conception que David Hume se fait de l'esprit et dans sa doctrine générale quant à la nature de la pensée. La question que veut explorer le présent article est la suivante: la doctrine humienne des images mentales comme objets-dans-l'esprit est-elle viable? On soutiendra qu'une défense très forte de la conception de Hume peut être aujourd'hui développée sur la base de (...) données relatives à la nature de l'imagerie mentale qui ont été récemment avancées dans le domaine de la psychologie cognitive. (shrink)

This paper inquires into the nature and causes of credulous belief and proposes a way of making negative evidence more salient to believers so that they are less likely to fall into the habit of credulous believing. Contrasting the work of Richard Swinburne with recent work in cognitive psychology, the author argues that for the “strong credulity hypothesis”, namely that our comprehension of testimony is closely linked to an initial (albeit temporary) acceptance of what speakers claim. That is, we are (...) literally “set up” to believe irrespective of whether the belief in question is reasonable. In order to “neutralize” the effect of initial credulity, the author describes a pro/con procedure (suitable for a number of classes, e.g. critical thinking) that allows for the systematic analysis of beliefs and testimony. (shrink)

It is commonplace for undergraduate students to find certain concepts inherent to the disciplines of study troublesome. While some concepts are troublesome simply because they represent new vocabulary for the students, other concepts are troublesome in a more significant sense. Concepts of this kind are troublesome because they highlight an aspect of the deep structure of the discipline, a way of thinking and inquiry, that the students are likely to find strange and even, counter-intuitive, relative to their own pre-existing conceptual (...) frameworks. In this paper, I will argue that the concept of ‘argument’ in the discipline of philosophy, is one such concept. To make the case for this, I will be drawing upon a relatively new and important framework for inquiry into troublesome disciplinary concepts, known as “threshold concept theory” (Meyer and Land 2006, 2008). In addition, I propose to consider the implications, in terms of the design of curriculum and pedagogy for the philosophy classroom, of conceiving argument in threshold concept terms. (shrink)

Senior executives in major corporations have drawn attention in recent years for a range of unethical activities. Despite a rise in measures to protect against such lapses, executives still make decisions whether or not to comply with reporting standards, best practices, industry norms and legislation. The prior literature in this area addresses individual characteristics of decision makers and social networks between executives and boards of directors, but to this point has largely overlooked group dynamics of the executive team. Our study (...) addresses this gap and examines the relationship between an occupational community of top executives and the quality of internal control. We construct a unique measure for the executive occupational community based on CEO and CFO’s joint tenure. Our findings show that the number of years of CEO/cfo’s joint tenure is significantly and negatively associated with internal control weakness, suggesting that the longer the executive relationship, the lower the likelihood of internal control weakness. Our study indicates that the presence of an occupational community contributes to better internal control. (shrink)

Desiring Whiteness provides a compelling new interpretation of how we understand race. Race is often seen to be a social construction. Nevertheless, we continue to deploy race thinking in our everyday life as a way of telling people apart visually. How do subjects become raced? Is it common sense to read bodies as racially marked? Employing Lacan's theories of the subject and sexual difference, Seshadri-Crooks explores how the discourse of race parallels that of sexual difference in making racial identity (...) a fundamental component of our thinking. Through close readings of literary and film texts, Seshardi-Crooks also investigates whether race is a system of difference equally determined by Whiteness. She argues that it is in relation to Whiteness that systems of racial classification are organized, endowing it with a power to shape human difference. (shrink)

First words on silence -- The secret of literary silence -- Law, "life/living," language -- Between Derrida and Agamben -- The wild child : politics and ethics of the name -- The wild child and scientific names -- HumAnimal acts : potentiality or movement as rest.

We explore how principles predicting the success of a medical information commons advantaged or disadvantaged three MIC initiatives in three Canadian provinces. Our MIC case examples demonstrate that practices and policies to promote access to and use of health information can help improve individual healthcare and inform a learning health system. MICs were constrained by heterogenous health information protection laws across jurisdictions and risk-averse institutional cultures. A networked approach to MICs would unlock even more potential for national and international data (...) collaborations to improve health and healthcare. (shrink)

Currently, much of the western world is experiencing a shift in the places where care is provided, namely from institutional settings like hospitals to diverse community settings such as the home. However, little is known about how language and the physical and social aspects of place interact to influence how health‐care is delivered and experienced in the home environment. Drawing on ethnographic participant observations of homecare nursing visits and semi‐structured interviews with Canadian family caregivers, care recipients and nurses, the intersection (...) of language, place and health‐care was explored in this secondary analysis. Our findings reveal four themes: homecare nurses view themselves as ‘guests’; home environments facilitate the development of nurse–client relationships; nurses adapt healthcare language to each home environment; and storytelling and illness narratives largely prevail during medical interactions in the home. These findings demonstrate the spatiality of language and how the home environment informs decisions regarding language use. Furthermore, these findings exemplify how language and place mutually influence the experiences and delivery of home health‐care. We conclude by discussing the importance of considering the language–place–healthcare intersection in order to gain a better understanding of medical exchanges in places and the associated implications for optimizing best nursing practice. (shrink)

Medical tourism is a practice, whereby individuals travel across national borders with the intention of receiving medical care. Medical tourists are motivated to travel abroad by a number of factors, including the affordability of care abroad, access to treatments not available at home, and wait times for care at home. In this article, we share the findings of interviews conducted with 32 Canadian medical tourists with the aim of developing a better understanding of medical tourism, the ethical issues it raises (...) for public health within Canada and other source countries for medical tourists, and to identify research gaps and policy responses to this practice. While patient and academic perspectives overlap in several regards, we suggest areas in which academic consideration of the ethical issues raised by medical tourism can be informed by patient perspectives. (shrink)

A number of popular theories about trauma have suggested rhythm has potential as a mechanism for regulating arousal levels. However, there is very little literature examining this proposal from the perspective of the young people who might benefit. This action research project addresses this gap by collaborating with four groups of children in the out-of-home-care system to discover what they wanted from music therapists who brought a strong focus on rhythm-based activities. The four music therapy groups took place over a (...) 12 month period and each cycle of action and reflection led to adjustments in what activities were offered, as well as exploring different levels of structure and ways of building relationships in the groups. The initial group incorporated a strong emphasis on highly structured rhythm-based activities, but young people found the format difficult to engage with. The second cycle included more opportunities for creativity and self-direction within semi-structured activities which children reported enjoying, but too much freedom also became overwhelming at times. The two groups in the third cycle seemed to balance structure and responsiveness successfully but were also influenced by the introduction of individual sessions prior to group commencement, which was designed to contribute to safety and trust building. Final reflections on the role of rhythm in supporting young people who have had adverse experiences were centred around the ideas of co-regulation. This was qualitatively different to our expectations that practicing rhythm-based activities would lead to an expanded window of tolerance that resulted in less time being spent in either hypo-arousal or hyper-arousal. Instead of entraining to an external rhythm, young people felt safe when their rhythms were matched, even if they were irregular, out of time and unpredictable. The small moments of co-regulation resulted in pleasure, comfort, satisfaction and peace and these moments were highly valued by the young people, who described just wanting to be relaxed and happy. Although not as rhythm-specific as the literature might suggest, music making with trusted adults helped the young people in this study feel more content. (shrink)

Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: Inbound medical tourism to Canada’s public hospitals; Inbound medical tourism to a First Nations reserve; Canadian patients opting to go abroad for medical (...) tourism; and Canadian patients traveling abroad with a Canadian surgeon. These patterns of medical tourism affect preferential access to health care by Canadians by circumventing domestic regulation of care, creating jurisdictional tensions over the provision of health care, and undermining solidarity with the Canadian health system. (shrink)

Background: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. -/- (...) Methods: 12 facilitators were interviewed from 10 Canadian medical tourism companies. -/- Results: Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry. -/- Conclusion: Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles. (shrink)

Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from (...) former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism. (shrink)

BackgroundMedical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism.MethodsThe methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists.ResultsThe final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism. The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists. The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

Medical tourism (MT) can be conceptualized as the intentional pursuit of non-emergency surgical interventions by patients outside their nation of residence. Despite increasing popular interest in MT, the ethical issues associated with the practice have thus far been under-examined. MT has been associated with a range of both positive and negative effects for medical tourists' home and host countries, and for the medical tourists themselves. Absent from previous explorations of MT is a clear argument of how responsibility for the harms (...) of this practice should be assigned. This paper addresses this gap by describing both backward looking liability and forward looking political responsibility for stakeholders in MT. We use a political responsibility model to develop a decision-making process for individual medical tourists and conclude that more information on the effects of MT must be developed to help patients engage in ethical MT. (shrink)

A central goal of research in explainable artificial intelligence (XAI) is to facilitate human understanding. However, understanding is an elusive concept that is difficult to target. In this paper, we argue that a useful way to conceptualize understanding within the realm of XAI is via certain human abilities. We present four criteria for a useful conceptualization of understanding in XAI and show that these are fulfilled by an abilities-based approach: First, thinking about understanding in terms of specific abilities is motivated (...) by research from numerous disciplines involved in XAI. Second, an abilities-based approach is highly versatile and can capture different forms of understanding important in XAI application contexts. Third, abilities can be operationalized for empirical studies. Fourth, abilities can be used to clarify the link between explainability, understanding, and societal desiderata concerning AI, like fairness and trustworthiness. Conceptualizing understanding as abilities can therefore support interdisciplinary collaboration among XAI researchers, provide practical benefit across diverse XAI application contexts, facilitate the development and evaluation of explainability approaches, and contribute to satisfying the societal desiderata of different stakeholders concerning AI systems. (shrink)

Materialist metaphysicians want to side with physics, but not to take sides within physics.Ifwetook literally the claim of a materialist that his position is simply belief in the claim that all is matter, as currently conceived, we would be faced with an insoluble mystery. For how would such a materialist know how to retrench when his favorite scientific hypotheses fail? How did the 18thcentury materialist know that gravity, or forces in general, were material? How did they know in the 19thcentury (...) that the electromagnetic field was material, and persisted in this conviction after the aether had been sent packing?The doctrine of physicalism casts a long shadow in contemporary philosophy, configuring all kinds of philosophical issues and projects. Unsurprisingly, its proponents argue that physicalism has all the obvious features necessary for a scientific hypothesis to be in what we will call ‘good standing,’ i.e. being worthy of serious scientific investigation. In fact, many claim much more, arguing that physicalism is a well-confirmed hypothesis and possibly amongst the best of our theories. But, as our second opening passage makes clear, a persistent worry has been that physicalism, or ‘materialism’ as van Fraassen terms it, is an edifice built on sand. For many philosophers question whether the ‘physical’ can be specified at all, or at least in a manner that will produce a physicalism that would be in good standing. (shrink)

The international migration of health workers, including long-term care workers for aging populations, contributes to a shortage of these workers in many parts of the world. In the Anglophone Caribbean, LCW shortages and the migration of nurses to take on LCW positions abroad threaten the health of local populations and widen global inequities in health. Many responses have been proposed to address the international migration of health workers generally, including making it more difficult for these workers to emigrate and increasing (...) and improving local employment opportunities. In this article, we suggest an additional means of ethically reducing health worker migration, targeting the Anglophone Caribbean specifically. Countries in this region can take advantage of their warmer climate and well-trained work force to encourage aging populations in the global north to emigrate temporarily or permanently through international retirement migration. As a result, countries in the Anglophone Caribbean can not only decrease the international migration of trained health workers through the provision of well-paying, local jobs, but potentially reverse this flow by drawing on the international diaspora of their workers. International retirement migration, if carefully managed, can reduce global inequities in health while treating both retirees and LCWs ethically. (shrink)