In lieu of an abstract, here is a brief excerpt of the content:Masao AbeJohn B. Cobb Jr.Masao Abe spent a year at the Blaisdell Institute in Claremont, 1965–1966. I was on sabbatical in Germany that year. On return I learned from many people that I had missed a great opportunity for an authentic encounter with a living Buddhist thinker who understood Christianity very well. Fortunately, he visited Claremont again, although more briefly, and this time I was able to take advantage (...) of his visit.I was, and am, convinced that Whiteheadians have much to gain from the encounter with Buddhists. At one level we can grasp and assimilate the idea of dependent origination or pratitya samutpada quite easily. For Whitehead too the ultimate reality consists in the many becoming one. For Whitehead human experience is an example of this reality and, indeed, that example is the one he most fully analyzed.On the other hand, we Whiteheadians incline to objectify the whole process. More often than with Whitehead himself, we are describing a process that is going on objectively out there. Abe taught me the difference. He liked to distinguish the perspective of the swimmer battling against the current in dangerous waters and observers on the bank. To understand that all unit events are instances of dependent origination is one thing; to experience oneself in that way is quite another. And what is especially important is to recognize that experiencing oneself is not objectifying one’s past or imagining oneself in the eyes of an observer. It is embodying the absolutely immediate, ever-changing reality that is experience now.Whitehead never thought of his ontological analysis as having direct religious importance. For him, as part of the understanding that all things are perpetually perishing, it constituted the ultimate threat to the meaningfulness of life. The religious dimension came as a response to this threat.For Abe, of course, the full existential realization of what we are, is in itself salvific in the sense of healing. It puts an end to guilt, defensiveness, and attachment, and it makes us wholly acceptant of whatever is. It leads to, or perhaps is, enlightenment, expressing itself in wisdom and compassion. Given the history of Buddhism, one must accept the profound truth in this affirmation, although, given the history of Buddhism, one must also recognize that matters are never as simple as this formulation sounds.I have spoken personally of an example of what and how I learned from Abe. This is a testimonial that can be matched by scores, perhaps hundreds, of others. Certainly [End Page 119] in our ongoing Buddhist-Christian dialogue group, Abe was the foremost teacher. My goal in helping to organize this group was to give my fellow Christian theologians the chance to learn from him and other Buddhists. I am proud of the extent to which, especially because of Abe’s gifts as a teacher, my purpose was fulfilled.Appreciating the truth of Buddhism, and agreeing with Abe that Christian theology through the centuries has been distorted by clinging to substantialist modes of thought, I was particularly eager to engage him in a dialogue about the relation of Buddhism and Christian process theology, in particular a Christian process theology that recognized and appreciated the spiritual value of Buddhist enlightenment. Since Abe felt that Buddhists had something to learn from Christianity about social ethics, the suggestions of Christian theology, including its process form, for modifications or developments of Buddhism were not wholly lost on him. He supervised two dissertations by Buddhists on this topic, of which I was the official advisor, one by a Zen Buddhist (Chris Ives) and the other by a Pure Land Buddhist (John Ishihara, now Yokota). He criticized fellow Buddhists in our dialogue group for not being as open to learning from their Christian dialogue partners as these partners were open to Buddhist insights. In short he supported real dialogue, always ready to share his wisdom, and encouraging openness to further development of Buddhism.None of us is perfect, or, at least, none of us fulfills what someone else would see as perfection. In my judgment Abe was unnecessarily wedded to features of his Buddhist tradition that inhibited learning from Christianity, particularly in its process... (shrink)

This entry considers the philosophical subject called 'metaphysics'. There have been many conceptions of metaphysics, and metaphysics has faced severe criticism throughout the history of philosophy and continues to do so. Besides discussing some major trends in analytic metaphysics - understood as 'metaphysics done by analytic philosophers' - we consider some of the criticisms and possible responses.

Aims:The aim of this narrative synthesis was to explore the necessary and sufficient conditions required to define moral distress.Background:Moral distress is said to occur when one has made a moral judgement but is unable to act upon it. However, problems with this narrow conception have led to multiple redefinitions in the empirical and conceptual literature. As a consequence, much of the research exploring moral distress has lacked conceptual clarity, complicating attempts to study the phenomenon.Design:Systematic literature review and narrative synthesis (November (...) 2015–March 2016).Data sources:Ovid MEDLINE®In-Process & Other Non-Indexed Citations 1946–Present, PsycINFO®1967–Present, CINAHL®Plus 1937–Present, EMBASE 1974–24 February 2016, British Nursing Index 1994–Present, Social Care Online, Social Policy and Practice Database (1890–Present), ERIC (EBSCO) 1966–Present and Education Abstracts.Review methods:Literature relating to moral distress was systematically retrieved and subjected to relevance assessment. Narrative synthesis was the overarching framework that guided quality assessment, data analysis and synthesis.Results:In all, 152 papers underwent initial data extraction and 34 were chosen for inclusion in the narrative synthesis based on both quality and relevance. Analysis revealed different proposed conditions for the occurrence of moral distress: moral judgement, psychological and physical effects, moral dilemmas, moral uncertainty, external and internal constraints and threats to moral integrity.Conclusion:We suggest the combination of (1) the experience of a moral event, (2) the experience of ‘psychological distress’ and (3) a direct causal relation between (1) and (2) together are necessary and sufficient conditions for moral distress. (shrink)

Austerity, by its very nature, imposes constraints by limiting the options for action available to us because certain courses of action are too costly or insufficiently cost effective. In the context of healthcare, the constraints imposed by austerity come in various forms; ranging from the availability of certain treatments being reduced or withdrawn completely, to reductions in staffing that mean healthcare professionals must ration the time they make available to each patient. As austerity has taken hold, across the United Kingdom (...) and Europe, it is important to consider the wider effects of the constraints that it imposes in healthcare. Within this paper, we focus specifically on one theorised effect—moral distress. We differentiate between avoidable and unavoidable ethical challenges within healthcare and argue that austerity creates additional avoidable ethical problems that exacerbate clinicians’ moral distress. We suggest that moral resilience is a suitable response to clinician moral distress caused by unavoidable ethical challenges but additional responses are required to address those that are created due to austerity. We encourage clinicians to engage in critical resilience and activism to address problems created by austerity and we highlight the responsibility of institutions to support healthcare professionals in such challenging times. (shrink)

Background There is growing interest in the use and incorporation of empirical data in bioethics research. Much of the recent focus has been on specific “empirical bioethics” methodologies, which attempt to integrate the empirical and the normative. Researchers in the field are, however, beginning to explore broader questions, including around acceptable standards of practice for undertaking such research. The framework: In this article, we further widen the focus to consider the overall shape of an empirical bioethics research project. We outline (...) a framework that identifies three key phases of such research, which are conveyed via a landscaping metaphor of Mapping-Framing-Shaping. First, the researcher maps the field of study, typically by undertaking literature reviews. Second, the researcher frames particular areas of the field of study, exploring these in depth, usually via qualitative research. Finally, the researcher seeks to shape the terrain by issuing recommendations that draw on the findings from the preceding phases. To qualify as empirical bioethics research, the researcher will utilise a methodology that seeks to bridge these different elements in order to arrive at normative recommendations. We illustrate the framework by citing examples of diverse projects which broadly adopt the three-phase framework. Amongst the strengths of the framework are its flexibility, since it does not prescribe any specific methods or particular bridging methodology. However, the framework might also have its limitations, not least because it appears particularly to capture projects that involve qualitative – as opposed to quantitative – research. Conclusions Despite its possible limitations, we offer the Mapping-Framing-Shaping framework in the hope that this will prove useful to those who are seeking to plan and undertake empirical bioethics research projects. (shrink)

This article argues for a revised best system account of laws of nature. David Lewis’s original BSA has two main elements. On the one hand, there is the Humean base, which is the totality of particular matters of fact that obtain in the history of the universe. On the other hand, there is what I call the ‘nomic formula’, which is a particular operation that gets applied to the Humean base in order to output the laws of nature. My revised (...) account focuses on this latter element of the view. Lewis conceives of the nomic formula as a balance of simplicity and strength, but I argue that this is a mistake. Instead, I motivate and develop a different proposal for the standards that figure into the nomic formula, and I suggest a rationale for why these should be the correct standards. Specifically, I argue that the nomic formula should be conceived as a collection of desiderata designed to generate principles that are predictively useful to creatures like us. The resulting view—which I call the ‘best predictive system’ account of laws—is thus able to explain why scientists are interested in discovering the laws, and it also gives rise to laws with the sorts of features that we find in actual scientific practice 1Introduction2The LOPP3A Problem with Lewis's Formula4A Pragmatic Account of the Nomic Formula 4.1Informative dynamics4.2Wide applicability4.3Spatial locality4.4Temporal locality4.5Spatial, temporal, and rotational symmetries4.6Predictively useful properties4.7Simplicity4.8Recap5 Conclusion. (shrink)

In their recent article “A Hierarchy of Classical and Paraconsistent Logics”, Eduardo Barrio, Federico Pailos and Damien Szmuc present novel and striking results about meta-inferential validity in various three valued logics. In the process, they have thrown open the door to a hitherto unrecognized domain of non-classical logics with surprising intrinsic properties, as well as subtle and interesting relations to various familiar logics, including classical logic. One such result is that, for each natural number n, there is a logic which (...) agrees with classical logic on tautologies, inferences, meta-inferences, meta-meta-inferences, meta-meta-...-meta-inferences, but that disagrees with classical logic on n + 1-meta-inferences. They suggest that this shows that classical logic can only be characterized by defining its valid inferences at all orders. In this article, I invoke some simple symmetric generalizations of BPS’s results to show that the problem is worse than they suggest, since in fact there are logics that agree with classical logic on inferential validity to all orders but still intuitively differ from it. I then discuss the relevance of these results for truth theory and the classification problem. (shrink)

Ethical cultures, corporate social responsibility (CSR), and sustainability strategies are increasingly being addressed through formal organisational policies and structures. This is evidenced by codes of ethics, conduct, whistle-blowing reporting lines, anti-bribery and corruption policies, and broader stakeholder and environmental engagement strategies. In the United States, corporate ethics managers are responsible for these functions, supported by specific professional and university-level qualifications. However, this is not the case in Australia and Asia where the role appears delegated to human resource personnel in organisations. (...) Human resource management (HRM) is increasingly advanced as a formal profession, yet whether corporate ethics content features as a significant component of the HRM profession is unclear. Expert knowledge is a foundation of a profession along with the duty to act within the limits of that knowledge and expertise. This paper scopes what constitutes professional expert knowledge. It examines corporate ethics expertise and HRM within this context. Major Australian and Asian organisations are examined to verify that HRM Departments, and thus HRM practitioners, are responsible for managing corporate ethics. Given the seniority and strategic importance of this function, the content of selected Masters in HRM and related fields are examined to identify the extent of ethics content. This is considered in the light of the expertise required to manage corporate ethics, and conclusions are drawn whether the HRM discipline is appropriately qualified to manage this function. Finally, recommendations and further research towards advancing the role and function of corporate ethics managers in general are proposed. (shrink)

Choice architecture is heralded as a policy approach that does not coercively reduce freedom of choice. Still we might worry that this approach fails to respect individual choice because it subversively manipulates individuals, thus contravening their personal autonomy. In this article I address two arguments to this effect. First, I deny that choice architecture is necessarily heteronomous. I explain the reasons we have for avoiding heteronomous policy-making and offer a set of four conditions for non-heteronomy. I then provide examples of (...) nudges that meet these conditions. I argue that these policies are capable of respecting and promoting personal autonomy, and show this claim to be true across contrasting conceptions of autonomy. Second, I deny that choice architecture is disrespectful because it is epistemically paternalistic. This critique appears to loom large even against non-heteronomous nudges. However, I argue that while some of these policies may exhibit epistemically paternalistic tendencies, these tendencies do not necessarily undermine personal autonomy. Thus, if we are to find such policies objectionable, we cannot do so on the grounds of respect for autonomy. (shrink)

With the introduction of artificial intelligence (AI) to healthcare, there is also a need for professional guidance to support its use. New (2022) reports from National Health Service AI Lab & Health Education England focus on healthcare workers’ understanding and confidence in AI clinical decision support systems (AI-CDDSs), and are concerned with developing trust in, and the trustworthiness of these systems. While they offer guidance to aid developers and purchasers of such systems, they offer little specific guidance for the clinical (...) users who will be required to use them in patient care. This paper argues that clinical, professional and reputational safety will be risked if this deficit of professional guidance for clinical users of AI-CDDSs is not redressed. We argue it is not enough to develop training for clinical users without first establishing professional guidance regarding the rights and expectations of clinical users. We conclude with a call to action for clinical regulators: to unite to draft guidance for users of AI-CDDS that helps manage clinical, professional and reputational risks. We further suggest that this exercise offers an opportunity to address fundamental issues in the use of AI-CDDSs; regarding, for example, the fair burden of responsibility for outcomes. (shrink)

In this paper we discuss the difference between (...) proliferations of logic systems, the questions of relativity and universality of logic and the position and interaction of logic with regards to other sciences such as physics, biology, mathematics and computer science. (shrink)

This book takes concepts developed by researchers in theoretical computer science and adapts and applies them to the study of natural language meaning. Summarizing over a decade of research, Chris Barker and Chung-chieh Shan put forward the Continuation Hypothesis: that the meaning of a natural language expression can depend on its own continuation.

Bioethics is a diverse field that accommodates a broad range of perspectives and disciplines. The recent explosion of literature on methods in interdisciplinary and empirical ethics might appear, however, to overshadow the fact that ‘bioethics’ has long been an interdisciplinary field. The Interdisciplinary and Empirical Ethics Network (IEEN) was established, with funding from the Wellcome Trust, to facilitate critical and constructive discussion around the nature of this disciplinary diversity and shift focus away from the ‘empirical turn’, towards the ongoing development (...) of bioethics as an evolving field of interdisciplinary study. In April 2012 the IEEN organized a workshop at the Centre for Public Policy Research, King's College London, dedicated to discussing the relationship between aims and methods in interdisciplinary and empirical bioethics. This paper reports on that first meeting. (shrink)

This paper aims to explain why the laws of nature are held fixed in counterfactual reasoning. I begin by highlighting three salient features of counterfactual reasoning: it is conservative, nomically guided, and it uses hindsight. I then present a rationale for our engagement in counterfactual reasoning that aims to make sense of these features. In particular, I argue that counterfactual reasoning helps us evaluate the evidential relations between unanticipated pieces of evidence and various hypotheses of interest about the history of (...) the actual world. Given this goal, it makes a great deal of sense that counterfactual reasoning would have the aforementioned features. Additionally, it turns out that this account of counterfactual reasoning is nicely congruent with Humean views of laws. Specifically, it can explain, in a Humean-friendly way, both why the laws are counterfactually resilient, and why we may be inclined to have anti-Humean intuitions in the first place, even if some form of Humeanism is correct. (shrink)

This paper tackles the issue of the diversity of déjà experiences. According to the standard view in the neuropsychological literature, they should all be defined by means of a psychological criterion, by which they are experiences triggered by a perceived item and consist of a conscious clash between a first-order feeling of familiarity about the item and a second-order evaluation that assesses the first-order feeling as erroneous. This paper dismisses the standard view and contends there are two types of déjà (...) experiences, labeled déjà vu and déjà vécu respectively. But it also takes issue with the rare proponents of a distinct déjà vécu type. Contrary to their achievement view, it argues that recollection is not involved in déjà vécu experiences as an actual mental state or a component thereof. In our ability view, déjà vécu involves the feeling that one could recollect past occurrences of a currently lived episode of experience. (shrink)

Objective—To identify and describe the current state of clinical ethics support services in the UK.Design—A series of questionnaire surveys of key individuals in National Health Service (NHS) trusts, health authorities, health boards, local research ethics committees and health professional organisations. Interviews with chairmen/women of clinical ethics committees identified in the surveys.Setting—The UK National Health Service.Results—Responses to the questionnaires were received from all but one NHS trust and all but one health authority/board. A variety of models of clinical ethics support were (...) identified including twenty formal clinical ethics committees (CECs). A further twenty NHS trusts expressed an intention to establish a CEC within the next twelve months. Most CECs in the UK have been in existence less than five years and are still defining their role. The chairmen identified education of committee members and contact with other ethics committees as important requirements for committee development. Problems were identified around lack of support for the committee and with raising the profile of the committee within the institution. There has been little evaluation of clinical ethics support services either in the UK or in other countries with longer established services. What evaluation has occurred has focused on process rather than outcome measures.Conclusions—Clinical ethics support services are developing in the UK. A number of issues have been identified that need to be addressed if such support services are to develop effectively. (shrink)

Chris Daly; Tropes, Proceedings of the Aristotelian Society, Volume 94, Issue 1, 1 June 1994, Pages 253–262, https://doi.org/10.1093/aristotelian/94.1.253.

Most academic papers on ethics in pandemics concentrate on the duties of healthcare professionals. This paper will consider non-professional healthcare workers: do they have a moral obligation to work during an influenza pandemic? If so, is this an obligation that outweighs others they might have, e.g., as parents, and should such an obligation be backed up by the coercive power of law? This paper considers whether non-professional healthcare workers—porters, domestic service workers, catering staff, clerks, IT support workers, etc.—have an obligation (...) to work during an influenza pandemic. It uses data collected as part of a study looking at the attitudes of healthcare workers to working during a pandemic to suggest the philosophical arguments explored. These include: being in a position to do good, the ethics of work, competing obligations to family members and in particular to children and the obligations of citizens in a state of national emergency. We also look at whether compulsory measures are justified to support a national health service during a health emergency. We conclude that even if they are, compulsion should not be restricted to non-professionals who happen to be working in the health service at the time. Rather, compulsion involving a larger pool of people with the relevant skills and abilities is more equitable. (shrink)

Oppression is easily recognized. That is, at least, when oppression results from overt, consciously professed racism, for example, in which violence, explicit exclusion from economic opportunities, denial of adequate legal access, and open discrimination perpetuate the subjugation of a group of people. There are relatively clear legal remedies to such oppression. But this is not the case with covert oppression where the psychological harms and resulting legal and economic exclusion are every bit as real, but caused by concealed mechanisms subtly (...) and systematically employed. In many cases, those with power and privilege use cultural stereotypes in order to sustain an unjust status quo. This is so even if the biases are implicit, automatic, and contrary to the consciously professed beliefs of the stereotyper. Furthermore, since many of these biases are not consciously reasoned into one's system of beliefs, and since they are notoriously difficult to bring to consciousness and dislodge via direct, logical confrontation, some other creative means of resistance is needed. I argue that an indirect and imaginative route through subversive humor offers a means to raise consciousness about covert oppression and the mechanisms underlying it, reveal the errors of those with power who complacently sustain systematic oppression, and even open those people up to changing their minds. Subversive humor confronts serious matters, but in a playful manner that fosters creative and critical thinking, and cultivates a desire and skill for recognizing incongruities between our professed ideals and a reality that does not meet those standards. Successful subversive wits create fictional scenarios that highlight such moral incongruities, but, like philosophical thought experiments, they reveal a moral truth that also holds in the real world. Such humor offers opportunities for "border crossing" where the audience is encouraged to see from the perspectives of marginalized people who, because they inhabit ambiguous spaces in between the dominant and subordinate spheres, are in an epistemically privileged position with respect to matters of oppression. Subversive humorists open their audiences to the lived experiences of others, uncover the absurdities of otherwise covert oppression, and appeal to our desire to be truthful and just. (shrink)

Analyzes the intellectual roots and philosophy of Ayn Rand. Second edition adds a new preface and an analysis of transcripts documenting Rand's education at Petrograd State University"--Provided by publisher.

In social work there is seldom an uncontroversial `right way' of doing things. So how will you deal with the value questions and ethical dilemmas that you will be faced with as a professional social worker? This lively and readable introductory text is designed to equip students with a sound understanding of the principles of values and ethics which no social worker should be without. Bridging the gap between theory and practice, this book successfully explores the complexities of ethical issues, (...) while recognising the real-world context in which social workers operate. Key features of the text include: - Full of hands-on advice and tips for professional practice. - Engaging and student-friendly. Each chapter is packed with case studies, reader exercises, key definitions and useful summaries. - Comprehensive content. The book explores core issues such as moral philosophy; professionalism; religion; power; oppression; difference and diversity; and ethical codes of practice. - Satisfies all the curriculum and training requirements for the new social work degree. Mapping directly on to first year courses, this text is essential reading for all social work undergraduates. It is an ideal refresher text for upper-level undergraduates, postgraduate and post-qualifying students, and for professionals. `This introductory text succeeds in providing an accessible introduction to the subject area. The book is consistently structured, well planned and uniformly written in a conversational and immediate style…. The discussion manages to combine a sense of engagement with a balanced treatment of the issues. Readers who apply themselves will be well sensitised to the matters under discussion and should be able to take their understanding into the practical arena' - Chris Clark, University of Edinburgh. (shrink)

Improving surgical interventions is key to improving outcomes. Ensuring the safe and transparent translation of such improvements is essential. Evaluation and governance initiatives, including the IDEAL framework and the Macquarie Surgical Innovation Identification Tool have begun to address this. Yet without a definition of innovation that allows non-surgeons to identify when it is occurring, these initiatives are of limited value. A definition seems elusive, so we undertook a conceptual study of surgical innovation. This indicated common conceptual areas in discussions of (...) innovation, that we categorised alliteratively under the themes of “purpose”, “place”, “process”, “product” and “person”. These conceptual areas are used in varying—sometimes contradictory—ways in different discussions. Highlighting these conceptual areas of surgical innovation may be useful in clarifying what should be reported in registries of innovation. However our wider conclusion was that the term “innovation” carries too much conceptual baggage to inform normative inquiry about surgical practice. Instead, we propose elimination of the term “innovation” from serious discourse aimed at evaluation and regulation of surgery. In our view researchers, philosophers and policy-makers should consider what it is about surgical activity that needs attention and develop robust definitions to identify these areas: for our own focus on transparency and safety, this means finding criteria that can objectively identify certain risk profiles during the development of surgery. (shrink)

This article focuses on practical, ethical and political issues that arise in the context of cetacean conservation. Our point of departure is the controversy surrounding plans to assist J50, an ailing member of the southern resident orca population, during the summer of 2018. A brief history of cetacean captivity provides context for the current backlash against captivity. We then argue that, in many cases, interventions aimed at capture, rehabilitation and release are practically feasible and that such interventions are ethically justifiable. (...) Moreover, the political context highlights the importance of engaging a broad range of stakeholders in conservation decision making. (shrink)

Volume 19, Issue 6, June 2019, Page 25-27.

Journal of Political Philosophy, EarlyView.

One can know how to ride a bicycle, play the cello, or collect experimental data. But who can know how to properly ride a tandem bicycle, perform a symphony, or run a high-energy physics experiment? Reductionist analyses fail to account for these cases strictly in terms of the individual know-how involved. Nevertheless, it doesn't follow from non-reductionism that groups possess this know-how. One must first show that epistemic extension cannot obtain. This is the idea that individuals can possess knowledge even (...) when others possess some of the epistemic materials generating it. I show that only knowledge-that can be epistemically extended, not knowledge-how. Appeal to epistemic extension is a viable way of avoiding group knowledge-that ascriptions but not group knowledge-how ascriptions. Therefore, groups can know how. (shrink)

It has been suggested that Marr took the three levels he famously identifies to be independent. In this paper, we argue that Marr's view is more nuanced. Specifically, we show that the view explicitly articulated in his work attempts to integrate the levels, and in doing so results in Marr attacking both reductionism and vagueness. The result is a perspective in which both high-level information-processing constraints and low-level implementational constraints play mutually reinforcing and constraining roles. We discuss our recent work (...) on Spaun—currently the world's largest functional brain model—that demonstrates the positive impact of this kind of unifying integration of Marr's levels. We argue that this kind of integration avoids his concerns with both reductionism and vagueness. In short, we suggest that the methods behind Spaun can be used to satisfy Marr's explicit interest in combining high-level functional and detailed mechanistic explanations. (shrink)

This paper responds to the commentaries from Stacy Carter and Alan Cribb. We pick up on two main themes in our response. First, we reflect on how the process of setting standards for empirical bioethics research entails drawing boundaries around what research counts as empirical bioethics research, and we discuss whether the standards agreed in the consensus process draw these boundaries correctly. Second, we expand on the discussion in the original paper of the role and significance of the concept of (...) ‘integrating’ empirical methods and ethical argument as a standard for research practice within empirical bioethics. (shrink)

Background:Withdrawal of treatment is a common practice in intensive care units when treatment is considered futile. Compassion is an important aspect of care; however, it has not been explored much within the context of treatment withdrawal in intensive care units.Objectives:The aim was to examine how concepts of compassion are framed, utilised and communicated by intensive care nurses in the context of treatment withdrawal.Design:The study employed a qualitative approach conducting secondary analysis of an original data set. In the primary study, 13 (...) nurses were recruited from three intensive care units within a large hospital in United Kingdom. Deductive framework analysis was used to analyse the data in relation to compassionate care.Ethical considerations:The primary study was approved by the local Research Ethics Committee and the hospital’s Research and Development services.Findings:Compassionate care was mostly directed to the patient’s family and was demonstrated through care and emotional support to the family. It was predominantly expressed through attempts to maintain the patient’s dignity by controlling symptoms, maintaining patient cleanliness and removing technical apparatus.Conclusion:This study’s findings provide insight about compassionate care during treatment withdrawal which could help to understand and develop further clinicians’ roles. Prioritising the family over the patient raised concerns among nurses, who motivated by compassion, may feel justified in taking measures that are in the interests of the family rather than the patient. Further work is needed to explore the ethics of this. (shrink)

I connect two increasingly popular ideas in social epistemology—group knowledge and epistemic extension—both departures from mainstream epistemological tradition. In doing so, I generate a framework for conceptualizing and organizing contemporary epistemology along several core axes. This, in turn, allows me to delineate a largely unexplored frontier in group epistemology. The bulk of extant work in group epistemology can be dubbed intra-group epistemology: the study of epistemically salient happenings within groups. I delineate and attempt to motivate what I dub inter-group epistemology: (...) the study of epistemically salient happenings between groups and other subjects and entities. (shrink)

This chapter explores whether and when experience can be evidence. It argues that experiences can be evidence, and that this claim is compatible with just about any epistemological theory. It evaluates the most promising argument for the conclusion that certain experiences (e.g., seeming to see) are always evidence for believing what the experiences represent. While the argument is very promising, one premise needs further defense. The argument also depends on a certain connection between reasonable belief and the first person perspective.

This book sets out a new reading of the much-neglected philosophy of Karl Jaspers. By questioning the common perception of Jaspers either as a proponent of irrationalist cultural philosophy or as an early, peripheral disciple of Martin Heidegger, it re-establishes him as a central figure in modern European philosophy. Giving particular consideration to his position in epistemological, metaphysical and political debate, the author argues that Jaspers's work deserves renewed consideration in a number of important discussions, particularly in hermeneutics, anthropological reflections (...) on religion, the critique of idealism, and debates on the end of metaphysics. (shrink)

To have a fully integrated understanding of neurobiological systems, we must address two fundamental questions: 1. What do brains do (what is their function)? and 2. How do brains do whatever it is that they do (how is that function implemented)? I begin by arguing that these questions are necessarily inter-related. Thus, addressing one without consideration of an answer to the other, as is often done, is a mistake. I then describe what I take to be the best available approach (...) to addressing both questions. Specifically, to address 2, I adopt the Neural Engineering Framework (NEF) of Eliasmith & Anderson [Neural engineering: Computation representation and dynamics in neurobiological systems. Cambridge, MA: MIT Press, 2003] which identifies implementational principles for neural models. To address 1, I suggest that adopting statistical modeling methods for perception and action will be functionally sufficient for capturing biological behavior. I show how these two answers will be mutually constraining, since the process of model selection for the statistical method in this approach can be informed by known anatomical and physiological properties of the brain, captured by the NEF. Similarly, the application of the NEF must be informed by functional hypotheses, captured by the statistical modeling approach. (shrink)

Chris Horner and Emrys Westacott present a clear and accessible introduction to some of the central problems of philosophy through challenging and stimulating the reader to think beyond the conventional answers to fundamental questions. No previous knowledge is assumed, and in lively and provocative chapters the authors invite the reader to explore questions about the nature of science, religion, ethics, politics, art, the mind, the self, knowledge and truth. Each chapter includes inset boxes providing links to classic philosophy texts (...) on the issues discussed. In addition, the book relates the adventure of philosophy to some of the key principles of critical thinking. (shrink)

The 2018 Varsity Medical Ethics debate convened upon the motion: “This house believes that the constant monitoring of our health does more harm than good”. This annual debate between students from the Universities of Oxford and Cambridge is now in its tenth year. This year’s debate was hosted at the Oxford Union on 8th of February 2018, with Oxford winning for the Opposition, and was the catalyst for the collation and expansion of ideas in this paper.New technological devices have the (...) potential to enhance patient autonomy, improve patient safety, simplify the management of chronic diseases, increase connectivity between patients and healthcare professionals and assist individuals to make lifestyle changes to improve their health. However, these are pitted against an encroachment of technology medicalising the individual and home, an exacerbation of health inequalities, a risk to the security of patient data, an alteration of the doctor-patient relationship dynamic and an infringement on individual self-identity. This paper will draw upon and develop these concepts, while contending arguments for and against constant health monitoring. This is not a review of medical devices and health monitoring, but a reflective development and more detailed elaboration of the main points highlighted in the 2018 Varsity Medical Ethics debate. (shrink)

While earlier work has emphasized Kant’s philosophy of religion as thinly disguised morality, this timely and original reappraisal of Kant’s philosophy of religion incorporates recent scholarship. In this volume, Chris L. Firestone, Stephen R. Palmquist, and the other contributors make a strong case for more specific focus on religious topics in the Kantian corpus. Main themes include the relationship between Kant’s philosophy of religion and his philosophy as a whole, the contemporary relevance of specific issues arising out of Kant’s (...) philosophical theology, and the relationship of Kant’s philosophy to Christian theology. As a whole, this book capitalizes on contemporary movements in Kant studies by looking at Kant not as an anti-metaphysician, but as a genuine seeker of spirituality in the human experience. (shrink)

Cochrane has developed a linked data infrastructure to make the evidence and data from its rich repositories more discoverable to facilitate evidence-based health decision-making. These annotated resources can enhance the study and understanding of biomarkers and surrogate endpoints.

So what is feminism anyway? Why are all the experts so reluctant to give us a clear definition? Is it possible to make sense of the complex and often contradictory debates? In this concise and accessible introduction to feminist theory, Chris Beasley provides clear explanations of the many types of feminism. She outlines the development of liberal, radical and Marxist//socialist feminism, and reviews the more contemporary influences of psychoanalysis, postmodernism, theories of the body, queer theory, and attends to the (...) ongoing significance of race and ethnicity. Given the diversity of feminist ideas, Chris Beasley a number of ways of looking at feminist theory and offer an open-ended approach which allows for variety and change. What is Feminism? is a clear and up-to-date guide to Western feminist theory for students, their teachers, researchers and anyone else who wants to understand and engage in current feminist debates. `Over the last three decades feminist theories and methodologies have become an increasingly complex as well as somewhat fraught terrain where ideas and egos alternately clash productively and destructively. This is an up-to-date and intelligent introduction to a field which remains a vital component of contemporary sociopolitical issues and debates' - Sneja Gunew, Professor of English and Women’s Studies, University of British Columbia. (shrink)

Building upon his previous books about Marx, Hayek, and Rand, _Total Freedom_ completes what _Lingua Franca_ has called Sciabarra’s "epic scholarly quest" to reclaim dialectics, usually associated with the Marxian left, as a methodology that can revivify libertarian thought. Part One surveys the history of dialectics from the ancient Greeks through the Austrian school of economics. Part Two investigates in detail the work of Murray Rothbard as a leading modern libertarian, in whose thought Sciabarra finds both dialectical and nondialectical elements. (...) Ultimately, Sciabarra aims for a dialectical-libertarian synthesis, highlighting the need to think of the "totality" of interconnections in a dynamic system as the way to ensure human freedom while avoiding "totalitarianism". (shrink)