BackgroundAmidst expanding roles in education and policy making, questions have been raised about the ability of Clinical Ethics Committees (CEC) s to carry out effective ethics consultations (CECons). However recent reviews of CECs suggest that there is no uniformity to CECons and no effective means of assessing the quality of CECons. To address this gap a systematic scoping review of prevailing tools used to assess CECons was performed to foreground and guide the design of a tool to evaluate the quality (...) of CECons.MethodsGuided by Levac et al’s (2010) methodological framework for conducting scoping reviews, the research team performed independent literature reviews of accounts of assessments of CECons published in six databases. The included articles were independently analyzed using content and thematic analysis to enhance the validity of the findings.ResultsNine thousand sixty-six abstracts were identified, 617 full-text articles were reviewed, 104 articles were analyzed and four themes were identified – the purpose of the CECons evaluation, the various domains assessed, the methods of assessment used and the long-term impact of these evaluations.ConclusionThis review found prevailing assessments of CECons to be piecemeal due to variable goals, contextual factors and practical limitations. The diversity in domains assessed and tools used foregrounds the lack of minimum standards upheld to ensure baseline efficacy.To advance a contextually appropriate, culturally sensitive, program specific assessment tool to assess CECons, clear structural and competency guidelines must be established in the curation of CECons programs, to evaluate their true efficacy and maintain clinical, legal and ethical standards. (shrink)

IntroductionClinical ethics committees (CECs) support and enhance communication and complex decision making, educate healthcare professionals and the public on ethical matters and maintain standards of care. However, a consistent approach to training members of CECs is lacking. A systematic scoping review was conducted to evaluate prevailing CEC training curricula to guide the design of an evidence-based approach.MethodsArksey and O’Malley’s methodological framework for conducting scoping reviews was used to evaluate prevailing accounts of CEC training published in six databases. Braun and Clarke’s (...) thematic analysis approach was adopted to thematically analyse data across different healthcare and educational settings.Results7370 abstracts were identified, 92 full-text articles were reviewed and 55 articles were thematically analysed to reveal four themes: the design, pedagogy, content and assessment of CEC curricula.ConclusionFew curricula employ consistent approaches to training. Many programmes fail to provide CEC trainees with sufficient knowledge, skills and experience to meet required competencies. Most programmes do not inculcate prevailing sociocultural, research, clinical and educational considerations into training processes nor provide longitudinal support for CEC trainees. Most CEC training programmes are not supported by host institutions threatening the sustainability of the programme and compromising effective assessment and longitudinal support of CEC trainees. While further reviews are required, this review underlines the need for host organisations to support and oversee a socioculturally appropriate ethically sensitive, clinically relevant longitudinal training, assessment and support process for CEC trainees if CECs are to meet their roles effectively. (shrink)

BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)

What are intuitions? According to doxastic views, they are doxastic attitudes or dispositions, such as judgments or inclinations to make judgments. According to perceptualist views, they are—like perceptual experiences—pre-doxastic experiences that—unlike perceptual experiences—represent abstract matters as being a certain way. In this paper I argue against doxasticism and in favor of perceptualism. I describe two features that militate against doxasticist views of perception itself: perception is belief-independent and perception is presentational. Then I argue that intuitions also have both features. The (...) upshot is that intuitions are importantly similar to perceptual experiences, and so should not be identified with doxastic attitudes or dispositions. I consider a popular argument from the introspective absence of sui generis intuition experiences in favor of doxasticism. I develop a conception of intuition experiences that helps to defuse this argument. (shrink)

The Gettier Problem is the problem of revising the view that knowledge is justified true belief in a way that is immune to Gettier counter-examples. The “Gettier Problem problem”, according to Lycan, is the problem of saying what is misguided about trying to solve the Gettier Problem. In this paper I take up the Gettier Problem problem. I distinguish giving conditions that are necessary and sufficient for knowledge from giving conditions that explain why one knows when one does know. I (...) argue that the problem with the Gettier Problem is that it requires us to articulate conditions that suffice for knowledge even if those conditions are non-explanatory. After defending this view, I take up two related methodological issues, one about the evidence that can be given in favor of an account of knowledge, and one about the role that investigating justification might play in investigating knowledge. (shrink)

Elijah Chudnoff elaborates and defends a view of intuition according to which intuition purports to, and reveals, how matters stand in abstract reality by making us aware of that reality through the intellect. He explores the experience of having an intuition; justification for beliefs that derives from intuition; and contact with abstract reality.

NOTE: this is a substantial revision of a previously uploaded draft. Intuitions are often thought of as inputs to theoretical reasoning. For example, you might form a belief by taking an intuition at face value, or you might take your intuitions as starting points in the method of reflective equilibrium. The aim of this paper is to argue that in addition to these roles intuitions also play action-guiding roles. The argument proceeds by reflection on the transmission of justification through inference. (...) According to inferential internalists, in order to gain justification for believing the conclusion of an argument by inferring it from the premises in that argument one must “see” that the premises support the conclusion. I motivate this view and endorse the idea that one’s “seeing” such a support relation consists of one’s having an intuition. In a number of recent papers, Paul Boghossian has pressed a regress argument against inferential internalism inspired by Lewis Carroll’s dialogue “What the Tortoise Said to Achilles.” I develop a response to Bogossian’s argument according to which intuitions work like mental imperatives and inferences are mental actions performed by obeying them. After developing this response to Boghossian’s argument, I take up the question of what it is in virtue of which intuitions play a guidance role, when they do so. (shrink)

In this paper I articulate and defend a view that I call phenomenal dogmatism about intuitive justification. It is dogmatic because it includes the thesis: if it intuitively seems to you that p, then you thereby have some prima facie justification for believing that p. It is phenomenalist because it includes the thesis: intuitions justify us in believing their contents in virtue of their phenomenology—and in particular their presentational phenomenology. I explore the nature of presentational phenomenology as it occurs perception, (...) and I make a case for thinking that it is present in a wide variety of logical, mathematical, and philosophical intuitions. (shrink)

In recent years, several cases about the legal personhood of nonhuman animals garnered global attention, e.g. the recognition of ‘basic rights’ for the Argentinian great apes Sandra and Cecilia. Legal scholars have embraced the animal turn, blurring the once sovereign boundaries between persons and objects, recognising nonhuman beings as legal subjects. The zoonotic origins of the Covid-19 pandemic stress the urgency of establishing ‘global animal law’ and deconstructing anthropocentrism. To this end, it is vital to also consider the extensive premodern (...) legal history that humans share with other animals. Over 200 so-called animal trials have been documented in premodern Europe. In these proceedings, certain nonhuman animals—particularly domestic pigs—were prosecuted, often resulting in their capital punishment or anathema. This paper takes a history of ideas approach to these historical instances where Western philosophy of law and philosophical anthropology intersect, problematising the notion that such trials constitute wholesome precedents of the kind of legal personhood presently debated in jurisprudence. My counter-hegemonic analysis of the legal prosecution and execution of several pigs in fifteenth-century France demonstrates that late mediaeval notions of criminality transcended the alleged human-nonhuman divide whilst reaffirming and reifying human distinctiveness. I propose that pig trials were local laboratories where Christian communities reflected upon the natural hierarchy of God’s creation. Ensuing the apparent breach of the prescribed boundaries of nature, these communities renegotiated and re-naturalised everyday interspecies sociability by utilising the offending animals to exemplify particular norms about what it means to be human, generally to the animals’ detriment. (shrink)

A blindfolded clairvoyant walks into a room and immediately knows how it is arranged. You walk in and immediately see how it is arranged. Though both of you represent the room as being arranged in the same way, you have different experiences. Your experience doesn’t just represent that the room is arranged a certain way; it also visually presents the very items in the room that make that representation true. Call the felt aspect of your experience made salient by this (...) contrast its presentational phenomenology. Many philosophers have observed that perceptual experiences have presentational phenomenology. In this paper I explore its nature, scope, and significance. I argue that in addition to perceptual experiences, presentational phenomenology can be found in intuitive, introspective, imaginative, and recollective experiences. I also argue that presentational phenomenology is epistemologically significant: it plays a central role in explaining why the experiences that have it justify beliefs and give us knowledge. (shrink)

Reflection on the possibility of cases in which experience is cognitively penetrated has suggested to many that an experience's etiology can reduce its capacity to provide prima facie justification for believing its content below a baseline. This is epistemic downgrade due to etiology, and its possibility is incompatible with phenomenal conservatism. I develop a view that explains the epistemic deficiency in certain possible cases of cognitive penetration but on which there is no epistemic downgrading below a baseline and on which (...) etiology plays no explanatory role. This view is not phenomenal conservatism exactly, but it does capture what’s right about phenomenal conservatism. (shrink)

According to Seungbae Park, two versions of the pessimistic induction argument against scientific realism, what he calls the "absolute" and "relative" versions, each fail for the same reason. Depending on whether their respective premises refer to distant or recent past theories, either each premise is implausible, or the conclusion does not probably follow from them. I suggest that Park has misconstrued the sort of argument his pessimist interlocutors rely on. When properly recast, the absolute and relative versions of the argument (...) become deductive rather than inductive. The result in each case is an argument that, contra Park, has both a plausible premise and a conclusion that follows from it. (shrink)

Thought experiments figure prominently in contemporary epistemology. Beyond that humdrum observation, controversy abounds. The aim of this paper is to make progress on two fronts. On the descriptive front, the aim is to illuminate what the practice of using thought experiments involves. On the normative front, the aim is to illuminate what the practice of using thought experiments should involve. Thought experiments result in judgments that are passed on to further philosophical reasoning. What are these judgments? What is the point (...) of making them? What basis do we have for making them? A conception of thought experiments includes answers to these three questions. My thesis is that epistemologists should use thought experiments in accordance with a conception of them organized around the idea of explanation. My case for endorsing the thesis rests on the fruitfulness of the interventions in current debates about the content, point, and basis of thought experiment judgments that it suggests. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Nietzsche did his philosophizing while he was coming apart at the seams. His writing is hard for readers to find their way around because he was all over the place when he produced it. But it's philosophy of coming apart at the seams and being all over the place, and also philosophy as a way of coping with that predicament-which makes it both fascinating and important. Why Didn't Nietzsche Get His Act Together? has three main tasks on its agenda. Nietzsche (...) is hard to make sense of; this is a guide, a book that shows you how to read him for yourself. Second, Nietzsche coped with his disintegrating self by philosophizing, and so this is a work that takes up disunified agency through Nietzsche's own engagement with the topic. Third and finally, Nietzsche managed his fragmenting personality by inventing one after another meaning of life for himself; examining those inventions and the job they did for him is an occasion to ask what a meaning of life is for. (shrink)

What is the epistemic significance of taking a veridical perceptual experience at face value? To first approximations, the Minimal View says that it is true belief, and the Maximal View says that it is knowledge. I sympathetically explore the prospects of the Maximal View.

A central idea of public reason liberalism is that the exercise of political power is legitimate when supported only by reasons which all citizens accept. Public reason serves as a necessary standard for evaluating the legitimacy of political decisions. In this paper, I examine the directive to employ public reason from the citizens’ perspective. I suggest that employing public reason potentially involves them engaging in different types of compromise. I consider how acknowledging these compromises sheds light on public reason liberalism. (...) Public reason may not offer a necessary standard for evaluating the legitimacy of decisions, and the evaluation it offers may not have great weight relative to other moral and political considerations. (shrink)

Phenomenology is about subjective aspects of the mind, such as the conscious states associated with vision and touch, and the conscious states associated with emotions and moods, such as feelings of elation or sadness. These states have a distinctive first-person ‘feel’ to them, called their phenomenal character. In this respect they are often taken to be radically different from mental states and processes associated with thought. This is the first book to fully question this orthodoxy and explore the prospects of (...) cognitive phenomenology, applying phenomenology to the study of thought and cognition. Does cognition have its own phenomenal character? Can introspection tell us either way? If consciousness flows in an unbroken ‘stream’ as William James argued, how might a punctuated sequence of thoughts fit into it? Elijah Chudnoff begins with a clarification of the nature of the debate about cognitive phenomenology and the network of concepts and theses that are involved in it. He then examines the following topics: • Introspection and knowledge of our own thoughts • Phenomenal contrast arguments • The value of consciousness • The temporal structure of experience • The holistic character of experience and the interdependence of sensory and cognitive states • The relationship between phenomenal character and mental representation -/- Including chapter summaries, annotated further reading, and a glossary, this book is essential reading for anyone seeking a clear and informative introduction to and assessment of cognitive phenomenology, whether philosophy student or advanced researcher. It will also be valuable reading for those in related subjects such as philosophy of mind, philosophy of psychology and epistemology. (shrink)

What do philosophy and computer science have in common? It turns out, quite a lot! In providing an introduction to computer science (using Python), Daniel Lim presents in this book key philosophical issues, ranging from external world skepticism to the existence of God to the problem of induction. These issues, and others, are introduced through the use of critical computational concepts, ranging from image manipulation to recursive programming to elementary machine learning techniques. In illuminating some of the overlapping conceptual spaces (...) of computer science and philosophy, Lim teaches readers fundamental programming skills and allows them to develop the critical thinking skills essential for examining some of the enduring questions of philosophy. (shrink)

Moral distress is now being recognized as a frequent experience for many health care providers, and there's good evidence that it has a negative impact on the health care work environment. However, contemporary discussions of moral distress have several problems. First, they tend to rely on inadequate characterizations of moral distress. As a result, subsequent investigations regarding the frequency and consequences of moral distress often proceed without a clear understanding of the phenomenon being discussed, and thereby risk substantially misrepresenting the (...) nature, frequency, and possible consequences of moral distress. These discussions also minimize the intrinsically harmful aspects of moral distress. This is a serious omission. Moral distress doesn't just have a negative impact on the health care work environment; it also directly harms the one who experiences it. In this paper, I claim that these problems can be addressed by first clarifying our understanding of moral distress, and then identifying what makes moral distress intrinsically harmful. I begin by identifying three common mistakes that characterizations of moral distress tend to make, and explaining why these mistakes are problematic. Next, I offer an account of moral distress that avoids these mistakes. Then, I defend the claim that moral distress is intrinsically harmful to the subject who experiences it. I conclude by explaining how acknowledging this aspect of moral distress should reshape our discussions about how best to deal with this phenomenon. (shrink)

Published for the first time from a unique manuscript housed in the Jewish Theological Seminary of America. With source notes, commentary, and detailed indices of sources and subjects. Preceded by two lengthy introductions, one dealing with the manuscript, the work and its contents, and the second dealing with the life and time of R. Capsali, and his communal leadership. Me'ah She'arim includes 100 chapters dedicated to the subject of kibbud av va'em, the commandment to honor and respect one's parents. In (...) addition, the end chapters deal with the education of one's children and Jewish family relations. The author's style of writing is very elegant and flowery, rich in allusion to Biblical phraseology, Midrash and liturgy. The book has enjoyed, and is still enjoying, great acceptance. It is quoted by halakhic decisors and cited in scholarly historical treatises the world over. (shrink)

In “Punishing Intentions and Neurointerventions”, Birks and Buyx (2018) provide a novel argument on why the use of mandatory neurointerventions on convicted criminals is morally objectionable “in a...

This essay explores the validity of Gregory Boyd’s open theistic account of the nature of the future. In particular, it is an investigation into whether Boyd’s logical square of opposition for future contingents provides a model of reality for free will theists that can preserve both bivalence and a classical conception of omniscience. In what follows, I argue that it can.

Al-Kindi is believed by many scholars to be the first Islamic philosopher. At a time when Europe was plunged into the Dark Ages, the Islamic world was experiencing an important time of cultural growth and scientific advancement. While many considered Muslim students of ancient Greek philosophers to be infidels, al-Kindi was able to master the scholarship while interpreting it through his Muslim faith. His conclusions always supported the teachings of Islam, but the methods that he drew upon to reach these (...) conclusions were rooted in science, math, and principles accepted by many other cultures and faiths. (shrink)

Faith (Islam); liberty; religious aspects; Islam.

Other (Philosophy); Islamic civilization.

The prevalence of antibiotic resistant microbes has led to a call for new antibiotics development. Due to the irresponsible practices of the medical community in prescribing antibiotics, much of the demand for new antibiotics is suspect. I argue that the social contract, which properly includes human relationships with laboratory animals, requires a conservative attitude toward new antibiotics development. This attitude places limits on the justificatory role of demand in determining whether a particular research project meets the conditions for morally justified (...) research, as defined by Rollin’s utilitarian principle. (shrink)

Experiences justify beliefs about our environment. Sometimes the justification is immediate: seeing a red light immediately justifies believing there is a red light. Other times the justification is mediate: seeing a red light justifies believing one should brake in a way that is mediated by background knowledge of traffic signals. How does this distinction map onto the distinction between what is and what isn't part of the content of experience? Epistemic egalitarians think that experiences immediately justify whatever is part of (...) their content. Epistemic elitists deny this and think that there is some further constraint the contents of experience must satisfy to be immediately justified. Here I defend epistemic elitism, propose a phenomenological account of what the further constraint is, and explore the resulting view's consequences for our knowledge of other minds, and in particular for perceptual theories of this knowledge. (shrink)

First impressions suggest the following contrast between perception and memory: perception generates new beliefs and reasons, justification, or evidence for those beliefs; memory preserves old beliefs and reasons, justification, or evidence for those beliefs. In this paper, I argue that reflection on perceptual learning gives us reason to adopt an alternative picture on which perception plays both generative and preservative epistemic roles.

Auguste Comte's doctrine of the three phases through which sciences pass (the theological, the metaphysical, and the positive) allows us to explain what John Stuart Mill was attempting in his magnum opus, the System of Logic: namely, to move the science of logic to its terminal and 'positive' stage. Both Mill's startling account of deduction and his unremarked solution to the Humean problem of induction eliminate the notions of necessity or force—in this case, the 'logical must'—characteristic of a science's metaphysical (...) stage. Mill's treatment had a further surprising payoff: his solution to the Problem of Necessity (what today we call the problem of determinism and freedom of the will). (shrink)

I have developed transcendental arguments to refute several versions of Nick Bostrom’s simulation hypothesis. I called some of these arguments the SIM-style argument. In this paper, I have four main aims. First, I employ the SIM-style argument to remedy a defect in Hilary Putnam’s Brain-in-vat argument. Second, I show that the most radical skepticism, which Tim Button called the nightmarish Cartesian skepticism, can be refuted by the SIM-style argument or by another transcendental argument I develop here. Third, I compare my (...) approach to radical skepticisms with Donald Davidson’s, as it is often regarded as an exemplar of transcendental arguments. Fourth, I explain how the prominent objections, mainly developed by Barry Stroud, to transcendental arguments can incur two undesirable results: psychologism and Kantian skepticism. (shrink)

"I have noticed, increasingly, that people after the age of 65 or thereabouts begin to experience the fear of death in a very palpable way. While in their childhood and youth they had viewed death as happening only to grandparents, while in middle age they could still afford to relegate death to remote corners of their consciousness where it could not intrude upon the pleasures of living, the advent of old age after 65 brings to them a deeply disturbing sense (...) of mortality." So begins An Equal Joy, a collection of essays in which award-winning author Catherine Lim undertakes a bold and intense exploration into the fear of death, the nature of religion and the question of who we are. Drawing on her own experiences and myraid influences--from the Taoist "Sky God" of her childhood and the Christian God Jesus of her adulthood to scientist Pascal and philosopher Socrates; from intimate conversations with close friends to the imagined world of fictional characters--Lim reflects on the beauty of both the natural world and the world of faith. As Lim writes, "Truth, Goodness and Beauty. For me, they form the goals of a perfect life." In sharing her insights, Lim not only provokes us to reflect on the meaning of life but also encourages us to live as meaningful a life as possible. (shrink)

Volume 20, Issue 9, September 2020, Page 36-38.

Ryan Darby, Judith Edersheim, and Bruce Price (DEP) argue that patients with Behavioral-Variant Frontotemporal Dementia have intact moral knowledge. In effect, they assume a motivational externalist understanding of moral knowledge. We question this by probing the cases they present as evidence for their position.

The Golden Age of Islam -- Avicenna's early life -- On the prince's court -- Prince of physicians -- A short life with width -- Chief of the wise.

This paper presents the critical role of corporate responsibility in the sustainability of health care programs in lower income communities mostly located in the rural areas. The Leaders for Health Program (LHP)—a tri-partite partnership between the Philippine Department of Health, the Health Unit of the Ateneo de Manila University Graduate School of Business, and Pfizer Philippines, Inc.—is an innovative approach focusing on health promotion and education as the cornerstone for community development. LHP adopts a systemic and comprehensive approach that takes (...) into consideration all the major stakeholders in health, especially in rural communities. This paper aims to support the viability of education as the main catalyst for community empowerment and self-sufficiency. (shrink)