The aim of this study is to assess the knowledge, attitudes and experiences of Spanish nurses in relation to euthanasia and physician-assisted suicide. In an online questionnaire completed by 390 nurses from Andalusia, 59.1% adequately identified a euthanasia situation and 64.1% a situation involving physician-assisted suicide. Around 69% were aware that both practices were illegal in Spain, while 21.4% had received requests for euthanasia and a further 7.8% for assisted suicide. A total of 22.6% believed that cases of euthanasia had (...) occurred in Spain and 11.4% believed the same for assisted suicide. There was greater support (70%) for legalisation of euthanasia than for assisted suicide (65%), combined with a greater predisposition towards carrying out euthanasia (54%), if it were to be legalised, than participating in assisted suicide (47.3%). Nurses in Andalusia should be offered more education about issues pertaining to the end of life, and extensive research into this area should be undertaken. (shrink)

Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates ‘advance directives’ and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems.Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several (...) surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them.Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated. (shrink)

This paper evaluates the content of the syllabi of postgraduate courses on public health ethics within accredited schools and programs of public health in the United States in order to gain an awareness of the topics addressed within these courses. Methods: Data was gathered via the analysis of syllabi of courses on PHE. In 2012, information was requested by e-mail from the 48 schools and 86 PH programs accredited by the U.S. Council on Education for Public Health for 2012. The (...) “Epidemiology and PHE Syllabi” project of the University of Miami also was consulted. A table of topics was drawn up in order to carry out content analysis of the documents. Results: Data was obtained from 25 schools and 36 accredited programs ; 36 syllabi were gathered and 75 different topics were found. Of these, 38 topics were addressed in six or more syllabi and can be grouped as follows: foundations of PHE; autonomy and its limits; infectious disease control; justice; research ethics; health education and promotion; environmental and occupational health; screening; genetics; privacy and confidentiality; and community-based practice and vulnerable populations. Conclusions: The analyzed syllabi show high variability in curricular content. The debate with regard to whether a core curriculum on PHE should be established is ongoing. The results of this work might be of interest for schools and programs of PH in other countries or regions of the world in order to develop or ameliorate their own PHE syllabi. (shrink)

Objective: To measure the stability of life-sustaining treatment preferences amongst older people and analyse the factors that influence stability. Design: Longitudinal cohort study. Setting: Primary care centres, Granada (Spain). Eighty-five persons age 65 years or older. Participants filled out a questionnaire with six contexts of illness (LSPQ-e). They had to decide whether or not to receive treatment. Participants completed the questionnaire at baseline and 18 months later. Results: 86 percent of the patients did not change preferences. Sex, age, marital status, (...) hospitalisation, and self-perception of health and pain did not affect preferences. Morbidity and the death of a relative did. Conclusion: Stability of preferences of older persons in relation to end-of-life decisions seems to be more probable than instability. Some factors, such as the death of a relative or the increase in morbidity, can change preferences. These findings have implications for advance directives (ADs) and advance care planning. (shrink)

The accuracy of proxies when they interpret advance directives or apply substituted decision-making criteria has been called into question. It therefore became important to know if the Andalusian Advance Directive Form (AADF) can help to increase the accuracy of proxies' predictions. The aim of this research was to compare the effect of the AADF on the accuracy of proxies' predictions about patients' preferences with that gained from informative and deliberative sessions about end-of-life decision making. A total of 171 pairs of (...) patients and their proxies were randomized to three groups. The control group's answers to the Life Sustaining Preferences Questionnaire (LSPQ) were compared with their proxies' answers to the same questionnaire. In one intervention group, the patients had already completed the AADF and given it to their proxies, who used it to guide their own answers to the LSPQ. In the second intervention (discussion) group, both patients and proxies attended two educative sessions guided by trained nurses and later filled in the LSPQ. Comparisons of accuracy and other variables showed a strong association with the discussion group. The findings show that promoting communication between patients and their proxies improves the accuracy of proxies' predictions much more than isolated use of the AADF form. (shrink)

We describe a set of two computer‐implemented models that solve physics problems in ways characteristic of more and less competent human solvers. The main features accounting for different competences are differences in strategy for selecting physics principles, and differences in the degree of automation in the process of applying a single principle. The models provide a good account of the order in which principles are applied by human solvers working problems in kinematics and dynamics. They also are sufficiently flexible to (...) allow easy extension to several related domains of physics problems. (shrink)

Peter Abelard (1079–1142 ce) was the most wide‐ranging philosopher of the twelfth century. He quickly established himself as a leading teacher of logic in and near Paris shortly after 1100. After his affair with Heloise, and his subsequent castration, Abelard became a monk, but he returned to teaching in the Paris schools until 1140, when his work was condemned by a Church Council at Sens. His logical writings were based around discussion of the “Old Logic”: Porphyry's Isagoge, aristotle'S Categories and (...) On Interpretation and boethius'S textbook on topical inference. They comprise a freestanding Dialectica (“Logic”; probably c.1116), a set of commentaries (known as the Logica [Ingredientibus], c. 1119) and a later (c. 1125) commentary on the Isagoge (Logica Nostrorum Petititoni Sociorum or Glossulae). In a work Abelard called his Theologia, issued in three main versions (between 1120 and c.1134), he attempted a logical analysis of trinitarian relations and explored the philosophical problems surrounding God's claims to omnipotence and omniscience. The Collationes (“Debates,” also known as “Dialogue between a Christian, a Philosopher and a Jew”; probably c.1130) present a rational investigation into the nature of the highest good, in which the Christian and the Philosopher (who seems to be modeled on a philosopher of pagan antiquity) are remarkably in agreement. The unfinished Scito teipsum (“Know thyself,” also known as the “Ethics”; c.1138) analyses moral action. (shrink)

Global metaphysical antirealism (or “antirealism”) is often thought to entail that the identity of each and every concrete entity in our world ultimately depends on us—on our adoption of certain social and linguistic conventions, for instance, or on our use of certain conceptual schemes. Drawing on the middle‐period works of Maurice Merleau‐Ponty, I contend that metaphysical antirealism entails nothing of the sort. For Merleau‐Ponty, I argue, entities do not ultimately owe their identities to us, even though—as he puts it—their “articulations (...) are the very ones of our existence.” Once this is recognised, I maintain, certain interpretations of phenomenology are revealed to be caricatures and certain general objections to antirealism lose their force. (shrink)

Cancer is a singular cellular state, the emergence of which destabilises the homeostasis reached through the evolution to multicellularity. We present the idea that the onset of the cellular disobedience to the metazoan functional and structural architecture, known as the cancer phenotype, is triggered by changes in the cell's external environment that occur with ageing: what ensues is a breach of the social contract of multicellular life characteristic of metazoans. By integrating old ideas with new evidence, we propose that with (...) ageing the environmental information that maintains a multicellular organisation is eroded, rewiring internal processes of the cell, and resulting in an internal shift towards an ancestral condition resulting in the pseudo‐multicellular cancer phenotype. Once that phenotype emerges, a new local social contract is built, different from the homeostatic one, leading to tumour formation and the foundation of a novel local ecosystem. (shrink)

It is often supposed that valuable organisms are more valuable if they are rare. Likewise if they belong to endangered species. I consider what kinds of value rarity and endangerment can add in such cases. I argue that individual organisms of a valuable species typically have instrumental value as means to the end of preserving their species. This progenitive value, I suggest, tends to increase exponentially with rarity. Endlings, for their part, typically have little progenitive value; however, I argue that (...) they may nonetheless have persistence value because, merely by existing, they postpone the numerical extinction of their species. Finally, I propose that a sentient endling can have higher lifeworld value than it would have had were it not the last of its kind. This, I argue, is because when a sentient endling dies, very little of its lifeworld is preserved – and this, I suggest, can be a bad thing. (shrink)

Are any nonhuman animals conscious? Why, if at all, should we strive to conserve natural environments? In what sense are we parts of nature? In this book, Simon James draws on a range of philosophical and literary sources to develop original answers to these and other questions, setting out a refreshingly new approach to environmental philosophy"--Provided by publisher.

In some environmental circles, talk of relational values is very much in fashion. It is said that we must think in terms of such values if we are to understand how such things as canyons, mangroves, and coral reefs matter to people. But that is bad advice. Appeals to relational values are typically misleading in several respects. Granted, those who make such appeals often do so in order to make the important point that some values are neither intrinsic nor instrumental (...) in form, but that point can be made more clearly by referring to other concepts, such as that of constitutive value. To this objection, some may respond that appeals to relational value are nonetheless useful. However, as things stand, their usefulness remains unproven. (shrink)

In many cases, rivers, mountains, forests, and other so-called natural entities have value for us because they contribute to our well-being. According to the standard model of such value, they have instrumental or “service” value for us on account of their causal powers. That model tends, however, to come up short when applied to cases when nature contributes to our well-being by virtue of the religious, political, historical, personal, or mythic meanings it bears. To make sense of such cases, a (...) new model of nature’s value is needed, one that registers the fact that nature can have constitutive value for us on account of the role it plays in certain meaningful wholes, such as a person’s sense of who he or she is. (shrink)

In the US Environmental Protection Agency, the World Wide Fund for Nature and many other environmental organisations, it is standard practice to evaluate particular woods, wetlands and other such places on the basis of the ‘ecosystem services’ they are thought to provide. I argue that this practice cannot account for one important way in which places are of value to human beings. When they play integral roles in our lives, particular places have a kind of value which cannot be adequately (...) conceived in terms of service provision. Since it is in this respect limited, the ecosystem services framework can, I suggest, be criticised on grounds of justice. (shrink)

This paper is about how we should evaluate our tendencies to find - or fail to find - different meanings in the natural world. It has three aims: (1) to show that some virtues and vices can be exhibited in our tendencies to find or to overlook the meanings of natural things, even if it is unclear whether any can only be exhibited in our relations with such things; (2) to categorise some of the relevant virtues and vices; and (3) (...) to refute the objection that meaning-focused approaches to environmental philosophy, of the sort adopted by writers such as Alan Holland and myself, cannot adequately account for nature's independence from human concerns. (shrink)

It is the evening of January 11, 1951. A. J. Ayer retires to a Parisian bar for a post-lecture drink, where he is joined by Georges Batailles, Maurice MerleauPonty, and the physicist Georges Ambrosino. They argue until 3 a.m. The point at issue: Was there a sun before human beings existed? Ayer says "yes," the other three say "no."1Now imagine that a fifth person joins the debate—a Mādhyamika. She argues that because nothing exists independently of conceptual imputation, since, as she (...) puts it, everything is prajñaptisat, neither the sun nor anything else could exist "in itself" or "from its own side"—apart, that is, from the conceptualizing activities of beings like us.Ayer is unimpressed. He stubs out his... (shrink)

In several works, Holmes Rolston, III has argued that a satisfactory environmental ethic cannot be built on a virtue ethical foundation. His first argument amounts to the charge that because virtue ethics is by nature “self-centered” or egoistic, it is also inherently “human-centered” and hence ill suited to treating environmental matters. According to his second argument, virtue ethics is perniciously human-centeredsince it “locates” the value of a thing, not in the thing itself, but in the agent who is “ennobled” by (...) valuing it. These charges, though illuminating, are not in the final analysis compelling. The first misconceives the role of motivation in virtue ethics, while the second ultimately rests on a misunderstanding of the place of the human perspective in ethical considerations. (shrink)

The handicap principle is one of the most influential ideas in evolutionary biology. It asserts that when there is conflict of interest in a signaling interaction signals must be costly in order to be reliable. While in evolutionary biology it is a common practice to distinguish between indexes and fakable signals, we argue this dichotomy is an artifact of existing popular signaling models. Once this distinction is abandoned, we show one cannot adequately understand signaling behavior by focusing solely on cost. (...) Under our reframing, cost becomes one—and probably not the most important—of a collection of factors preventing deception. (shrink)

It is, I suggest, unclear whether any old inanimate objects deserve to be treated with respect simply because they are old. Yet this does not entail that an object’s age has no bearing at all on the question of how it may permissibly be treated. I defend the claim that those who fail to take seriously the histories of old inanimate objects typically deserve to be criticized on aretaic grounds. Such people, I argue, tend to lack the virtue of humility.

It is often assumed that to say that nature should be protected for the sake of human beings just is to say that it should be protected because it is a means to one or more anthropocentric ends. I argue that this assumption is false. In some contexts, claims that a particular natural X should be protected for our sakes mean that X should be protected, not because it is a means to anthropocentric ends, but because it is part of (...) something about human life that is of value: because, that is, its value is anthropocentric and constitutive rather than anthropocentric and instrumental. It follows, I suggest, that one does not need to endorse the non-anthropocentric claim that nature should be protected for its own sake in order to challenge the instrumentalist notion that it should be protected simply because it is a means to anthropocentric ends. To make my case, I consider the UK Government's failed attempt to sell off England's publicly-owned forests. (shrink)

In several works, Holmes Rolston, III has argued that a satisfactory environmental ethic cannot be built on a virtue ethical foundation. His first argument amounts to the charge that because virtue ethics is by nature “self-centered” or egoistic, it is also inherently “human-centered” and hence ill suited to treating environmental matters. According to his second argument, virtue ethics is perniciously human-centeredsince it “locates” the value of a thing, not in the thing itself, but in the agent who is “ennobled” by (...) valuing it. These charges, though illuminating, are not in the final analysis compelling. The first misconceives the role of motivation in virtue ethics, while the second ultimately rests on a misunderstanding of the place of the human perspective in ethical considerations. (shrink)

Language’s intentional nature has been highlighted as a crucial feature distinguishing it from other communication systems. Specifically, language is often thought to depend on highly structured intentional action and mutual mindreading by a communicator and recipient. Whilst similar abilities in animals can shed light on the evolution of intentionality, they remain challenging to detect unambiguously. We revisit animal intentional communication and suggest that progress in identifying analogous capacities has been complicated by (i) the assumption that intentional (that is, voluntary) production (...) of communicative acts requires mental-state attribution, and (ii) variation in approaches investigating communication across sensory modalities. To move forward, we argue that a framework fusing research across modalities and species is required. We structure intentional communication into a series of requirements, each of which can be operationalised, investigated empirically, and must be met for purposive, intentionally communicative acts to be demonstrated. Our unified approach helps elucidate the distribution of animal intentional communication and subsequently serves to clarify what is meant by attributions of intentional communication in animals and humans. (shrink)

If we are to assess whether our attitudes towards nature are morally, aesthetically or in any other way appropriate or inappropriate, then we will need to know what those attitudes are. Drawing on the works of Katie McShane, Alan Holland and Christine Swanton, I challenge the common assumption that to love, respect, honour, cherish or adopt any other sort of pro-attitude towards any natural X simply is to value X in some way and to some degree. Depending on how one (...) interprets ‘value’, that assumption is, I contend, either false or vacuous. I argue that to assess the appropriateness of a person’s pro-attitudes towards a natural entity one must in some cases appeal to the concepts of status and/or bond, and not just that of value. To develop my argument, I appeal to the works of two nature writers – Robert Macfarlane and J. A. Baker. (shrink)

Climate change, habitat loss, rising extinction rates - such problems call for more than just new policies and practices. They raise fundamental questions about the world and our place in it. What, for instance, is the natural world? Do we humans belong to it? Which parts of it are we morally obliged to protect? Drawing on an exceptionally wide range of sources, from virtue ethics to Buddhism, leading environmental philosopher Simon P. James sets out to answer these vitally important (...) questions. The book begins with a discussion of animal minds, before moving on to explore our moral relations with non-human organisms, ecosystems and the earth as a whole. James then considers environmental aesthetics, humanity's place in the natural world and the question of what it means to be wild. In the concluding chapter, he applies his findings to the topic of global climate change, building a strong moral case for urgent action. This accessible, entertainingly written book will be essential reading for students of the environment across the humanities and social sciences. It will, moreover, be an ideal guide for anyone keen to deepen their understanding of environmental issues. (shrink)

In the reported, experiment participants hit a ball to aim at the vertex of a Müller–Lyer configuration. This configuration either remained stable, changed its shaft length or the orientation of the tails during movement execution. A significant illusion bias was observed in all perturbation conditions, but not in the stationary condition. The illusion bias emerged for perturbations shortly after movement onset and for perturbations during execution, the latter of which allowed only a minimum of time for making adjustments . These (...) findings indicate that allocentric information is exploited for online control when people make rapid adjustments in response to a sudden change in the environment and not when people guide their limb movements to interact with a stable environment. (shrink)

Some people claim that some instances of suffering are intrinsically bad in an impersonal way. If it were true, that claim might seem to count against virtue ethics and for consequentialism. Drawing on the works of Jason Kawall, Christine Swanton and Nietzsche, I consider some reasons for thinking that it is, however, false. I argue, moreover, that even if it were true, a virtue ethicist could consistently acknowledge its truth.

The enormous popularity of his pamphlet Common Sense made Thomas Paine one of the best-known patriots during the early years of American independence. His subsequent service with the Continental Army, his publication of The American Crisis (1776-83), and his work with Pennsylvania's revolutionary government consolidated his reputation as one of the foremost radicals of the Revolution. Thereafter, Paine spent almost fifteen years in Europe, where he was actively involved in the French Revolution, articulating his radical social, economic, and political vision (...) in major publications such as The Rights of Man (1791), The Age of Reason (1793-1807), and Agrarian Justice (1797). Such radicalism was deemed a danger to the state in his native Britain, where Paine was found guilty of sedition, and even in the United States some of Paine's later publications lost him a great deal of his early popularity. Yet despite this legacy, historians have paid less attention to Paine than to other leading Patriots such as Thomas Jefferson. In Paine and Jefferson in the Age of Revolutions, editors Simon Newman and Peter Onuf present a collection of essays that examine how the reputations of two figures whose outlooks were so similar have had such different trajectories. (shrink)

Brains are information processing systems whose operational principles ultimately cannot be understood without resource to information theory. We suggest that understanding how external signals are represented in the brain is a necessary step towards employing further engineering tools to understand the information processing performed by brain circuits during behaviour.

Attempts to determine whether nonhuman animals have minds are often thought to raise a particular sceptical concern; I call it the problem of animal minds. If there are such things as animal minds, the sceptic reasons, they will be private realms to which we humans do not have direct epistemological access. So how could one ever know for certain that animals are not mindless mechanisms? In this paper I use a phenomenological approach to show that this familiar sceptical problem presupposes (...) an account of our relations with others which is both too individualistic and too 'mentalistic' to shed interpretative light on our relations with animals. I conclude that although inquiries into how animals experience the world raise a host of difficult problems, they do not raise one big problem, the problem of animal minds, which must be solved before any such inquiries can get off the ground. (shrink)

In this commentary we concur with Frost's view of the centrality of universal principles in models of word identification. However, we argue that other processes in sentence comprehension also fundamentally constrain the nature of written word identification. Furthermore, these processes appear to be universal. We, therefore, argue that universality in word identification should not be considered in isolation, but instead in the context of other linguistic processes that occur during normal reading.

This commentary focuses on two aspects of eye movement behaviour that E-Z Reader 7 currently makes no attempt to explain: the influence of higher order psycholinguistic processes on fixation durations, and orthographic influences on initial and refixation locations on words. From our understanding of the current version of the model, it is not clear how it may be readily modified to account for existing empirical data.

Environmental thinkers often suppose that the natural world (or some parts of it, at least) exists in its own right, independent of human concerns. The arguments developed in this paper suggest that it is possible to do justice to this thought without endorsing some form of metaphysical realism. Thus the early sections look to Merleau-Ponty's Phenomenology of Perception to develop an anti-realist account of the independent reality of the natural world, one, it is argued, that has certain advantages over the (...) accounts proffered by 'environmental realists'. The concluding sections draw upon certain of Merleau-Ponty's later works to defend a rather bolder claim: that the conceptions of realism endorsed by environmental thinkers are not just ill equipped but, in fact, unable to acknowledge what may be provisionally referred to as the more-than-human dimension of reality. (shrink)

I address the problem of reconciling environmental holism with the intrinsic value of individual beings. Drawing upon Madhyamaka Buddhism, the later philosophy of Martin Heidegger, and deep ecology, I present a distinctly holistic conception of nature that, nevertheless, retains a commitment to the intrinsic worth of individual beings. I conclude with an examination of the practical implications of this “thing-centered holism” for environmental ethics.

Recent evidence suggests that consciousness of encoding is not necessary for the rapid formation of new semantic associations. We investigated whether unconsciously formed associations are as semantically precise as would be expected for associations formed with consciousness of encoding during episodic memory formation. Pairs of faces and written occupations were presented subliminally for unconscious associative encoding. Five minutes later, the same faces were presented suprathreshold for the cued unconscious retrieval of face-occupation associations. Retrieval instructions required participants to classify the presented (...) individuals according to their putative regularity of income, length of education, and creativity value of occupational activity. The three instructions yielded more classifications consistent with a person’s occupation if the person had been subliminally presented with his written occupation versus a meaningless word . This suggests that consciousness is not necessary to encode, long-term store, and retrieve semantically precise associations between primarily unrelated items. (shrink)

Environmental thinkers sympathetic to Buddhism sometimes reason as follows: (1) A holistic view of the world, according to which humans are regarded as being 'one' with nature, will necessarily engender environmental concern; (2) the Buddhist teaching of 'emptiness' represents such a view; therefore (3) Buddhism is an environmentally-friendly religion. In this paper, I argue that the first premise of this argument is false (a holistic view of the world can be reconciled with a markedly eco-unfriendly attitude) as is the second (...) (in speaking of emptiness, Buddhist thinkers are not proposing an 'ecological' conception of the world). Yet the conclusion is, I suggest, true: Buddhism is in certain respects environmentally-friendly, not for the reasons cited above, but because of the view, encapsulated in its teachings and practices, that certain dispositions to treat the natural environment well are an integral part of human well-being. (shrink)

Abstract Everyday inanimate things such as stones, teapots and bicycles are not objects to which moral agents could have direct duties; they do not have moral status. It is usually assumed that there is therefore no reason to think that a morally good person would, on account of her goodness, be disposed to treat them well for their own sakes. I challenge this assumption. I begin by showing that to act for the sake of an entity need not be to (...) suppose that it has moral status, but simply to regard it as an end in itself. Having done this, I argue that it is not, as is conventionally assumed, implausible to suppose that to be morally good is to be disposed to treat at least some inanimate things gently, and to do so, moreover, for the sake of those things, rather than for some other reason. (shrink)