Background: Informed consent in clinical research is mandated throughout the world. Both patient subjects and investigators are required to understand and accept the distinction between research and treatment.Aim: To document the extent and to identify factors associated with therapeutic misconception in a population of patient subjects or parent proxies recruited from a variety of multicentre trials .Patients and methods: The study comprised two phases: the development of a questionnaire to assess the quality of informed consent and a survey of patient (...) subjects based on this questionnaire.Results: A total of 303 patient subjects or parent proxies were contacted and 279 questionnaires were analysed. The median age was 49.5 years, sex ratio was 1 and 61% of respondents were professionally active. Overall memorisation of the oral or written communication of informed consent was good , and satisfaction with the process was around 70%. Therapeutic misconception was present in 70% of respondents, who expected to receive better care and ignored the consequence of randomisation and treatment comparisons. This was positively associated with the acuteness and severity of the disease.Conclusion: The authors suggest that the risk of therapeutic misconception be specifically addressed in consent forms as an educational tool for both patients and investigators. (shrink)

Foundation models such as GPT-4 are fine-tuned to avoid unsafe or otherwise problematic behavior, so that, for example, they refuse to comply with requests for help with committing crimes or with producing racist text. One approach to fine-tuning, called reinforcement learning from human feedback, learns from humans' expressed preferences over multiple outputs. Another approach is constitutional AI, in which the input from humans is a list of high-level principles. But how do we deal with potentially diverging input from humans? How (...) can we aggregate the input into consistent data about "collective" preferences or otherwise use it to make collective choices about model behavior? In this paper, we argue that the field of social choice is well positioned to address these questions, and we discuss ways forward for this agenda, drawing on discussions in a recent workshop on Social Choice for AI Ethics and Safety held in Berkeley, CA, USA in December 2023. (shrink)

This research provides an exploratory investigation of whether gift/help-receiving contexts that elicit mixed emotional variants of gratitude can be distinguished from typical gratitude-eliciting situations in their associated appraisals, action tendencies, and psychosocial effects. We examined 473 participants (159 males, 312 females, 2 others; Mage = 31.07) using a one-way four-conditions between-subjects experiment. Participants were randomly assigned to complete recall tasks describing four different gratitude-eliciting situations. Emotions, cognitive appraisals, action tendencies, and general psychosocial outcomes were assessed. Relative to a control condition (...) involving receiving a gift or help (gift/help condition), receiving something at the expense of a benefactor (benefactor-inconvenience condition) elicited gratitude-guilt; receiving something with an expectation of return (return-favour condition) elicited gratitude-disappointment and gratitude-anger; while receiving a disliked gift or receiving assistance that made things worse (backfire condition) primarily elicited gratitude-disappointment while also eliciting gratitude-anger and gratitude-guilt. Each condition was differentiable from control in their appraisals, action tendencies, and psychosocial effects. Notably, contexts which elicited mixed emotional variants of gratitude were characterised by the co-occurrence of conflicting appraisals such as pleasantness and unpleasantness or goal-congruence and goal-incongruence. Additionally, the return-favour and backfire conditions were most dissimilar from control, and were associated with the most negative action tendencies and psychosocial outcomes. (shrink)

Past research has provided some evidence of positive relationships between leisure and cognitive functioning, but questions remain regarding their mechanisms. We argue that specific negative emotio...

These rhetorical texts by Apuleius, second-century Latin writer and author of the famous novel Metamorphoses or Golden Ass, have not been translated into English since 1909. They are some of the very few Latin speeches surviving from their century, and constitute important evidence for Latin and Roman North African social and intellectual culture in the second century AD, a period where there is increasing interest amongst classicists and ancient historians. They are the work of a talented writer who is being (...) increasingly viewed as the major literary artist of his time in Latin. (shrink)

Charles S. Peirce has a great deal to contribute both to understanding and to solving many of the philosophical problems which puzzle contemporary thinkers. In fact it is probably true that in some ways philosophers of our time are in a better position to understand Peirce's thought than those of his own day. In this paper I would like to consider two puzzling notions: 1) the substantiality of things, and 2) the foundations of human knowledge.

Réunies en collectif de recherche et d'écriture, cinq femmes psychanalystes se penchent sur la question très actuelle de l'affirmation de la femme, portée par la figure inconsciente de l'Animus. Elles revendiquent une remise en cause des théories de CG Jung sur l'Animus, et des points de vue passéistes qui irriguent la littérature traitant de ce sujet à la suite du "maître". Elles témoignent ici en toute liberté de leurs expériences psychiques et de leur relation avec cette âme masculine inconsciente. Plusieurs (...) sujets sont abordés : la femme et sa créativité, le corps de la femme, l'épreuve du manque de père, l'expression de la femme et celle de la mère, la femme et la violence, la femme entre archaïsme et modernité. Un livre dont la forme fait une large part aux illustrations et au graphisme pour offrir un ensemble accessible même aux non-spécialistes. (shrink)

The majority of studies on absorptive capacity (AC) underscore the importance of absorbing technological knowledge from other firms to create economic value. However, to preserve moral legitimacy and create social value, firms must also discern and adapt to (shifts in) societal values. A comparative case study of eight firms in the food industry reveals how organizations prioritize and operationalize the societal value health in product innovation while navigating inter- and intravalue conflicts. The value-sensitive framework induced in this article extends AC (...) by explaining how technically savvy, economic value–creating firms diverge in their receptivity, articulation, and reflexivity of societal values. (shrink)

This volume picks up where Vaught's Journey toward God in Augustine's Confessions: Books I-VI concluded. The three chapters of this present work follow the Confessions' three central books, looking at Augustine's Neoplatonic moment of ecstasy, his conversion to Christianity in the Milanese garden, and the shared vision with his mother Monica in the house at Ostia. Very much appreciated in Vaught's approach here is his insistence that Augustine never intended to present these experiences as exclusively his own, but rather as (...) "archetypical expressions" of what occurs whenever any human soul comes upon the divine. The method employed throughout helpfully analyzes these major events within the Confessions in terms of chronological development, how Augustine engages or is engaged by those around him, and those encounters with God which shape a soul's story. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Beyond Ratzinger's Republic:Communio's Postliberal TurnSam Zeno Conedera S.J. and Vincent L. Strand S.J.Is the political future of the West a postliberal one? For the past decade, numerous prominent thinkers in America and Europe have been debating this question. Matters that not long ago were merely of historical interest, such as Pope Gelasius I's understanding of the relation between sacral authority and royal power, Thomas Aquinas's thought on monarchy (...) and Robert Bellarmine's theory of the pope's indirect authority in temporal matters are now increasingly studied for their potential answers to contemporary political questions. This development, which would have been nearly unimaginable just a decade earlier, unsurprisingly has been led by Catholics. We say "unsurprisingly" in view of the long pre-modern tradition of Catholic political thought, as well as the Church's long struggle against liberalism during the nineteenth and early twentieth centuries. Some of the current postliberal writers explicitly connect themselves to both of these aspects by using the term "integralist" to describe their position.1 [End Page 889]This "new integralism" represents a radical departure from the mainstream of Catholic political discourse of the last half century, which has largely sought rapprochement with Western liberalism. A group of writers, led by John Courtney Murray, George Weigel, Michael Novak, and Robert George, have held that the American constitutional order is rooted in the natural law tradition, and therefore is basically friendly to Catholic political thought. The Church's role in American life, they say, is upholding the natural law as a public moral philosophy, while embracing the non-establishment clause of the First Amendment as a matter of principle, in accordance with the teachings of the Second Vatican Council. This "Whig Thomism," which for decades represented the predominant outlook of conservative American Catholics, must now face the challenge of a different sort of Thomism represented by the integralists.2While the engagement between Whig Thomists and integralists has received most of the attention from scholars and journalists alike, another postliberal option has emerged in recent years. Its source is a group of Catholic thinkers associated with the Communio theological movement. Their political vision, which has no single name or label, has a complex and subtle relationship with the thought of earlier Communio writers, most of whom shared the Whig Thomist desire for reconciliation with Western liberalism. [End Page 890] The appearance of a Communio postliberalism therefore represents a significant development within this intellectual tradition. The most important representative of the earlier Communio perspective on political questions is Joseph Ratzinger / Pope Benedict XVI, who has recently been lauded as the "most important Catholic thinker of the twentieth century" on matters at the intersection of theology and politics.3In an article titled "Ratzinger's Republic" that appeared in these pages in 2020, we identified a significant tension in his thought about the Church's contribution to political life.4 Exploring Ratzinger's writings on natural law, we demonstrated that two currents are present. In accord with his fundamental theological commitments about nature and grace and about faith and reason, Ratzinger often questioned the effectiveness of arguments from natural law. He claimed that, since reason is historically conditioned, and therefore in the current order marked by sin, reason needs grace and faith to function properly. Yet, on other occasions, Ratzinger strongly endorsed arguments from natural law, highlighting its role as the foundation of a just democratic political order. We traced this ambivalence about natural law back to a dilemma at the heart of Ratzinger's political thought. On the one hand, in accord with his thinking about the relations of nature and grace and faith and reason, Ratzinger argued that the state needs the Church to supply moral values that the state cannot furnish on its own. On the other hand, he believed it belongs to the very nature of the Church to be separate from the state, and he endorsed nonconfessional, religiously pluralistic states.5 In light of these two commitments, Ratzinger argued that the contribution Christians are to make to the state is to supply moral values that were discerned under the influence of grace and divine revelation but... (shrink)

Anyone interested in the relationship between culture and the intellectual life, has no doubt turned to the works of Christopher Dawson. This collection of ten essays from a recent conference at Oxford acts as an excellent commentary on Dawson’s main academic concerns: recovering history as a philosophical-theological category, and the reintegration of the disciplines so as to provide future generations with an understanding of culture in the truest sense of the term. As John Morrill points out in his introductory essay, (...) Dawson’s “passionate commitment to metahistory and his proclamation of the deeply moral purpose of the historian” —although out of favor in some academic circles—marks his as a unique voice in the search for truth. Dawson’s daughter, Christina Scott, offers the reader some otherwise inaccessible insights into her father’s life, especially regarding his early interest in Augustine’s De civitate Dei and Gibbon’s Decline and Fall. Aidan Nichols, OP provides a bigger picture. His essay, “Christopher Dawson’s Catholic Setting,” highlights the “theology of culture” affecting all parts of English life during the earlier part of this century: the literature, art, architecture, and philosophy that brought “a Catholic sensibility to bear on cultural life”. The Chelsea set, a vibrantly orthodox Catholic salon to which Dawson belonged, centered their thought around the Neo-Thomism of Gilson and Maritain, the literature of Fumet and Julian Green, as well as the social thought of Emmanuel Mounier. (shrink)

The head of InterVarsity Christian Fellowship at Harvard, MIT, and Tufts, Curtis Chang turns to the seminal works of Augustine and Thomas as a way of engaging the challenges of postmodernity. He accordingly argues that Aquinas’s De Civitate Dei and Aquinas’s Summa Contra Gentiles were composed precisely to challenge a world growing suspicious, if not negligent, of the Christian story. The rhetorical strategy Chang cleverly uncovers in both DCD and SCG is threefold: both Augustine and Thomas enter their opponents’ unique (...) stories and worldviews, both retell that story by reinterpreting that story on their opponents’ own terms, and finally, each capture that retold tale and tell the eternal story of Christianity in a way that is now intelligible and attractive to their interlocutors. (shrink)

In the earlier part of the sixth century, John of Scythopotis collected and edited the writings of Dionysius the Areopagite. Elevated to the episcopacy of the important see of Palestina Secunda, sometime between 538 and 544, John not only gathered these texts of Dionysius, he also lent his own Neochalcedonian Christology to them in order to have one more apostolic authority from which to quote against the Monophysites of his day. Thanks in large part to Beate Regina Suchla's recent work (...) in John's original Syrian, scholars have been able to discern more easily his commentary on the Dionysian corpus from Maximus the Confessor's, as both were unfortunately melded together by Père Migne. This excellent study from Rorem and Lamoreaux thus introduces us to John of Scythopolis: both a compiler and commentator on the thought of Pseudo-Dionysius as well as a theologian and defensorfidei in his own tight. (shrink)

St. Augustine tells us that he worked on the De Trinitate on and off between 400 and 416. The aim of this work is basically twofold: to examine both how the absolute monotheism of Christianity can speak of three divine persons as well as to examine how humanity images this triune God. A rare treasure of theology and psychology, the DT has shaped most of the West’s talk about the Trinity. For how we read Scripture’s often oblique references to the (...) Trinity, how we understand the Trinitarian relations within God as well as what it means that the human person is created in this divine image, have been largely determined by Augustine. Given the importance and influence of the DT, it is curious that an English edition did not appear until the late nineteenth century when Philip Schaff included Arthur West Haddan’s translation in the 1887 Library of the Nicene and Post-Nicene Fathers series. Since then only two more full English translations have appeared: Stephen McKenna’s in 1963 and Edmund Hill’s in 1991. (shrink)

It was Plato who informed the Greek philosophical tradition of how the King of Egypt declared that writing will inevitably “implant forgetfulness in men’s souls; they will cease to exercise memory because they rely on that which is written, calling things to remembrance no longer from within themselves, but by means of external marks”. Plotinus likewise knew how these “wise men of Egypt” therefore chose to inscribe only one image in their temples and thus “manifested the non-discursiveness of the intelligible (...) world”. Sara Rappe reminds us that such passages are not infrequent throughout the history of Neoplatonism, suggesting how Plato and his followers struggled to understand the proper use of the written word, the role of images and symbol, as well as the very possibility of the transmission of truth itself. Focusing on the question: “How is intuitive wisdom communicated, especially within the context of a philosophy that repudiates language but continues to practice speculative metaphysics?”, Rappe has produced a helpful work aimed at examining the Neoplatonic hermeneutic. (shrink)

Every year in connection with the Meeting of the Society of Biblical Literature, a special seminar in gnosticism and later Platonism is held. Ten of the papers presented between 1993 and 1998 have been gathered into this volume. Each essay here examines some particular theme where the exchange between gnostics and later Platonic philosophers has proven particularly rich.

Echoing much of the neo-Thomistic revival of the twentieth century, Fides et Ratio §76 sketches the two main characteristics of a Christian philosophy: it is a type of thinking which simultaneously employs yet always seeks to purify reason and, secondly, it does not close itself off to the concerns and content of revelation. In this way, Pope John Paul II calls for a contemporary understanding of faith which is seen as a virtue freeing human reason from presumption, "the typical temptation (...) of the philosopher." In his latest, Bruno Niederbacher likewise calls for such learned docility in both the human soul as well as in the modern Academy. Divided into six main sections, this work concentrates on two main arguments. First, he shows why Thomas held that faith enables assent to what is and thus proves to be a necessary virtue for correct thinking and action and, secondly, what significance such a claim has for us today. (shrink)

There is something appropriate about Lyotard’s last printed work being his most intimate and revealing. Best known for The Postmodern Condition: A Report on Knowledge, Lyotard died in the April of 1998, leaving his Confession d’Augustin, as Dolorès Lyotard tells us in her “Forewarning,” “scarcely half” finished. Although his New York Times obituary claimed that “awaiting publication is his final book about the ‘Confessions’ of St. Augustine”, this work is less a book about the Confessions as it is an insight (...) into a twentieth century philosopher at the end of his life. Revealed here is a philosopher struggling with the perennial themes of Augustine’s own odyssey: confession as praise and contrition. Perhaps it was Lyotard’s own battle with leukemia and his growing sense of mortality that gave him such insights into Augustine’s early fallacy of thinking of God as encircling and filling all things throughout space that he is able to write, “Such is flesh visited, co-penetrated by your space-time, disturbed and confused with this blow, but steeped in infinity, impregnated and pregnant with your overabundant liquid: the waters of the heavens” ; and regarding the relationship between time and immunity, Lyotard understands that, “God only sees himself in God. Compared with the incomparable brightness, all is night, and speech is noise after the silence of lauds. In the sky of skies, the heaven of heavens, wisdom celebrates its glory. The intelligence with which the angelic creatures are infused is not co-eternal with their creator, but it is exempt from becoming”. Passages like these not only present Augustine in a new light, but invite readers to see themselves in this light as well. (shrink)

These six lectures from the twentyfirst Thomas Spencer Jerome Lectures, an annual series exploring various dimensions of Roman life, provide an invaluable reflection on the relationship, Pelikan’s “counterpoint,” between Genesis and the Timaeus down through the ages. How did the only Platonic dialogue known in its entirety during the Middle Ages influence Judaeo-Christian cosmology? Pelikan chooses to answer this question by first discussing “Classical Rome: ‘Description of the Universe as Philosophy’” and Lucretius’ theological and literary contributions to the history of (...) cosmogonic speculation. In rejecting divine causality, Lucretius’ atomism made room for natural science and for a teleology without explicit reference to direct heavenly agency. Talk of the divine was thus interpreted apophatically and the poetry of de Rerum Natura allowed the truths of what remains for us a “likely story” to be conveyed without a historical or anthropomorphic literalness. Lucretius’ indebtedness to Epicurean materialism is obvious and as Pelikan stresses, “it was from Athens that classical Rome learned to think philosophically about cosmogony”. In “Athens: Geneseôs Archê as ‘The Principle of Becoming’,” Pelikan poses the fundamental questions: Why was the cosmos created? And according to what model had it been created? Plato’s answer is of course that the world of becoming is an image of an immutable and perfect model. This patterning is due to God as Goodness and his willing that all things act together for a purpose. Chapter 3 continues this inquiry with “Jerusalem: Genesis as a ‘Likely Account’ of One God Almighty Maker.” Here Pelikan focuses in on Jerusalem’s contribution of the imago Dei. While the Timaeus defines “the terms of the counterpoint,” Genesis sets “the outline and sequence” of creation, the crowning achievement of which is the rational and sovereign human person. Therefore, whereas Plato may have understood the entire universe to be in God’s image, Moses reserved this exalted position for humanity alone, a dignity Pelikan treats in his discussion of free moral choice. (shrink)

This book presents a unique classification and review of various mental health and learning issues. The authors link current education and child and youth mental health reforms to make the case for improving services to address barriers to learning.

In this review, we present some ethical imperatives observed in this pandemic from a data ethics perspective. Our exposition connects recurrent ethical problems in the discipline, such as, privacy, surveillance, transparency, accountability, and trust, to broader societal concerns about equality, discrimination, and justice. We acknowledge data ethics role as significant to develop technological, inclusive, and pluralist societies. - - - Resumen: En esta revisión, exponemos algunos de los imperativos éticos observados desde la ética de datos en esta pandemia. Nuestra exposición (...) busca conectar problemas éticos típicos dentro de esta disciplina, a saber, privacidad, vigilancia, transparencia, responsabilidad y confianza, con preocupaciones a nivel social relacionadas con la igualdad, discrimi nación y justicia. Consideramos que la ética de datos tiene un rol significativo para desarrollar sociedades tecnificadas, inclusivas y pluralistas. (shrink)

In 1982, without waiting for the findings of the National Hospice Study, Congress passed legislation enabling certified hospices to receive Medicare reimbursement. What emerged is a reimbursement program that differs substantially from the movement that spawned it. Hospices now face many dilemmas, among them shifting the burden of care to the family, determining who controls the course of patient care, and breaking even financially.

(2011). Reading Against the Grain: Edith Stein's Confrontation with Heidegger as an Encounter with Hermeneutical Phenomenology. Journal of the British Society for Phenomenology: Vol. 42, Ethics, Curiosity and Ontology, pp. 125-138.

Radical ontic structural realism (ROSR) asserts an ontological commitment to ‘free-standing’ physical structures understood solely in terms of fundamental relations, without any recourse to relata that stand in these relations. Bain ([2013], pp.1621–35) has recently defended ROSR against the common charge of incoherence by arguing that a reformulation of fundamental physical theories in category-theoretic terms (rather than the usual set-theoretic ones) offers a coherent and precise articulation of the commitments accepted by ROSR. In this essay, we argue that category theory (...) does not offer a more hospitable environment to ROSR than set theory. We also show that the application of category-theoretic tools to topological quantum field theory and to algebraic generalizations of general relativity do not warrant the claim that these theories describe ‘object-free’ structures. We conclude that category theory offers little if any comfort to ROSR. 1 Introduction: Ridding Structures of Objects2 The Set-theoretic Peril for Radical Ontic Structural Realism3 Bain’s Categorial Strategy to Save Radical Ontic Structural Realism4 Throwing out the Relations with the Relata5 Categorial and Set-theoretical Structures6 Radical Suggestions from Topological Quantum Field Theory?7 Sheaves of Einstein Algebras as Radical Structures?8 Conclusions. (shrink)