In this article, I provide a new account of the basis of medical researchers' ancillary care obligations. Ancillary care in medical research, or medical care that research participants need but that is not required for the validity or safety of a study or to redress research injuries, is a topic that has drawn increasing attention in research ethics over the last ten years. My view, the relationship-based approach, improves on the main existing theory, Richardson and Belsky's ‘partial-entrustment model’, by avoiding (...) its problematic restriction on the scope of health needs for which researchers could be obligated to provide ancillary care. Instead, it grounds ancillary care obligations in a wide range of morally relevant features of the researcher-participant relationship, including the level of engagement between researchers and participants, and weighs these factors against each other. I argue that the level of engagement, that is, the duration and intensity of interactions, between researchers and participants matters for ancillary care because of its connection to the meaningfulness of a relationship, and I suggest that other morally relevant features can be grounded in researchers' role obligations. (shrink)

In this article, I provide a new account of the basis of medical researchers' ancillary care obligations. Ancillary care in medical research, or medical care that research participants need but that is not required for the validity or safety of a study or to redress research injuries, is a topic that has drawn increasing attention in research ethics over the last ten years. My view, the relationship‐based approach, improves on the main existing theory, Richardson and Belsky's ‘partial‐entrustment model’, by avoiding (...) its problematic restriction on the scope of health needs for which researchers could be obligated to provide ancillary care. Instead, it grounds ancillary care obligations in a wide range of morally relevant features of the researcher‐participant relationship, including the level of engagement between researchers and participants, and weighs these factors against each other. I argue that the level of engagement, that is, the duration and intensity of interactions, between researchers and participants matters for ancillary care because of its connection to the meaningfulness of a relationship, and I suggest that other morally relevant features can be grounded in researchers' role obligations. (shrink)

In this issue, Morain and Largent (2023) raise a pressing issue arising in the context of embedded research—the nature and extent of investigator duties to patient-participants when the line betwee...

In recent years, hospitals, clinics, and professional organizations have with increasing frequency pledged their commitment to “patient-and family-centered care”. The movement toward PFCC is especially pronounced in pediatrics, where the American Academy of Pediatrics has a long-held, explicit commitment to PFCC. However, the unified movement toward PFCC obscures differing conceptions of its purpose. First, patient-centered care, as opposed to provider- or disease-centered care, focuses on increasing patient involvement in care to accomplish two related, but distinct objectives: improving health outcomes and (...) better respecting patients’ wishes. The Institute of... (shrink)

During the COVID-19 pandemic, ethics centers were forced to reimagine program delivery. In a tumultuous time with rampant social isolation, the need for ethics education and dialogue was also critical. The authors, members of the directorship team of the Kegley Institute of Ethics, discuss how KIE met these challenges through organizing over fifty online events during the pandemic, including webinars, pedagogy workshops, ethics bowls, intercollegiate student conversations, colloquia, film viewings, and podcasts. The article describes both the opportunities and challenges that (...) different types of virtual events present and argues that innovation in online programming can help ethics centers show ethical leadership in their communities. As one example, we discuss how online events can both enhance and hinder accessibility for participants. We also describe how online programming presents both barriers and opportunities for community building and can prompt ethics centers to reflect on their identities and missions. (shrink)

ABSTRACT After initially pitting partisans against purists, the literature on the ethics of fandom has coalesced around a pluralist position: purists and partisans each have their own merits, and there is no ideal form of fandom. In this literature, however, the fair-weather fan continues to be viewed with dismissal and derision. While some fair-weather fans may earn this contempt, many fair-weather fans, we argue, are not only acceptable, they have important advantages over partisans and purists, and as such are in (...) a better position to navigate some of the moral complexities inherent in modern sports. We develop this argument first by clarifying the nature of the fair-weather fan. We then examine challenges that fans face in many modern sports, first owing to their economic nature and, second, due to the morally tainted status of many of them. We argue that the fair-weather fan meets these challenges in ways that the partisan and purist cannot replicate. (shrink)

Written by some of the world's leading academics and professionals in the field, this collection of essays brings together two complementary views on child development - the role of society and the role of cognitive growth.

J.W. Olson addresses the Christian doctrine of revelation by asking how theological truth claims can possibly be rooted in God’s incarnational self-communication. Engaging with the phenomenology of Martin Heidegger, Olson offers an interpretation of the Eucharist that grounds Christian knowledge in an embodied understanding of the sacrament.

Directional deep brain stimulation contacts provide greater spatial flexibility for therapy than traditional ring-shaped electrodes, but little is known about longitudinal changes of impedance and orientation. We measured monopolar and bipolar impedance of DBS contacts in 31 patients who underwent unilateral subthalamic nucleus deep brain stimulation as part of a randomized study. At different follow-up visits, patients were assigned new stimulation configurations and impedance was measured. Additionally, we measured the orientation of the directional lead during surgery, immediately after surgery, and (...) 1 year later. Here we contrast impedances in directional versus ring contacts with respect to local anatomy, active stimulation contact, and over time. Directional contacts display larger impedances than ring contacts. Impedances generally increase slightly over the first year of therapy, save for a transient decrease immediately post-surgery under general anesthesia during pulse generator placement. Local impedances decrease at active stimulation sites, and contacts in closest proximity to internal capsule display higher impedances than other anatomic sites. DBS leads rotate slightly in the immediate postoperative period but otherwise remain stable over the following year. These data provide useful information for setting clinical stimulation parameters over time. (shrink)

Listening comprehension input is necessary for language learning and acculturation. One approach to developing listening comprehension skills is through exposure to massive amounts of naturally occurring spoken language input. But exposure to this input is not enough; learners also need to make the comprehension corpus meaningful to their learning experience.

ABSTRACT This essay explores the possibility for a phenomenology of Christian vocational calling through conversation with Jean-Paul Sartre’s existential-ontology. By demonstrating how Sartre’s account of nothingness comports with a Rahnerian understanding of God as absolute mystery and how Sartre’s account of bad faith further opens up an understanding of ontological self-identity as a turn away from God, we can establish a phenomenology of Christian vocation as one’s owning each finite situation in terms of its divinely available possibilities rather than simply (...) its given conditions. Divine call thus occurs where one’s possibilities for boundless becoming are freely recognized in any situation and are further apprehended in light of the character of God to become the possibilities for the freedom and calling of others. (shrink)

This paper develops and motivates an Expressivist theory of "experiential" talk and thought, focusing on speech acts and thoughts that contain taste predicates. According to this theory, one way for S to think that o tastes a way w is simply for o to taste w to S. When o tastes w to S (and, therefore, S thinks that o tastes w), S can express this thought, by saying that o tastes w. The speech act wherein S expresses the thought (...) that o tastes w, so understood, must be distinguished from the speech act wherein S says or asserts that S tastes w to them. This paper develops a formal model of these informal claims, and it argues that the resulting theory fits well with the linguistic data -- no worse than the best propositional theories when it comes to representing quantificational readings of attitude ascriptions, and strictly better than the best propositional theories when it comes to representing non-quantificational ("experiential") readings. (shrink)

Stress is one of the most powerful experiences to influence health and disease. Through epigenetic mechanisms, stress may generate a footprint that propagates to subsequent generations. Programming by prenatal stress or adverse experience in parents, grandparents, or earlier generations may thus be a critical determinant of lifetime health trajectories. Changes in regulation of microRNAs (miRNAs) by stress may enhance the vulnerability to certain pathogenic factors. This review explores the hypothesis that miRNAs represent stress‐responsive elements in epigenetic regulation that are potentially (...) heritable. Recent findings suggest that miRNAs are key players linking adverse early environments or ancestral stress with disease risk, thus they represent useful predictive disease biomarkers. Since miRNA signatures of disease are potentially heritable, big data management platforms will be vital to harness multi‐generational information and capture succinct yet potent biomarkers capable of directing preventative treatments. This feature would offer a unique window of opportunity to advance personalized medicine. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 33.2 (2000) 182-186 [Access article in PDF] Book Review Rhetoric and Community: Studies in Unity and Fragmentation Rhetoric and Community: Studies in Unity and Fragmentation. Studies in Rhetoric/Communication. Ed. J. Michael Hogan. Series ed. Thomas W. Benson. Columbia, SC: U of South Carolina P, 1998. Pp. xxxviii + 315. $39.95. Based on papers and critical responses presented at the Fourth Biennial Public Address Conference, which was (...) held at Indiana University in 1994, this collection of fourteen essays by leading rhetoric scholars concentrates on the relationships among rhetoric, community, and fragmentation. Organized into three broad sections entitled "Race, Gender, and Community," "War and Community," and "Artistic and Scientific Community," the book contributes to ongoing conversations about the roles of language, symbolism, differences, metaphors, myths, hegemony, economic class, pluralism, and multiple consciousness in unifying the United States. A preface and a conclusion by J. Michael Hogan, who edited the collection, provides an orientation and summary for this new volume in the University of South Carolina Press series devoted to Studies in Rhetoric/Communication.The preface frames the book's contribution as a response to a belief that "a growing number of social and political commentators fear that the United States has lost all sense of 'community'--that repository of shared purpose, values, and traditions which historically has defined the American character" (xii). Hogan amplifies, "The signs of stress and fragmentation appear everywhere, not just in our national political and cultural dialogue but in all of the various communities that define our social lives--our families, our neighborhoods, our towns and cities, our professions, and our social and cultural associations" (xii). The preface situates the book in this concern about a "lost" unity that once upon a time typified the United States. But this "lost" community is a mythic representation of a past that has never existed in the United States, except possibly in the imaginations of people habituated to dominant roles. Stephen H. Browne's comments about restoration projects in general are germane: "The work of restoration has [End Page 182] never come easy for Americans, not least of all because it presumes a state that never existed and the appeal to which is almost always self-interested" (75).Describing the fourteen contributors as sharing "a common bond," Hogan asserts, "recognizing that communities are largely defined, and rendered healthy or dysfunctional, by the language they use to characterize both themselves and others, all share an abiding concern with how communities are constituted and sustained--or, in some cases, threatened and disrupted--by the words their leaders choose to characterize both themselves and others" (xv). Hogan emphasizes a question that he reiterates with slight changes in the conclusion: "Can feminist or ethnic and racial communities successfully sustain and celebrate their own identities without alienating themselves from the larger community?" (295; similarly, xxiii). But if all members of a community are responsible for unity and fragmentation, if we are unwilling to assign responsibility for fragmentation to subordinated community members, it may be necessary, consciously, to reverse the dynamics of power implicit in Hogan's question, by asking: "Can groups that have had a history of dominating others--both beyond and within the borders--sustain their own identities and still relate productively to the community?" In addition, because the English language is a communal inheritance, it may be revealing to ask, in a reversal of the book's focus on "community," how are notions of individualism sustained in the United States?Roderick P. Hart's introduction, "Community by Negation--An Agenda for Rhetorical Inquiry," focuses on a rhetoric of hate as practiced by both the political right and the political left. Hart inquires "whether it is possible to have community without hate" (xxv). This question is necessary in any serious discussion of rhetoric, fragmentation, and community; yet calculated opportunism and economic exploitation may be misnamed and obfuscated in language depicting a rhetoric of "hate." Indeed, Lu-in Wang, a legal scholar, suggests that these other motives may be more common than animus in so-called "hate crimes." Live interviews with convicted killers... (shrink)

Eric Olsen argues from the fact that we once existed as fetal individuals to the conclusion that the Standard View of personal identity is mistaken. I shall establish that a similar argument focusing upon dead people opposes Olson’s favored Biological View of personal identity.

In general, discussions of the poetic process have tended to fall into one of three classes. The first of these, generalizing the process, analyzes the faculties or the activities supposedly involved and arranges these in their logical order, to produce distinct stages or periods of the process. The second kind describes the working habits of an individual poet in terms of characteristic external or internal circumstances or conditions. The third kind gives us, in the same terms, the history of the (...) composition of a particular poem. To illustrate these in reverse order: W. D. Snodgrass' essay The Finding of a Poem tells us how he discovered the meaning—for him—of the elements entering into a particular poem; Paul Valéry's essays on his own poetry—Poésie et pensée abstraite, for example—generally describe his working habits and his experiences while at work; and the following passage gives a typical account of the poetic process as a series of logically ordered stages: "There is, first, a period of hard thinking, during which the mind explores the problems; then a period of relaxation, during which the rational processes of the mind are withdrawn from this particular problem; then the flash of insight which reveals the solution, organizes the symbols, or directs the thinking, during which the formula is tested, the work of art shaped and developed...Graham Wallas calls the four stages Preparation, Incubation, Illumination, and Verification..." [Wilbur L. Schramm, "Imaginative Writing," 1941] Elder Olson, poet and critic, has received numerous awards for his work. He is the author of, among other works, Penny Arcade, a collection of poetry, and of criticism, On Value Judgment in the Arts and Other Essays. His contributions to Critical Inquiry are "On Value Judgments in the Arts" , Part 1 of a "Conspectus of Poetry" , and Part 2 of a "Conspectus of Poetry". (shrink)

In his early essay, "Truth by Convention," W.V.O. Quine scraps a programme for a conventionalistic account of logic on finding that the very logic which he wishes to stipulate by conventional truth assignments is presupposed in the stipulation of his conventions. Recently, however, Carlo Giannoni has offered us a variant of the Quine programme which, he maintains, avoids Quine's initial pitfall by shifting the emphasis from truth assignment to the conventional stipulation of inference rules. In the following essay I argue (...) that Quine and, hence, also Giannoni have misconceived the problem of conventionalism in their accounts and that the Giannoni reconstruction is consequently to no avail. The alternative account of Quine's initial difficulties which I offer is both incompatible with a classical conventionalism and Quine's own Duhemian conventionalism, while explaining these difficulties far more adequately than his account of them does. (shrink)

Consequentialism is an agent-neutral teleological theory, and deontology is an agent-relative non-teleological theory. I argue that a certain hybrid of the two—namely, non-egoistic agent-relative teleological ethics (NATE)—is quite promising. This hybrid takes what is best from both consequentialism and deontology while leaving behind the problems associated with each. Like consequentialism and unlike deontology, NATE can accommodate the compelling idea that it is always permissible to bring about the best available state of affairs. Yet unlike consequentialism and like deontology, (...) NATE accords well with our commonsense moral intuitions. (shrink)

The aim of the paper is to discuss some recent variants of familiar puzzles concerning the relations of parts to wholes put forward by Trenton Merricks and Eric Olson. The argument is put forward that so long as the familiar distinction between 'loose and popular' and 'strict and philosophical' senses of identity claims is accepted the paradoxical conclusions at which Merricks and Olson arrive can be resisted. It is not denied that accepting the distinction between 'loose and popular' (...) and 'strict and philosophical' senses of identity claims is itself a departure from common-sense, but it is argued that it is the smallest such departure available to us. (shrink)

This chapter discusses the suggestion that a psychological approach must be mistaken, because, in fact, the correct account of personal identity is given by the biological approach, according to which we are human beings whose identity over time requires no kind of psychological continuity or connectedness whatsoever. A number of authors support this suggestion, including Paul Snowdon, Peter van Inwagen, and Eric Olson. This also presumes that humans, i.e. members of the species Homo sapiens, are animals of a certain (...) kind. It does not rule out the possibility of persons that are not human beings or animals, but it insists that we are all human animals, possessing the persistence conditions of human animals. This biological approach is often rejected with the notion that it conflicts with human intuition, as can be seen in the transplant case. (shrink)

Two of the main contenders in the debate about personal persistence over time are the neo-Lockean psychological continuity view and animalism as defended by Olson and Snowdon. Both are wrong. The position I shall argue for, which I call, following Olson, the hybrid view, takes psychological continuity as a sufficient but, pace the neo-Lockeans, not necessary condition for personal persistence. It sides with the animalist in allowing that mere biological continuity is also sufficient. So I am, in a (...) sense, a psychological continuity theorist. But I am also in a sense, a biological theorist. (shrink)

Eric Olson argues that the dynamic view of time must be false. It requires that the question ‘How fast does time pass?’ has an answer. But its only possible answer, one second per second, is not an answer. I argue that Olson has failed to identify what is wrong with talk of time’s passage. Then I argue that, nonetheless, he is right to reject it. To say that time passes is analogous to saying that space is dense, and (...) to ask about the rate of time’s passage is analogous to asking how dense space is. Since the questions are on a par the dynamic view of time, which requires that they are not, is mistaken. (shrink)

It has been recently argued by a number of metaphysicians—Trenton Merricks and Eric Olson among them—that any variety of dualism that claims that human persons have souls as proper parts (rather than simply being identical to souls) will face a too-many-thinker problem. In this paper, I examine whether this objection applies to the views of Aquinas, who famously claims that human persons are soul-body composites. I go on to argue that a straightforward readingof Aquinas’s texts might lead us to (...) believe that he falls prey to Merricks and Olson’s objection, but that a more heterodox interpretation reveals a way to avoidthis problem. (shrink)

A collection of Head’s previously published papers are reprinted here, often without significant change. Nevertheless, the book has a great unity of purpose. It analyzes different problems related to an important new concept in economic theory: that of public goods. Head’s merit is to review, compare, and analyze the different approaches or definitions of a public good found in the literature. Further, he relates this problem to the whole field of welfare economics and finally, compares and differentiates it from the (...) concept of merit good. Head attempts to clarify the concept of a public good by integrating it into two streams of economic thought that try to construct analytical tools for mastering the problem of market failure. He, therefore, takes up and interrelates such individualistic concepts as Pareto-optimum, consumer sovereignty, jointness of supply, indivisibility of a good, and externality; but he also pointedly refers—through his concept of merit good—to the little discussed authoritarian stream of the liberal economic tradition. To support this claim Head cites a text even from J. S. Mill. The authors that Head refers to the most are Samuelson, Musgrave, Buchanan, and Pareto. But he also incorporates Baumol, Thiebout, Olson, and Downs, among the contemporary authors, and Sidgwick, Pigou, Wicksell, and Lindahl, among the historical figures. (shrink)