The scope and severity of the opioid epidemic in the United States has prompted significant legislative intrusion into the patient-physician relationship. These proscriptive regulatory regimes mirror earlier legislation in other politically-charged domains like abortion and gun regulation. We draw on lessons from those contexts to argue that states should consider integrating their responses to the epidemic with existing medical regulatory structures, making physicians partners rather than adversaries in addressing this public health crisis.

:The question as to whether people with an addiction have control over their addiction, and voluntarily decide to use substances is an ongoing source of controversy in the context of research on addiction, health policy and clinical practice. We describe and discuss a set of five challenges for further research into voluntariness based on our own research experiences and those of others.

The legalization of cannabis in Canada instantiates principles of harm-reduction and safe supply. However, in-depth understanding of values at stake and attitudes toward legalization were not part of extensive democratic deliberation. Through a qualitative exploratory study, we undertook 48 semi-structured interviews with three Canadian stakeholder groups to explore opinions and values with respect to the legalization of cannabis: (1) members of the general public, (2) people with lived experience of addiction and (3) clinicians with experience treating patients with addiction. Across (...) all groups, participants tended to be in favor of legalization, but particular opinions rested on their viewpoint as stakeholders. Clinicians considered the way legalization would affect an individual’s health and its potential for increasing rates of addiction on a larger scale. People with lived experience of addiction cited personal autonomy more than other groups and stressed the need to have access to quality information to make truly informed decisions. Alternatively, members of the public considered legalization positive or negative in light of whether one’s addiction affected others. We elaborate on and discuss how scientific evidence about drug use impact values relates and how can different arguments play in democratic debates about legalization. (shrink)

Addiction is a common condition affecting millions of people worldwide of which only a small proportion receives treatment. The development and use of healthcare services is influenced by how addiction is understood (e.g., a condition to treat, a shameful condition to stigmatize), notably with respect to how volition is impacted (e.g., addiction as a choice or a disease beyond one’s control). Through semi-structured qualitative interviews, we explore the implicit views and understandings of addiction and volition across three stakeholder groups: people (...) with lived experience of addiction, clinicians with experience treating addiction, and members of the public without lived experience of addiction. We notably examine whether three paradigms, i.e., three philosophical sets of understandings about the nature of reality and knowledge (realism, relativism, pragmatism) reflect how stakeholders envision addiction and volition in the context of addiction. The use of these paradigms allows for the characterization of different stances on addiction and volition and an assessment of the coherence of beliefs about these matters. Our findings demonstrate that few participants relied on a single epistemic paradigm when describing their views. Furthermore, there were notable differences in understandings of volition between the clinician group, who were more oriented toward pragmatism, and people with lived experience of addiction, who were less oriented toward realism. Despite its limitations, our study suggests that a greater appreciation for the complexity of views held by different stakeholders about addiction and volition could help critically assess the search for coherence expressed in academic and policy debates. (shrink)

BackgroundClinical ethics consultations can be complex interventions, involving multiple methods, stakeholders, and competing ethical values. Despite longstanding calls for rigorous evaluation in the field, progress has been limited. The Medical Research Council proposed guidelines for evaluating the effectiveness of complex interventions. The evaluation of CEC may benefit from application of the MRC framework to advance the transparency and methodological rigor of this field. A first step is to understand the outcomes measured in evaluations of CEC in healthcare settings. ObjectiveThe primary (...) objective of this review was to identify and map the outcomes reported in primary studies of CEC. The secondary objective was to provide a comprehensive overview of CEC structures, processes, and roles to enhance understanding and to inform standardization.MethodsWe searched electronic databases to identify primary studies of CEC involving patients, substitute decision-makers and/or family members, clinicians, healthcare staff and leaders. Outcomes were mapped across five conceptual domains as identified a priori based on our clinical ethics experience and preliminary literature searches and revised based on our emerging interpretation of the data. These domains included personal factors, process factors, clinical factors, quality, and resource factors. ResultsForty-eight studies were included in the review. Studies were highly heterogeneous and varied considerably regarding format and process of ethical intervention, credentials of interventionist, population of study, outcomes reported, and measures employed. In addition, few studies used validated measurement tools. The top three outcome domains that studies reported on were quality, process factors, and clinical factors. The majority of studies examined multiple outcome domains. All five outcome domains were multidimensional and included a variety of subthemes.ConclusionsThis scoping review represents the initial phase of mapping the outcomes reported in primary studies of CEC and identifying gaps in the evidence. The confirmed lack of standardization represents a hindrance to the provision of high quality intervention and CEC scientific progress. Insights gained can inform the development of a core outcome set to standardize outcome measures in CEC evaluation research and enable scientifically rigorous efficacy trials of CEC. (shrink)

Why have so many people responded to the insecurity, exploitation, alienation, and isolation of precarity capitalism by supporting the far right? In this timely book, Claudia Leeb argues that psychoanalytic and feminist critical theory illuminates how economic and psychological factors interact to produce this extreme political shift. Contesting the Far Right examines right-wing recruitment tactics in the United States and Austria, where people discontented with the status quo have turned to far-right parties and movements that further cement capitalism’s adverse (...) effects. Leeb contends that Freudian psychoanalytic theory and early Frankfurt School Critical Theory provide analytical tools to explain this apparent contradiction in psychological terms. Living under precarity capitalism generates feelings of failure and anxiety, which people experience as non-wholeness, because it has become difficult if not impossible to live up to the fetish of economic, interpersonal, and bodily success, and the far right preys on such feelings. Its psychologically oriented propaganda tactics produce the illusion of wholeness and a positive sense of self while leaving the socioeconomic conditions that cause people’s suffering intact. At the same time, they remove the inhibitions that keep people’s repressed aggression and racist and sexist attitudes in check. To demonstrate the workings of this process, Leeb compares cases including Trump and the alt-right in the United States and the Freedom Party and the identitarian movement in Austria. At once theoretically rich and politically engaged, this book also offers ways to resist the far right and counter the psychological appeal of its propaganda techniques. (shrink)

The Oxford Translation of Aristotle was originally published in 12 volumes between 1912 and 1954. It is universally recognized as the standard English version of Aristotle. This revised edition contains the substance of the original Translation, slightly emended in light of recent scholarship three of the original versions have been replaced by new translations and a new and enlarged selection of Fragments has been added. The aim of the translation remains the same: to make the surviving works of Aristotle readily (...) accessible to English speaking readers. (shrink)

The use of psychoanalytic ideas to explore social and political questions is not new. Freud began this work himself and social research has consistently drawn on his ideas. This makes perfect sense. Social and political theory must find ways to conceptualise the relation between human subjects and our social environment; and the distinctive and intense observation of individual psychical structuring afforded within clinical psychoanalysis has given rise to rich theoretical and methodological resources for doing just this. However, psychoanalytic concepts do (...) not remain the same when they are rearticulated in the context of research. This book traces the reiteration and transformation of concepts in the psychoanalytic theory of Freud, Klein and Lacan, the social theory of Butler, Derrida, Foucault, Laclau and Zizek, and case studies of empirical research ranging from the classic Tavistock Institute studies to contemporary work in politics, gender studies, cultural studies and education. Each chapter explores one cluster of concepts: Melancholia, loss and subjectivity Overdetermination and free association Resistance, reflexivity and the compulsion to repeat Repression, disavowal and foreclosure Psychic defenses and social defenses Arguing against the reification of psychoanalytic concepts, Claudia Lapping suggests the need for a reflexive understanding of the play of attachments and substitutions as concepts are reframed in the contrasting activities of psychoanalysis and research. (shrink)

Addressing studying as a distinct educational concept and phenomenon in its own right, the essays in this volume consider study and studying from a range of perspectives. Countering dominant educational discourses, which place a heavy emphasis on learning and instruction, the contributors explore questions such as: What does it mean to study something? How is studying something different from being taught about it, or learning something about it? What does the difficulty demanded by study mean for the one who studies (...) and for the teacher? What mode of existence does study induce? The book highlights the significance of study not only, or even primarily, for its educational outcome, but as a human activity. (shrink)

This collection of essays examines a range of philosophical methods in educational research, demonstrating how philosophy of education can be understood ...

If the world itself is metaphysically indeterminate in a specified respect, what follows? In this paper, we develop a theory of metaphysical indeterminacy answering this question.

BL Features of the new edition: The translation has been completely rewritten, and the commentary thoroughly revised in the light of recent scholarship There is an additional glossary, and extended bibliography The Posterior Analytics contains some of Aristotle's most influential thoughts in logic, epistemology, metaphysics, and the philosophy of science. The first book expounds and develops the notions of a demonstrative argument and of a formal, axiomatized science; the second discusses a cluster of problems raised by the axioms or principles (...) of such a science, and investigates in particular the theory of definition. (shrink)

Pour comprendre la célèbre formule de Heidgger dans Etre et temps, "plus haut que l'effectivité se tient la possibilité", il fallait mettre en perspective la doctrine de 1927 avec les thèmes qui, chez Husserl puis Heidegger, la préparaient et la rendaient inévitable. Il fallait surtout montrer comment la remise en cause de l'opposition standard entre possibilité et impossibilité (qui définit le concept métaphysique d'étant) fait concevoir un dépassement possible de la métaphysique. C'est ce qui est fait dans cet ouvrage, d'abord (...) suivant Husserl (le monde réduit, entre effectivité et possibilité ; les potentialités de la conscience ; les possibilités de l'expérience), puis suivant Heidegger (la vie facticielle ; l'angoisse et l'existencial ; la possibilité temporelle). A partir de quoi sont abordés de manière systématique et non plus historique les deux points centraux : le dépassement de la métaphysique au profit d'une possibilité événementiale et la phénoménalité de l'impossible et du possible. (shrink)

I. Ethics, media, monstration -- II. Memory, forgetting, and the misuse of images -- III. Religious heritage in humanism, modernity, and postmodernity -- IV. Jewish thought after the Shoah.

Die Studie richtet sich gegen die verbreitete Auffassung, Senecas Tragödien und Lucans Bürgerkriegsepos demonstrieren die Enttäuschung ihrer Autoren darüber, dass die stoische Doktrin angesichts des Bösen im menschlichen Handeln oder unvermeidbarer Schicksalsschläge keine überzeugende Antwort bereithalte. Die Werke beider Dichter setzen gezielt und in paralleler Behandlung die stoischen Fragestellungen zum Spannungsfeld von menschlicher Entscheidungsfreiheit und Determinismus literarisch um.

Queste ricerche esplorano i sentieri articolati e complessi del pensiero di Vico prima delle Scienze nuove, intervenendo sui temi della libertas philosophandi, della critica al cartesianesimo, della filosofia della mens e della moderna antropologia con originali proposte interpretative tese anche ad aggiornare la didattica intorno all'opera vichiana tra Cartesio e Kant.

Christelijke ethiek, in de traditie ook wel moraaltheologie genoemd, is een van de meest omstreden onderwerpen binnen de theologie, maar ook daarbuiten. Toch is het doel van deze ethiek 'een leven in volheid en vrijheid'. Zonder ethische richtlijnen en persoonlijke verantwoordelijkheid kan een leven niet slagen. Normen en wetten hebben als doel ruimte te scheppen voor het leven en dat te beschermen. Deze vrijheid invullen, daar zijn mensen zelf verantwoordelijk voor. En verantwoordelijk zijn betekent: een antwoord verschuldigd zijn aan iemand. (...) Ethiek voltrekt zich daarom altijd in relatie: tot het eigen geweten, tot het goede dat te verwezenlijken valt, en in relatie tot andere levende wezens en de natuur. Christelijke ethiek plaatst deze verantwoordelijkheid bovendien in relatie tot God. Mensen zijn vrij maar ook beperkt; zij doen elkaar kwaad en hebben behoefte aan vergeving en verzoening. (shrink)

The most accessible and comprehensive guide to Aristotle currently available.

Discover vital research on the lexical and cognitive meanings of words. In this exciting book from a team of world-class researchers, in-depth articles explain a wide range of topics, including thematic roles, sense relation, ambiguity and comparison. The authors focus on the cognitive and conceptual structure of words and their meaning extensions such as coercion, metaphors and metonymies. The book features highly cited material available in paperback for the first time since its publication and is an essential starting point for (...) anyone interested in lexical semantics, especially where it meets other cognitive and conceptual research. (shrink)

What did the early Greek philosophers think about animals and their lives? How did they view plants? And, ultimately, what type of relationship did they envisage between all sorts of living beings? On these topics there is evidence of a prolonged investigation by several Presocratics. However, scholarship has paid little attention to these issues and to the surprisingly "modern" development they received in Presocratics' doctrines. This book fills this lacuna through a detailed (and largely unprecedented) analysis of the extant evidence. (...) The volume includes also the first extensive collection of the ancient sources pertaining to living beings and life in early Greek philosophy, organized chronologically and thematically. (shrink)

William Barnes' reputation as one of the pre-eminent British "dialect" poets, the equal of Robert Burns and John Clare, is being increasingly recognized. The range of his writings is extraordinary as evidenced by the contents of this collection, which includes works on etymology, philology, topography, mathematics, ancient history and economics. This collection displays the full diversity of Barnes' considerable intellect. Included are major and lesser-known works, biographical pieces by Thomas Hardy, and the biography by his daughter, Lucy Baxter.

Given the negative consequences of the ongoing COVID-19 pandemic on public health, his study aimed at investigating: the differences between adults with and without chronic illness in buying behavior, vaccination intention, pandemic worry, and the health belief model components; the HBM components as mediators of the relationship between pandemic worry and vaccination intention. The sample consisted of 864 adults, of which 20.5% reported having a chronic illness. Associations between pandemic worry, vaccination intention, and HBM were ascertained using correlation and mediation (...) analyses. Individuals with chronic illness reported a higher level of pandemic worry, higher levels of perceived threat, greater benefits from vaccination, had lower self-efficacy and bought more medicine and sanitary/hygienic products. No significant differences were observed regarding vaccination intention, barriers against vaccination, and changes in food buying behavior. We found that the relationship between pandemic worry and vaccination intention was partially mediated by the perceived threat of disease and the benefits of vaccination. Pandemic worry predicted vaccination intention directly but also through the contribution of the perceived threat of disease and the benefits of vaccination. These findings suggest that presenting evidence of COVID-19 vaccine efficacy and the benefits of having the vaccine will encourage the population to follow vaccination recommendations. (shrink)

Predictivism asserts that novel confirmations carry special probative weight. Epistemic pluralism asserts that the judgments of agents (about, e.g., the probabilities of theories) carry epistemic import. In this paper, I propose a new theory of predictivism that is tailored to pluralistic evaluators of theories. I replace the orthodox notion of use-novelty with a notion of endorsement-novelty, and argue that the intuition that predictivism is true has two roots. I provide a detailed Bayesian rendering of this theory and argue that pluralistic (...) theory evaluation pervades scientific practice. I compare my account of predictivism with those of Maher and Worrall. Introduction Why construction is a red herring for pluralist evaluators The unvirtuous accommodator Virtuous endorsers and the two roots of predictivism The two roots in Bayesian terms: the priors and background beliefs of endorsers Who are the pluralist evaluators? Two contemporary theories of predictivism 7.1 Maher: Reliable methods of theory construction 7.2 Worrall: The confirmation of core ideas Conclusion. (shrink)