A number of popular theories about trauma have suggested rhythm has potential as a mechanism for regulating arousal levels. However, there is very little literature examining this proposal from the perspective of the young people who might benefit. This action research project addresses this gap by collaborating with four groups of children in the out-of-home-care system to discover what they wanted from music therapists who brought a strong focus on rhythm-based activities. The four music therapy groups took place over a (...) 12 month period and each cycle of action and reflection led to adjustments in what activities were offered, as well as exploring different levels of structure and ways of building relationships in the groups. The initial group incorporated a strong emphasis on highly structured rhythm-based activities, but young people found the format difficult to engage with. The second cycle included more opportunities for creativity and self-direction within semi-structured activities which children reported enjoying, but too much freedom also became overwhelming at times. The two groups in the third cycle seemed to balance structure and responsiveness successfully but were also influenced by the introduction of individual sessions prior to group commencement, which was designed to contribute to safety and trust building. Final reflections on the role of rhythm in supporting young people who have had adverse experiences were centred around the ideas of co-regulation. This was qualitatively different to our expectations that practicing rhythm-based activities would lead to an expanded window of tolerance that resulted in less time being spent in either hypo-arousal or hyper-arousal. Instead of entraining to an external rhythm, young people felt safe when their rhythms were matched, even if they were irregular, out of time and unpredictable. The small moments of co-regulation resulted in pleasure, comfort, satisfaction and peace and these moments were highly valued by the young people, who described just wanting to be relaxed and happy. Although not as rhythm-specific as the literature might suggest, music making with trusted adults helped the young people in this study feel more content. (shrink)

Robotic warfare has now become a real prospect. One issue that has generated heated debate concerns the development of ‘Killer Robots’. These are weapons that, once programmed, are capable of finding and engaging a target without supervision by a human operator. From a conceptual perspective, the debate on Killer Robots has been rather confused, not least because it is unclear how central elements of these weapons can be defined. Offering a precise take on the relevant conceptual issues, the article contends (...) that Killer Robots are best seen as executors of targeting decisions made by their human programmers. However, from a normative perspective, the execution of targeting decisions by Killer Robots should worry us. The article argues that what is morally bad about Killer Robots is that they replace human agency in warfare with artificial agency, a development which should be resisted. Finally, the article contends that the issue of agency points to a wider problem in just war theory, namely the role of moral rights in our normative reasoning on armed conflict. (shrink)

The lack of access to gender-affirming surgery represents a significant unmet health care need within the transgender community, frequently resulting in depression and self-destructive behavior. While some transgender people may have access to gender reassignment surgery, an overwhelming majority cannot afford facial feminization surgery. The former may be covered as a “medical necessity,” but FFS is considered “cosmetic” and excluded from insurance coverage. This demarcation between “necessity” and “cosmetic” in transgender health care based on specific body parts is in direct (...) opposition to the scientific community’s understanding of gender dysphoria and professional guidelines for transgender health. GRS affects one’s ability to function in an intimate relationship, while FFS has the same impact on social interactions an, therefore may have a far greater implication for one’s quality of life. FFS is a cost-effective intervention that needs to be covered by insurance policies. The benefits of such coverage far exceed the insignificant costs. (shrink)

Suicide is the 10th leading cause of death in the United States and the second cause of death among those ages 15–24 years. The current standard of care for suicidality management often involves an involuntary hospitalization deemed necessary by the attending psychiatrist. The purpose of this article is to reexamine the ethical tradeoffs inherent in the current practice of involuntary psychiatric hospitalization for suicidal patients, calling attention to the often-neglected harms inherent in this practice and proposing a path for future (...) research. With accumulating evidence of the harms inherent in civil commitment, we propose that the relative value of this intervention needs to be reevaluated and more efficacious alternatives researched. Three arguments are presented: (1) that inadequate attention has been given to the harms resulting from the use of coercion and the loss of autonomy, (2) that inadequate evidence exists that involuntary hospitalization is an effective method to reduce deaths by suicide, and (3) that some suicidal patients may benefit more from therapeutic interventions that maximize and support autonomy and personal responsibility. Considering this evidence, we argue for a policy that limits the coercive hospitalization of suicidal individuals to those who lack decision-making capacity. (shrink)

The “fair benefits” approach to international research is designed to produce results that all can agree are fair without taking a stand on divisive questions of justice. But its appealing veneer of collaboration masks ambiguities at both a conceptual and an operational level. An attempt to put it into practice would look a lot like an auction, leaving little reason to think the outcomes will satisfy even minimal conditions of fairness.

Philosophical Investigations, EarlyView.

Using a combination of semantic theory and findings from conversation analysis, this paper describes a way in which questions, which incorporate presuppositions that are false, when used in a courtroom cross-examination wherein there are certain turn-taking rules, rights and restrictions, stop a rape victim from expressing the content that she wants to express in that context. This kind of silencing contrasts with other kinds of silencing that consist in the disabling of a speech act's force, rather than precluding the expression (...) of certain contents. -/- Content Note: there are explicit descriptions of sexual violence in this paper. (shrink)

This article argues that lingering uncertainty about the normative foundations of research ethics is perpetuated by two unfounded dogmas of research ethics. The first dogma is that clinical research, as a social activity, is an inherently utilitarian endeavor. The second dogma is that an acceptable framework for research ethics must impose constraints on this endeavor whose moral force is grounded in role-related obligations of either physicians or researchers. This article argues that these dogmas are common to traditional articulations of the (...) equipoise requirement and to recently articulated alternatives, such as the non-exploitation approach. Moreover, important shortcomings of these approaches can be traced to their acceptance of these dogmas. After highlighting these shortcomings, this article illustrates the benefits of rejecting these dogmas by sketching the broad outlines of an alternative called the "integrative approach" to clinical research. (shrink)

Saunders & van Brakel argue, inter alia, that there is for the claim that there are four unique hues (red, green, blue, and yellow), and that there are two corresponding opponent processes. We argue that this is quite mistaken.

We extract some properties of Mahlo’s operation and show that some other very natural operations share these properties. The weakly compact sets form a similar hierarchy as the stationary sets. The height of this hierarchy is a large cardinal property connected to saturation properties of the weakly compact ideal.

Before participants can be enrolled in a clinical trial, an institutional review board must determine that the risks that the research poses to participants are ‘reasonable.’ This paper examines the two dominant frameworks for assessing research risks and argues that each approach suffers from significant shortcomings. It then considers what issues must be addressed in order to construct a framework for risk assessment that is grounded in a compelling normative foundation and might provide more operationally precise guidance to the deliberations (...) of various stakeholders. The paper concludes by sketching the outlines of what is referred to as the ‘Integrative Approach’ to risk assessment and by highlighting some of the ways in which this approach may be more promising than current alternatives. (shrink)

The “happy fish” passage in the Zhuangzi 莊子 is often interpreted as endorsing some form of perspectivism which precludes objective claims of knowledge and displaces the significance of human perspectives. Relativism has gained particular currency in contemporary readings. However, this essay aims to show the limited explanatory power of such relativist positions, with focus on Chad Hansen’s “perspectival relativism” and Lea Cantor’s “species relativism.” I will also offer a new, “transitional contextualist” reading, which intends to demonstrate that Zhuangzi’s utterance is (...) grounded in his epistemic context and that Huizi’s 惠子 disputation arises from his changing of the epistemic context, from one with quotidian “low standards” to one with “high-standards” skeptical demands. I further argue that when “wandering” (you 遊) is understood as a freedom from one’s partial perspective, it becomes clear how Zhuangzi analogizes a parallel with the fish’s “wandering” through a continuity between his “world” and that of the fish. (shrink)

In the preface, Kim writes hopefully that his introduction to the philosophy of mind is “intended to be accessible to those without a formal background in philosophy”. The blurb at the end is more realistic: Philosophy of Mind is “a textbook for upper-level undergraduates and graduate students”. It is an admirable addition to Westview’s excellent Dimensions of Philosophy series. Brisk, workmanlike chapters profile the usual suspects: behaviorism, the identity theory, mind as computer and as causal structure, mental causation, consciousness, mental (...) content, and reductive and nonreductive physicalism. Each chapter ends with a useful note on further readings. (shrink)

The threat of biological and chemical terrorism highlights a growing tension in research ethics between respecting the interests of individuals and safeguarding and protecting the common good. But what it actually means to protect the common good is rarely scrutinized. There are two conceptions of the common good that provide very different accounts of the limits of permissible medical research. Decisions about the limits of acceptable medical research in defense of the common good should be carried out only within the (...) latter framework. (shrink)

In Ep. 50, Spinoza argues at length that “someone who calls God one or unique does not have a true idea of God, or is speaking improperly about him.” This text is striking, given the declarations in many writings, including the Ethics, that God is the one, unique substance. While recent commentators have attempted to render Ep. 50 consistent with the rest of Spinoza’s corpus, I instead argue that Spinoza’s stance on God’s oneness evolved over the course of his career. (...) This evolution, which in fact contains a number of twists and turns, is driven not only by consideration of the proper meaning of ‘one’ and ‘unique’ but also by the question of whether God’s essence and God’s existence are numerically identical. Regarding the latter, I argue that Spinoza came to reject this identity claim late in life, and that this explains his final change in viewpoint regarding God’s oneness in Ep. 83. (shrink)

Cohen begins by defining ‘Color Physicalism’ so that the position is incompatible with Color Relationalism (unlike Byrne and Hilbert 2003, 7, and note 18). Physicalism, in any event, is something of a distraction, since Cohen’s argument from perceptual variation is directed against any view on which minor color misperception is common (Byrne and Hilbert 2004). A typical color primitivist, for example, is equally vulnerable to the argument. Suppose that normal human observers S1 and S2 are viewing a chip C, as (...) in Cohen’s example. C looks unique green to S1, and bluish green to S2. The problem, as Cohen has it, is to explain “what could (metaphysically) make it the case” that S1, say, and not S2, is perceiving C correctly. He purports to find the explanation “extremely hard to imagine”, and so concludes that both S1 and S2 are perceiving C correctly. (That is not the only option, of course: Hardin concludes that neither is perceiving the chip correctly.). (shrink)

Geach's account of the Aristotelian logic of categorical sentences supplemented the views shared by Frege, Russell, Quine and others. I argue that this particular predicate logic approach and Geach's points apply to only one variety of natural language categorical sentences. For example, it takes the universal categorical as a universal conditional “If anything is a man, then it is mortal”. A different natural language form can and should be invoked: “Every man is a mortal.” Employing special restricted quantifiers in a (...) version of predicate logic, we justify a full square of opposition and the rules of quality and quantity that Geach rejected. (shrink)

Commonly we distinguish the strike of a match, as a cause of the match lighting, from the presence of oxygen, as a mere condition. In this paper I propose an account of this phenomenon, which I call causal selection. I suggest some reasons for taking causal selection seriously, and indicate some shortcomings of the popular contrastive approach. Chief among these is the lack of an account of contrast choice. I propose that contrast choice is often just the counterfactual scenario in (...) which the effect does not occur: I suggest that if c causes e , then if e hadn't occurred, c wouldn't have occurred. I argue that this is a necessary condition on causation which causes meet but mere conditions fail. (shrink)

The Covid-19 pandemic was a world event on our intellectual doorstep. What were our duties to respond, and how well did we respond? We published papers, but we did not engage extensively or influentially in public debate. Perhaps we felt we were not experts. Yet in a health crisis, philosophers of medicine can offer not only “conceptual clarification,” but also domain-specific knowledge concerning structural properties of relevant sciences and their social-political uses. I set out three conditions for the kind of (...) contribution I felt was lacking: public, critical, and timely. And I call for us to do more of it. (shrink)

This paper presents experimental evidence in support of the existence of metalinguistic moral encroachment: the influence of the moral consequences of using a word with a given content upon the content of that word. The evidence collected implies that the effect of moral factors upon content is weak. For instance, by changing the moral consequences of the sentence's truth, it was possible to shift judgements about the truth of the sentence "that's a lot of cake", when used to describe two (...) sponge cakes. Similarly, by changing the moral consequences of the sentence's truth, it was possible to shift judgements about the truth of the sentence "the children's hospital is old", when used to describe a 40 year old hospital. The implications of this for Esa Díaz-León’s recent attempt to show how Jennifer Saul can legitimately reject an empirical semantic hypothesis on political grounds are described. Directions for future research are also described. (shrink)

A semantic framework for interpreting dialogue should provide an account of the content that is mutually accepted by its participants. The acceptance by one agent of another’s contribution crucially involves the theory of what that contribution means; A’s acceptance of B’s contribution means that the content of B’s contribution must be integrated into A’s extant commitments.1 For assertions, traditionally assumed to express a proposition formalised as a set of possible worlds, it was clear how the integration should go: acceptance meant (...) intersecting the newly accepted proposition with the set of worlds representing the content of the agent’s prior commitments. Dynamic semantics (e.g., Asher (1989)) refined this picture by replacing intersection with the operation of dynamic update. The way to treat the negative counterpart of acceptance—namely, rejection—is also clear in principle: A s rejection of B’s assertion means that the negation of the content of B’s contribution should be integrated with the content of A’s prior commitments. However, acceptance and rejection don’t just happen with assertions. These speech acts can happen with questions as well. That is, an agent can choose to address the issues raised by the questioner; he can also choose to reject them. The explicit acceptance of a question can be conveyed by providing a direct answer or by an explicit admittance that one doesn’t know an answer; explicit rejection by uttering I won’t answer. (shrink)

The definitions of disease proffered by philosophers and medical actors typically require that a state of ill health be linked to some known bodily dysfunction before it is classified as a disease. I argue that such definitions of disease are not fully implementable in current medical discourse and practice. Adhering to the definitions would require that medical actors keep close track of the current state of knowledge on the causes and mechanisms of particular illnesses. Yet, unaddressed problems in medical terminology (...) can make this difficult to do. I show that unrecognized misuse of “heterogeneous,” “biomarker,” and other important health terms—which I call index terms—can misrepresent the current empirical evidence on illness pathophysiology, such that unvalidated illness constructs become mistaken for diseases. Thus, implementing common definitions of disease would require closing this “loophole” in medical discourse. I offer a simple rule that, if followed, could help do just that. (shrink)

Yah boo sucks to the grammer wot we lernt in skool! Grammar (and the bad old traditional logic) says that quantifier phrases such as 'nobody', 'everyone', 'all women', 'some men' and 'a man' are in the same category as names such as 'Milly', 'Molly' and 'Mandy'. So, prior to their first corrective lessons, students are awfully muddled, the first and fundamental problem being the Woozle hunt for somebody called 'nobody'. Hoorah for modern logic and logic teachers! The story used to (...) justify our current logics is entirely fictional. The claims about names and quantifier phrases in English are wildly false. Two of the heroes of modern logic, Russell and Hilbert, make the very mistakes which are falsely blamed on traditional logic. The villain, Meinong, turns out to have been working a different patch. Ideas ascribed to traditional grammar are modern inventions. Neither logicians nor grammarians can be trusted to tell the history of either grammar or logic. (shrink)

Despite the introduction of female bishops, women do not hold offices on equal terms with men in the Church of England, where conservative evangelical male clergy often reject the validity of women’s ordination. This article explores the gender values of such clergy, investigating how they are expressed and the factors that shape them. Data is drawn from semi-structured interviews and is interpreted with thematic narrative analysis. The themes were analyzed with theories on postfeminism, engaged orthodoxy and group schism. It is (...) argued that participants’ gender values are best understood as postfeminist and that the wider evangelical tradition, as well as a perceived change in Anglican identity with the onset of women’s ordination, shape their postfeminism. Moreover, whilst evangelical gender values possess the potential to foster greater gender equality within the Church of England, gender differentiation limits this possibility, a limitation that could be addressed by increasing participants’ engagement beyond the Church. (shrink)

Objectives: The COVID-19 pandemic is having a major impact on the lives of everyone, but in particular on the health and well-being of older people. It has also disrupted the way that individuals access services and interact with one another, and physical distancing and “Stay at Home” orders have seen digital interaction become a necessity. While these restrictions have highlighted the importance of technology in everyday life, little is known about how older adults have responded to this change. Methods: Two (...) surveys, one in 2019 and another in 2020 collected data on a combined total of 1923 older adults aged 65 years and older in Canada. These looked at how older adults think about and use technology, with the 2020 survey additionally questioning how COVID-19 has impacted their use and attitudes towards technology. Results: While older adults feel more isolated in 2020, many feel positive about the benefits of technology and have increased technology use during the pandemic to support their health, wellness, and communication needs. Discussion: The results highlight the potential of technology for supporting older adults in various aspects of healthy aging. While these results point to the opportunities afforded by technology, challenges remain, such as how social and economic factors influence technology uptake. (shrink)

This article argues that considerations about the role and predictability of intellectual innovation make the protection of intellectual property morally obligatory even when it greatly reduces short-term welfare. Since the provision of good new ideas is the only productive input not subject to decreasing marginal productivity, welfarist considerations require that no impediment to its maximal provision be erected and the potentially substantial welfare losses imposed by a patent system be mitigated by taxation of other sources of wealth and income. Key (...) Words: patent system • welfarism • decreasing marginal productivity. (shrink)

Humans face many game problems that are too large for the whole game tree to be used in their deliberations about action, and very little is understood about how they cope in such scenarios. However, when a human player’s chosen strategy is conditioned on her limited perspective of how the game might progress, then it should be possible to manipulate her into changing her planned move by mentioning a possible outcome of an alternative move. This paper demonstrates that human players (...) can be manipulated this way: in the game The Settlers of Catan, where negotiation is only a small part of what one must do to win the game thereby generating uncertainty about which outcomes to the negotiation are good and which are bad, the likelihood that a player accepts a trade offer that deviates from their declared preferred strategy is higher if it is accompanied by a description of what that trade offer can lead to. (shrink)

Resumo: Neste ensaio, pretende-se uma aproximação crítica e interpretativa sobre o conceito de “devir negro”, na atualidade, trazido, sobretudo, pelo pensador camaronês Achille Mbembe. Seu pensamento se insere num contexto de fluidez da compreensão desses temas, a partir da lógica capitalista, no continente africano e no mundo. Dessa maneira, buscou-se refletir acerca da constituição do pensamento de Mbembe e da forma como ele compreendeu as práticas de governamentabilidade, na superação da dominação colonial. Defende-se que é preciso afirmar-se negro, para negar (...) o lugar que lhe foi imputado, ou seja, empreender um processo de negação para um “devir”. Portanto, negar-se como “o outro” do “outro”, mas, sim, afirmar-se como seu igual na diferença. Com efeito, a estereotipia negativa contra o negro e o aprofundamento das diferenças entre os grupos étnicos ganham novas e outras dimensões, em função do modo de exploração capitalista.: In this essay, a critical and interpretive aproach to the concept of “devir black” is nowadays brought, above all, from Cameroonian thinker Achille Mbembe. His thinking is part of a context of fluidity in the understanding of these themes based on capitalist logic in the African continent and in the world. In this way, we sought to reflect the constitution of Mbembe’s thought and the way he understood the practices of governance in overcoming colonial domination. It is argued that it is necessary to claim to be black instead of denying the place attributed to it, that is, to undertake a process of denial for a “becoming”. Therefore, to deny yourself as “the other” of the “other”, but rather to assert yourself as your equal in difference. Indeed, the negative stereotypy against blacks and the deepening of differences between ethnic groups, takes on new dimensions, based on the mode of capitalist exploitation. (shrink)