_Background:_ Literature has documented the role of family in the outcome of chronic schizophrenia. In the light of this, family interventions (FIs) are becoming an integral component of treatment for psychosis. The First Episode of Psychosis (FEP) is the period when most of the changes in family atmosphere are observed; unfortunately, few studies on the relatives are available. _Objective:_ To explore burden of care and emotional distress at baseline and at 9-month follow-up and the levels of service satisfaction at follow-up (...) in the two groups of relatives (experimental treatment EXP vs. treatment as usual TAU) recruited in the cluster-randomized controlled GET UP PIANO trial. _Methods:_ The experimental treatment was provided by routine public Community Mental Health Centers (Italian National Health Service) and consisted of Treatment as Usual plus evidence-based additional treatment (Cognitive Behavioral Therapy for psychosis for patients, Family Intervention for psychosis, and Case Management). TAU consisted of personalized outpatient psychopharmacological treatment, combined with non-specific supportive clinical management and informal support/educational sessions for families. The outcomes on relatives were assessed by the Involvement Evaluation Questionnaire (IEQ-EU), the General Health Questionnaire (GHQ-12), and the Verona Service Satisfaction Scale (VSSS-EU). Differences within and between groups were evaluated. _Results:_ At baseline, 75 TAU and 185 EXP caregivers were assessed. In the experimental group 92% of relatives participated in at least 1 family session. At follow-up both groups experienced improvement in all IEQ and GHQ items, but caregivers belonging to the EXP arm experienced a significantly greater change in 10 IEQ items (mainly pertaining to the “Tension” dimension) and in GHQ items. Due to the low sample size, a significant effectiveness was only observed for 2 IEQ items and 1 GHQ-12 item. With respect to VSSS data at follow-up, caregivers in the EXP arm experienced significantly greater satisfaction in 8 items, almost all pertaining to the dimensions “Relatives' Involvement” and “Professionals' Skills and Behavior.” _Conclusions:_ The Family intervention for psychosis delivered in the GET UP PIANO trial reduced family burden of illness and improved emotional distress and satisfaction with services. These results should encourage to promote FIs on caregivers of first-episode psychosis patients. (shrink)

Logic brings elementary logic out of the academic darkness into the light of day. Paul Tomassi makes logic fully accessible for anyone trying to come to grips with the complexities of this challenging subject. This book is written in a patient and user-friendly way which makes both the nature and value of formal logic crystal clear. This textbook proceeds from a frank, informal introduction to fundamental logical notions to a system of formal logic rooted in the best of our (...) natural deductive reasoning in daily life. The book includes plenty of exercise to put the students' reading to test, summay boxes of key points, a glossary and many illustrations. This book will be useful to any student who needs a patient and comprehensible introduction to what otherwise can be a daunting subject. (shrink)

Wittgenstein's later rejection of the externalist Tractarian picture of logic according to which all rationally analysable discourse is properly understood as truth-functional rules out any conception of logic as the study of universal features of discourse. Given later references to 'the logic of our language', some conception of logic appears to survive even on Wittgenstein's later view. However, given his rejection of any conception of philosophical theory as explanatory or hypothetical, Wittgenstein seems to be forced into descriptivism. Despite these constraints, (...) I attempt to show that a valuable account of logic consistent with Wittgenstein's critique can be identified. That possibility raises the question: can any conception of formal logic as valuable modulo natural language survive Wittgenstein's later change of heart? Taking Wittgenstein's rejection of Tractarian conceptions seriously, logic is relativised to language-games in general and, perhaps, localised to particular language-games. Looking at logic in this way opens up the possibility of uncovering inferential structures distinct from those which form the traditional logical-epistemological dichotomy. Here I outline a formal logical framework consistent with all of the foregoing points in terms of which analogues of inferential structures (traditional and non-traditional) can be constructed. Taking third-person ascriptions of psychological predicates as a testcase, I try to show that the formal framework (a system of formal dialogue) has a flexibility which augurs well for future logical investigations into linguistic practices without presupposing knowledge of the kinds of inferential structures which such investigations might reveal. Hence, my claim that the system in question represents logic after (the later) Wittgenstein. (shrink)

Bringing elementary logic out of the academic darkness into the light of day, Paul Tomassi makes logic fully accessible for anyone attempting to come to grips with the complexities of this challenging subject. Including student-friendly exercises, illustrations, summaries and a glossary of terms, _Logic_ introduces and explains: * The Theory of Validity * The Language of Propositional Logic * Proof-Theory for Propositional Logic * Formal Semantics for Propositional Logic including the Truth-Tree Method * The Language of Quantificational Logic including (...) the Theory of Descriptions. _Logic _is an ideal textbook for any logic student: perfect for revision, staying on top of coursework or for anyone wanting to learn about the subject. Related downloadable software for Macs and PCs is available for this title at www.logic.routledge.com. (shrink)

The current situation around COVID-19 portrays a threat to us in several ways: It imposes uncertainty, a lack of control and reminds us of our own mortality. People around the world have reacted to these threats in seemingly unrelated ways: From stockpiling yeast and toilet paper to favoring nationalist ideas or endorsing conspiratorial beliefs. According to the General Process Model of Threat and Defense the confrontation with a threat - a discrepant experience - makes humans react with both proximal and (...) distal threat responses. While the proximal response manifests in behavioral inhibition that leads to heightened anxious arousal and vigilance, distal responses seek to lower behavioral inhibition and the associated state of anxiety and vigilance through engaging in distal defenses. In the present research, we propose that the reactions to COVID-19 may represent distal defense strategies to the pandemic (in the form of environmental or group related worldview defenses) and therefore can be explained and forecasted by the model. Thus we hypothesized increased perceived COVID-19 threat perception to lead to a proximal threat response in the form of heightened behavioral inhibition. This, in return, should enhance the use of distal defenses (i.e.: several ingroup biases, system justification and conspiratorial beliefs) overlapping with the reactions observed as a response to COVID-19. This hypothesized mediated effect of increased perceived COVID-19 threat on distal defenses was tested in two pre-registered studies: In Study 1 (N = 358) results showed perceived COVID-19 threat to be related to behavioral inhibition and in turn to be associated with increased distal defenses (i.e., higher entitativity, control restoration motivation, passive party support). In Study 2 (N = 348) we manipulated COVID-19 threat salience and found results suggesting the distal defenses of system justification and conspiratorial beliefs to be mediated by the proximal threat response. The results of the present research hint towards a common mechanism through which the seemingly unrelated reactions to COVID-19 can be explained. The results might help to predict future behavior during the COVID-19 pandemic and design measures to counteract detrimental effects of the pandemic. (shrink)

Wittgenstein's later rejection of the externalist Tractarian picture of logic according to which all rationally analysable discourse is properly understood as truth-functional rules out any conception of logic as the study of universal features of discourse. Given later references to 'the logic of our language', some conception of logic appears to survive even on Wittgenstein's later view. However, given his rejection of any conception of philosophical theory as explanatory or hypothetical, Wittgenstein seems to be forced into descriptivism. Despite these constraints, (...) I attempt to show that a valuable account of logic consistent with Wittgenstein's critique can be identified. That possibility raises the question: can any conception of formal logic as valuable modulo natural language survive Wittgenstein's later change of heart? Taking Wittgenstein's rejection of Tractarian conceptions seriously, logic is relativised to language-games in general and, perhaps, localised to particular language-games. Looking at logic in this way opens up the possibility of uncovering inferential structures distinct from those which form the traditional logical-epistemological dichotomy. Here I outline a formal logical framework consistent with all of the foregoing points in terms of which analogues of inferential structures (traditional and non-traditional) can be constructed. Taking third-person ascriptions of psychological predicates as a testcase, I try to show that the formal framework (a system of formal dialogue) has a flexibility which augurs well for future logical investigations into linguistic practices without presupposing knowledge of the kinds of inferential structures which such investigations might reveal. Hence, my claim that the system in question represents logic after (the later) Wittgenstein. (shrink)

This study offers a new interpretation of the poem of the founder of Western philosophy: Parmenides. It shows that there is more in his poem than the description of Being by means of negative adjectives such as ingenerated and immobile. His words ask his audience to question their habits, to modify their goals, to engage in new enterprises and to look with a critical eye at their previous attempts to get knowledge. It operates as a travel guide that leads the (...) audience on a journey that will educate them and help them to gradually become philosophically mature, to become true themselves, which can also be described as the encouragement to become Being. (shrink)

Drawing on philosophy, law and political science, and on a wealth of practical experience delivering emergency medical services in conflict-ridden settings, Lepora and Goodin untangle the complexities surrounding compromise and complicity.

What are the most detailed descriptions under which subjects intend to perform bodily actions? According to Pacherie (2006), these descriptions may be found by looking into motor representations—action representations in the brain that determine the movements to be performed. Specifically, for any motor representation guiding an action, its subject has an M‐intention representing that action in as much detail. I show that some M‐intentions breach the constraints that intentions should meet. I then identify a set of intentions—motor intentions—that represent actions (...) in as much detail as some motor representations while meeting the constraints that intentions should meet. (shrink)

Le Quaestiones 2 («Se l’oggetto adeguato della conoscenza divina sia l’essenza di Dio o l’ente universale») e 3 («Se le creature secondo le loro proprie nature e le loro essenze siano vita in Dio e nel Verbo») della Distinctio 35 dello Scriptum di Pietro Aureoli sono importanti per la ricostruzione sia del pensiero del loro autore che della storia della dottrina delle idee divine nel Medioevo. Aureoli rifiuta il modello tradizionale di causalità esemplare, secondo cui Dio avrebbe creato il mondo (...) sulla base di modelli archetipi esistenti dall’eternità nella sua mente. Ricorrendo al concetto di aequivocatio, stabilisce che l’essenza di Dio è in maniera equivoca l’unico esemplare per tutte le creature ed elabora, così, la teoria della causalità esemplare equivoca. (shrink)

Boredom, in cinema as well as in our everyday experience, is usually associated with a generalised loss of meaning or interest. Accordingly, boredom is often perceived as that which ought to be avo...

After two weeks in La Barca, a small dirt-lined Mexican town known for its delicious tacos and endemic salmonellosis, it seemed I was serving a prison sentence rather than my sixth-semester surgery rotation. It was almost 11:00 on another insufferably humid day and I was in the operating room. I struggled to maintain my steady contorted position as I held the patient’s abdominal cavity open with surgical retractors for the chief surgeon and the resident. I had been plagued with a (...) wonderful bout of gastroenteritis since my arrival in La Barca, so my knees buckled and my attention peaked with every wave of abdominal false alarms. My peripheral vision had been obliterated thanks to the …. (shrink)

After initially emerging in China, the coronavirus outbreak has advanced rapidly. The World Health Organization has recently declared it a pandemic, with Europe becoming its new epicentre. Italy has so far been the most severely hit European country and demand for critical care in the northern region currently exceeds its supply. This raises significant ethical concerns, among which is the allocation of scarce resources. Professionals are considering the prioritisation of patients most likely to survive over those with remote chances, and (...) this news has triggered an intense debate about the right of every individual to access healthcare. The proposed analysis suggests that the national emergency framework in which prioritisation criteria are currently enforced should not lead us to perceive scarce resources allocation as something new. From an ethical perspective, the novelty of the current emergency is not grounded in the devastating effects of scarce resources allocation, which is rife in recent and present clinical practice. Rather, it has to do with the extraordinarily high number of people who find themselves personally affected by the implications of scarce resources allocation and who suddenly realise that the principle of ‘equals should be treated equally’ may no longer be applicable. Along with the need to allocate appropriate additional financial resources to support the healthcare system, and thus to mitigate the scarcity of resources, the analysis insists on the relevance of a medical ethics perspective that does not place the burden of care and choice solely on physicians. (shrink)

Medical complicity in torture is prohibited by international law and codes of professional ethics. But in the many countries in which torture is common, doctors frequently are expected to assist unethical acts that they are unable to prevent. Sometimes these doctors face a dilemma: they are asked to provide diagnoses or treatments that respond to genuine health needs but that also make further torture more likely or more effective. The duty to avoid complicity in torture then comes into conflict with (...) the doctor’s duty to care for patients. Sometimes the right thing for a doctor to do requires complicity in torture. Whether this is the case depends on: the expected consequences of the doctor’s actions; the wishes of the patient; and the extent of the doctor’s complicity with wrongdoing. Medical associations can support physicians who face this dilemma while maintaining a commitment to clear principles denouncing torture. (shrink)

The exponential accumulation, processing and accrual of big data in healthcare are only possible through an equally rapidly evolving field of big data analytics. The latter offers the capacity to rationalize, understand and use big data to serve many different purposes, from improved services modelling to prediction of treatment outcomes, to greater patient and disease stratification. In the area of infectious diseases, the application of big data analytics has introduced a number of changes in the information accumulation models. These are (...) discussed by comparing the traditional and new models of data accumulation. Big data analytics is fast becoming a crucial component for the modelling of transmission—aiding infection control measures and policies—emergency response analyses required during local or international outbreaks. However, the application of big data analytics in infectious diseases is coupled with a number of ethical impacts. Four key areas are discussed in this paper: automation and algorithmic reliance impacting freedom of choice, big data analytics complexity impacting informed consent, reliance on profiling impacting individual and group identities and justice/fair access and increased surveillance and population intervention capabilities impacting behavioural norms and practices. Furthermore, the extension of big data analytics to include information derived from personal devices, such as mobile phones and wearables as part of infectious disease frameworks in the near future and their potential ethical impacts are discussed. Considered together, the need for a constructive and transparent inclusion of ethical questioning in this rapidly evolving field becomes an increasing necessity in order to provide a moral foundation for the societal acceptance and responsible development of the technological advancement. (shrink)

We develop an account of how mutually inconsistent models of the same target system can provide coherent information about the system. Our account makes use of ideas from the debate surrounding rob...

Il trascendentalismo della prassi per andare oltre lo scetticismo e oltre ogni pretesa da parte della filosofia di cogliere l'essere nella sua definizione universale e razionale. Una proposta anche storiografica.

Why government outsourcing of public powers is making us less free Many governmental functions today—from the management of prisons and welfare offices to warfare and financial regulation—are outsourced to private entities. Education and health care are funded in part through private philanthropy rather than taxation. Can a privatized government rule legitimately? The Privatized State argues that it cannot. In this boldly provocative book, Chiara Cordelli argues that privatization constitutes a regression to a precivil condition—what philosophers centuries ago called "a (...) state of nature." Developing a compelling case for the democratic state and its administrative apparatus, she shows how privatization reproduces the very same defects that Enlightenment thinkers attributed to the precivil condition, and which only properly constituted political institutions can overcome—defects such as provisional justice, undue dependence, and unfreedom. Cordelli advocates for constitutional limits on privatization and a more democratic system of public administration, and lays out the central responsibilities of private actors in contexts where governance is already extensively privatized. Charting a way forward, she presents a new conceptual account of political representation and novel philosophical theories of democratic authority and legitimate lawmaking. The Privatized State shows how privatization undermines the very reason political institutions exist in the first place, and advocates for a new way of administering public affairs that is more democratic and just. (shrink)

Friedrich Albert Lange is usually regarded as a representative of physiological neo-Kantianism or as a forerunner of the Marburg school of neo-Kantianism. In this paper I try to reconstruct Lange’s theory of values to argue that his philosophy is better framed as an intermediate point in the development of the two-world theory (facts/values) between Hermann Lotze and Southwestern neo-Kantianism.

In the philosophy of science and epistemology literature, robustness analysis has become an umbrella term that refers to a variety of strategies. One of the main purposes of this paper is to argue that different strategies rely on different criteria for justifications. More specifically, I will claim that: i) robustness analysis differs from de-idealization even though the two concepts have often been conflated in the literature; ii) the comparison of different model frameworks requires different justifications than the comparison of models (...) that differ only for the assumption under test; iii) the replacement of specific assumptions with different ones can encounter specific difficulties in scientific practice. These claims will be supported by a case study in population ecology and a case study in geographical economics. (shrink)

Available from UMI in association with The British Library. Requires signed TDF. ;The thesis focusses on the question of the coherence of the notion of a "criterion" which has enjoyed considerable currency in the contemporary Philosophy of Language and Mind. The text is divided into three parts, each of which deals with a particular aspect of the notion of a criterion, or of theories of criteria. Part One consists of Chapters 1, 2 and 3 and explores the question of the (...) origins of the notion and of theories concerning it. Wittgenstein's later work is widely recognized as the notion's point of origin and for that reason I examine Wittgenstein's use of the term "criterion" and the philosophy of language which is the proper context of the notion as employed by that author. I then present my own account of the significance of the notion to Wittgenstein, and the role of the notion in his later thought. Part Two consists of Chapters 4 and 5 which examine the place of the notion in the contemporary Philosophy of Language and offer a critical account of much recent work in that field. Finally, in Part Three, I concentrate on the question of the coherence of the notion. The sixth Chapter deals mainly with epistemological issues of relevance but also involves some formal work together with some discussion of the ramifications of the notion, correctly understood, in the Philosophy of Mind. Chapter Seven suggests a formal, logical framework in which criterial reasoning patterns can be usefully mapped and also attempts to demonstrate an inherent flexibility of format which might allow for contrastive comparisons with other modes of reasoning. (shrink)

In the first instance, the paper proposes a response to W.V.O. Quine's infamous attack on the analytic-synthetic distinction which attempts to carve out a core notion of analyticity by strictly delimiting the extension of that concept. The resulting position -- epistemic conservatism -- provides a platform for a significant epistemic challenge to essentialist positions of the kind proposed by Saul Kripke and Hilary Putnam: under exactly which kinds of circumstance are we warranted in asserting that we have grasped the truth (...) of an identity-statement of the requisite kind? In the absence of a clear and complete response to that epistemic challenge, the paper concludes that the Kripke-Putnam case remains not proven. (shrink)

Current understanding of the nature of language owes much to two authors: Noam Chomsky and the later Wittgenstein. What is interesting is that the conceptions of language proposed by each appear to conflict. The key question is: what is it to understand a language? In these terms, the internalist/individualist view of linguistic understanding which Chomsky has consistently advocated throughout his career appears to flatly contradict the later Wittgenstein's externalist account of linguistic understanding . In short, the relation between these two (...) conceptions is not well-understood. 2 The aim of this paper is to establish some rapprochement along the following lines: philosophy of language may be the richer for what it can learn from empirical linguistics but that area of philosophy remains the context within which empirical linguistics derives its significance. (shrink)