The fact that our asking God to do something can make a difference to what he does underwrites the point of petitionary prayer. Here, however, a puzzle arises: Either doing what we ask is the best God can do or it is not. If it is, then our asking won’t make any difference to whether he does it. If it is not, then our asking won’t make any difference to whether he does it. So, our asking won’t make any difference (...) to whether God does it. Our asking is therefore pointless. In this paper, we try to solve this puzzle without denying either that God must do the best he can or that petitioning God can make a difference to what he does. (shrink)

Imagine that there exists a good, essentially omniscient and omnipotent being named Jove, and that there exists nothing else. No possible being is more powerful or knowledgable. Out of his goodness, Jove decides to create. Since he is all-powerful, there is nothing but the bounds of possibility to prevent him from getting what he wants. Unfortunately, as he holds before his mind the host of worlds, Jove sees that for each there is a better one. Although he can create any (...) of them, he can't create the best of them because there is no best. Faced with this predicament, Jove first sorts the worlds according to certain criteria. For example, he puts on his left worlds in which some inhabitants live lives that aren't worth living and on his right worlds in which every inhabitant's life is worth living; he puts on his left worlds in which some horrors fail to serve an outweighing good and on his right worlds in which no horror fails to serve an outweighing good. (We encourage the reader to use her own criteria.) Then he orders the right hand worlds according to their goodness and assigns to each a positive natural number, the worst of the lot receiving '1', the second worst '2', and so on. Next, he creates a very intricate device that, at the push of a button, will randomly select a number and produce the corresponding world. Jove pushes the button; the device hums and whirs and, finally, its digital display reads '777': world no. 777 comes into being. (shrink)

Does faith that p entail belief that p? If faith that p is identical with belief that p, it does. But it isn’t. Even so, faith that p might be necessarily partly constituted by belief that p, or at least entail it. Of course, even if faith that p entails belief that p, it does not follow that faith that p is necessarily partly constituted by belief that p. Still, showing that faith that p entails belief that p would be (...) a significant step in that direction. Can we take that step? In this essay, I assess, and reject, seven reasons to think we can. Along the way, I discuss having faith in a person, being a person of faith, believing something by faith, and believing a person. (shrink)

We might be tempted to think that, necessarily, if God unsurpassably loves such created persons as there may be, then for any capable created person S and time t, God is at t open to being in a positively meaningful and reciprocal conscious relationship with S at t, where one is open to relationship with another only if one never does anything (by commission or omission) that would have the result that the other was prevented from being able, just by (...) trying, to participate in that relationship. I argue that we should resist the temptation. (shrink)

It is common for young Christians to go off to college assured in their beliefs but, in the course of their first year or two, they meet what appears to them to be powerful defenses of scientific naturalism and crushing critiques of the basic Christian story (BCS), and many are thrown into doubt. They think to themselves something like this: "To be honest, I am troubled about the BCS. While the problem of evil, the apparent cultural basis for the diversity (...) of religions, the explanatory breadth of contemporary science, naturalistic explanations of religious experience and miracle reports, and textual and historical criticism of the Bible, among other things, don’t make me believe the BCS is false , I am in serious doubt about it, so much so that I lack belief of it. In that case, how can I have Christian faith? And if I don’t have faith, how can I keep on praying, attending church, affirming the creed, confessing my sins, taking the sacraments, singing the hymns and songs, and so on? I can’t, unless I’m a hypocrite. So integrity requires me to drop the whole thing and get out." Of course, our student is not alone. Many Christians find themselves for some portion of their lives somewhere on the trajectory from doubt to getting out. Indeed, Christians in the West struggle with intellectual doubt more than they used to, especially university-educated Christians. What should we say to them? Some will say “Get out!,” welcoming the development as a path to liberation. We explore a different response in this essay. (shrink)

Evil, it is often said, poses a problem for theism, the view that there is an omnipotent, omniscient, and perfectly good being, "God," for short. This problem is usually called "the problem of evil." But this is a bad name for what philosophers study under that rubric. They study what is better thought of as an argument, or a host of arguments, rather than a problem. Of course, an argument from evil against theism can be both an argument and a (...) problem. Some people realize this for the first time when they assert an argument from evil in print and someone publishes a .reply in which numerous defects and oversights are laid bare for the public eye. And if it turns out that there is a God and He doesn't take kindly to such arguments, then an argument from evil might be a big problem, a very big problem, for one who sincerely propounds it. Typically, however, an argument from evil is not thought to be a problem for the atheist. But if not for the atheist, for whom is an argument from evil a "problem"? (shrink)

According to Agnosticism with a capital A, even if we don’t see how any reason we know of would justify God in permitting all the evil in the world and even if we lack evidential and non-evidential warrant for theism, we should not infer that there probably is no reason that would justify God. That’s because, under those conditions, we should be in doubt about whether the goods we know of constitute a representative sample of all the goods there are, (...) among relevantly similar things. In my "Epistemic Humility, Arguments from Evil, and Moral Skepticism" (2009), I defended Agnosticism against the charge that it leaves us in doubt about whether we are obligated to intervene to prevent horrific suffering we can prevent at no risk to ourselves. In his “Agnosticism, Skeptical Theism, and Moral Obligation” (2014), Stephen Maitzen argues that, in light of my defense, Agnosticism is at odds with commonsense morality’s insistence that we have an obligation to intervene in such cases. In the present essay, I argue that the moral principle Maitzen seems to impute to commonsense (it's hard to tell what principle he has in mind) is false and that a moral principle much more in keeping with commonsense is compatible with Agnosticism and my defense of it. Along the way, I mention multiple misrepresentations Maitzen makes of Agnosticism and my defense of it. (shrink)

According to the Christian religion, Jesus was “crucified under Pontius Pilate; he suffered death and was buried. On the third day he rose again”. I take it that this rising again—the Resurrection of Jesus, as it’s sometimes called—is, according to the Christian religion, an historical event, just like his crucifixion, death, and burial. And I would have thought that to investigate whether the Resurrection occurred, we would need to do some historical research: we would need to assess the reliability of (...) the New Testament documents and related manuscripts; we would need to look into the credibility of the witnesses to his post-mortem appearances, the empty tomb, and the like. The task looks rather daunting. But, according to David Hume, we don’t have to do anything of the kind. For no matter how strong the testimony in favor of a miracle is—indeed, even if we “suppose…that the testimony considered apart and in itself, amounts to an entire proof”—we have at our disposal a “full proof…against the existence of any miracle”. So we can avoid all that tedious historical work. We can simply use Hume’s shortcut, a proof against the existence of any miracle, and hence a proof against the Resurrection. So Hume says he has a “a decisive argument,” “an everlasting check to all kinds of superstitious delusion,” superstitious delusions like the Resurrection. There is good news and bad news in Hume’s proclamation. The good news is that he really has two arguments, not just one—or, at any rate, many scholars discern in his writings two arguments. The bad news is that neither succeeds; at any rate, try as I might, I can’t see how they do. (shrink)

It is common these days for theists to argue that we aren’t justified in believing atheism on the basis of evil. They claim that neither facts about particular horrors nor more holistic considerations pertaining to the magnitude, kinds and distribution of evil can ground atheism since we can't tell whether any evil is gratuitous.1 In this paper we explore a novel strategy for shedding light on these issues: we compare the atheist who claims that there is no morally sufficient reason (...) for certain evils with the physicist who claims that there is no causally sufficient reason for some events. (shrink)

Preprinted in God and the Problem of Evil(Blackwell 2001), ed. William Rowe. Many people deny that evil makes belief in atheism more reasonable for us than belief in theism. After all, they say, the grounds for belief in God are much better than the evidence for atheism, including the evidence provided by evil. We will not join their ranks on this occasion. Rather, we wish to consider the proposition that, setting aside grounds for belief in God and relying only on (...) the background knowledge shared in common by nontheists and theists, evil makes belief in atheism more reasonable for us than belief in theism. Our aim is to argue against this proposition. We recognize that in doing so, we face a formidable challenge. It’s one thing to say that evil presents a reason for atheism that is, ultimately, overridden by arguments for theism. It’s another to say that it doesn’t so much as provide us with a reason for atheism in the first place. In order to make this latter claim seem initially more plausible, consider the apparent design of the mammalian eye or the apparent fine-tuning of the universe to support life. These are often proposed as reasons to believe in theism. Critics commonly argue not merely that these supposed reasons for theism are overridden by arguments for atheism but rather that they aren’t good reasons for theism in the first place. Our parallel proposal with respect to evil and atheism is, initially at least, no less plausible than this proposal with respect to apparent design and theism. (shrink)

Infallibilism is the view that a belief cannot be at once warranted and false. In this essay we assess three nonpartisan arguments for infallibilism, arguments that do not depend on a prior commitment to some substantive theory of warrant. Three premises, one from each argument, are most significant: if a belief can be at once warranted and false, then the Gettier Problem cannot be solved; if a belief can be at once warranted and false, then its warrant can be transferred (...) to an accidentally true belief; if a belief can be at once warranted and false, then it can be warranted and accidentally true. We argue that each of these is either false or no more plausible than its denial. Along the way, we offer a solution to the Gettier Problem that is compatible with fallibilism. (shrink)

This article explores the law and ethics of lobbying. The legal discussion examines disclosure regulations, employment restrictions,bribery laws, and anti-fraud provisions as each applies to the lobbying context. The analysis demonstrates that given the social value placed on the First Amendment, federal law generally affords lobbyists wide latitude in determining who, what, when, where, and how to lobby.The article then turns to ethics. Lobbying involves deliberate attempts to effect changes in the law. An argument is advanced that because law implicates (...) the use of force and because law ideally reflects the values of a democratic society, seeking to slant the law to serve a client’s narrow interests cannot provide an adequate ethical end for a lobbyist. On the contrary, a lobbyist has an affirmative moral duty to seek reasonably balanced and just laws. The article examines, refines, and defends this proposition in a number of settings. (shrink)

Recently, a number of experiments have emphasized the degree to which subjects fail to detect large changes in visual scenes. This finding, referred to as “change blindness,” is often considered surprising because many people have the intuition that such changes should be easy to detect. Levin, Momen, Drivdahl, and Simons documented this intuition by showing that the majority of subjects believe they would notice changes that are actually very rarely detected. Thus subjects exhibit a metacognitive error we refer to as (...) “change blindness blindness.” Here, we test whether CBB is caused by a misestimation of the perceptual experience associated with visual changes and show that it persists even when the pre- and postchange views are separated by long delays. In addition, subjects overestimate their change detection ability both when the relevant changes are illustrated by still pictures, and when they are illustrated using videos showing the changes occurring in real time. We conclude that CBB is a robust phenomenon that cannot be accounted for by failure to understand the specific perceptual experience associated with a change. (shrink)

This article explores the law and ethics of lobbying. The legal discussion examines disclosure regulations, employment restrictions,bribery laws, and anti-fraud provisions as each applies to the lobbying context. The analysis demonstrates that given the social value placed on the First Amendment, federal law generally affords lobbyists wide latitude in determining who, what, when, where, and how to lobby.The article then turns to ethics. Lobbying involves deliberate attempts to effect changes in the law. An argument is advanced that because law implicates (...) the use of force and because law ideally reflects the values of a democratic society, seeking to slant the law to serve a client’s narrow interests cannot provide an adequate ethical end for a lobbyist. On the contrary, a lobbyist has an affirmative moral duty to seek reasonably balanced and just laws. The article examines, refines, and defends this proposition in a number of settings. (shrink)

Aristotle on the Perfect Life may be viewed as part of such a detailed study. In this book, Kenny discusses a series of topics relating to the central Aristotelian concept of the supreme good, and compares the treatment of these topics in the two treatises. He devotes separate discussions to the notions of finality, perfection, and self-sufficiency as attributes of the supreme good. He also considers the way in which friendship and good fortune relate to happiness. A theme which recurs (...) throughout the book is the divergent ways in which the EE and the NE conceive the relationship between moral excellence, contemplation and happiness. In some cases Kenny suggests that the EE offers a subtler treatment than the NE; in other cases he argues that the EE presents a more coherent, more plausible, position. Are we in a position, then, to conclude with confidence that the EE is the later, more authoritative, treatise? Kenny does not draw such a conclusion. One comes away with the impression that although he leans towards this conclusion, he also believes that still more work, especially on the EE, is needed. (shrink)

Spatial attention and eye-movements are tightly coupled, but the precise nature of this coupling is controversial. The influential but controversial Premotor theory of attention makes four specific predictions about the relationship between motor preparation and spatial attention. Firstly, spatial attention and motor preparation use the same neural substrates. Secondly, spatial attention is functionally equivalent to planning goal directed actions such as eye-movements (i.e. planning an action is both necessary and sufficient for a shift of spatial attention). Thirdly, planning a goal (...) directed action with any effector system is sufficient to trigger a shift of spatial attention. Fourthly, the eye-movement system has a privileged role in orienting visual spatial attention. This article reviews empirical studies that have tested these predictions. Contrary to predictions one and two there is evidence of anatomical and functional dissociations between endogenous spatial attention and motor preparation. However, there is compelling evidence that exogenous attention is reliant on activation of the oculomotor system. With respect to the third prediction, there is correlational evidence that spatial attention is directed to the endpoint of goal-directed actions but no direct evidence that this attention shift is dependent on motor preparation. The few studies to have directly tested the fourth prediction have produced conflicting results, so the extent to which the oculomotor system has a privileged role in spatial attention remains unclear. Overall, the evidence is not consistent with the view that spatial attention is functionally equivalent to motor preparation so the Premotor theory should be rejected, although a limited version of the Premotor theory in which only exogenous attention is dependent on motor preparation may still be tenable. A plausible alternative account is that activity in the motor system contributes to biased competition between different sensory representations with the winner of the competition becoming the attended item. (shrink)

This is a reply to William Rowe, "The Problem of No Best World," Faith and Philosophy (1994).

Many experiments have demonstrated that people fail to detect seemingly large visual changes in their environment. Despite these failures, most people confidently predict that they would see changes that are actually almost impossible to see. Therefore, in at least some situations visual experience is demonstrably not what people think it is. This paper describes a line of research suggesting that overconfidence about change detection reflects a deeper metacognitive error founded on beliefs about attention and the role of meaning as a (...) support for a coherent perceptual experience. Accordingly, CBB does not occur in all situations , while the scope of the phenomenon remains broad enough to suggest more than a misunderstanding of a small niche of visual experience. I finish by arguing that despite the very small amount of research on visual metacognition, these beliefs are critical to understand. (shrink)

We argue that Michael Peterson's and William Hasker's attempts to show that God and gratuitous evil are compatible constitute miserable failures. We then sketch Peter van Inwagen's attempt to do the same and conclude that, to date, no one has shown his attempt a failure.

ARISTOTLE thought his predecessors in general, and Plato in particular, made a serious mistake in failing to mark the boundaries separating the different sciences and branches of philosophical inquiry. All of them failed to grasp the fundamental distinction between practical and theoretical knowledge. Ethics and politics, the prime examples of practical knowledge, differ from such theoretical sciences as metaphysics and physics not only in their aims but in their methods and subject matter as well. Indeed, Aristotle thinks the differences are (...) such that we cannot regard practical and theoretical knowledge as two species of a single genus, for there is no common definition of knowledge which applies to both. (shrink)

Many Christian theodicists believe that God's creating us with the capacity to love Him and each other justifies, in large part, God's permitting evil. For example, after reminding us that, according to Christian doctrine, the supreme good for human beings is to enter into a reciprocal love relationship with God, Vincent Brummer recently wrote: In creating human persons in order to love them, God necessarily assumes vulnerability in relation to them. In fact, in this relation, he becomes even more vulnerable (...) than we do, since he cannot count on the steadfastness of our love the way we can count on his steadfastness.... If God did not grant us the ability to sin and cause affliction to him and to one another, we would not have the kind of free and autonomous existence necessary to enter into a relation of love with God and with one another.... Far from contradicting the value which the free will defence places upon the freedom and responsibility of human persons, the idea of a loving God necessarily entails it. In this way we can see that the free will defence is based on the love of God rather than on the supposed intrinsic value of human freedom and responsibility.1 And Peter van Inwagen recently put the same point this way. (shrink)

Defining moral competence using a virtue approach, this longitudinal study examined the prospective relationships between moral competence and externalizing behavior indexed by delinquency and intention to engage in problem behavior in a large and representative sample of Hong Kong Chinese adolescents. Starting from the 2009–2010 academic year, Grade 7 students in 28 randomly selected secondary schools in Hong Kong were invited to join a longitudinal study, which surveyed participating students annually during the high school years. The current study used data (...) collected in the first three years (Wave 1 to Wave 3) across junior secondary school stage (Grade 7 to Grade 9) with a sample of 3,328 students (Age = 12.59 ±.74 years and 52.1% boys at Wave 1). Cross-lagged panel path analyses were conducted to compare four models involving different hypothesized patterns of relationships between moral competence and externalizing behavior. Results revealed that the reciprocal effects model best fit the data, supporting reciprocal causal relationships between moral competence and externalizing behavior measures. Specifically, a higher level of moral competence significantly predicted a lower level of delinquency and problem behavioral intention over time. At the same time, a higher level of externalizing behavior also significantly predicted a lower level of moral competence one year later. As the magnitudes of the significant findings were not high, replications in different Chinese communities are needed. Nevertheless, the present findings provide important theoretical insights on how moral competence and externalizing behavior in adolescents are associated with each other. Practically speaking, the findings suggest that it is promising to reduce adolescent externalizing behavior by promoting their virtues through moral education programs, and guiding adolescents to behave in a good manner would help promote the development of their virtues. (shrink)

Although eye tracking has been used extensively to assess cognitions for static stimuli, recent research suggests that the link between gaze and cognition may be more tenuous for dynamic stimuli such as videos. Part of the difficulty in convincingly linking gaze with cognition is that in dynamic stimuli, gaze position is strongly influenced by exogenous cues such as object motion. However, tests of the gaze‐cognition link in dynamic stimuli have been done on only a limited range of stimuli often characterized (...) by highly organized motion. Also, analyses of cognitive contrasts between participants have been mostly been limited to categorical contrasts among small numbers of participants that may have limited the power to observe more subtle influences. We, therefore, tested for cognitive influences on gaze for screen‐captured instructional videos, the contents of which participants were tested on. Between‐participant scanpath similarity predicted between‐participant similarity in responses on test questions, but with imperfect consistency across videos. We also observed that basic gaze parameters and measures of attention to centers of interest only inconsistently predicted learning, and that correlations between gaze and centers of interest defined by other‐participant gaze and cursor movement did not predict learning. It, therefore, appears that the search for eye movement indices of cognition during dynamic naturalistic stimuli may be fruitful, but we also agree that the tyranny of dynamic stimuli is real, and that links between eye movements and cognition are highly dependent on task and stimulus properties. (shrink)

We explore a general method based on trees of elementary submodels in order to present highly simplified proofs to numerous results in infinite combinatorics. While countable elementary submodels have been employed in such settings already, we significantly broaden this framework by developing the corresponding technique for countably closed models of size continuum. The applications range from various theorems on paradoxical decompositions of the plane, to coloring sparse set systems, results on graph chromatic number and constructions from point-set topology. Our main (...) purpose is to demonstrate the ease and wide applicability of this method in a form accessible to anyone with a basic background in set theory and logic. (shrink)

This article explores the motives underlying corporate responses to the COVID-19 pandemic. The analysis begins with Thomas Dunfee’s Statement of Minimum Moral Obligation, which specifies, more precisely than any other contribution to the business ethics canon, the level of corporate beneficence required during a pandemic. The analysis then turns to Milton Friedman’s neoliberal understanding of human nature, critically contrasting it with the notion of stoic virtue that informs the works of Adam Smith. Friedman contends that beneficence should play no role (...) in corporate settings. Smith, by contrast, emphasizes the need for prudence, beneficence and self-command in all human endeavours. The article then uses these competing frameworks to reflect on a published survey of 145 corporate responses to COVID-19. In many of these responses, the benefit to a non-financial stakeholder is clear, while the financial consequence to the firm remains nebulous. This supports the contention that during a pandemic, beneficence provides a more complete explanation of many corporate actions than the profit motive alone. The article contests Friedman’s Chicago School profit imperative and goes beyond Dunfee’s SMMO by endorsing the more full-throated embrace of beneficence and stoic virtue found in the works of Smith. (shrink)

Plato's "laches" is an investigation into the nature of courage with the intention of demonstrating the difficulty of singling out one virtue, namely courage, and defining it separately from the other cardinal virtues such as bravery, wisdom, justice, temperance, and piety. As the dialogue proceeds it becomes evident that socrates not only relates courage with the battlefield, but also with other spheres of life. Of special interest is his reference of being courageous regarding desires and pleasures where an overlap of (...) virtues is anticipated. This extension of the range of manifestations of courage indicates that his conception of courage transcends the traditional one in which he hints at a new sort of unity of courage and temperance, and on the other of courage and justice. One of plato's main aims in writing this dialogue was to mark out the intellectual limits of the two generals' positions, especially that of nicias, whose philosophical position could appear to be deceptively similar to the socratic one which he did not fully understand. (shrink)

The main thesis of this essay is that religious inquiry can and should be central to business ethics instruction in both the business school classroom and the corporate boardroom. Religious conviction has always been a major factor in social progress in America. Hence, removing religious inquiry from ethical instruction severely restricts the potency of such instruction to effect change. The essay first analyzes two aspects of American culture that tend to inhibit religious dialogue: American faith in a wall between the (...) secular and the sacred; and a cultural commitment to 'scientific' inquiries when discussing business matters. Although both cultural beliefs must be taken seriously, however, they need not silence one's religious beliefs and values. Two contemporary frameworks for analyzing issues in business ethics—'stakeholder theory' and 'social contract theory'— are then focused upon and it is demonstrated that religious dialogue and religious principles can usefully supplement either approach. (shrink)

This study examines the manner in which Machiavelli undertakes to elaborate and to justify the notorious "realism" of his political science, which consists in a deliberate and rigorous critique of justice or moral goodness. Despite its overt appeal to the common good and republican devotion, the Discourses on Livy, I argue, supplies a pathway to the foundation of this realism: the work is addressed to "the young" who combine rare intelligence with moral and civic concern, and it is guided by (...) Machiavelli's concern to persuade such readers of the reasonableness of his amoral account of human affairs and the order of the world. Through his discourses on Livy's Romans Machiavelli undertakes to enlighten the young about the meaning of genuine virtu and the distance that allegedly separates it from the justice they currently embrace. ;An examination of Machiavelli's discussions of acquisitive necessity, domestic rule and foreign affairs in Books I and II reveals that the core of this enlightenment is a confrontation with what he understands to be the essentially pious foundation of the moral life: Machiavellian realism is a secular, and secularizing, enterprise. Machiavelli teaches those exceptional youth who are suited to become "princes" that the prosperous management of human affairs requires that the rulers of peoples abandon pious scruple and instead determine appropriate courses of action in accordance with necessities knowable through prudence or natural reason alone. However, by ascending in places to theoretical discussions about the "things of the world" , Machiavelli indicates his awareness that the adequacy of his political critique of piety ultimately depends upon his ability to demonstrate to the full satisfaction of reason the existence and sovereignty of Nature, understood as an order of impersonal necessity. Machiavelli's moral-political realism is thus shown to entail and to point towards a theoretical realism that confronts the claim that the world is ordered providentially under a just and omnipotent sovereign. (shrink)

Past research has repeatedly documented the close relationship between visual attention and awareness. Most recently, research exploring change blindness, inattentional blindness, repetition blindness, and the attentional blink has converged on the conclusion that attention to one aspect of a scene or event may lead to a highly circumscribed awareness of only the specific information attended, while other information, even that which is spatially or temporally nearby can go completely unnoticed. In the present report, we extend these observations to the dynamic (...) allocation of attention during a well-structured meaningful event. In two experiments, subjects viewed brief videos of simple events and were told to pay close attention to them. During the events, an unexpected disruption consisting of a brief low spatial frequency motion field occurred. Despite intensive questioning and opportunities for recognition, the majority of subjects reported no awareness of 200, 400, or 600 ms disruptions. In a second experiment, blank-screen disruptions were added, and these resulted in no increase in detection. We conclude that visual attention may result in far more transitory awareness of visual information than previously appreciated. (shrink)

Moral distress names a widely discussed and concerning clinician experience. Yet the precise nature of the distress and the appropriate practical response to it remain unclear. Clinicians speak of their moral distress in terms of guilt, regret, anger, or other distressing emotions, and they often invoke them interchangeably. But these emotions are distinct, and they are not all equally fitting in the same circumstances. This indicates a problematic ambiguity in the moral distress concept that obscures its distinctiveness, its relevant circumstances, (...) and how individual clinicians and the medical community should practically respond to it. We argue that, in a range of situations that are said to be morally distressing, the characteristic emotion can be well‐understood in terms of what Bernard Williams calls “agent‐regret.” We show what can thereby be gained in terms of a less ambiguous concept and a more adequate ethical response to this distinctive and complex clinician experience. (shrink)