The term 'therapeutic misconception' (TM) was introduced in 1982 to conceptualize how some psychiatry trial participants perceived and interpreted their involvement in research. TM has since been identified in many settings and is a major component in research ethics discussions. A qualitative study included a subgroup of interviews with five parents (two couples, one mother) who declined to enrol their baby in a neonatal trial. Analysis suggested the possibility of a counterpart to TM which, given the original terminology, we term (...) the 'injurious misconception' (IM). While TM is closely linked to the elision of care and research, and involves an over-stated sense of benefit and protection, IM may be a product of a particularly keen and discomforting sense of distinctions between care and research and a correspondingly over-stated sense of risk and threat. (shrink)

Granted a certain depth of accuracy in citing an aspect of Spengler as an enactment of an aspect of Wittgenstein's thought, Wittgenstein's difference from Spengler should have depth. One difference can be characterized by saying that in the Investigations Wittgenstein diurnalizes Spengler's vision of the destiny toward exhausted forms, toward nomadism, toward loss of culture, or of home, or community: he depicts our everyday encounters with philosophy, with our ideals, as brushes with skepticism, wherein the ancient task of philosophy, to (...) awaken us, or bring us to our senses, takes the form of returning us to the everyday, the ordinary, every day, diurnally. (shrink)

This commentary responds to the recent enthusiasm for the idea of interregnum, revived by Gramsci in the 1930s and now by Zygmunt Bauman and Carlo Bordoni. While sympathetic to its impulse, the suggestion is made here that rather than being trapped in between, the West is entering a new authoritarian normal, where innovation as well as repetition are apparent. Trump Fever, in particular, may be a kind of smokescreen or western liberal obsession, not because the problems involved are less than (...) fully serious, but because we allow their anxieties to disable us. Meantime, the serious global contender for global hegemony, The People’s Republic of China, is often occluded from vision. Ergo Spengler: this may be not only the epoch of the decline of the West, but also the rise of the New China. (shrink)

The aim of this article is an attempt to diagnose the current condition of the philosophy of history, as well as to show its potential in explaining contemporary phenomena and constructing a rational image of the world. Two recent works by Steven Pinker (The Better Angels of Our Nature: Why Violence Has Declined and Enlightenment Now: The Case for Reason, Science, Humanism, and Progress) and the methodological work of Karl Raimund Popper provide a point of reference. And although the works (...) mentioned are not classed as historiosophical (even by Pinker himself), it is the author’s opinion that they fully deserve this title by showing that philosophical reflection on history is something that is sorely needed today, in an age of multiple contradictory diagnoses and radical prophecies. (shrink)

This article explores what might happen to the concept of performativity within arguments that are understood as ‘topological’. It argues that we might ‘decline’ performativity, which is to say, elaborate the concerns that are expressed in the concept, but inclining it more boldly towards the complexities of a world whose elements are always in process of constitution, of reiterative enfolding. Taking a cue from Isabelle Stengers’ recent work in which she posits the notion of ecologies of practice, on the (...) one hand, and Whitehead’s concept of concern, on the other, the paper argues that emergent entities have differential requirements – not least according to the disciplines to which they appeal – and subtend different modes of implied obligation. An adherence to these requirements needs to be accompanied by persuasive presentation that obliges a community to affirm any entity. On many levels of abstraction, ecologies need to show concern for an entity to facilitate its emergence and to sustain its mode of being. In an expanded vision, then, human and non-human entities at all levels enter into multifarious relational modes of becoming, but these become of sustained consequence only through persuasion of communities, sometimes organized into disciplines. The survival of entities requires forms of differentiation, division and of value. The paper relates these arguments to forms of sociological enquiry that give glimpses of how sociology might respond. It ends with a hesitation around the radical anti-anthropomorphism of the stance developed, and argues that this does not entirely eclipse the importance of political hope. (shrink)

Before the late 19th century, natural law played an important role in the American legal system. Lawyers routinely used it in their arguments and judges often relied upon it in their opinions. Today, by contrast, natural law plays virtually no role in the legal system. When natural law was part of a lawyer's toolkit, lawyers thought of judges as finders of the law, but when natural law dropped out of the legal system, lawyers began thinking of judges as makers of (...) the law instead. The Decline of Natural Law explores the causes and consequences of this change. It discusses the ways in which lawyers used natural law and why the concept seemed reasonable to them. It examines several long-term trends in legal thought that weakened the position of natural law, including the use of written constitutions, the gradual separation of the spheres of law and religion, the rapid growth of legal publishing, and the position of natural law in some of the 19th century's most contested legal issues. It describes the profession's rejection of natural law in the late 19th and early 20th centuries. And it explores the ways in which the legal system responded to the absence of natural law. (shrink)

Human-eyelid conditioning was the principal source of information on Pavlovian conditioning, especially human, in the 1950s and 1960s, but it suffered a sharp decline in productivity, beginning in the late 1960s. The present article treats the decline as a case study with potential implications concerning the survival contingencies of research specialties. We make use of questionnaire data from eyelid-conditioning researchers and examine a variety of publication, topic-of-investigation, and institutional data to identify the major factors in the decline (...) of human-eyelid conditioning. (shrink)

I argue that genuine evolutionary naturalism, which characterized the first generation of pragmatism (Dewey, James, Peirce, and Mead) was replaced by a kind of naturalism that was not in any thorough-going way genuinely evolutionary. Tracing the form of naturalism inherited by Rorty and his generation to Quine's and C.I. Lewis's forms of pragmatism, I argue that this is not naturalism in any empirically defensible sense, mainly because it cannot accommodate scientific inquiry that depends on processual ideas and concepts as opposed (...) to narrowly linguistic concepts. (shrink)

The ‘rise’ and ‘decline’ refer to the rationale behind Islamic attractiveness and its rejection. What I intend to write is a narrative based on theoretical intuitions and empirical facts very different from Olivier Roy’s thesis on the ‘failure’ of political Islam (1992) and Asef Bayat’s post-Islamism (1996). My theoretical intuition is that political Islam has for years at best taken advantage of a long-term series of failures. First, there is the failure of modernization, of secularity and of national ideology. (...) Islamist movements transformed this kind of ‘negative legitimacy’ into an electoral success. This is the case with En-Nahdha in Tunisia. Second, however, this electoral legitimacy was rapidly eroded. Third, post-Islamist expectations were not met: political Islam with its radicalism was not cut off and did not digest jihadism and terrorism. It is still worked out by a double-handed attempt: a neo-authoritarian politics and a religious anti-liberal zeal. Now, this project is failing, not because political Islam entered into a ‘post-Islamist’ area but thanks to a strong and heroic resistance of secular civil society. (shrink)

In CQ n.s. 26 . 62–84 I argued that the defeat of Sparta in 371 B.C. was not due to the pursuit of unwise policies towards the other Greek states. Unwise policies there had been. Sparta being by no means superior to Athens in the formulation of foreign policy, but these did not affect the position on the eve of Leuctra when, with Thebes politically isolated, and with some of the Boeotians disaffected, Cieombrotus at the head of a numerically superior (...) Spartan and allied army was poised for the, destruction of Theban power; a triumph of policy it must have seemed. Sparta failed for military reasons. Her army was unequal to the military genius of Epaminondas. (shrink)

In this essay, I discuss philosophy's decline, in the context of disciplinization, scientism, and specialization, as well as possible ways in which it might renew itself.

In The Decline and Fall of the Catholic Church in America, the sociologist David Carlin offers insightful explanations for why Catholicism began to unravel in the 1960s. Facing the aftershocks of Vatican II, the collapse of their cohesive urban neighborhoods, and the onslaught of the cultural revolution, American Catholics experienced a “perfect storm” from which they have yet to recover. Carlin sees little reason for optimism about the future. Among other things, he notes thebishops’ “appallingly poor” handling of the (...) sex abuse scandal and their tolerance of homosexuality in the seminaries. While agreeing with mostof Carlin’s analysis, this reviewer is more optimistic about the future prospects of the Church in America. (shrink)

Original, or 'old', institutional economics (OIE) – also known as 'institutionalism' – played a key role in its early stages; it could be said that it was once the 'mainstream economics' of the time. This period ran approximately from the first important contributions of Thorstein Veblen in 1898 to the implementation of the New Deal in the early 1930s, where many institutionalists played a significant role. However, notwithstanding its promising scientific and institutional affirmation, institutional economics underwent a period of marked (...) decline that spanned from the mid-1930s to the late 1980s, when a new season for institutional economics was set in motion. In order to cast some light on this complex issue – without any claim of completeness – we have organised the work as follows: in the first section we consider the main interpretations of this phenomenon. In the subsequent sections we analyse a number of 'endogenous' aspects which might have played a significant role in the period of decline: (i) the relations of institutional economics with Keynes's macroeconomic theory; (ii) the links between theoretical and empirical analysis and the supposed lack of a clear theory; (iii) the interdisciplinary orientation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Declining Circumcision for My Premature NewbornDionne DeschenneIn 1993, I was pregnant with my first of three sons and was busy preparing for his arrival. Unlike most parents, who focus much of their time on decorating the nursery and buying supplies, I was researching the medical decisions that I would need to make in the moments and weeks following his birth. Having worked in a hospital while a pre-medicine student, (...) I had heard the cries of babies undergoing tests and procedures shortly after birth and knew I needed to be clear on the necessity of those tests and procedures if I was going to consent to them for my baby.My husband was in the Navy and out to sea for six months, so I took a few college courses to pass the time. One was a philosophy course on ethics, and I chose the bioethics of infant male circumcision as the focal point of my coursework that quarter. This allowed me to work through my findings in a racially, religiously, and age-diverse classroom under the guidance of a skilled professor. I was shocked to learn that even the American Academy of Pediatrics (AAP) at that time acknowledged that there were no known medical benefits that resulted from circumcision. How, I wondered, could parents allow their newborns to undergo such a harrowing experience for no reason?As the months passed and the birth of our first son grew nearer, I had everything ready—all of the decisions made, the doctors prepared, and the hospital selected. All of that preparation went out the proverbial window when I contracted pneumonia at 30 weeks. I was admitted to the Naval Hospital and treated for a week before being airlifted to a nearby Army Hospital when my condition worsened. After a few days there, the doctor came in very early one morning to wake me. Our son's heart rate was slowing, and we were at risk of losing him. They needed to immediately perform an emergency Cesarean section to preserve his life. I was terrified, knowing the potential myriad adverse effects his pre-term birth could cause.We were rushed into the OR and within seconds I had an epidural in my back. Moments later, my perfect, tiny but silent baby was whisked from the room to be attended to by a highly skilled and immensely respected NICU team. My husband followed to keep a watchful eye on our son while I was taken to Recovery. A few hours later, I was allowed to join my husband and son in the NICU.Our baby was beautiful, but so tiny that my husband could hold him in one hand. He weighed four pounds and had an enormous needle in the top of his head. The nurse explained to me that the IV needle was in the best location for administering the IV fluids and medications that our baby needed. His pre-term birth had introduced the need for several tests and treatments I had not anticipated. This was immensely distressing for me as someone who wanted to research and understand so that I could make well-informed and ethical decisions. Keep in mind that this was in the days before smartphones. In fact, we didn't even have cell phones at that time! In order to do research, I needed to find a medical text within the hospital that I could read, or get to a library. I had an abdomen full of staples, couldn't drive, and refused to be away from my baby, so going to the library was not an option.Under the conditions, I relied on the hospital staff to help me understand the risks, benefits, and necessities of each procedure or test that they recommended. We formed a relationship of mutual respect. I think this was due to the in-depth [End Page 89] conversations we had during that time. That mutual respect we developed likely led to a remarkable conversation toward the end of our son's first week in the NICU. Our doctor was making his rounds when a nurse asked if we wanted to have our son circumcised that day since the doctor... (shrink)

The decline in the number of legitimate live births in England and Wales from the peak in 1964 has been partitioned into components due to changes in fertility rates, components due to changes in the composition of the population exposed to risk, and an interaction component. Fertility rates specific for age of mother at birth of child, duration of marriage, parity and age of mother at marriage were considered but in all cases it was found that the decline (...) was not as great as the change in fertility rates implied. This was due to increases in the number of births due to changes in the composition of the population exposed to risk. (shrink)

Drawing from a four-year study of US science institutions that support biological control of arthropods, this article examines the decline in biological control institutional capacity in California within the context of both declining public interest science and declining agricultural research activism. After explaining how debates over the public interest character of biological control science have shaped institutions in California, we use scientometric methods to assess the present status and trends in biological control programs within both the University of California (...) Land Grant System and the California Department of Food and Agriculture. We present available data on the number of scientific positions and the types of positions to discuss the impact on the amount of public interest research on biological control in California. We use sociograms to depict how biological control science networks have been reconfigured over time. Our quantitative and qualitative analyses indicate that the following factors contributed to the decline of biological control science in California over the 45-year period analyzed: (1) the institutional reconfiguration of university research priorities; (2) the fraying networks within and increasing specialization of biological control science; (3) the transformation of the social organization of the life science work, including privatization; and (4) the abandonment of this thematic area by civil society activist groups. This broad array of forces suggests that biological control, as a public interest science, will require a deliberate intervention, based on advocacy of clear public interest criteria. (shrink)

The serviceability of the doctrine is apparent. Those who hope to understand world affairs will naturally resist it. The February elections in Nicaragua are a case in point. The forces at work within Nicaragua are surely worth understanding, the reactions to the elections here no less so -- far more so, in fact, in terms of global import and long-term significance, given the scale and character of U.S. power. These reactions provide quite illuminating insight into the dominant political culture. They (...) provide further and quite dramatic evidence that the concept of democracy is disappearing even as an abstract ideal. (shrink)

Abstract The apparent decline of trust in our political and social communities is widely lamented by both social scientists and political analysts. Our newspapers now regularly feature new evidence indicating the decline of trust, as well as regular commentary worrying about the possible effects on the political and social institutions that matter to us. Of late, political philosophers have taken up the task of assessing what, specifically, is on the decline and what, further, might be the consequences (...) of this decline. The five books reviewed below all attempt to answer four central questions: What is trust? Is trust really on the decline? If it is, what are the possible effects on our communities? What possible solutions can halt the decline of trust? The competing answers offered by these philosophers are evaluated, revealing we are only part way to resolving these important issues. (shrink)

What happened to the doctrine of natural right in the nineteenth century? We know that it flourished in the seventeenth and eighteenth centuries. We know that something like it - the doctrine of human rights and new forms of social contract theory - flourished again in the second half of the twentieth century and continues to flourish in the twenty-first. In between there was a period of decline and hibernation - uneven, to be sure, and never complete - but (...) a period in which to invoke natural right was always to invite intellectual ridicule and accusations of political irresponsibility. Thus article asks: How far can the decline of natural right in the nineteenth century be attributed to the reaction against the revolution in France? How far it was the effect of independent streams of thought, like positivism and historicism? Why was radical thought so ambivalent about natural right throughout the nineteenth century, and why was socialist thought in particular inclined to turn its back on i? As a framework for thought, natural right suffered a radical decline in the social and political sciences. But things were not so clear in jurisprudence, and natural right lived on to a much riper old age in the writings of some prominent economists. So we have to ask: What is it about this theory that allowed it to survive in these environments, when so much of the rest of intellectual endeavor in the nineteenth century was toxic or inhospitable to it. Finally, I shall ask how far American thought represents an exception to all of this. Why and to what extent did the doctrine survive as a way of thinking in the United States, long after it had lost its credibility elsewhere. (shrink)

In 2015, the major critical care societies issued guidelines outlining a procedural approach to resolving intractable conflict between healthcare professionals and surrogates over life-sustaining treatments (LST). We report our experience with a resolving conflict procedure. This was a retrospective, single-centre cohort study of ethics consultations involving intractable conflict over LST. The resolving conflict process was initiated eleven times for ten patients over 2,015 ethics consultations from 2000 to 2020. In all cases, the ethics committee recommended withdrawal of the contested LST. (...) In seven cases, the patient died or was transferred or a legal injunction was obtained before completion of the process. In the four cases in which LST was withdrawn, the time from ethics consultation to withdrawal of LST was 24.8 ± 12.2 days. Healthcare provider and surrogate were often distressed during the process, sometimes resulting in escalation of conflict and legal action. In some cases, however, surrogates appeared relieved that they did not have to make the final decision regarding LST. Challenges regarding implementation included the time needed for process completion and limited usefulness in emergent situations. Although it is feasible to implement a due process approach to conflict over LST, there are factors that limit the procedure’s usefulness. (shrink)

This book explores the steady decline in the status of the individual in recent years and addresses common misunderstandings about the concept of individuality. Drawing from psychology, neuroscience, technology, economics, philosophy, politics, and law, White explains how and why the individual has been devalued in the eyes of scholars, government leaders, and the public. He notes that developments in science have led to doubts about our cognitive competence, while assumptions made in the humanities have led to questions about our (...) moral competence. In this book, White goes on to argue that both of these views are mistaken and that they stem from overly simplistic ideas about how individuals make choices, however imperfectly, in their interests, which are multifaceted and complex. In response, he proposes a new way to look at individuals that preserves their essential autonomy while emphasizing their responsibility to others, inspired by the moral philosophy of Immanuel Kant and the legal and political philosophy reflected in the Bill of Rights to the U.S. Constitution. This book explains how individuality combines both rights and responsibilities, reconciles the popular yet false dichotomy between individual and society, and provides the basis for a humane and respectful civil society and government. This book is part of White's trilogy on the individual and society, which includes The Manipulation of Choice and The Illusion of Well-Being. (shrink)

Freedom of expression is a fundamental part of living in a free and open society and, above all, a basic need of every human being and a requirement to attain happiness. Its absence has relevant consequences, not only for individuals but also for the whole social community. This might explain why freedom of expression was, along with other freedoms (conscience and religion; thought, belief, opinion, including that of the press and other media of communication; peaceful assembly; and association), at the (...) core of liberal constitutionalism, and constitutes, since the Second World War, an essential element of constitutional democracies. In a democracy, people should be allowed to express themselves to others freely. The paper, which is divided into five sections, points out that states are obliged to protect the exercise of that freedom not only because its very purpose is the common good and welfare of society but also because it is a requirement of any constitutional democracy. Otherwise, when people cannot express themselves, perhaps out of fear (not from ‘war’ but from different kinds of social pressure or ‘violence’ exerted by some lobbies, mass media, or governmental policies that are at odds with respect for the plurality of opinions), vulnerability arises. This weakens not only those individuals that are not allowed to express their thoughts but also those who do not dare to do it – or even not to think for themselves – under certain environmental pressures (exerted by states, international organizations, social media, or financial groups, lobbies, etc.). In the end, the decline of freedom of expression makes most people more vulnerable and jeopardizes the whole democratic system. (shrink)

Sidgwick saw egoism as important and undefeated. Not long afterward, egoism is largely ignored. Immediately after Sidgwick, many arguments were given against egoism – most poor – but one argument deserves attention as both influential and plausible. Call it the “grounds objection.” It has two strands. It objects that there are justifying reasons for action other than that an action will maximize my self-interest. It also objects that sometimes, what makes an action right is a fact other than its maximizing (...) my self-interest. I briefly explain and criticize many of the arguments given against egoism in the period, then explain and defend the grounds objection. (shrink)

This study examines elderly residential life in long-term care settings, focusing on the ways residents interact with their physical and social environments. It further proposes that the residential environment is an important player for everyday ethics in long-term care settings, and is also an important factor in enhancing the quality of life for residents. By employing the theories of place identity and environmental meanings and listening to the voices of the elderly collected through an ethnographic field study in elderly homes (...) of life care, the study reveals the residents’ experiences of going through declining health and moving through the stages of care. Two major themes were identified. The first theme of liminal life portrays the elders’ fears as they move through the stages of care. This theme includes four sub-themes: the loss of home and the loss of autonomy; impending loss and its constant reminders; the social classification of “us” and “them”; the irreversibility of moving. The second theme of relational life describes the keys to successful transitions as experienced and told by the residents. The second theme includes three sub-themes: shifting identity and the acceptance of old age; human interdependence and building trust; an accompanied death. Study implications are further discussed, including specific suggestions for social programs and revisions to the physical environments. A more fundamental question about place-based staged care is also raised so as to serve as a point of departure for reflections and discussions amongst health professionals, planners and designers, and other decision-makers. (shrink)

The virtue of mercy is widely admired, but is now marginalized in contemporary public life. Yet for centuries it held a secure place in western public discourse without implying a necessary contradiction with justice. Alex Tuckness and John M. Parrish ask how and why this changed. Examining Christian and non-Christian ancient traditions, along with Kantian and utilitarian strains of thought, they offer a persuasive account of how our perception of mercy has been transformed by Enlightenment conceptions of impartiality and equality (...) that place justice and mercy in tension. Understanding the logic of this decline, they argue, will make it possible to promote and defend a more robust role for mercy in public life. Their study ranges from Homer to the late Enlightenment and from ancient tragedies to medieval theologies to contemporary philosophical texts, and will be valuable to readers in political philosophy, political theory, and the philosophy of law. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Decline of Literary CriticismRichard A. PosnerRónán McDonald, a lecturer in literature at the University of Reading, has written a short, engaging book the theme of which is evident from the title: The Death of the Critic. Although there is plenty of both academic and journalistic writing about literature, less and less is well described by the term "literary criticism." The literary critics of the first two-thirds or (...) so of the twentieth century, now dead, including poets and other creative writers, such as T. S. Eliot, journalists such as Edmund Wilson, and academic literary critics, as distinct from literary scholars, such as F. R. Leavis in England and Cleanth Brooks in the United States, have so few successors that the very genre, if not yet dead, is moribund.1 McDonald deplores the decline of literary criticism and seeks to explain its causes.In place of literary criticism, McDonald (and many others, such as John Ellis) argue, we have postmodern literary theory, an animal of quite a different color from literary criticism.2 "Texts... are interpreted and analysed with a view to unlocking the social norms and attitudes encoded therein, not assessed or evaluated as integral, self-contained creations" (McDonald, p. 21). "The 'best' [is regarded] as a politically dubious category, with selections made in its name often nurturing hidden and hierarchical agendas"(p. ix). "In a comparatively short time, [End Page 385] academic literary criticism has been transformed. Many [literary critics] now regard social activism as the major purpose of literary criticism." And "people who write about literature now write in a prose thick with impenetrable jargon," which erects a barrier between literary theory and literature.3 The well documented decline in the reading of literature has many causes but one may be the obscurantist and politicized style of teaching literature that is in vogue in many colleges.4But something deeper is involved. After all, most literary teachers are not postmodernists. What has happened is the professionalization, in not altogether a good sense, of literary studies. Let me illustrate. More than half a century ago, Cleanth Brooks published what became a famous book of literary criticism, consisting of close readings of famous poems.5 The New Critics were much taken with the metaphysical poets, the most prominent of whom was John Donne, and the high point of Brooks's book was his brilliant close reading of "Canonization," one of Donne's most famous love poems. Just this year (2008) a professor of literature named Ramie Targoff published John Donne, Soul and Body, which has an extensive treatment of Donne's love poetry, though it does not mention "Canonization." As far as I can judge, Targoff's book is a fine scholarly achievement—well written (and not defaced by jargon), thoroughly researched, thoughtful, imaginative. She argues that contrary to some scholars who have regarded Donne as a Neoplatonist who therefore believed that the highest love is purely spiritual (as it was for Plato), he was, throughout his career—even when he became a fiercely devout Anglican cleric writing fervid religious verse—a believer that body and soul were one in all activities, including sexual love; hence the religious imagery in "Canonization," emphasized by Cleanth Brooks, who would I think have found Targoff's analysis congenial. Her book is I would guess a model of modern literary scholarship.But here is the difference between Brooks's book, and specifically his discussion of Donne's poem, and Targoff's. Brooks, who though a distinguished Yale English professor did not have a Ph.D., wrote for a mixed audience—academics, students, the general reader—and he made the nonacademic members of that audience want to read Donne, or read more Donne, or re-read Donne with greater understanding and enjoyment. Targoff writes for other scholars of early modern English literature. Someone else who chances on the book (like me) may read it and think well of it, but unless one has esoteric religious or philosophical interests the experience of reading her book will not quicken one's [End Page 386] interest in reading Donne's poetry—which is a great shame, given the state of the literary culture... (shrink)

The continued global economic success of authoritarian China seems to underscore the need to review the reasons why democracy occurs in different societies. For decades, many believed that a growin...