Some metaphysicians believe that existence debates are easily resolved by trivial inferences from Moorean premises. This paper considers how the introduction of negative Moorean facts—negative existentials that command Moorean certainty—complicates this picture. In particular, it shows how such facts, when combined with certain plausible metaontological principles, generate a puzzle that commits the proponents of this method to a contradiction.

Many philosophers think that common sense knowledge survives sophisticated philosophical proofs against it. Recently, however, Bryan Frances (forthcoming) has advanced a philosophical proof that he thinks common sense can’t survive. Exploiting philosophical paradoxes like the Sorites, Frances attempts to show how common sense leads to paradox and therefore that common sense methodology is unstable. In this paper, we show how Frances’s proof fails and then present Frances with a dilemma.

Philosophers disagree. A lot. Pervasive disagreement is part of the territory; consensus is hard to find. Some think this should lead us to embrace philosophical skepticism: skepticism about the extent to which we can know, or justifiably believe, the philosophical views we defend and advance. Most philosophers in the literature fall into one camp or the other: philosophical skepticism or philosophical anti-skepticism. Drawing on the insights of hinge epistemology, this paper proposes another way forward, an intermediate position that appeals both (...) to skeptical and anti-skeptical intuitions concerning the possibility and scope of philosophical knowledge. The main advantage of our account is that it’s able to recover some philosophical knowledge while also being compatible with philosophical skepticism. (shrink)

This chapter serves as an opinionated introduction to the problem of convergence (that there is no clear convergence to the truth in philosophy) and the problem of peer disagreement (that disagreement with a peer rationally demands suspending one’s beliefs), and some of the issues they give rise to, namely, philosophical skepticism and progress in philosophy. After introducing both topics and surveying the various positions in the literature we explore the prospects of an alternative, hinge-theoretic account.

In this article, we explore the possibility of adding a new role to the clinical encounter: an illness doula. Even though research and education in medical humanities and narrative medicine have made improvements in humanizing healthcare, progress is slow and ongoing. There needs to be an intervention in the practice of healthcare now for people currently going through the system. An illness doula, like a birth doula, would facilitate and insure that attention is paid to the personal (...) needs and desires of the patient in the present system. We envision illness doulas having the ability and availability to accompany the patient throughout the healthcare process, to help communicate with clinicians, and to ensure that patient preferences are understood and respected along the way. We discuss how this idea emerged through the clinical encounters of two of our authors, the possibilities and limitations of creating a new role for illness doulas, and the logistics of how to put this new role into play. (shrink)

Today, a new vein of queer Marxist-feminist family-abolitionist theorising is reviving contemporary feminists’ willingness to imagine, politically, what women's liberationists in the 1970s called ‘mothering against motherhood’. Concurrently, the jokey portmanteau ‘momrade’, i.e. mom + comrade, has circulated persistently in the twenty-first century on online forums maintained by communities of mothers and/or leftists. This article asks: what if, in the name of abolishing the family, we took the joke entirely seriously? What makes a ‘mom’ a ‘momrade’, or vice versa? In (...) what ways does the work of reproduction, conceivably, actively participate in class struggles, producing new worlds (and un-producing others)? How do the collective arts of mothering unmake selves? And how does the verb ‘to mother’ work to abolish the present state of things? The chosen point of departure for exploring these questions is the concept of xenohospitality; a term I borrow from Helen Hester – one of the authors of the Xenofeminist Manifesto – who defines it as openness to the alien, a definition I link closely to ‘comradeliness’. Further, the meaning of the term ‘family abolition’, here, is aptly summed up by the formula ‘xenofam ≥ biofam’; to abolish the family is not to destroy relationships of care and nurturance, but on the contrary, to expand and proliferate them. Reflecting on the conditions of possibility for such universally xenofamilial – that is to say, comradely – kin relations, this article implicitly argues for utopia(nism) in feminist kinship studies. It grounds this utopianism, however, in first-hand experiences of informal ‘death doula’ labour. The labour of mothering one's mother is offered as a potential practice of un-mothering oneself and others. In fact, the argument pivots on these auto-ethnographic observations about maternal bereavement, because the event of the author's mother's death interrupted and intruded upon the feminist theorising involved. (shrink)

In response to a global population with increasingly complex issues at the end of life, a movement in the U.S. has emerged incorporating doulas into end-of-life care. These end-of-life (EOL) doulas are not just focused on the quality of life, but also the quality of death. Like birth doulas, who provide support for pregnant patients and their families, EOL doulas help alleviate physical and mental discomfort in those who are dying. In this paper, we explore the role of EOL doulas (...) in improving the care of unrepresented patients, who lack decision-making capacity and have no surrogates or documents to guide their healthcare decisions. We argue that EOL doulas may help this traditionally underserved population experience a “good death” by answering several ethical and procedural challenges. As quasi-independent, non-medical members of the healthcare team, they provide a balancing, advocating voice on behalf of the patient, and may also help reduce inappropriate treatment, delays in care, and the overburdening of the public guardianship system. As such, attention should be given to formally defining their place within the healthcare infrastructure. Ultimately, we contend that EOL doulas are key to ensuring optimal, ethical care for unrepresented patient populations. (shrink)

The Human Condition is neither a well-defined nor well-described concept—nevertheless, it is generally agreed that human sexuality is a fundamental and constituent part of it. For most able-bodied persons, accessing and expressing one's sexuality is a (relatively) trouble-free process. However, many disabled persons experience difficulty in accessing their sexuality, while others experience such significant barriers that they are often precluded from sexual citizenship altogether. Recognising the barriers to the sexual citizenship of disabled persons, the concept of a Welfare-Funded Sex (...) class='Hi'>Doula Program has been advanced — a program specifically aimed at meeting the various (and often complex) sexual needs of disabled people. Below we show how that program can be justified within at least two different moral frameworks, the capabilities approach and liberal utilitarianism, and consider and repudiate arguments against it. (shrink)

The sexual citizenship of disabled persons is an ethically contentious issue with important and broad-reaching ramifications. Awareness of the issue has risen considerably due to the increasingly public responses from charitable organisations which have recently sought to respond to the needs of disabled persons—yet this important debate still struggles for traction in academia. In response, this paper continues the debate raised in this journal between Appel and Di Nucci, concurring with Appel’s proposals that sexual pleasure is a fundamental human right (...) and that access to sexual citizenship for the severely disabled should be publicly funded. To that endeavour, this paper refutes Di Nucci’s criticism of Appel’s sex rights for the disabled and shows how Di Nucci’s alternative solution is iniquitous. To advance the debate, I argue that a welfare-funded ‘sex doula' programme would be uniquely positioned to respond to the sexual citizenship issues of disabled persons. (shrink)

The combination of money and intimacy, particularly in the context of paid caring, can be difficult, given the tendency to view them as belonging to separate spheres. This research studied paid caring within the context of breastfeeding and labor support, using 72 interviews with lactation consultants, doulas, clients, and health care professionals, as well as 150 hours of ethnographic observation. Building upon the work of Viviana Zelizer, I examined the relational work of lactation consultants, doulas, and their clients, finding that (...) this process is highly influenced by the way gender is mapped onto the separate spheres dichotomy. Lactation consultants, doulas, and their clients drew boundaries around their social relations to construct them as different from family care in order to legitimate the combination of money and intimacy. Lactation consultants and doulas both experienced tension in determining appropriate transactions and media for their care work, which illustrates how the separate spheres ideology can perpetuate the relative low pay of care work. (shrink)

The sexual citizenship of disabled persons is an ethically contentious issue with important and broad-reaching ramifications. Awareness of the issue has risen considerably due to the increasingly public responses from charitable organisations which have recently sought to respond to the needs of disabled persons—yet this important debate still struggles for traction in academia. In response, this paper continues the debate raised in this journal between Appel and Di Nucci, concurring with Appel’s proposals that sexual pleasure is a fundamental human right (...) and that access to sexual citizenship for the severely disabled should be publicly funded. To that endeavour, this paper refutes Di Nucci’s criticism of Appel’s sex rights for the disabled and shows how Di Nucci’s alternative solution is iniquitous. To advance the debate, I argue that a welfare-funded ‘sex doula' programme would be uniquely positioned to respond to the sexual citizenship issues of disabled persons. (shrink)

Mindfulness and the Birth Sphere draws together and critically appraises a raft of emerging research around mindfulness in healthcare, looking especially at its relevance to pregnancy and childbirth. This is an essential read for all those interested in mindfulness in connection to pregnancy and childbirth, including midwives, doulas, doctors and birth activists, whether involved in practice, research or education.

The body in-pain has regularly been relegated to "the dark side"of Western biomedicine, academic research, and even everyday life. Following Starhawk's aptly titled resuscitation of "the dark"as a fertile source of spiritual transformation (Dreaming the Dark, 1982), this essay examines the ways in which intractable pain can open up the body to "a new body in the making" —one that engages with pain kinesthetically as well as discursively. This essay explores three ethnographic cases emerging from three different American fieldvvork sites. (...) An Internet mailing list called WITSENDO constitutes the first case; through often daily participation in this electronic mailing list, women suffering from endometriosis co-create a virtual community that strikingly mitigates their experiences of chronicand intense pain. The shift in how long-term clients of acupuncture care regard needling is the locus of the second case. Acupuncture treatments in American clinical settings often negotiate an American cultural assumption that needles are painful; this second case documents what happens to patients' "fear" of needles and experiences of pain after regular acupuncture treatments. The third case focuses on adepth interview with an American doula who provides labor support for women primarily in hospital settings, this interview explores the conditions under which American women in labor experience pain and how alternative birth professionals define and conceive of pain during childbirth.These three ethnographic cases highlight the cultural construction of pain by delving into the ways that pain sufferers and health care practitioners engage with the body-in-pain. Such engagements occur in the realm of language - both discursive and kinesthetic language. (shrink)

The birth of our daughter nearly 5 years ago went very well. But in a new city, with some experience on our side and access to a homelike natural birth center connected to a major area hospital, we thought it would be all the better when our son was born. We hadn’t dreamed that the detection of a benign arrhythmia in the baby’s heart would cascade into a situation that would not only undermine our entire birth plan, but force unwanted (...) treatment and threats of abandonment. In this commentary, our intention is to illustrate the way in which narratives, and the commonalities between the stories shared by other authors in this issue and our own, can give profound depth and new insights into the things that happen to us. (shrink)