Despite its effectiveness, limited research has examined the provision of telemental health and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offering TMH services to adults with anxiety, depression, and trauma-and stressor-related disorders in individual therapy formats. Approximately 82% of TMH providers reported endorsing the use of Cognitive Behavioral Therapy in their remote practice. The most commonly used in-session and between-session exercises included coping (...) and emotion regulation, problem solving, mindfulness, interpersonal skills, relaxation, and modifying and addressing core beliefs. CBT TMH providers had a higher odds of using in-session and homework exercises and assigning them through postal mail, email or fax methods, as compared to non-CBT TMH providers. TMH providers, regardless of treatment paradigm, felt that assigning homework was neither easy nor difficult and they believed their patients were somewhat-to-moderately compliant to their assigned exercises. CBT TMH providers also collected clinical information from their patients more often than non-CBT TMH providers. They reported being less satisfied with their method, which was identified most often as paper-based surveys and forms. Overall, TMH providers employ evidence-based treatments to their patients remotely, with CBT TMH providers most likely to do so. Findings highlight the need for innovative solutions to improve how TMH providers that endorse following the CBT treatment paradigm remotely assign homework and collect clinical data to increase their satisfaction via telemedicine. (shrink)

The debate between compatibilists and incompatibilists depends in large part on what ordinary people mean by ‘free will’, a matter on which previous experimental philosophy studies have yielded conflicting results. In Nahmias, Morris, Nadelhoffer, and Turner (2005, 2006), most participants judged that agents in deterministic scenarios could have free will and be morally responsible. Nichols and Knobe (2007), though, suggest that these apparent compatibilist responses are performance errors produced by using concrete scenarios, and that their abstract scenarios reveal the (...) folk theory of free will for what it actually is—incompatibilist. Here, we argue that the results of two new studies suggest just the opposite. Most participants only give apparent incompatibilist judgments when they mistakenly interpret determinism to imply that agents’ mental states are bypassed in the causal chains that lead to their behavior. Determinism does not entail bypassing, so these responses do not reflect genuine incompatibilist intuitions. When participants understand what determinism does mean, the vast majority take it to be compatible with free will. Further results indicate that most people’s concepts of choice and the ability to do otherwise do not commit them to incompatibilism, either, putting pressure on incompatibilist arguments that rely on transfer principles, such as the Consequence Argument. We discuss the implications of these findings for philosophical debates about free will, and suggest that incompatibilism appears to be either false, or else a thesis about something other than what most people mean by ‘free will’. (shrink)

I argue for the conditions that eco-sabotage (sabotage involving the protection of animals or the environment) must meet to be a morally permissible form of activism in a liberal democracy. I illustrate my case with Jessica Reznicek and Ruby Montoya’s oil pipeline destruction, the Sea Shepherd Conservation Society’s whale hunt sabotage, and the Valve Turners’ pipeline shut-off, climate necessity-defense. My primary contention is that just as it is permissible to destroy an attacker’s weapon in self- or other-defense, it is permissible (...) to engage in some forms of eco-sabotage. Taking inspiration from just war theory, I use the conditions of just cause, reasonable chance of success, proportionality, necessity, and discrimination to both conceptualize eco-sabotage as defense and illustrate the justificatory burden the eco-saboteur must meet. Often eco-sabotage is doubly pro-tanto wrong because it is illegal and involves property destruction. Overcoming these hurdles is particularly difficult because in seemingly bypassing democratic means of dispute resolution, the eco-saboteur seemingly coerces the other members of society by forcing idiosyncratic views upon them. Non-anthropocentric eco-sabotage grounded in defense of animal rights has mixed results regarding the democratic objection just described. I argue that anthropocentric eco-sabotage, grounded in defense of human rights, has the best chance of overcoming this objection, provided a persuasive case can be made for its reasonable chance of success. Passing a reasonable chance of success also causes problems for non-anthropocentric eco-sabotage grounded in species defense, while non-anthropocentric eco-sabotage grounded in defense against animal suffering has a lighter justificatory burden. (shrink)

I argue that the distance between state and citizen gives state paternalism a pro tanto advantage over paternalism between individuals. Pace Jonathan Quong, the state neither denies nor diminishes my moral status by acting on a justified negative judgment about my rational or volitional capacities. Nor does its failure to paternalize on the basis of detailed information about individuals constitute a source of disrespect. Rather, the less discriminating nature of general legislation both reduces the risk of social stigmatization and avoids (...) a problematic dynamic with the paternalizee. But paternalistic policies may give us reason to be concerned about superiority or contempt in policy-makers towards the citizens at whom they are directed. Governments must remain ‘faceless’ enough for paternalism to operate at a distance, but they must reassure the governed that the judgment that they can do better for them does not conceal the attitude that they are better than them. (shrink)

In A Dentist and a Gentleman the sociologist Tracey Adams retells a familiar professionalization story, this time about elite dental practitioners in nineteenth‐century Ontario who launched a status‐enhancement project to reshape their self‐ and public image into “professional gentlemen” and establish monopoly control over dental practice. Dentists secured legislation in 1868 giving them authority to set entrance requirements, test and license practitioners, and establish a college. In subsequent decades they campaigned against those they called “quacks” who practiced without a license, (...) advertised, charged low fees, maintained dirty offices, misled patients about pain, or brought the gentlemanly status of dentistry into disrepute.Despite early resistance, the project had mostly succeeded by 1918, as dentists skillfully linked their expertise to emerging public health concerns and a professional image subtly reoriented toward an ideal of public service. By 1900 dental rhetoric was warning Canadians of an impending crisis of tooth decay and dental disease that would bring physical deterioration and mass feeblemindedness in its wake. Racial degeneracy, dentists warned, began in the mouth; the advance of civilization produced too much soft food and sugar, too little chewing, and too many high‐strung and overindulgent mothers. Only dentists, as “sentinels at the portal of the alimentary tract” , could stand against this threat to Anglo‐Saxon civilization. Rhetoric like this, combined with doses of guilt heaped on mothers, teachers, school boards, and public health agencies, resulted by 1915 in regular dental inspections of schoolchildren, free dental clinics, and the creation of the army dental corps.Dentistry brought unique twists to this familiar professionalization story. Prior to 1860 dentistry was an especially low‐status craft, associated with uneducated, itinerant tooth‐drawers or craftsmen like blacksmiths and gunsmiths . Professionalizing dentists therefore felt a special imperative to recast themselves as “gentlemen”; this image also reassured the upper‐middle‐class women who were dentists' main clientele. Unexpectedly, as Adams shows in an intriguing analysis, dentists benefited from an invaluable social alliance with physicians, who offered no opposition of the sort they raised against other rival groups of healers to dentists' professional aspirations.The study deals extensively with how gender shapes professions. Dentistry's professionalization, Adams insists, involved the adoption of a new ideal of personal masculinity, as seen in admonitions to dentists to establish firm, courteous, expert authority over their clients and in dentists' efforts to shape the imagined persona of the ideal dental assistant as uniquely female and wifelike. This masculine crafting of the profession notwithstanding, Ontario dentists evinced less overt opposition to women aspirants than did doctors or lawyers. Nevertheless, the proportion of female practitioners was much lower in dentistry than in medicine or law and remains substantially lower today. Adams brings considerable insight to her discussion of these facts and their causes, and she presents useful comparisons among the professions.This study has a few limitations. Perhaps because the author's sources are mainly professional journals, her account mostly mirrors the outlook of the professionalizing elite and her prose occasionally adopts their moralizing and improving tone. Regrettably, the book deals scarcely at all with what dentists actually did. One learns little about how changing scientific and medical ideas affected dentists' work, how dentists utilized anaesthesia and coped with the problem of pain, and what controversies over diagnostics and treatment animated the profession or about dentists' training and income. This is a history of dentistry's professionalization, not of dental medicine per se. But Isis readers impressed by this solid and modest study will hope that a history of dental practice will be Tracey Adams's next project. (shrink)

Conceptual integration—“blending”—is a general cognitive operation on a par with analogy, recursion, mental modeling, conceptual categorization, and framing. It serves a variety of cognitive purposes. It is dynamic, supple, and active in the moment of thinking. It yields products that frequently become entrenched in conceptual structure and grammar, and it often performs new work on its previously entrenched products as inputs. Blending is easy to detect in spectacular cases but it is for the most part a routine, workaday process that (...) escapes detection except on technical analysis. It is not reserved for special purposes, and is not costly.In blending, structure from input mental spaces is projected to a separate, “blended” mental space. The projection is selective. Through completion and elaboration, the blend develops structure not provided by the inputs. Inferences, arguments, and ideas developed in the blend can have effect in cognition, leading us to modify the initial inputs and to change our view of the corresponding situations.Blending operates according to a set of uniform structural and dynamic principles. It additionally observes a set of optimality principles. (shrink)

The doctrine of the resurrection says that God will resurrect the body that lived and died on earth—that the post-mortem body will be numerically identical to the pre-mortem body. After exegetically supporting this claim, and defending it from a recent objection, we ask: supposing that the doctrine of the resurrection is true, what are the implications for the mind-body relation? Why would God resurrect the body that lived and died on earth? We compare three accounts of the mind-body relation that (...) have been applied to the doctrine of the resurrection: substance dualism, constitutionalism, and animalism. We argue that animalism offers a superior explanation for the necessity of the resurrection: since human persons just are their bodies, life after death requires resurrection of one’s body. We conclude that those endorsing the doctrine of the resurrection should be animalists. (shrink)

The late 1960s are remembered today as the last time wholesale social upheaval shook Europe and the United States. College students during that tumultuous period—epitomized by the events of May 1968—were as permanently marked in their worldviews as their parents had been by the Depression and World War II. Sociology was at the center of these events, and it changed decisively because of them. The Disobedient Generation collects newly written autobiographies by an international cross-section of well-known sociologists, all of them (...) "children of the ’60s." It illuminates the human experience of living through that decade as apprentice scholars and activists, encountering the issues of class, race, the Establishment, the decline of traditional religion, feminism, war, and the sexual revolution. In each case the interlinked crises of young adulthood, rapid change, and nascent professional careers shaped this generation’s private and public selves. This is an intensely personal collective portrait of a generation in a time of struggle. (shrink)

Picking up before the award-winning documentary The Bad Kids began, Lessons from The Bad Kids will teach us not only to improve our educational system but also how to become better people.

Argument is a critical component in policy deliberations. In this study, negotiation is viewed as a type of policy deliberation, one characterized by attack and defense of proposals, interdependence between disputants, and mixed motives of cooperation and competition. Argument in negotiation, then, functions as a reason-giving activity to enact policy. Employing a category system based on rhetorical stasis, the researchers examine whether bargainers specialize in their use of argument types and whether this specialization remains consistent throughout a teacher-school board negotiation (...) and whether it differs for the type of settlement of agenda items. Results of the study suggest that bargainers specialize in argument types at different times during the bargaining. In the early stages of negotiation, teachers center on harm and workability arguments to prepare their case and justify the merits of their proposals, but in the latter phases of bargaining they switch to arguments on implementation to reaffirm their demands and to prioritize issues. Board members, in the early stages, rely on disadvantage, workability, and implementation arguments to establish resistance points and to refute appeals for change, but in the latter stages of negotiation they employ harm-inherency and disadvantage arguments to weigh the costs of concessions and to rationalize the settlement. This study, then, supports the existence of phase variation in bargaining and argues for a developmental approach in deciphering how negotiators who hold antithetical positions reach mutually satisfactory settlements. (shrink)

Jean-Francois Lyotard is often considered to be the father of postmodernism. Here leading experts in the field of cultural and philosophical studies, including Barry Smart, John O' Neill and Victor J. Seidler, tackle many of the questions still being asked about this controversial figure.

This paper develops responses to several critics who commented on an earlier paper that we published in this journal. In that paper, we argued that there is nothing necessarily wrong with NIMBY claims or those who make them. The critics raised some important issues, such as whether “NIMBY” is essentially a pejorative term; the possibility that NIMBY claimants are saying something deep about the noncomparability of places; what exactly it means for policy makers to defer to a NIMBY claim; the (...) relationship between NIMBY and environmental justice claims; and whether there is any principled way to distinguish good from bad NIMBY claims. We explore these issues further, and in the course of responding to the critics, we develop some further reasons for skepticism about the prospects for distinguishing good from bad NIMBY claims in a principled way. (shrink)

Patients with end-stage renal disease experience significant mortality and morbidity, including cognitive decline. Advance care planning has been emphasized as a responsibility and priority of physicians caring for patients with chronic kidney disease in order to align with patient values before decision-making capacity is lost and to avoid suffering. This emphasis has proven ineffective, as illustrated in the case of a patient treated in our hospital. Is this ineffectiveness a consequence of failure in the courtroom or the clinic? Through our (...) own experience we affirm what has been written before: that legal precedent favors intensive treatment in virtually all cases without ‘clear and convincing evidence’ of a patient’s previously declared wishes to the contrary. Equally clear is that more than 20 years of support in the clinical literature suggesting advance care planning early in the course of disease can address challenges in the legal system for those lacking capacity. However, many physicians fail t... (shrink)

Histone deacetylase inhibitors (HDACi) are in clinical trials against a variety of cancers. Despite early successes, results against the more common solid tumors have been mixed. How is it that so many cancers, and most normal cells, tolerate the disruption caused by HDACi‐induced protein hyperacetylation? And why are a few cancers so sensitive? Here we discuss recent results showing that human cells mount a coordinated transcriptional response to HDACi that mitigates their toxic effects. We present a hypothetical signaling system that (...) could trigger and mediate this response. To account for the existence of such a response, we note that HDACi of various chemical types are made by a variety of organisms to kill or suppress competitors. We suggest that the resistance response in human cells is a necessary evolutionary consequence of exposure to environmental HDACi. We speculate that cancers sensitive to HDACi are those in which the resistance response has been compromised by mutation. Identifying such mutations will allow targeting of HDACi therapy to potentially susceptible cancers. (shrink)

Rock Records explores the intricate entanglements between Anthropos and Geos through a wide range of writings about stone, from media theory and ecophilosophy to the role of stones in art and the aesthetics of viewing stones. Authors engage the activity, vitality, and relationality of lithic matter and articulate multiple modalities of 'geo-affection,' as well as forms of geo-mythology, geo-sociality, and occult lithography. As the initial issue in a new digital/intermedial series of SubStance aimed at interweaving creative and critical work, Rock (...) Records also features digital versions of essays with photo-rich content, as well as a virtual exhibition of viewing stones and a series of speculative studies in... (shrink)

This is a collection of papers that resulted from the Third International Conference on Contrastive Semantics and Pragmatics that was held at Shanghai ...

This chapter is perhaps best treated as a ‘site’ rather than a treatise. It employs disrupted writing strategies, based in turn on ‘walking’ practices and the authors’ background in performance, as tools for playful debate, collaboration, intervention, and spatial meaning-making. The chapter, like our walking, is intended to be porous; for others to read into it and connect from it and for the specificities and temporalities of sites to fracture, erode, and distress it. It draws on the outcomes of previous (...) works including site-specific performance works such as Mis-Guided Tours or published Mis-Guides, ‘drifts’, mythogeographic mapping, public art or installations, explorations of the Wienfluss, excavations of subterranean library stacks, and a recently installed network of plaques across an English seaside resort. (shrink)

It is unfashionable to suggest that enactive processes - including some that involve the mirror neuron system - might contribute to the comprehension of sign language. The present essay formulates and defends a version of that unfashionable suggestion, as it applies to certain forms of syntactic processing. There is evidence that has been thought to weigh against any such suggestion, coming from neuroimaging experiments and from the study of Deaf aphasics. In both cases it is shown to be unpersuasive.

Meaning construction through language requires advanced mental operations also necessary for other higher-order, specifically human behaviors. Biological evolution slowly improved conceptual mapping capacities until human beings reached the level of double-scope blending, perhaps 50 to 80 thousand years ago, at which point language, along with other higher-order human behaviors, became possible. Languages are optimized to be driven by the principles and powers of double-scope blending.

This study investigated contributions of pre-service teachers’ endogenous and exogenous instrumentalities, their intrinsic and extrinsic motivations, and their use of self-regulation strategies to explain the extent to which they used strategies to purposefully integrate their knowledge across courses. With a total of 254 pre-service teachers’ survey-responses, results of a hierarchical multiple regression analysis indicated that their endogenous instrumentality of their current coursework, their use of metacognitive strategies and their use of deeper cognitive learning strategies contributed to explaining their use of (...) extensive knowledge integration strategies for completing coursework. Our results suggest that to develop pre-service teachers’ teaching expertise, they may need to have a strong understanding that the current course conte... (shrink)

In the heyday of functionalist sociology and anthropology it was common to speak of the 'functional requisites' or basic functions of societies, one of which was what Parsons called pattern maintenance, a term which referred primarily to the reproduction of social practices through the socialization of children. Marxists speak of the base of social formations, and include in this the reproduction of capitalist work relations. A common thread in the two concepts is the thought that there are necessary conditions for (...) the continuation of a given social form which are not 'external' but are integral to the social form itself. Academics and scientists arc in the business of mastering a tradition and passing it on, so one may ask an analogous question about the reproduction of academic or scientific perspectives: what is required for the continuation or reproduction of an academic or scientific perspective, and how does this 'requisite' exert a selective effect between perspectives in given environments? (shrink)

v. 1. From Plato and the old academy to middle platonism -- v. 2. Middle platonic and gnostic texts.

Philosophical Perspectives: Philosophy of Language brings together state of the art essays to address the key issues at the heart of the philosophy of language, written by some of the top minds in the field.

Practice relativism is the idea that practices are foundational for bodies of activity and thought, and differ from one another in ways that lead those who constitute the world in terms of them to incommensurable or conflicting conclusions. It is true that practices are not criticizable in any simple way because they are largely tacit and inaccessible. But to make them relativistic one needs an added claim: that practices are "normative", or conceptual in character. It is argued that this is (...) not supportable by any explanatory necessity, and that the differences in outcomes, though real, are not instances of relativism. /// El relativismo de prácticas es la idea de que las prácticas sirven de fundamento para cuerpos de actividad y pensamiento, y que difieren unas de otras de maneras que llevan a aquellos que constituyen el mundo en esos términos a conclusiones inconmensurables o contradictorias. Es cierto que las prácticas no son criticables de ninguna manera simple porque en general son tácitas e inaccesibles. Pero para que sean relativistas hace falta una tesis adicional: que las prácticas son normativas o conceptuales. Aquí se arguye que esto no puede sustentarse en ninguna necesidad explicativa, y que las diferencias en resultados, si bien son reales, no son casos de relativismo. (shrink)

The authors co-organized (Snyder and Crooks) and gave a keynote presentation at (Turner) a conference on ethical issues in medical tourism. Medical tourism involves travel across international borders with the intention of receiving medical care. This care is typically paid for out-of-pocket and is motivated by an interest in cost savings and/or avoiding wait times for care in the patient’s home country. This practice raises numerous ethical concerns, including potentially exacerbating health inequities in destination and source countries and disrupting (...) continuity of care for patients. In this report, we synthesize conference presentations and present three lessons from the conference: 1) Medical tourism research has the potential for cross- or inter-disciplinarity but must bridge the gap between researchers trained in ethical theory and scholars unfamiliar with normative frameworks; 2) Medical tourism research must engage with empirical research from a variety of disciplines; and 3) Ethical analyses of medical tourism must incorporate both individual and population-level perspectives. While these lessons are presented in the context of research on medical tourism, we argue that they are applicable in other areas of research where global practices, such as human subject research and health worker migration, are occurring in the face of limited regulatory oversight. (shrink)

Spaces of Geographical Thought: Deconstructing Human Geography's Binaries Paul Cloke & Ron Johnston London and Thousand Oaks, CA, Sage Publications, 2005, viii + 224 pp., cloth, $102.00, pape...

The standard view in epistemology is that propositional knowledge entails belief. Positive arguments are seldom given for this entailment thesis, however; instead, its truth is typically assumed. Against the entailment thesis, Myers-Schulz and Schwitzgebel (Noûs, forthcoming) report that a non-trivial percentage of people think that there can be propositional knowledge without belief. In this paper, we add further fuel to the fire, presenting the results of four new studies. Based on our results, we argue that the entailment thesis does not (...) deserve the default status that it is typically granted. We conclude by considering the alternative account of knowledge that Myers-Schulz and Schwitzgebel propose to explain their results, arguing that it does not explain ours. In its place we offer a different explanation of both sets of findings—the conviction account, according to which belief, but not knowledge, requires mental assent. (shrink)

Terry Nardin’s book on Oakeshott is an attempt to compare him to other 20th-century philosophers and to track the development of his philosophical thought. The project of comparison is made relevant by the fact that Oakeshott’s philosophy, like that of Heidegger and others, was the product of the dissolution of neo-Kantianism. Nardin stresses the idea of “modal confusion,” meaning responding to a question of one kind with an answer appropriate to another kind of inquiry, as a key to Oakeshott’s thought (...) from Experience and Its Modes through to On Human Conduct itself, where Oakeshott changes his terminology. But why does Oakeshott change? One reason might be the critique of Oakeshott by Peter Winch, as Oakeshott appears to have reformulated his views in response to it in On Human Conduct, in the course of constructing an alternative to ‘conceptual analysis’ as practiced in contemporary Oxbridge. (shrink)