Background:A high prevalence of cognitive impairment and frailty complicates the feasibility of advance care planning in the long-term-care population.Research aim:To identify challenges in implementing the ‘Let Me Decide’ advance care planning programme in long-term-care.Research design:This feasibility study had two phases: (1) staff education on advance care planning and (2) structured advance care planning by staff with residents and families.Participants and research context:long-term-care residents in two nursing homes and one community hospital.Ethical considerations:The local research ethics committee granted ethical approval.Findings:Following implementation, over (...) 50% of all residents had completed some form of end-of-life care plan. Of the 70 residents who died in the post-implementation period, 14% had no care plan, 10% (with capacity) completed an advance care directive and lacking such capacity, 76% had an end-of-life care plan completed for them by the medical team, following discussions with the resident (if able) and family. The considerable logistical challenge of releasing staff for training triggered development of an e-learning programme to facilitate training.Discussion:The challenges encountered were largely concerned with preserving resident’s autonomy, avoiding harm and suboptimal or crisis decision-making, and ensuring residents were treated fairly through optimisation of finite resources.Conclusions:Although it may be too late for many long-term-care residents to complete their own advance care directive, the ‘ Let Me Decide’ programme includes a feasible and acceptable option for structured end-of-life care planning for residents with variable capacity to complete an advance care directive, involving discussion with the resident (to the extent they were able) and their family. While end-of-life care planning was time-consuming to deliver, nursing staff were willing to overcome this and take ownership of the programme, once the benefits in improved communication and enhanced peace of mind among all parties involved became apparent in practice. (shrink)

This article will explore the representation of certain mental and somatic phenomena in Beckett’s trilogy of novels Molloy, Malone Dies and The Unnamable, exploring how his understanding of schizophrenia and psychosis informs his representation of the relationship between mind and body. It will also examine recent phenomenological and philosophical accounts of schizophrenia (Louis Sass, Josef Parnas, Shaun Gallagher) that see the condition as a disorder of selfhood and concentrate in it on the disruption to ipseity, a fundamental and pre-reflective (...) awareness of self that leads to a loss of ‘grip’ (in the term of Merleau-Ponty) on concepts and percepts. Beckett’s writing might, it is argued, make such disruptions more tangible and intelligible. The article will also consider John Campbell’s argument that immunity of the first person to error—Sydney Shoemaker’s foundational philosophical idea that we cannot misspeak the first person pronoun—is revoked in states of psychosis, and relate such states to the moments in Beckett’s writing where this immunity is challenged, and quasi-psychotic experiences represented. (shrink)

Michel Foucault showed by his genealogical method that history is random. It comprises sites of disarray and dispersal. In those sites, Simone de Beauvoir wrote philosophy through lived experience of woman as Other in relation to man as the Absolute. Here lies a fecund site for revisionist analysis of female cultural production and its relevance to a philosophy of education. The paper works with a feminist approach to the politics of knowledge, examining textual and political strategies in the recording of (...) history and the ‘othering’ of women through dominant cultural discourses. Infusing this discussion is a feminist politics of interrogation on cultural change for women. The paper investigates contributions of women to fields of art, politics, education and philosophy, and to the ways their contributions have been considered, received, positioned. Different approaches to feminism become apparent in the different conditions of knowledge under discussion. This leads to a final consideration of femi... (shrink)

A survey of theories on the passions and action in seventeenth- and eighteenth-century Britain and western Europe reveals that few, if any, of the major writers held the view that reason in any of its functions executes action without a passion. Even rationalists, like Cambridge Platonist Ralph Cudworth and English clergyman Samuel Clarke, recognized the necessity of passion to action. On the other hand, many of these intellectuals also agreed with French philosophers Jean-François Senault, René Descartes, and Nicolas Malebranche that, (...) for passions to be useful or to become virtues, they must be governed by reason. Without the moderation of reason, passions will be unruly, distort our notions of good, and disrupt our rational volitions. In response to these popular early modern perspectives, Enlightenment thinker David Hume offered a now-famous argument that reason without passion cannot motivate, drawing the further conclusion that reason cannot govern the passions, either. Given that no one in Hume’s era seemed to defend the claim that reason alone can motivate action, what was Hume’s intention? (shrink)

Intractable political disagreements threaten to fracture the common ground upon which we can build a political community. The deepening divisions in society are partly fueled by the ways social media has shaped political engagement. Social media allows us to sort ourselves into increasingly likeminded groups, consume information from different sources, and end up in polarized and insular echo chambers. To solve this, many argue for various ways of cultivating more responsible epistemic agency. This chapter argues that this epistemic lens does (...) not reveal the complete picture and therefore misses a form of moral respect required to reestablish cooperation across disagreements in a divided society. The breakdown of discourse online provides renewed reasons to draw out not an epistemic but a moral basis for political cooperation among diverse citizens—one inspired by Rawlsian political liberalism. We need ways to cultivate mutual respect for our fellow citizens in order to reestablish common moral ground for political debate. (shrink)

As algorithms have become ubiquitous in consequential domains, societal concerns about the potential for discriminatory outcomes have prompted urgent calls to address algorithmic bias. In response, a rich literature across computer science, law, and ethics is rapidly proliferating to advance approaches to designing fair algorithms. Yet computer scientists, legal scholars, and ethicists are often not speaking the same language when using the term ‘bias.’ Debates concerning whether society can or should tackle the problem of algorithmic bias are hampered by conflations (...) of various understandings of bias, ranging from neutral deviations from a standard to morally problematic instances of injustice due to prejudice, discrimination, and disparate treatment. This terminological confusion impedes efforts to address clear cases of discrimination. -/- In this paper, we examine the promises and challenges of different approaches to disambiguating bias and designing for justice. While both approaches aid in understanding and addressing clear algorithmic harms, we argue that they also risk being leveraged in ways that ultimately deflect accountability from those building and deploying these systems. Applying this analysis to recent examples of generative AI, our argument highlights unseen dangers in current methods of evaluating algorithmic bias and points to ways to redirect approaches to addressing bias in generative AI at its early stages in ways that can more robustly meet the demands of justice. (shrink)

In this position paper, we introduce a new epistemic lens for analyzing algorithmic harm. We argue that the epistemic lens we propose herein has two key contributions to help reframe and address some of the assumptions underlying inquiries into algorithmic fairness. First, we argue that using the framework of epistemic injustice helps to identify the root causes of harms currently framed as instances of representational harm. We suggest that the epistemic lens offers a theoretical foundation for expanding approaches to algorithmic (...) fairness in order to address a wider range of harms not recognized by existing technical or legal definitions. Second, we argue that the epistemic lens helps to identify the epistemic goals of inquiries into algorithmic fairness. There are two distinct contexts within which we examine algorithmic harm: at times, we seek to understand and describe the world as it is, and, at other times, we seek to build a more just future. The epistemic lens can serve to direct our attention to the epistemic frameworks that shape our interpretations of the world as it is and the ways we envision possible futures. Clarity with respect to which epistemic context is relevant in a given inquiry can further help inform choices among the different ways of measuring and addressing algorithmic harms. We introduce this framework with the goal of initiating new research directions bridging philosophical, legal, and technical approaches to understanding and mitigating algorithmic harms. (shrink)

One of the reasons why empathy is a topic of enduring interest is the role it can play in understanding others. Empathy can help us to predict each other’s future actions and explain past ones; to...

Informed consent is a central concept for empirical and theoretical research concerning pregnancy management decisions and is often taken to be one of the more fundamental goals of the profession of genetic counseling. Tellingly, this concept has been seen by disability communities as salutary, despite longstanding critiques made by disability activists, advocates, and scholars concerning practices involved in genetic counseling more generally. In this chapter, we show that the widespread faith in informed consent is misleading and can be detrimental to (...) the practice of genetic counseling as guided by concerns of justice and equity. We proceed in two steps. First, we explain how informed consent is flawed as a practical concept. Second, we show how the inadequacy of informed consent illuminates the animating core of disability critiques of genetic counseling: the issue of ableism. We argue that the problem of ableism cannot be solved with informed consent because it is not merely a problem of information, but also of epistemic schemas. We suggest that what we call critically informed consent is better suited to move genetic counseling from being aware of the problem of ableism to becoming actively anti-ableist. (shrink)

We will argue that clarifying the “moral core” of consent offers a common metric by which we can evaluate how well different legal frameworks are able to protect the central moral rights and interests at stake. We begin by revisiting how legal frameworks for digital consent developed in order to see where there may be common moral ground and where these different cultures diverge on the issue of protection of personal information. We then turn to ethics to clarify the central (...) interests and rights at stake in morally transformative consent, in order to provide a common basis for evaluating the different legal frameworks. Ultimately, we seek the moral core of digital consent in order to reimagine its role in international conflicts. (shrink)

Political figures engage rhetoric and exalted speech to excite the imagination, stir up the emotions, and prompt their listeners to embrace and act on an ideological perspective. However, there is more to excellent public oratory than eloquence. Rational persuasion is also a key component, emphasizing facts, evidence, and reasoning. Hume acknowledges that rational persuasion alone is not terribly effective in the public arena. His corpus contains many references to eloquence. Dispassionate delivery of evidence does not have the psychological impact of (...) eloquent delivery. What explains the difference? My aim in this paper is to use Hume’s theory of belief and “the feeling of conviction” to explain his analysis of effective oratory. Furthermore, I point to the abuses of eloquence in the political arena. Given these abuses, I ask why Hume considers eloquence a virtue. Although eloquence is immediately agreeable to us (one category of virtue for Hume), it can have detrimental, even deadly, consequences. Does this make it vicious in certain cases, since it has disutility, and given that usefulness to the public is another category of virtue for Hume? I suggest that skilled and elegant oratory is pleasing, but such oratory, when used for inhumane ends, could undermine the pleasure of the oratory experience itself. (shrink)

Contents include a selected bibliography and an editor's Introduction broken into two sections. The first section provides a brief sketch of the historical, social, and biographical context in which Mill wrote and the second traces the central line of argument in the text to aid in the comprehension of the essay's structure, method, and major theses.

RésuméLes soins sont cruciaux pour toute société ; cependant, les théories de la justice les ignorent souvent dans leur analyse. La théorie d'Asha Bhandary sur la prise en charge libérale de la dépendance cherche autant à rectifier l'invisibilité des soins qu’à défendre les principes de justice concernant les modalités de soins en revendiquant plusieurs modifications importantes à la théorie de la justice de John Rawls. Dans cet article, j'analyse les modifications de Bhandary à la théorie de Rawls pour examiner comment (...) la prise en charge libérale de la dépendance s'intègre dans un cadre politique libéral plus large, tout en protégeant contre l'oppression. J’évalue également la licéité et les limites de l'enseignement de l'autonomie et des habiletés de soins aux enfants dans une société politiquement libérale. (shrink)

As a normative concept, consent can perform the “moral magic” of transforming the moral relationship between two parties, rendering permissible otherwise impermissible actions. Yet, as a governance mechanism for achieving ethical data practices, consent has become strained—and AI has played no small part in its contentious state. In this chapter we will describe how consent has become such a controversial component of data protection as artificial intelligence systems have proliferated in our everyday lives, highlighting five distinct issues. We will then (...) lay out what we call consent’s “moral core,” which emphasizes five elements for meaningful consent. We next apply the moral core to AI systems, finding meaningful consent viable within a particular digital landscape. Finally, we discuss the forces driving some commentators away from individual consent and whether meaningful consent has a future in a smart world. (shrink)

This article presents a limited defense of Humeanism about practical reason. Jonathan Dancy and other traditional objective-reasons theorists argue that all practical reasons, what we think about when we deliberate, are facts or states of affairs in the world. On the Humean view, the reasons that motivate us are belief-desire combinations, which are in the mind. Thus, Dancy and others reject Humeanism on the grounds that it cannot allow that anyone acts from a normative reason. I argue, first, that this (...) critique fails. What we deliberate about prior to action in cases of conflict sometimes are our desires: we consider our wants from a “normative” perspective. So normative reasons are also desire-based, but involve appeal to desires of a higher order. These second-order desires can motivate. Second, I argue that objective-reasons theorists have a reverse problem with explanation of behavior. If reasons are considerations in the world, a person has reasons to do any number of actions at any given time. I charge that theories that exclude desire-based reasons cannot explain why an agent does one particular action rather than another. Recent philosophers strike a compromise position, allowing for normative reasons in terms of facts and motivating reasons in other terms. However, I suggest that they may be subject to the same difficulty because of the relation between normative and motivating reasons that each has. (shrink)

The seven archetypes of Artisan, Sage, Server, Priest, Warrior, King, and Scholar have always existed in every society; and everyone belongs to one of these groups. Thousands of people around the world have used this system...to discover their true nature and to find fulfillment"--P. 4 of cover.

David Hume's moral system involves considerations that seem at odds with one another. He insists on the reality of moral distinctions, while showing that they are founded on the human constitution. He notes the importance to morality of the consequences of actions, while emphasizing that motives are the subjects of moral judgments. He appeals to facts about human psychology as the basis for an argument that morality is founded, not on reason, but on sentiment. Yet, he insists that no “ought” (...) can follow from an “is.” He thinks that our motivation to justice must derive from our nature. Yet, he wonders how to explain why anyone would be motivated to follow rules when doing so does not further their personal interests. As an empiricist, his approach is descriptive, yet morality is prescriptive. This Element addresses these puzzles in Hume's moral theory, with reference to historical and contemporary discussions. (shrink)

In section 1 of An Enquiry concerning the Principles of Morals, Hume claims that those who deny the reality of morals are disingenuous. He also notes that philosophy has had a history of disagreements about whether morals originate in reason or in sentiment. Throughout his book, Hume applies an experimental method to find the “universal principles” from which morality is ultimately derived. Then, in Appendix 1, he then argues for the origin of these principles in sentiment or taste, a product (...) of “the human fabric.” Reason, Hume says, discovers objects “as they really stand in nature, without addition or diminution.” Taste “has a productive faculty, and gilding or staining all natural objects with the colours, borrowed from internal sentiment, raises, in a manner, a new creation.” How can the quest for universal principles find a satisfactory answer in taste, a “productive” faculty? How is the notion that morality is a “new creation” consistent with an insistence on the reality of moral distinctions? Are the deliverances of taste, which are prompts to virtue, also judgments that can be evaluated as true or false? This essay shows that, on a proper reading, the elements of Hume’s moral epistemology in the second Enquiry are largely consistent. (shrink)

Chapter 12 is available Open Access under CC-BY-NC-ND licence. Conversations around diversity, equity, and inclusion in science communication are in danger of generating much concern without effecting change and systematic transformations. This radical volume addresses these circular discourses and reveals the gaps in the field. Putting the spotlight on the marginalised voices of so-called 'racialised minorities', and those from Global South regions, it interrogates the global footprint of the science communication enterprise. Moving beyond tokenistic and extractive approaches, this book creates (...) a space for academics and practitioners to challenge issues around race and sociocultural inclusion, providing mutual learning, paradigm-shifting perspectives, and innovative ways forward for the science communication advancement agenda. (shrink)

Postmodernism was, as Jonathan Friedman (1994) remarked, the contemporary version of the age-old tendency of intellectuals to turn against the very means of their own knowledge (Lovejoy & Boas, 193...

The most important historical work in Latin that was actually written in the first half of the first century B C. was L. Cornelius Sisenna's history of the War of the Allies and the Civil Wars which followed it, up to Sulla's dictatorship or conceivably death-the most important one that was not written being of course Cicero's. Sallust praised Sisenna's work highly in theJugurtba, though complaining that it was not sufficiently frank about Sulla, and his own lost histories began, very (...) probably, where Sisenna's left off. Varro's logistoricus on the writing of history, of which, alas, only a brief and unenlightening fragment remains, bore Sisenna's name. (shrink)

It is generally supposed that on the publication of the Annales Maximi in the Gracchan period historians, or some historians influential on the tradition, eagerly made use of this new source of material. The yearly lists of publicly expiated prodigies in Livy and related authors are usually considered to form the best evidence for this view. For given the elder Gato’s remark about the famines and eclipses of sun and moon recorded on the tabula dealbata which is said to have (...) formed the basis of the published work, and given the only two fragments of the latter dealing with the republican period, that from Cicero recording an eclipse and that from Aulus Gellius about lightning striking the statue of Horatius Codes, no one can doubt that prodigies were indeed to be found in the Annales Maximi. It is of course agreed that the lists given by Livy and others include only an incomplete selection of each year’s prodigia and that they are deformed by repetition and errors. But in fact certain features of these lists suggest, at least, that rewriting and corruptions go pretty deep; even, perhaps, that it was not the Annales Maximi at all from which they were drawn. It is the purpose of this paper to draw attention to these disquieting peculiarities, and to the even more disquieting consequences that follow. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:An Exposition of The Divine Names, The Book of Blessed Dionysius by Thomas AquinasMichael J. Rubin, Elizabeth C. Shaw, and Staff*AQUINAS, Thomas. An Exposition of The Divine Names, The Book of Blessed Dionysius. Translated and edited with an introduction by Michael A. Augros. Merrimack, N.H.: Thomas More College Press, 2021. xxv + 549 pp. Cloth, $65.00The profound influence that Pseudo-Dionysius had on Aquinas’s thought, especially in his (...) metaphysics of participation and his apophatic theology, has been known for some time now, thanks to the excellent work of such scholars as Fran O’Rourke. One would therefore think that Aquinas’s Exposition of the Divine Names (his only commentary on the works of Pseudo-Dionysius) would have been translated a lot sooner. This delay is assuredly due not just to the difficulty of translating this work but also to a certain embarrassment felt by Thomists over Aquinas’s sincere belief that the “Dionysius” who wrote the Divine Names was the Areopagite whose conversion at the teaching of St. Paul is mentioned in the Acts of the Apostles. That the author calling himself “Dionysius” was in fact a theologian writing in the fifth or sixth centuries has been well established by modern scholarship. Hence, Thomists may have felt tempted to discount or at least pass over the influence of this author on Aquinas since it is discomfiting to think that the Church’s greatest theologian accorded such authority to an imposter.Michael Augros tackles these concerns head-on in the excellent introduction to his new translation of the Divine Names commentary. First, Augros points out that in past centuries a pseudonym was usually not an act of forgery but, rather, a way of concealing the author’s identity, which an early Christian theologian might well decide to do either out of humility or out of a desire “to avoid provoking certain prejudices” in those who disagreed with him in contemporary theological disputes. Moreover, it is likely that the work was never intended for the general public (who could easily mistake the pseudonym as genuine) but, rather, was written for those “already initiated in a particular Neoplatonic school of Christian theology,” who would recognize the author as being “one of their own” but without knowing his precise identity. Finally, in taking the particular name of “Dionysius,” the author of the Divine Names was indicating his intention for the work: Just as the biblical Dionysius was a Greek philosopher who converted to Christianity, so the works of Pseudo-Dionysius [End Page 345] are an attempt to reconcile Greek philosophy with the Christian faith.It therefore seems likely, as Augros observes, that Aquinas would still have accorded a great deal of respect to the Divine Names even if he had learned the truth of the author’s identity. The work would not have had the same deuterocanonical authority for him that comes with being written by a direct disciple of St. Paul himself, but “the inherent cogency, coherence, and beauty” of Pseudo-Dionysius’s theology would have been the same. Hence, Pseudo-Dionysius would surely have earned from Aquinas the “docile attitude” appropriate “for a philosopher and theologian of the first order, such as Boethius.”That Aquinas was right to see the author of the Divine Names as a master philosopher and theologian becomes evident when one dives into the text itself, in which Aquinas sees a truly dazzling order, both externally and internally. According to Aquinas, the Divine Names discusses those truths about God of which there are intelligible likenesses in creatures, such as goodness or wisdom, whereas the truths about God of which there are sensible likenesses (for example, “when God is called a lion, or a rock”) are treated by Pseudo-Dionysius in The Symbolic Theology; meanwhile, in the lost or fictional work The Divine Characteristics, Dionysius claims to have treated those truths about God (such as the Trinity) that cannot be known through any likenesses in creatures.Aquinas finds a still more intricate order within the Divine Names itself. Since this work is dedicated to “the divine names by which the processions of God to creatures are manifested,” the plan of the work... (shrink)

A central tenet of moral individualism is that only an entity’s intrinsic (non-relational) properties can ground moral status because only intrinsic properties give rise to agent-neutral reasons. However, I show that the two main approaches to making the agent-neutral/agent-relative distinction fail to exclude morally salient relational (extrinsic) properties from giving rise to agent-neutral reasons. As such, moral individualism accounts of moral status are false. Further, arguments that depend on moral individualism’s central tenet—like the argument from “marginal” cases—are unable to defend (...) their thesis by merely claiming that special relations cannot ground moral status. (shrink)

This response to Kariyawasam and Rai affirms their critique of the pathologization of trans youth but forecasts a foreseeable negative outcome of their proposed elimination of diagnosis as a prerequisite to gender-affirming care (GAC) — the risk of removing GAC entirely from the medical sphere and compromising the wellbeing of those transgender individuals for whom GAC is deeply affirming. We suggest an ethical framework of GAC that expands past a focus on autonomy to incorporate a principle of respect for persons (...) that affirms the dignity and diversity of trans youth — recognizing the need to facilitate both medical assistance and social change. (shrink)

In Knights, Aristophanes represents the dangers of parrhēsia run amuck with the near-destruction of an elderly man’s Athenian household by Paphlagon. In this setting, Paphlagon’s invocations of his own parrhēsia and goodwill become a destructive form of flattery, causing chaos in the household and threatening its viability. This article begins with a discussion of the problem of parrhēsia in democratic Athens and the ways in which Cleon exemplified those problems. Moving to an examination of Aristophanes’ Knights, the author tracks the (...) playwright’s exploration and response. Aristophanes uses the figure of the elderly Demos as a metaphor for the decline of the city, allowing him to both critique the demos and to align himself with it. Moreover, even as he must win the audience over in order to achieve the theatrical success he craves, Aristophanes removes himself from the perverse logic of dēmophilia-turned-pandering by claiming to be motivated not by goodwill for the audience, but by his hatred of Cleon, an enemy shared by both the playwright and the city. (shrink)

This paper is an attempt to advances research on walking, at a neighbourhood level of analysis for people with disabilities, by proposing a theoretical model that combines the knowledge of two disciplines: traffic planning and environmental psychology. The aim is to provide a guidance for a discussion and a planning of future interdisciplinary investigations, by proposing a model that accounts for the dynamic interaction between environmental characteristics, human processes, and walking experience among individuals with a disability. For this purpose, traffic (...) planners and environmental psychologists came together to discuss theories, concepts, and thematic of relevance in a series of focus group meetings. These meetings led to the selection of the Human Environment Interaction (HEI) model, originally developed from the field of environmental psychology, and operationalised to describe how walking experiences result from the interplay between individual abilities, emotional processes and physical and social characteristics of the environment (Küller, 1991). The proposed model aims to sustain interdisciplinary discussion and research planning around the topic of neighbourhood walking for people with disabilities. By operationalising each dimension in the model, a good fit between groups with disabilities and individual differences associated with walking experiences is assumed, which in turn will have the potential to provide a more conscious analysis of wellbeing-related outcomes such as, usability of the environment, frequency of mobility, and quality of life. However, to improve understanding of urban walking at a neighbourhood level for people with disabilities, empirical studies must be carried out to test the proposed model. (shrink)