Before sailing past the sirens' “flowery meadow,” Ulysses instructed his sailors to lash him to the mast so that he would not succumb to the siren's singing. His advance directive demonstrated that he valued his dispositional or long-term autonomy over his unquestioned right to make decisions. He also indicated to his oarsmen that he understood the nature of temptation and his inability to resist it. Ideas of autonomy and sexual choice are central to this discussion of new AIDS treatments, especially (...) the trials of preventative vaccines. Questions arise over the rights of individuals and the extent that these should be limited by concerns of the gay community. Should the gay community intervene in the risky decisions of individuals if no explicit advance directive exists? If so, how do they justify their paternalism? Could their aims not be better served through strengthening the individual dispositional autonomy of trial participants rather than making specific claims about the common good? (shrink)

The traditional scope theory of intensionality (STI) (see Russell 1905; Montague 1973; Ladusaw 1977; Ogihara 1992, 1996; Stowell 1993) is simple, elegant, and, for the most part, empirically adequate. However, a few quite troubling counterexamples to this theory have lead researchers to propose alternatives, such as positing null situation pronouns (Percus 2000) or actuality operators (Kamp 1971; Cresswell 1990) in the syntax of natural language. These innovative theories do correct the undergeneration of the original scope theory, but at a cost: (...) the situation pronoun and operator theories overgenerate, as argued extensively by Percus (2000) and Keshet (2008). This paper presents new data that supports the STI over other analyses, such as structures where DPs lose their de re readings in positions where syntactic movement is blocked. These data point the way to a new theory of intensionality. This new theory, called split intensionality, is a modification of the STI which aims to solve the problems raised for the original scope theory without overgenerating. The proposal calls for an additional intensional abstraction operator that creates an expression denoting an intension from an expression denoting an extension. When a DP moves to a position above this operator, it is interpreted de re; otherwise it is de dicto. The crucial part of the new proposal is that a DP may move above this operator and yet remain, for instance, below an intentional verb or inside an if-clause. Therefore, a DP within an island for syntactic movement may be de re and yet not move out of the island when the intensional abstraction operator is also within the island. (shrink)

Proportionality—the idea that causes are neither too general nor too specific for their effects—seems to recommend implausibly disjunctive causes (McGrath, 1998 ; Shapiro & Sober, 2012 ; Franklin-Hall, 2016 ). I argue that this problem should be avoided by appeal to the notion of cohesion. I propose an account of cohesion in terms of the similarity structure of property-spaces, argue that it is not objectionably mysterious, and that alternative approaches—based on naturalness, interventionism, and contrastivism—are inadequate without appeal to it. In (...) an appendix, I show how my proposal can be perspicuously formalized by adapting structural equation models. (shrink)

One of the key concepts in Giorgio Agamben’s reading of Paul is temporality. In this article, Delahaye examines this concept. Delahaye shows that Agamben’s understanding of messianic temporality hinges on the opposition between kairos and chronos, which Agamben takes for granted. He consequently traces this opposition back to Heidegger’s influence on Agamben. This leads Delahaye to conclude that messianic temporality can be understood as a variation on Heidegger’s idea of ecstatic temporality.

Researchers often assume that possible worlds and times are represented in the syntax of natural languages. However, it has been noted that such a system can overgenerate. This paper proposes a constraint on systems where worlds and times are represented as situation pronouns. The Intersective Predicate Generalization, based on and extending work by R. Musan, states that two items composed via Predicate Modification, such as a noun and an intersective modifier, must be evaluated in the same world and time. To (...) explain this generalization, a rule of Situation Economy is advanced, which holds that structures must have the fewest number of situation pronouns possible. Since strong DPs require a situation pronoun to receive a de re reading, a restriction on the type of strong determiners is proposed, which supersedes Situation Economy in this case. Finally, the paper shows how the Situation Economy approach explains an unrelated phenomenon involving bare plurals and examines the connection between this new rule and the grammar of natural language in general. (shrink)

In ‘Proportionality in Causation, Part I: Theories’, I presented various ways of understanding the idea that causes which are ‘proportional’ to their effects are in some sense preferable. In this companion article, I discuss the principal applications of the resulting theories of proportionality, and the challenges they face.

What grounds the facts about what is identical to/distinct from what? A natural answer is: the facts about what exists. Despite its prima facie appeal, this view has received surprisingly little attention in the literature. Moreover, those who have discussed it have been inclined to reject it because of the following important challenge: why should the existence of some individuals ground their identity in some cases and their distinctness in others? (Burgess 2012, Shumener 2020b). This paper offers a sustained defense (...) of the view. The first half provides some positive motivations in terms of other natural principles involving ground. The second half considers various ways of distilling the challenge into a precise objection to the view, and argues that none of the resulting objections proves persuasive. (shrink)

A much-discussed idea in the causation literature is that it is preferable to invoke causes which are proportional to—neither too general nor too specific for—the effect. This article presents various ways of understanding this idea. In what sense are such causal claims ‘preferable’? And what is it for one event to be ‘proportional’ to another? In a companion article, ‘Proportionality in Causation, Part II: Applications and Challenges’, I discuss the principal applications of the resulting theories of proportionality, and the challenges (...) they face. (shrink)

This paper considers some questions related to the determination of epistemic modal domains. Specifically, given situations in which groups of agents have epistemic states that bear on a modal domain, how is the domain best restricted? This is a metasemantic project, in which I combine a standard semantics for epistemic modals, as developed by Kratzer, with a standard story about conversational dynamics, as developed by Stalnaker. I show how a standard framework for epistemic logic can model their interaction. I contend (...) that if groups have epistemic states that bear on the modal domain, as the data suggests, then careful attention must be paid to the method of combination selected for the epistemic states of the individuals within the group. Specifically, there should be some explanation of the flow of information in a group-deliberative setting. Through this study we find a novel explanation of modal disagreement and uptake. (shrink)

This article investigates whether or not theories of justice from political philosophy, first, support the position that health research should contribute to justice in global health, and second, provide guidance about what is owed by international clinical research (ICR) actors to parties in low- and middle-income countries. Four theories—John Rawls's theory of justice, the rights-based cosmopolitan theories of Thomas Pogge and Henry Shue, and Jennifer Ruger's health capability paradigm—are evaluated. The article shows that three of the four theories require the (...) conduct of health research for justice in global health. The theories help identify the ends of justice to which ICR is to contribute, but they cannot tell us how to organize ICR to promote these ends. Aside from Ruger's health capability paradigm, the theories also lack an allocative principle for assigning specific duties to specific actors. This creates difficulties for establishing obligations for certain types of ICR actors. (shrink)

Provision of adequate nutrition to elderly patients who develop dysphagia after a stroke can be quite challenging, often leading to the placement of a percutaneous entero‐gastrostomy (PEG) tube for nutritional support. This hypothetical case describes the additional challenge of cross‐cultural belief that leads a daughter to provide oral feeding to her mother, an act that the medical team believes is dangerous and the daughter sees as salubrious. In this case, what is the proper balance between patient safety and deference to (...) cultural traditions and norms? Where are the limits? Two commentaries offer insights for conflict resolution, including recommending that the medical team seek to understand the cultural motivations of the family, balancing safety and respect for cultural norms. The second commentary also disagrees with the team's presumption that the daughter's feeding of her mother is a greater threat to the patient than the PEG tube feeding is. (shrink)

According to a radical account of quantum metaphysics that I label ‘high-dimensionalism’, ordinary objects are the ‘shadows’ of high-dimensional fundamental ontology. Critics—especially Maudlin —allege that high-dimensionalism cannot provide a satisfactory explanation of the manifest image. In this paper, I examine the two main ideas behind these criticisms: that high-dimensionalist connections between fundamental and non-fundamental are 1) inscrutable, and 2) arbitrary. In response to the first, I argue that there is no metaphysically significant contrast regarding the scrutability of low- and high-dimensionalist (...) connections. In response to the second, I argue that the arbitrariness of high-dimensionalist connections has been overstated, and what arbitrariness there is afflicts low-dimensionalist connections too. Thus, the debate should not be focused on whether high-dimensionalism can provide a satisfactory explanation of the manifest image—as it has been in recent literature—but rather on the broader question of whether there is good all-things-considered reason to prefer low-dimensionalist theories. (shrink)

The system of asylum seeker detention in Australia is one in which those seeking refuge are stripped of many of their rights, including the right to health. This presents serious ethical problems for healthcare providers working within this system. In this article we describe asylum seeker detention and analyse the role of nurses. We discuss how far an “ethics of care” and witnessing the suffering of asylum seekers can serve to improve their situation and improve ethical nursing practice.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Australia has one of the harshest regimes for the processing of asylum seekers, people who have applied for refugee status but are still awaiting an answer. It has received sharp rebuke for its policies from international human rights bodies but continues to exercise its resolve to protect its borders from those seeking protection. One means of doing so is the detention of asylum seekers who arrive in Australia by boat. Health care providers who care for asylum seekers in these conditions (...) experience a conflict of “dual loyalty,” whereby their role in preserving and maintaining the health of patients can run counter to their employment in detention facilities. Many psychiatrists who have worked in the detention setting engage in forms of political activism in order to change the process of seeking refuge. (shrink)

Precision targeting of specific white matter bundles that traverse the subcallosal cingulate has been linked to efficacy of deep brain stimulation for treatment resistant depression. Methods to confirm optimal target engagement in this heterogenous region are now critical to establish an objective treatment protocol. As yet unexamined are the time-frequency features of the SCC evoked potential, including spectral power and phase-clustering. We examined these spectral features—evoked power and phase clustering—in a sample of TRD patients with implanted SCC stimulators. Electroencephalogram was (...) recorded during wakeful rest. Location of electrical stimulation in the SCC target region was the experimental manipulation. EEG was analyzed at the surface level with an average reference for a cluster of frontal sensors and at a time window identified by prior study. Morlet wavelets generated indices of evoked power and inter-trial phase clustering. Enhanced phase clustering at theta frequency was observed in every subject and was significantly correlated with SCC-EP magnitude, but only during left SCC stimulation. Stimulation to dorsal SCC evinced stronger phase clustering than ventral SCC. There was a weak correlation between phase clustering and white matter density. An increase in evoked delta power was also coincident with SCC-EP, but was less consistent across participants. DBS evoked time-frequency features index mm-scale changes to the location of stimulation in the SCC target region and correlate with structural characteristics implicated in treatment optimization. Results also imply a shared generative mechanism between evoked potentials evinced by electrical stimulation and evoked potentials evinced by auditory/visual stimuli and behavioral tasks. Understanding how current injection impacts downstream cortical activity is essential to building new technologies that adapt treatment parameters to individual differences in neurophysiology. (shrink)

Suggests that the form of violence, its direction and purpose, and the conditions that start and end it, are determined mainly by the degree of hope or hopelessness giving rise to it. Violence is defined as an action whose intent is to harm another person. "Emotional violence" is an effort to reduce anxiety, which if successful arouses hope. "Instrumental violence" is directed at a specific goal in a more dispassionate manner. Societies should find moral equivalents to these 2 forms of (...) violence; social changes that decrease the effectiveness of instrumental violence may reduce emotional violence. (shrink)

IntroductionAdolescent connectedness, a key component of positive youth development, is associated with various positive health outcomes. Several measures have been developed to assess this construct. However, no study has summarized data on the existing measures of adolescent connectedness. We conducted this scoping review to fill this gap. We specifically aimed to: identify the existing measures of adolescent connectedness, determine the most frequently used measures among the identified measures, and summarize the psychometric properties of these measures with a keen interest in (...) highlighting their cross-cultural utility and validity.MethodsWe searched CINAHL, Embase, PsycInfo, PubMed, and Web of Science databases for relevant articles published since database inception to 7th February 2021. Our search structure contained the key words “Adolescents”, “Connectedness”, and “Measures”. We also searched Open Gray for potentially relevant gray literature.ResultsWe identified 335 measures from 960 eligible studies assessing various domains of adolescent connectedness, including school, family, community, peer, ethnic, racial, cultural, religious/spiritual, and self-connectedness. Most of the included studies were from North America and Europe. Most of the measures were measures of school connectedness among adolescents. Of the identified measures, 60 of them met our criteria of frequently used measures. These frequently used measures were used across 481 of the included studies with 400 of them reporting their psychometric properties. The reported reliability of these measures was adequate in 89.8% of these studies. These measures also appeared to be valid in terms of their face, content, construct, criterion, convergent, discriminant, concurrent, predictive, measurement invariance, and cross-cultural validity.ConclusionsThere exists a wide array of measures of adolescent connectedness. Sixty of these measures have been frequently used across studies and appear to be reliable and/or valid. However, this evidence is mostly from North America and Europe. This is a reflection of the limitation of this review where only studies published in English were considered. It might also reflect the paucity of research in other regions of the world. More research is needed for clearer insights. (shrink)

Australia's policy of mandatory indefinite detention of those seeking asylum and arriving without valid documents has led to terrible human rights abuses and cumulative deterioration in health for those incarcerated. We argue that there is an imperative to research and document the plight of those who have suffered at the hands of the Australian government and its agents. However, the normal tools available to those engaged in health research may further erode the rights and well being of this population, requiring (...) a rethink of existing research ethics paradigms to approaches that foster advocacy research and drawing on the voices of those directly affected, including those bestowed with duty of care for this population. (shrink)

This study explores how religious women become legitimate actors in the public sphere and analyzes their agency—its meanings, capacities, and transformative aims. It presents a novel case study of Israeli Modern-Orthodox Agunah activists who engage in highly politicized collective feminist resistance as religious actors working for religious ends. Embedded in and activated by Orthodoxy, they advocate women’s rights to divorce, voicing a moral critique of tradition and its agents precisely because they are devoutly devoted to them. Such political agency is (...) innovatively conceptualized as “devoted resistance”: critique within relationship, enabled by cultural schema, and comprising both interpretive skills and “relational-autonomy” capacities. This study contends that understanding agency within religious grammars reveals its underlying logics, highlighting how structures shape the meanings and realization of women’s varied “agentive capacities.” It challenges current dichotomies like feminism/religion, resistance/submission, and autonomy/dependence. Overall, the author argues for a nuanced, culturally specific, capacity-based, relational approach to analyzing religious women’s agency. (shrink)

Background Sharing of genomic data aims to make efficient use of limited resources, which may be particularly valuable in rare disease research. Adult research participants and parents of pediatric research participants have shown support for data sharing with protections, but little is known about adolescent attitudes on genomic privacy and data sharing.Methods In-depth interviews were conducted with 10 adolescents and 18 parents of children enrolled in a pediatric genomic research repository. Interview transcripts were analyzed for themes on attitudes toward genomic (...) privacy, restricted-access data sharing, and open-access data sharing. Findings in adolescent and parent participants were compared and contrasted.Results No adolescents endorsed privacy concerns for restricted-access data sharing. Both adolescents and parents saw value in data sharing for reaching the goals of research and discussed trust in institutions and researchers to protect their data and use it as intended. Adolescents were more likely than parents to accept open-access data sharing, including after risks were discussed.Conclusions In this exploratory study, adolescents and parents enrolled in a genomic research repository shared many attitudes about genomic data sharing, but adolescents were less concerned about privacy and more agreeable toward open-access data sharing. Future research is needed to investigate this hypothesis in expanded populations and settings, and to clarify whether adolescent attitudes change with age and experiences. (shrink)