The Truth and Reconciliation Commission of Canada made it clear that understanding the historical, social, cultural, and political landscape that shapes the relationships between Indigenous peoples and social institutions, including the health care system, is crucial to achieving social justice. How to translate this recognition into more equitable health policy and practice remains a challenge. In particular, there is limited understanding of ways to respond to situations in which conventional practices mandated by the state and regulated by its legal apparatus (...) come into direct conflict with the values and autonomy of Indigenous individuals, communities, and nations. In this paper, we consider two cases of conflict between Indigenous and biomedical perspectives to clarify some of the competing values. We argue for the importance of person‐ and people‐centered approaches to health care. These value conflicts must be understood at multiple levels to clarify their personal, social, cultural, and political dimensions. Taking into account the divergence between epistemic cultures and communities allows us to understand the multiple narratives deployed in decision‐making processes in clinical, community, and juridical contexts. Recognizing the knowledge claims of Indigenous peoples in health care can help clinicians avoid reinforcing the divides created by the structural and institutional legacy of colonialism. This analysis also provides ways to adjudicate conflicts in health care decision‐making by disentangling cultural, political, medical, and pragmatic issues to allow for respectful dialogue. Insofar as the engagement with cultural pluralism in health care rights is conducted with reciprocal recognition, the medical community and Indigenous peoples can address together the difficult question of how to integrate different epistemic cultures in the health care system. (shrink)

Landini discusses the second edition of Principia Mathematica, to show Russella (TM)s intellectual relationship with Wittgenstein and Ramsey.

In Complicity and Moral Accountability, Gregory Mellema presents a philosophical approach to the moral issues involved in complicity. Starting with a taxonomy of Thomas Aquinas, according to whom there are nine ways for one to become complicit in the wrongdoing of another, Mellema analyzes each kind of complicity and examines the moral status of someone complicit in each of these ways. Mellema's central argument is that one must perform a contributing action to qualify as an accomplice, and that it (...) is always morally blameworthy to perform such an action. Additionally, he argues that an accomplice frequently bears moral responsibility for the outcome of the other's wrongdoing, but he distinguishes this case from cases in which the accomplice is tainted by the wrongdoing of the principal actor. He further distinguishes between enabling, facilitating, and condoning harm, and introduces the concept of indirect complicity. Mellema tackles issues that are clearly important to any case of collective and shared responsibility, yet rarely discussed in depth, always presenting his arguments clearly, concisely, and engagingly. His account of the nonmoral as well as moral qualities of complicity in wrongdoing--especially of the many and varied ways in which principles and accomplices can interact--is highly illuminating. Liberally sprinkled with helpful and nuanced examples, Complicity and Moral Accountability vividly illustrates the many ways in which one may be complicit in wrongdoing. "In Complicity and Moral Accountability, Gregory Mellema has made an immensely important contribution to the discussion of group morality and collective responsibility both within and far beyond professional academic philosophy. His clearly written book will be essential reading." --Fergus Kerr, Honorary Fellow, University of Edinburgh. (shrink)

In this paper, I explain the curious role played by the Argument from Absolute Terms in Peter Unger's book Ignorance, I provide a critical presentation of the argument, and I consider some outstanding issues and the argument’s contemporary significance.

Virtually all historical treatments of just war recognize the importance of the account given by Thomas Aquinas in Summa theologiae II-II, q. 40, ?De bello?, where he outlines three conditions ? legitimate authority, just cause, and right intention ? for a justifiable use of armed force. It is, however, less well known that within the same section of the work (q. 50, a. 4) Aquinas extended his reflection on just war into a theory of military prudence. By placing generalship under (...) the category of ?prudence?, rather than ?art? or ?science?, he held that military command involves more than a morally neutral skill with victory as its sole aim. Building on the premise that service to the common good constitutes the overarching purpose of the military profession, Aquinas showed how the virtue of prudence provides an inner compass for decision-making amid the uncertainty and confusion of the battlefield. (shrink)

Now in its twentieth year of publication, this rich collection, popular among teachers and students alike, provides an in-depth look at major cases that have shaped the field of medical ethics. The book presents each famous (or infamous) case using extensive historical and contextual background, and then proceeds to illuminate it by careful discussion of pertinent philosophical theories and legal and ethical issues.

Death is the destiny we all share, and this will not change. Yet the way we die, which had remained the same for many generations, has changed drastically in a relatively short time for those in developed countries with access to healthcare. For generations, if people were lucky enough to reach old age, not having died in infancy or childhood, in childbirth, in war, or by accident, they would take to bed, surrounded by loved ones who cared for them, and (...) fade into death. Most likely, they would have seen their parents and grandparents die the same way, and so this manner of dying would be familiar: it was part of the natural cycle of life. Now less than 25 per cent of Americans die at home, having reached much older ages than people would have dreamed of in past generations, often after surviving many illnesses and even diseases that would have been terminal for their grandparents. We are fortunate to live (and die) today, supported by myriad scientific, medical, and technological advancements, however we also face new problems as a result of the new way in which we die. We can no longer anticipate a peaceful waning at home with family. We know our lives will likely end in hospitals likely after we have endured grueling treatments to prolong life. We have to decide what decisions we want our loved ones, or care-givers, to make when we cannot choose for ourselves. We have to think about whether in any circumstances we would seek physician-assisted death. We know we face other questions as well, but we may not even know where to start. In the face of these decisions, we can feel daunted and afraid. The best remedy is information and planning. In this book, Gregory Eastwood - a physician who has cared for dying patients, served as an ethics consultant, and taught end of life issues to medical and other health profession students - draws from his substantial experience with patients and families to provide the information that will help us think clearly about the choices and issues we will face at the end of our own lives, and when faced with the deaths of our loved ones. With sensitivity and profound insight, Eastwood guides us through all the important questions about death and dying in straightforward, clear language, enhanced by real-life stories. Throughout, he shows us how we can take ownership of the way we want to die, when we must die, and feel more in control as death approaches. (shrink)

Henry Kyburg’s lottery paradox (1961, p. 197) arises from considering a fair 1000 ticket lottery that has exactly one winning ticket. If this much is known about the execution of the lottery it is therefore rational to accept that one ticket will win. Suppose that an event is very likely if the probability of its occurring is greater than 0.99. On these grounds it is presumed rational to accept the proposition that ticket 1 of the lottery will not win. Since (...) the lottery is fair, it is rational to accept that ticket 2 won’t win either—indeed, it is rational to accept for any individual ticket i of the lottery that ticket i will not win. However, accepting that ticket 1 won’t win, accepting that ticket 2 won’t win, . . . , and accepting that ticket 1000 won’t win entails that it is rational to accept that no ticket will win, which entails that it is rational to accept the contradictory proposition that one ticket wins and no ticket wins. (shrink)

Anaximander, the sixth-century BCE philosopher of Miletus, is often credited as being the instigator of both science and philosophy. The first recorded philosopher to posit the idea of the boundless cosmos, he was also the first to attempt to explain the origins of the world and humankind in rational terms. Anaximander's philosophy encompasses theories of justice, cosmogony, geometry, cosmology, zoology and meteorology. Anaximander: A Re-assessment draws together these wide-ranging threads into a single, coherent picture of the man, his worldview and (...) his legacy to the history of thought. Arguing that Anaximander's statements are both apodeictic and based on observation of the world around him, Andrew Gregory examines how Anaximander's theories can all be construed in such a way that they are consistent with and supportive of each other. This includes the tenet that the philosophical elements of Anaximander's thought (his account of the apeiron, the extant fragment) can be harmonised to support his views on the natural world. The work further explores how these theories relate to early Greek thought and in particular conceptions of theogony and meterology in Hesiod and Homer. (shrink)

Preliminary Abstract: -/- The late Mary Midgley (1919-2018) was one of the most relevant and wide-ranging moral philosophers of the last century. For over forty years, she drew attention to the necessity of philosophy in everyday life while making significant contributions on such topics as human nature, ethics, animals and the environment, science, religion, and other real-world issues. Midgley’s remarkable career saw the publication of over 250 books, journal articles, pamphlets, and other materials, concluding with the publication of What Is (...) Philosophy For? at age 99, just one month before her death. This work was the last in a series of publications late in Midgley’s career that underscored her reputation as a singular thinker and a shining example of the significant presence of women in philosophy. -/- Mary Midgley on What Matters offers a window into this noteworthy period late in Midgley’s career. This volume invites the reader into a series of visits and conversations between Gregory McElwain and Mary Midgley at her home in Newcastle from 2011-2018. Framed and thematically curated by McElwain, these conversations present Midgley’s thoughts, reminiscences, and concerns on life and the topics for which she is best known, with special emphasis on her influential perspective on animals and the environment. Midgley’s witty and lively voice is emphasized throughout this accessbile book, engaging the reader with one of the more vibrant philosophers in living memory. (shrink)

The purpose of this article is to explore the close link between technology and death in the philosophical writings of Lewis Mumford. Mumford famously argued that throughout the history of western civilization we find intertwined two competing forms of technics; the democratic biotechnic form and the authoritarian monotechnic form. The former technics were said to be strongly compatible with an organic form of life while the latter were said to be allied to a mechanical power complex. What is perhaps less (...) well known is the extent to which Mumford characterizes the authoritarian technical form as being a technics of death. This article will argue that the connection between death and technics is a key theme in Mumford’s philosophy of technology. In addition to elaborating this theme and detailing how it informs Mumford’s other positions on the nature of technology, this article will also argue that Mumford’s theory of a technics of death bears witness, both implicitly and explicitly, to the influence of Sigmund Freud’s theory of the death instinct. Freud’s account of the death instinct will be outlined briefly and its influence on Mumford’s writings will be explained. Death, in Mumford’s technological writings, has a generally negative function and serves to warn humanity of the perilous course that its technological civilization is set upon. However it also has a positive function in that it encourages man to transcend its biological existence in acts of creativity and purpose. Death, in this positive sense, serves the purpose of life whereas, in the negative sense, it hinders it. The role of death, in both aspects, will be explored and related to Mumford’s overall perspective on technics and life. It is argued that Mumford’s philosophy of technology cannot be fully understood without an awareness of his views on death and its role in the life of technological society. (shrink)

This book offers a philosophical approach to religion that acknowledges both the diversity of religions and the many and varied dimensions of the religious life. Rather than restricting itself to Christian theism, it covers a wide range of religious traditions, examining their beliefs in the context of the actual practice of the religious life. After outlining the aims of religion, the book focuses on claims to knowledge. What kinds of knowledge do religions purport to offer? In what idiom is it (...) couched? From what sources do devotees draw their claims to knowledge? Are these sources reliable? Rather than trying to settle age-old questions about religious belief, the book offers its readers a set of criteria with which they can make informed decisions in matters of faith. Gregory W. Dawes is Associate Professor in Philosophy at the University of Otago, New Zealand. He completed his first graduate degree at the Pontifical Biblical Institute in Rome before returning to New Zealand to complete PhD degrees in both biblical studies and philosophy. His previous books include The Historical Jesus Question, Theism and Explanation, and Galileo and the Conflict between Religion and Science. (shrink)

The Nicomachean Ethics is generally thought to be a “dialectical” work, aimed at resolving aporia in a set of endoxa, which it takes as its starting-point. I argue that Aristotle’s aim in the treatise is, rather, to produce definitions of key ethical terms, and that his starting-points are limited to evaluative and discriminative judgments of a certain sort, which are demanded by the nature of the discipline and are not endoxa. I discuss also how the definitions are reached (focusing on (...) the cases of the virtues of character) and the roles that aporiai do play in the process. (shrink)

The thirteenth century mystic Ibn ʻArabi was the foremost Sufi theorist of the premodern era. For more than a century, Western scholars and esotericists have heralded his universalism, arguing that he saw all contemporaneous religions as equally valid. In Rethinking Ibn ʻArabi, Gregory Lipton calls this image into question and throws into relief how Ibn ʻArabi's discourse is inseparably intertwined with the absolutist vision of his own religious milieu-- that is, the triumphant claim that Islam fulfilled, superseded, and therefore (...) abrogated all previous revealed religions. Lipton juxtaposes Ibn ʻArabi's absolutist conception with the later reception of his ideas, exploring how they have been read, appropriated, and universalized within the reigning interpretive field of Perennial Philosophy in the study of Sufism. The contours that surface through this comparative analysis trace the discursive practices that inform Ibn ʻArabi's Western reception back to the eighteenth and nineteenth century study of 'authentic' religion, where European ethno-racial superiority was wielded against the Semitic Other - both Jewish and Muslim. Lipton argues that supersessionist models of exclusivism are buried under contemporary Western constructions of religious authenticity in ways that ironically mirror Ibn ʻArabi's medieval absolutism. (shrink)

This chapter contains sections titled: Cheerful Resignation Self‐Sufficiency Murphy was an Optimist: Negative Visualization Agency and Control Fate, Freedom, and Sailing.

In lieu of an abstract, here is a brief excerpt of the content:Experiences of an Obese PatientChristine R. BrassIn the middle of an annual pelvic exam, the gynecologist said to me, “You should apply to be on ‘The Biggest Loser.’” I was too stunned and embarrassed to mutter anything more than a [End Page 88] comment that I didn’t think that, being quite introverted, I was a good candidate for a reality TV show. She argued with me about that. I (...) felt blindsided, intensely vulnerable, and dumbstruck—completely unable to respond—and later, when the shock wore off, incandescent with impotent rage.Four years later, I still don’t have words to adequately describe my outrage at this comment. It was only the second time I’d see this medical professional. The first time was the previous year, when she had been filling in for my regular doctor who was on maternity leave. At neither appointment did this physician ask me any questions about my lifestyle, whether or not I saw a primary care physician, or even if I had any concerns that day. She was very brisk, efficient and did not engage in conversation. Such a statement coming from a health care provider, who did not seek to understand or gather more information, surprised and dismayed me.Other incidents where physicians’ statements were not helpful:• Pediatrician: “Well, my wife has had great success with Weight Watchers.”—I was age 12, about 5’5 and weighted about 145 lbs. at that time. If you look at photos of me at the time, you would see I was not overweight.• Orthopedic Surgeon: “If you want her to look better, make her lose weight.”—This was directed to my mother. I was 19, weighed about 200 lbs., and in his office as per his directions to come back in seven years to see if the surgery he had done on my neck needed more attention.• Internist: “How did you get all those stretch marks?”—I was age 24, weighed approximately 220 lbs., and had lost and gained 50 or so pounds several times as a teenager and in college.• Gynecologist: “Lose weight and your periods will be regular.”—I was age 27, weighed 227 lbs. and my periods, which started at age 15, had never been regular.• Another Orthopedic Surgeon: “You don’t have to worry about osteoporosis; everything you do is a weight–bearing exercise.”—I was age 42 and weighed 300 lbs. This was after follow up surgery to remove pins from a broken ankle that had healed and I had asked about whether or not I should have a bone density test.Coming from a genetic heritage of predominately tall, large–boned people, I was tall and proportionally large compared to other girls my age until high school, when the others caught up. I was told I had to “watch my weight” by family members from my pre–teen years. Enforced dieting ensued, with little result because I wasn’t fat. I did not begin to be overweight until my junior and senior years of high school. I was 5’7” when I graduated from high school and weighed 187. By the time I graduated from college, I was no taller but 50 lbs. heavier. Now, nearing my 40th high school reunion, I am 120 lbs heavier than that. During the intervening years, I have done Weight Watchers®, TOPS®, medically–supervised programs (group and individual), and other popular diets, with periodic but temporary success, and hypnosis and aversion therapy, with no success at all.Over the years, I have been insulted, verbally abused, even bullied, because of my weight. I have been treated as though I am invisible, worthless, and stupid—a pariah. As a result, I have felt invisible, worthless, and stupid, even though I know I am none of those things. I have experienced and been treated for clinical depression. The descent into depression began in my late teen years, which was the time when I started gaining excess weight.In 2004, under medical supervision, I lost 70 lbs. over four–month period. I was delighted to finally lose a substantial amount of weight and feel physical lighter. My diabetes medications were significantly reduced, and... (shrink)

The problem of free will lies at the heart of modern scientific studies of consciousness. Some authors propose that actions are unconsciously initiated and awareness of intention is referred retrospectively to the action after it has been performed [e.g. Aarts, H., Custers, R., & Wegner, D. M. . On the inference of personal authorship: Enhancing experienced agency by priming effect information. Consciousness & Cognition, 14, 439–458]. This contrasts with the common impression that our intentions cause those actions. By combining a (...) stop signal paradigm and an intentional action paradigm we show that participants sometimes indicate to have intentionally initiated an action while reaction time data strongly suggest that they in fact failed to stop the action. In a second experiment we demonstrate that the number of trials in which participants misattributed their awareness of intention varied with the intentional involvement during action planning. Our data support the retrospective account of intentional action. Furthermore, we introduce an experimental approach that objectifies introspective judgments of awareness of intention. (shrink)

This chapter contains sections titled: Classical Theories of Success Morris's 3‐D Approach to Life Lance Discovers His Positive Talents Lance Develops His Talents: Pre‐Cancer Lance Develops His Talents: Post‐Cancer Lance Deploys His Talents Notes.

This chapter focuses on one of the common fallacies in Western philosophy, appeal to ridicule. An appeal to ridicule is closely related to an ad hominem argument because both attack the person. There is a similarity between an appeal to ridicule and an appeal to emotion in that both attempt to bypass rational assessment of a point of view and elicit an emotional reaction from the audience. An appeal to ridicule may be an attempt to elicit humor at another's expense, (...) or it may be an attempt to elicit enmity, playing on the fears and prejudices of the group. The difference between a reductio ad absurdum and an appeal to ridicule is that the former uses good evidence while the latter does not. Perhaps the best way to avoid this fallacy is to cultivate an attitude of respect for other points of view. (shrink)

This chapter contains sections titled: Warning: Plot Spoiler! Mediums: The Seen and the Felt Competing Messages: “Man was in the Forest” vs. “There is Another” Challenging Bambi Bambi's Counter‐Charge Re‐gifting Bambi Notes.

This chapter contains sections titled: The Non‐Darwinian Revolution 1870–1880: The Struggle for Existence and Cultural Evolution 1880–1882: Nietzsche contra Spencer 1883–1888: The Will to Power as Bildungstrieb Conclusion.

ArgumentContrary to common portrayals of social Darwinism as a transference of laissez-faire values, the widely read evolutionism of Japan's foremost Darwinist of the early twentieth-century, Oka Asajirō (1868–1944), reflects a statist outlook that regards capitalism as the beginning of the nation's degeneration. The evolutionary theory of orthogenesis that Oka employed in his 1910 essay, “The Future of Humankind,” links him to a pre-Darwinian idealist tradition that depicted the state as an organism that develops through life-cycle stages. For Oka, laissez-faire capitalism (...) marked the moment when the state began to decline toward extinction due to the orthogenetic overdevelopment of hitherto subordinate individual egos. Because conservative bureaucrat-intellectuals had been drawing upon this same organicist-developmental tradition since the 1880s in an attempt to forestall the social ills of industrialism, Oka's call for statist measures, including eugenics, to lessen and delay the atomizing, enervating, and corrupting influence of capitalism articulated the political vision of officialdom. Statist evolutionism, not social Darwinism, might be the term that best describes Oka's approach. (shrink)

Philosophical interest in inner speech has grown in recent years. In seeking to understand the phenomenon, many philosophers have drawn heavily on two theories from neighbouring disciplines: Lev Vygotsky’s theory on the development of inner speech in children and a cognitive-scientific theory about speech production. I argue that they have been too uncritical in their acceptance of these theories, which has prevented a proper analysis of inner speech.

Philosophy explores the deepest, most fundamental questions of reality and this accessible and entertaining chronology presents 250 milestones of the most important theories, events, and seminal publications in the field over the last 3,500 years. The brief, engaging entries cover a range of topics and cultures, from the Hindu Vedas and Plato's theory of forms to Ockham's razor, Pascal's wager, Hume's A Treatise of Human Nature, existentialism, feminism, Philosophical zombies, and the Triple Theory of Ethics. Beautifully illustrated and filled with (...) unexpected insights, The Philosophy Book will appeal to a wide spectrum of readers. (shrink)

The COVID-19 pandemic in 2020 has had a lasting impact on all areas of personal life. However, the political, economic, legal and healthcare system, as well as the education system have also experienced the effects. Universities had to face new challenges and requirements in teaching and examinations as quickly as possible in order to be able to guarantee high-quality education for their students.This study aims to examine how the German-speaking medical faculties of the Umbrella Consortium of Assessment Network have dealt (...) with the challenges but also the opportunities that the outbreak of the COVID-19 pandemic created in medical education and whether digitalisation has been driven forward as a result. In an initial online-survey we focused our questions on the current teaching situation with regard to digitised teaching content, the support or establishment of adequate framework conditions by the medical faculties and IT facilities and also the execution of examinations during the summer semester 2020.Between August and September 2020, a total of 88 examiners, educators, dean of study and/or technical admins from 32 partner faculties took part in the survey. Students were not included in our survey. Most respondents stated that a switch to a digital semester had worked, the use of e-learning increased compared to previous semesters and that most courses could be converted, with the exception of practical courses, which were largely cancelled. The respondents also indicated that most examinations could still be taken, with the exception of practical examination formats, like Objective Structured Clinical Examinations. However, in the case of face-to-face examinations, strict distance and hygiene conditions had to be obeyed or there had to be a switch to distance-online examinations, which raised many open issues such as equal opportunities of students and attempts at deception.In conclusion, we identified several issues regarding the rapid transition to a digital semester due to COVID-19 which were categorised into the following topics: Face-to-face teaching could not take place, know-how of educators, integrity aspects, technical aspects, additional personnel required, additional time and effort required for implementation of digital teaching. Our study shows that a switch to digital teaching and distance online examinations is feasible, but many problems were encountered concerning academic integrity and basic ethical principles still need to be solved. In order to investigate whether above mentioned issued could be solved one year after the transition to a digital semester, we conducted a second survey in which the 32 initially surveyed institutions were questioned again. (shrink)

The debate over the influence of American culture upon Europe and the rest of the world is hardly new. Discussions about the cultural effects of video recorders, satellite broadcasting, cable television and their likely content are only the latest episode in a long-running drama in which the young and aggressive culture of America bludgeons the elderly culture of old Europe (or correspondingly overruns and wipes out the quaint but ill-armed ethnic cultures of the less-developed world, dragging the natives from coconuts (...) to Coca-Cola in a generation of identity crisis). But though there has been much written about some aspects of this issue, and most non-Americans who have come into contact with American culture have some awareness of its dimensions, there is also much which remains unclear, and ill- or misunderstood. In this essay two aspects of this large and complex problem will be examined. Firstly, the problem of how the “Americanisation of world culture” has been understood until now will be outlined, by looking at its background in the mass culture critique of the 19th and 20th centuries, with some current notions of what American culture is, and some accounts of how it has been internationalized. My aim in this first section is in particular to try to isolate “American culture” from commercial and industrial culture more generally, for a conflation of these phenomena is widespread and very misleading. Secondly, a normative argument will be outlined from the premises that a “superculture” is indeed developing and that, though it is less threatening than many suspect, it requires a vital measure of resistance if many valuable elements of human experience are not to be relegated to anthropology museums. The central value which will be defended here, however, is not “Europeanism” or “Americanism”, but rather the central liberal virtue of diversity, of which cultural expression is an extremely important form. My attempt to develop a politics of cultural protectionism, then, represents a wish to surpass simplistic rejections of American culture and to come to terms with the confrontation of culture with industrial society itself. This involves going beyond the traditional discussion of culture in one country, however, and trying to extend the mass culture debate to the international arena, where the present debate on this problem is far more complex but often less sophisticated. (shrink)