Background:Moral distress occurs when constraints prevent healthcare providers from acting in accordance with their core moral values to provide good patient care. The experience of moral distress in nurses might be magnified during the current Covid-19 pandemic.Objective:To explore causes of moral distress in nurses caring for Covid-19 patients and identify strategies to enhance their moral resiliency.Research design:A qualitative study using a qualitative content analysis of focus group discussions and in-depth interviews. We purposively sampled 31 nurses caring for Covid-19 patients in (...) the acute care units within large academic medical systems in Maryland and New York City during April to June 2020.Ethical considerations:We obtained approval from the Institutional Review Board at the University of Maryland, Baltimore.Results:We identified themes and sub-themes representative of major causes of moral distress in nurses caring Covid-19 patients. These included (a) lack of knowledge and uncertainty regarding how to treat a new illness; (b) being overwhelmed by the depth and breadth of the Covid-19 illness; (c) fear of exposure to the virus leading to suboptimal care; (d) adopting a team model of nursing care that caused intra-professional tensions and miscommunications; (e) policies to reduce viral transmission (visitation policy and PPE policy) that prevented nurses to assume their caring role; (f) practicing within crisis standards of care; and (g) dealing with medical resource scarcity. Participants discussed their coping mechanisms and suggested future strategies.Discussion/Conclusion:Our study affirms new causes of moral distress related to the Covid-19 pandemic. Institutions need to develop a supportive ethical climate that can restore nurses’ moral resiliency. Such a climate should include non-hierarchical interdisciplinary spaces where all providers can meet together as moral peers to discuss their experiences. (shrink)

While the contemporary biomimicry movement is associated primarily with the idea of taking Nature as model for technological innovation, it also contains a normative or ethical principle—Nature as measure—that may be treated in relative isolation from the better known principle of Nature as model. Drawing on discussions of the principle of Nature as measure put forward by Benyus and Jackson, while at the same time situating these discussions in relation to contemporary debates in the philosophy of biomimicry : 364–387, (...) 2011; Dicks in Philos Technol, doi: 10.1007/s13347-015-0210-2, 2015; Blok and Gremmen in J Agric Environ Ethics 29:203–217, 2016), the aim of this paper is to explore the relation between the principle of Nature as measure and environmental ethics. This leads to the argument that mainstream formulations of environmental ethics share the common trait of seeing our ethical relation to Nature as primarily involving duties to protect, preserve, or conserve various values in Nature, and that, in doing so, they problematically either overlook or dismiss as anthropocentric the possibility that Nature may provide measures, understood in terms of ecological standards, against which our own practices, or at least some of them, may be judged—a way of thinking I call “biomimetic ethics”. The practical consequences of this argument are significant. Whereas mainstream environmental ethics has been applied above all to such issues as wilderness preservation, natural resource management, and animal rights and welfare, biomimetic ethics is applicable rather to the question of how we produce, use, and consume things, and, as such, may potentially provide the basic ethical framework required to underpin the transition to a circular, bio-based, solar economy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Plotinus and the Parmenz'des B. DARRELL JACKSON IN 1928 E. R. DODDSARGUED that the first two hypotheses of Plato's Parmenides are the primary source of Plotinus' doctrines of the One and of Nous. I Dodds' main evidence was a list of parallels between the Parmenides and the Enneads? He argued further that the Neoplatonic interpretation of the Parmenides as positive metaphysics was neo-Pythagorean in origin. Several Plotinus scholars (...) have accepted and extended Dodds' view of the importance of the Parmenides for Plotinus. This group includes ]~mile Br6hier, ~ A. H. Armstrong, 4 Hans-Rudolf Schwyzer, 5 and Paul Henry. n But Dodds' position is by no means universally accepted. Elmer O'Brien has recently argued that the Plotinian One was derived ultimately from Philo and mediated to Plotinus through Albinus and Numenius. 7 He says that Dodds' case, though good, is not convincing. It. A. Wolfson has been the great advocate of the Philonic origin of Plotinus' views. According to Wolfson, the doctrines attributed by Plotinus to Plato are not Plato's but mainly Philo's. 8 Others see Plotinus in varying degrees of dependence upon Plato. Philip Merlan holds that Plotinus is more in debt to the immediate successors of Plato and to Aristotle's interpretation of Plato than to the Platonic writings themselves. 9 C. J. de Vogel sees Plotinus as dependent upon Plato for a hierarchy of being which was accepted and elaborated by various middle Platonists and Gnostics. 1~According to de Vogel, the Parmenides wus not importan% in this hierarchy tradition, n In this article I shall re-examine Dodds' position. I believe the case for Plotinus' dependence upon the Parmenides can be strengthened. I shall try to do this by examining the systematic relation of Plotinus' thought to the Parmenides. Dodds x"The Parmenides of Plato and the Origin of the Neoplatonic 'One'," The Classical Quarterly, XXII (1928), 129-142. 2Ibid., 132 f. *In the introductions to Enneads V.3 (esp. pp. 43 f., 46 f.), V.5 (pp. 87 ft.), VI.4-5 (pp. 161163,165-168),and VI.7 (pp. 49, 60) in his Bud~ edition and translation of the Enneads (Paris, 1931-38). 4The Architecture of the Intelligible Universe in the Philosophy of Plotinus (Cambridge, at the University Press: 1940), pp. 14-28. In his article "Plotinos", Vol. 21, pt. 1 of Paulys Real-Encyclopgdie der Klassischen Altertumswissenschaft, 1951, cols. 552-554. eIntroduction to the second edition of Stephen MacKenna's translation of the Ennead.~ (New York: Pantheon Books Inc., n. d.), pp. xli-xliv. Elmer O'Brien (ed. and trans.), The Essential Plotinus (New York: Mentor, 1964),p. 15. 8"Albinus and Plotinus on Divine Attributes," Harvard Theological Review, XXXXV (1952), 115. 9From Platonism to Neoplatonism (2n ed. rev.; The Hague: Martinus Nijhoff, 1960). 10"On the Neoplatonic Character of Platonism and the Platonic Character of Neoplatonism," Mind, LXIII (1953), 43-64. 11Ibid., 58. [3]5] 316 HISTORY OF PHILOSOPHY considered only parallel terminology. I shall in addition look at parallel argumentation and conclusions. Furthermore, since Dodds accounts only for Plotinus' first two hypostases, I shall consider the relation of the third hypostasis (soul) to the Parmenides. My primary interest is not the source of Plotinus' interpretation of the Parmenides but the way he carries that interpretation out. TM The former issue has often been focal in the literature on this subject. ~8It is certain thay many of the ideas used by Plotinus were already in circulation. But it is equally certain that in his combination of these ideas of a hierarchy, of transcendence, etc., Plotinus is original. I shall argue that this originality of combination is largely determined by an interpretation of the Parmenides. I should add that I am not concerned with whether Plotinus' interpretation is correct. ~4 In the following pages I shall attempt to show three things: (1) how Plotinus explicitly interprets the Parmenides, (2) to what extent he draws upon the language of the Parmenides, and (3) to what extent Plotinus' system may be understood by its relation to the Parmenides. I. Plotinus' Interpretation of the Parmenides The obvious place to begin an analysis of Plotinus' relation to the Parmenides is Enneads V... (shrink)

Though lobbying for federal money may seem like business as usual today–with billions of dollars spent annually by companies, labor unions, and other organizations in an effort to win a piece of what has become an enormous federal pie–this was not always the case in the United States. An all-but-forgotten event, the Harrisburg Convention of 1827, may have been one of the key historical turning points in this regard, an opening of a floodgate that would transform the role of the (...) U.S. federal government forever. It was in the modest Pennsylvania capital that a hundred of the North’s most influential manufacturers and public servants–backed by legislators like Henry Clay and Daniel Webster–assembled to draft a “memorial” to Congress, imploring that body to pass a protectionist bill to save their industries from what they viewed as eventual ruin. As Jonathan J. Pincus observed and Thornton and Ekelund echoed, “it is not small cohesive individual groups but larger diverse ones that are necessary in order to effectively lobby representatives and senators to obtain majority coalitions” in comprehensive legislation. The convention would bring together this “larger diverse” group—with just such a legislative goal. Meanwhile, mostly in the South, anti-protectionist opinion continued to surge. The Harrisburg Convention of 1827 would lead to the passage of that most hated piece of protectionist legislation—the “Tariff of Abominations” of 1828–and it would do so by framing the protectionist agenda into a nationalist “cause” borne of “patriotic duty.”. (shrink)

Originally published in 1925. If we are to know what intelligence is, how the brain can think, and what place mind holds in the scheme of things, we must first have a science of the sensory basis and structure of knowledge. This book supplies that need; it also serves as a short introduction to the systematic psychology of cognition.

Is conceptual analysis required for reductive explanation? If there is no a priori entailment from microphysical truths to phenomenal truths, does reductive explanation of the phenomenal fail? We say yes . Ned Block and Robert Stalnaker say no.

The so-called “orthodox” interpretation of quantum physics attributed to Niels Bohr is commonly regarded as abandoning realism. I have already opposed this view elsewhere (Folse 1985) but partially in response to criticism of my position (Shimony 1985), here I propose to relate Bohr’s realism to recent contributions to the realism debate given by Hacking (1983), Cartwright (1983), and Ellis (1985). Specifically, I argue that Bohr’s complementarity viewpoint requires a causal entity realism. Furthermore, labeling Bohr an anti-realist with respect to theories (...) is misleading because it assumes the correspondence theory of truth that Bohr holds quantum theory forces us to reject.Although there are many realist views, I take the root of realism to be the quest for knowledge about the reality producing the phenomena we experience. It is realism in this sense that Bohr defended and that makes science significant to metaphysics. (shrink)

Since the publication of Science and Values in which Laudan unveiled his “reticulated model of scientific change” (Laudan (1984)), he has published a series of articles emphasizing the naturalistic axiology inherent in this model. (Laudan (1986), (1987a), (1987b), (1989), and (forthcoming)). His epistemic naturalism makes the business of fixing rational beliefs about facts, theories, methodologies, and aims all together “cut from the same piece of empirical cloth.” Laudan’s position has numerous attractive qualities: It allows one to accept a great deal (...) of the wisdom in historicism without caving in to relativism. It allows one to accept the seemingly inevitable annexation of the theory of knowledge by the sciences and yet still maintain a normative epistemology. Finally, it awakens philosophers of science’s dogmatic slumbers regarding the axiology of scientific inquiry, and stimulates historical research into the relation between practiced means and professed ends in the sciences. (shrink)

Of all the developments in twentieth century physics, none has given rise to more heated debates than the changes in our understanding of science precipitated by the quantum revolution''. In this revolution, Niels Bohr's dramatically non-classical theory of the atom proved to be the springboard from which the new atomic physics drew it's momentum. Furthermore, Bohr's contribution was crucial not only because his interpretation of quantum mechanics became the most widely accepted view but also because in his role as educator (...) and spokesman for atomic physics Bohr was very much the patron spirit of the entire quantum revolution. The conceptual framework which he proposed to provide a new viewpoint for understanding the quantum theoretical description of atomic systems became for most of this century the dominant outlook of countless productive experimental and theoretical physicists. He called this new framework complementarity''. (shrink)

Niels Bohr and Philosophy of Physics: Twenty-First Century Perspectives examines the work, influences and legacy of the Nobel Prize physicist and philosopher of experiment Niels Bohr. While covering Bohr's groundbreaking contribution to quantum mechanics, this collection reveals the philosophers who influenced his work. Linking him to the pragmatist C.I. Lewis and the Danish philosopher Harald Høffding, it draws strong similarities between Bohr's philosophy and the Kantian way of thinking. Addressing the importance of Bohr's views of classical concepts, it discusses how (...) his interpretation of quantum mechanics now compares with a variety of issues that have arisen only since his lifetime, including decoherence and other non-collapse arguments. Balancing historical themes with contemporary ideas, Niels Bohrs and Philosophy of Physics reveals Bohr's on-going contribution to the philosophy of science and confirms his place in the history of philosophy. (shrink)

This article addresses the problem of legislation and adjudication in early states, offering examples from Africa and other parts of the world. It discusses the problems of legitimacy and governance, especially in the context of multi-ethnic populations. For some of its generalizations it draws upon a previous study of twenty-one early states.

A review of research addressing correlates of attitudes toward social responsibility of business leads to the conclusion that little can currently be confidently stated concerning such correlates and that progress toward the understanding of relevant linkages is largely dependent on the development of psychometrically adequate indices of social attitudes. Using a sample of high level executives from a large number of industries, this paper examines various psychometric properties of an index of social attitudes, the Social Attitudes Questionnaire (SAQ) (Aldag and (...) Jackson, 1977) and considers relationships of SAQ subscale scores to multiple measures of firm size and economic performance and to managerial demographic and social psychological characteristics. Results of this study reflect favorably on psychometric integrity of the SAQ and reveal a complex set of correlates of its subscales. (shrink)

Although it is, often considered a form of anti-realism, here it is argued that Bohr's complementarity viewpoint must accept entity realism based on its analysis of the causal interaction involved in observation. However, because Bohr accepts the quantum postulate he must reject the view that the goal of theory is to represent the independently existing object apart from observation. Thus he abandons the spectator account of knowledge and with it the correspondence theory of truth. In this respect his view is (...) parallel to the positions held by Hacking, Cartwright, and Ellis. (shrink)

This is the first comprehensive study of the sublime in Lucan. Drawing upon renewed literary-critical interest in the tradition of philosophical aesthetics, Henry Day argues that the category of the sublime offers a means of moving beyond readings of Lucan's Bellum Civile in terms of the poem's political commitment or, alternatively, nihilism. Demonstrating in dialogue with theorists from Burke and Kant to Freud, Lyotard and Ankersmit the continuing vitality of Longinus' foundational treatise On the Sublime, Day charts Lucan's complex (...) and instructive exploration of the relationship between sublimity and ethical discourses of freedom and oppression. Through the Bellum Civile's cataclysmic vision of civil war and metapoetic accounts of its own genesis, through its heated linguistic texture and proclaimed effects upon future readers and, most powerfully of all, through its representation of its twin protagonists Caesar and Pompey, Lucan's great epic emerges as a central text in the history of the sublime. (shrink)

Background Studies have shown that medical students and residents believe that their ethics preparation has been inadequate for handling ethical conflicts. The objective of this study was to determine the self-perceived comfort level of medical students and residents in confronting clinical ethics issues. Methods Clinical medical students and residents at the University of Maryland School of Medicine completed a web-based survey between September 2009 and February 2010. The survey consisted of a demographic section, questions regarding the respondents’ sense of comfort (...) in handling a variety of clinical ethics issues, and a set of knowledge-type questions in ethics. Results Survey respondents included 129 medical students (response rate of 40.7%) and 207 residents (response rate of 52.7%). There were only a few clinical ethics issues with which more than 70% of the respondents felt comfortable in addressing. Only a slight majority (60.8%) felt prepared, in general, to handle clinical situations involving ethics issues, and only 44.1% and 53.2% agreed that medical school and residency training, respectively, helped prepare them to handle such issues. Prior ethics training was not associated with these responses, but there was an association between the level of training (medical students vs residents) and the comfort level with many of the clinical ethics issues. Conclusions Medical educators should include ethics educational methods within the context of real-time exposure to medical ethics dilemmas experienced by physicians-in-training. (shrink)

The ASBH Core Competencies Update Task Force (Tarzian and ASBH Core Competencies Update Task Force 2013) provides useful information for individual consultants performing case consultations. A grow...

According to the naturalistic normative axiology of Laudan's reticulated model of scientific change, empirical discoveries in the advance of science can provide a rational basis for axiological decisions concerning which epistemic goals scientific inquiry ought to pursue. The Bohr-Einstein debate over acceptance of quantum theory is analyzed as a case of axiological change. The participants' aims are incompatible due to different formulations of the goal of objective description, but neither doubts the realist commitment to the existence of microsystems or the (...) intention of quantum mechanics to provide knowledge of them. Thus the general aim of realism is not at issue. (shrink)

The question of whether an «understanding» of quantum phenomena is possible, as raised by Cushing , is considered in terms of a possible revision of basic ontological assumptions which would make rational the pursuit of such an understanding. It is argued that the quantum theory imposes new constraints on ontology which force us to revise classical presuppositions about attributing properties to physical systems, about locality and individuality, and about interaction and space‐like separability. Through such ontological revision, it is argued, one (...) may still rationally hope to satisfy the typically realist thirst for an understanding of quantum phenomena. (shrink)

Universal jurisdiction has entered upon a dramatic and turbulent period of its long and generally stable history. Once associated primarily with prosecution for piracy or slave trading, it now figures in state-court prosecution of persons accused of international crimes that have been incorporated into state law, particularly genocide, crimes against humanity and war crimes. This new direction has generated serious interstate conflicts, particularly when the acts for which defendants are charged are viewed by some states or regions as criminal and (...) by others as heroic and when the actual or proposed defendants are citizens of a major power. The critical current task is to engage in broad public discussion of these issues in order to build some consensus among many states about the legitimate uses and potential abuses of universal jurisdiction. (shrink)

SummaryUnder the assumption of the materialistic‐mechanistic ontology implicit in classical physics, quantum theory as interpreted through Niels Bohr's epistemology of complementarity is not formally objective; i. e., it is not informative of the state of physical systems independent of particular phenomenal manifestations of them. However, an analysis of the notion of the “physical system”, in theory, as experienced, and as existing “in‐itself”, reveals that if the older ontology is replaced, quantum mechanics through complementarity becomes formally objective, points the way toward (...) a new ontology based on the notion of the power to structure interaction between systems, and provides new insights into the relations between theory, observation, and the natural world. (shrink)