The nature of moral action versus moral judgment has been extensively debated in numerous disciplines. We introduce Virtual Reality (VR) moral paradigms examining the action individuals take in a high emotionally arousing, direct action-focused, moral scenario. In two studies involving qualitatively different populations, we found a greater endorsement of utilitarian responses–killing one in order to save many others–when action was required in moral virtual dilemmas compared to their judgment counterparts. Heart rate in virtual moral dilemmas was significantly increased when compared (...) to both judgment counterparts and control virtual tasks. Our research suggests that moral action may be viewed as an independent construct to moral judgment, with VR methods delivering new prospects for investigating and assessing moral behaviour. (shrink)

Recent advances in virtual technologies have allowed the investigation of simulated moral actions in aversive moral dilemmas. Previous studies have employed diverse populations in order to explore these actions, with little research considering the significance of occupation on moral decision-making. For the first time, in this study we have investigated simulated moral actions in Virtual Reality made by professionally trained paramedics and fire service incident commanders who are frequently faced with and must respond to moral dilemmas. We found that specially (...) trained individuals showed distinct empathic and related personality trait scores and that these declined with years of experience working in the profession. Supporting the theory that these professionals develop resilience in moral conflict, reduced emotional arousal was observed during virtual simulations of a distressing dilemma. Furthermore, trained professionals demonstrated less regret following the execution of a moral action in virtual reality when compared to untrained control populations. We showed that, contrary to previous research, trained individuals made the same moral judgments and moral actions as untrained individuals, though showing less arousal and regret. In the face of increasing concerns regarding empathy decline in healthcare professionals, we suggest that the nature of this decline is complex and likely reflects the development of a necessary emotional resilience to distressing events. (shrink)

Intellectual humility is a hot topic. One of the key questions the literature is exploring is definitional: What is intellectual humility? In their recent paper, “Intellectual Humility: Owning our Limitations,” Dennis Whitcomb, Heather Battaly, Jason Baehr, and Daniel Howard-Snyder have proposed an answer: Intellectual humility is “proper attentiveness to, and owning of, one’s intellectual limitations”. I highlight some limitations of the limitations-owning account of intellectual humility. And in conclusion, I suggest that ultimately these are not limitations that any viable (...) account of intellectual humility should own and that Whitcomb et al. should revise their view accordingly. (shrink)

The paper discusses the version of entity realism presented by Ian Hacking in his book, Representing and Intervening. Hacking holds that an ontological form of scientific realism, entity realism, may be defended on the basis of experimental practices which involve the manipulation of unobservable entities. There is much to be said in favour of the entity realist position that Hacking defends, especially the pragmatist orientation of his approach to realism. But there are problems with the position. The paper explores two (...) issues that reflect negatively on Hacking’s version of the entity realist position. The first issue relates to the role of description in fixing the reference of theoretical terms. The second issue relates to Hacking’s claim that the argument for entity realism based on experiment is a different kind of argument from the standard argument for scientific realism based on the success of science. (shrink)

Historians and philosophers of science have furnished a wide array of theoretical-historiographical terms to emphasize the discontinuities among different systems of knowledge. Some of the most famous include Thomas Kuhn’s “paradigm”, Michel Foucault’s “episteme”, and the notion of “styles of reasoning” more recently developed by Ian Hacking and Arnold Davidson. This paper takes up this theoretical-historiographical thread by assessing the values and limitations of the notion of “style” for the historical and philosophical study of science. Specifically, reflecting on various methodological (...) and theoretical concerns prompted by sexuality, translation, and East Asian studies, this paper argues that the heretofore ways in which historians and philosophers of science have used the notion of “style” are severely restricted in terms of its mere applicability to the intellectual history of Western science. The particular example of the translation of “homosexuality” into Chinese during the May Fourth era reveals that the notion of “style” has the potential of carrying a much more dynamic conceptual weight, as when used in “styles of argumentation”. The paper also engages briefly with the historiography of scientific “national styles” and ends with some concluding remarks on the limitations of “social histories from below” and the under appreciated importance of “epistemological histories of possibilities”. (shrink)

Family medicine has grown as a specialty from its early days of general practice. It was established as a Board Certified specialty in 1969. This growth and maturation can be traced in the philosophy of family medicine as articulated by Edmund D. Pellegrino, M.D. Long before it was popular to do so, Pellegrino supported the development of family medicine. In this essay I examine the development of Pellegrino's philosophical thought about family practice, and contrast it to other thinkers like Ian (...) McWhinney, Kerr White, Walter Spitzer, Donald Ransom, and Hebert Vandervoort. The arguments focus on whether the goals of family medicine and family practice (possibly two distinct entities) can be articulated, especially considering the definitional problems of family and community. I conclude by echoing Pellegrino's hope that family medicine can contribute a fresh alternative to isolated, individualistic and technological thinking in medicine. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Fiery Test of Critique: A Reading of Kant's Dialectic by Ian ProopsStephen HowardIan Proops. The Fiery Test of Critique: A Reading of Kant's Dialectic. Oxford: Oxford University Press, 2021. Pp. 512. Hardback, $105.00.Ian Proops's book is a substantial contribution to the thriving field of Anglophone scholarship on the Transcendental Dialectic of Kant's Critique of Pure Reason. Across five hundred pages, Proops examines the whole of the Dialectic. (...) The book is divided into three parts, following the disciplines of previous special metaphysics with which Kant critically engages in the Dialectic: rational psychology, cosmology, and theology. Discussions of transcendental illusion and the regulative use of ideas of reason are slotted into the rational psychology and theology parts, respectively.Methodologically, Proops aims to take a middle course between historical and reconstructive approaches (31–32). In historical and reconstructive modes alike, though, Proops is primarily concerned with accurately presenting and rigorously evaluating Kant's arguments in the Dialectic. These arguments come in two forms: either those of the imagined rational psychologist, cosmologist, or theologian, whom Kant ventriloquizes in order to reveal their errors; or those arguments that Kant makes in his own voice. The Fiery Test of Critique distinguishes itself from existing studies through the detail and care with which these arguments are scrutinized. Specialists will find numerous illuminating exegeses and links to a wide range of Kant's published and unpublished writings. Proops does not hesitate to identify where, in his view, Kant's arguments fail (or where those of Kant's ventriloquized metaphysicians fail in a way Kant does not intend), but he endeavors to interpret charitably and to make his own evaluative criteria explicit.The wide-ranging introduction to the book offers intriguing reflections on a metaphor Kant uses for his critique of pure reason: a "fiery test" (8; A 406/B 433). This test, Proops suggests, is best understood not as a religious ordeal by fire but as a "metallurgical assay": the testing of a coin or an ore to determine its precious metal content (9–10). This means that the test of critique "is not pass-fail" (12). Kantian critique identifies some precious metal to be retained alongside the dross (the base-metal bearer) to be discarded. The "gold" [End Page 525] and "silver" found by Kant's fiery test are, Proops contends, respectively the indirect proof of transcendental idealism that emerges from the Antinomy chapter, and the doctrinal beliefs in God and an afterlife that remain after the Paralogism and Ideal (13, 453–54).This application of Kant's metaphor indicates how far Proops diverges from the dismissive views of older Anglo-American studies of the Dialectic (the paradigm being Bennett's Kant's Dialectic [Cambridge: Cambridge University Press, 1974]). Proops's opening questions and goals show that he aims to clarify the precise character of the dogmatic metaphysical claims criticized by Kant, and to identify what of this previous tradition Kant considers worth saving and why (2–7). This focus on the positive contribution of the Dialectic to Kant's philosophy—an approach Proops shares with other recent commentators—is very welcome.For all his illuminating discussion of Kant's Feuerprobe imagery, Proops neglects to note that Kant does not simply identify worthwhile aspects of previous special metaphysics. Rather, the philosophical findings that Proops takes to be the precious results of the critical test are significantly developed in Kant's hands. That is, no pre-Kantian rational cosmologist claims that their debates provide an indirect proof of transcendental idealism (of course). Neither do pre-Kantian rational psychologists or theologians make Kant's move of conceiving of God and the immortal soul as matters of doctrinal belief, where the latter is an epistemic attitude distinct from knowledge and cognition. In the cases that Proops highlights, then, the relevant image seems to be not only a metallurgical test but also an alchemical transformation of previous metaphysical doctrines into positive "critical" results.The parts of the book on the Paralogisms and the Ideal, on which Proops has previously published, will no doubt stimulate further detailed debate among specialists. I leave these debates aside to consider the part of the... (shrink)

I propose to explain Kant’s novel claim, in the Critique of Pure Reason, that all judgments have a formal modality. I begin by distinguishing the modality of a judgment’s form from the modality of its content, and I suggest that the former is peculiar in merely affecting the subject’s understanding of his own act of judging. I then contrast the modal account of such an understanding (in terms of the possibility and actuality of a judgment) with the traditional, non-modal understanding (...) of it (in terms of the giving and withholding of assent). I conclude by suggesting that Kant prefers the former because he conceives of knowledge on Aristotle’s model: as a progress in the mind from capacity to act. (shrink)

In five works spanning a decade, Philip E. Tetlock's interest in counterfactuals has changed. He began with an optimistic desire to make social science more rigorous by identifying best practices in the absence of non-imagined controls for experimentation. Soon, however, he adopted a more pessimistic analysis of the cognitive and psychological barriers facing experts. This shift was brought on by an awareness that experts are not rational Bayesians who continually update their theories to keep up with new information; but instead (...) are affected by political, cognitive, and psychological heuristics, including hindsight bias, cognitive conservatism, and the fundamental attribution error. But techniques of computational simulation-involving the rigorous production of large numbers of counterfactual worlds-make it possible to mitigate both problems that Tetlock identifies: that history, produced only once, is a lousy teacher; and that humans, with their collection of non-Bayesian heuristics, are lousy pupils. Tetlock was wrong to reject this approach as theoretically promising but rhetorically and practically impractical. (shrink)

This chapter aims to contribute to the endeavour of investigating nonhuman animals as experiencing subjects in their own right with their own species-specific histories. Our focus is on the examination of pain experience in animals. We argue that there is need for more research in which pain experience in animals is accounted for in species-specific terms. Making use of empirical studies in the fields of neurobiology, evolutionary-developmental biology, comparative psychology, and cognitive ethology, we try to offer a phenomenological analysis of (...) indications and expressions of pain experience in animals. We attempt to show how different animals are capable of indicating and expressing specific and unique experiences of pain in terms of their particular species, evolution, and places of living in human and natural contexts. (shrink)

In five works spanning a decade, Philip E. Tetlock's interest in counterfactuals has changed. He began with an optimistic desire to make social science more rigorous by identifying best practices in the absence of non-imagined controls for experimentation. Soon, however, he adopted a more pessimistic analysis of the cognitive and psychological barriers facing experts. This shift was brought on by an awareness that experts are not rational Bayesians who continually update their theories to keep up with new information; but instead (...) are affected by political, cognitive, and psychological heuristics, including hindsight bias, cognitive conservatism, and the fundamental attribution error. But techniques of computational simulation-involving the rigorous production of large numbers of counterfactual worlds-make it possible to mitigate both problems that Tetlock identifies: that history, produced only once, is a lousy teacher; and that humans, with their collection of non-Bayesian heuristics, are lousy pupils. Tetlock was wrong to reject this approach as theoretically promising but rhetorically and practically impractical. (shrink)

Health services internationally struggle to ensure health care is “person-centered” (or similar). In part, this is because there are many interpretations of “person-centered care” (and near synonyms), some of which seem unrealistic for some patients or situations and obscure the intrinsic value of patients’ experiences of health care delivery. The general concern behind calls for person-centered care is an ethical one: Patients should be “treated as persons.” We made novel use of insights from the capabilities approach to characterize person-centered care (...) as care that recognizes and cultivates the capabilities associated with the concept of persons. This characterization unifies key features from previous characterisations and can render person-centered care applicable to diverse patients and situations. By tying person-centered care to intrinsically valuable capability outcomes, it incorporates a requirement for responsiveness to individuals and explains why person-centered care is required independently of any contribution it may make to health gain. (shrink)

This article re-evaluates the significance attributed to Hecataeus¿ encounter with the Theban priests described by Herodotus (2.143) by setting it against the evidence of Late Period Egyptian representations of the past. In the first part a critique is offered of various approaches Classicists have taken to this episode and its impact on Greek historiography. Classicists have generally imagined this as an encounter in which the young, dynamic and creative Greeks construct an image of the static, ossified and incredibly old culture (...) of the Egyptians, a move which reveals deeper assumptions in the scholarly discourse on Greeks and ¿other¿ cultures in the Mediterranean world. But the civilization that Herodotus confronted in his long excursus on Egypt was not an abstract, eternal Egypt. Rather, it was the Egypt of his own day, at a specific historical moment ¿ a culture with a particular understanding of its own long history. The second part presents evidence of lengthy Late Period priestly genealogies, and more general archaizing tendencies. Remarkable examples survive of the sort of visual genealogy which would have impressed upon the travelling Greek historians the long continuum of the Egyptian past. These include statues with genealogical inscriptions and relief sculptures representing generations of priests succeeding to their fathers¿ office. These priestly evocations of a present firmly anchored in the Egyptian past are part of a wider pattern of cultivating links with the historical past in the Late Period of Egyptian history. Thus, it is not simply the marvel of a massive expanse of time which Herodotus encountered in Egypt, but a mediated cultural awareness of that time. The third part of the essay argues that Herodotus used this long human past presented by the Egyptian priests in order to criticize genealogical and mythical representations of the past and develop the notion of an historical past. On the basis of this example, the article concludes by urging a reconsideration of the scholarly paradigm for imagining the encounter between Greeks and ¿others¿ in ethnographic discourse in order to recognize the agency of the Egyptian priests, and other non-Greek ¿informants¿. (shrink)

Do Morals Matter? is an accessible and informed guide to contemporary ethical issues that reflects upon the intersection of religion and morality. An informal yet informed guide through the key ethical issues we are facing today, from moral decision making in business and medicine, to the uncertainty of war and terrorism, and the condition of our environment. Reflects on religion’s intersection with morality, exploring the challenge of pluralism in major world religions, and the question of Humanism and God’s role in (...) ethics. Considers the forecast of future situations that will be affected by today’s ethical decisions. Questions what accounts for the variances in ethical beliefs in different cultures, and how we properly reassess our conceptions of ethical standards as new issues arise. Written by the internationally regarded Ian Markham, Dean of Hartford Seminary and author of numerous books on world religions and ethics. (shrink)

Thinking about ethics -- Philosophical ethics -- Why not do wrong? -- Is the ethical a human construct or a factual realm? -- Do you just do what is right or do you try to predict the outcomes? -- Natural law and virtue ethics -- Ethics and the bible -- Learning from the wisdom of the world -- Humanism : do we need god to realize that people just matter? -- Ethical dilemmas -- Dilemmas in bed -- Dilemmas in business (...) -- Dilemmas in medicine -- Dilemmas involving violence and power -- Dilemmas in government and leadership -- Dilemmas and the future : the environment, animals, and plants -- Dilemmas in the cyber world -- Making a decision -- Becoming a morally serious person -- Taking an ethical position. (shrink)

Yet many in the USA and Europe are not familiar with his important work; this book seeks to rectify that gap.In Globalization, Ethics and Islam, Jewish, ...

The value scenario is a useful tool in the sheaf of methods within value sensitive design. When envisioning new technology, this tool supports the designer in speculatively considering relevant stakeholders, values expressed or rebuffed by an artifact’s design, and tensions that may exist between those values. This paper explores how science fiction stories can serve as value scenarios to supplement traditional historical methods, especially when informants are no longer accessible.

The paper aims to put certain basic mathematical elements and operations into an empirical perspective, evaluate the empirical status of various analytic operations widely used within psychology and suggest alternatives to procedures criticized as inadequate. Experimentation shows the "manyness" of items to be a perceptual quality for both young children and animals and that natural operations are performed by naive children analogous to those performed by persons tutored in arithmetic. Number, counting, arithmetic operations therefore can make distinctions that are not (...) inevitably arbitrary, and conceptual operations can obviously have a status as natural events with psychology. If the elements and conceptual operations involved in mathematical systems were not inherent in physiological process, various primitive discriminations could not be possible. Also, since some calculi have a natural status in a given empirical circumstance, the axioms of others can not be satisfied. Therefore the psychologist when acting as an empirical scientist seeks a calculus having a structure whose elements are isomorphic with natural units of stimulus and response and whose operations are isomorphic with whatever natural processes are involved. Measurement poses a special problem for the empirical scientist. It concerns but a single class of natural qualities and this only in a limited way. The concept of quantity has a natural counterpart but quantity and measurement are not wholly analogous. Measurement is defined, as H. S. Leonard suggests, as a theoretical activity. Measurement theory has a formal structure but empirical end. Measurement hypothesizes about the position of a particular quality within a definite range of qualities. It therefore is beholden to definite empirical restrictions. Some hypotheses-making systems use terms and relations per se as the context and starting point for dealing with discriminable events. Such procedures are 'transcendent." In empirical science, questions are part of problem-solving activity and their reference is naturally restricted. In providing description and explanation, psychological researchers frequently use calculi in a transcendent way. This results in theories that are only quasi-empirical and "half" true. The roles measurement plays in psychology are discussed. Of particular concern are those cases in which the results of measuring or a theory of measurement are used to define the "real" units, or the "real" relations involved in problematic psychological events, and thence to describe and explain behaviors of interest. Metaphysical or ontological usages of measurement sometimes occur. The implication of these arguments with regard to a view of empirical science is discussed. (shrink)

Health services internationally struggle to ensure health care is “person-centered” (or similar). In part, this is because there are many interpretations of “person-centered care” (and near synonyms), some of which seem unrealistic for some patients or situations and obscure the intrinsic value of patients’ experiences of health care delivery. The general concern behind calls for person-centered care is an ethical one: Patients should be “treated as persons.” We made novel use of insights from the capabilities approach to characterize person-centered care (...) as care that recognizes and cultivates the capabilities associated with the concept of persons. This characterization unifies key features from previous characterisations and can render person-centered care applicable to diverse patients and situations. By tying person-centered care to intrinsically valuable capability outcomes, it incorporates a requirement for responsiveness to individuals and explains why person-centered care is required independently of any contribution it may make to health gain. (shrink)

Everyday Writing in the Graeco-Roman East. By Roger S. Bagnall. Sather Classical Lectures, vol. 69. Berkeley and Los Angeles: University of California Press, 2011. Pp. xiv + 179, illus. $49.95.

In a companion review1 we discussed the data supporting the conclusion that at least two subtypes of spectrin exist in mammalian brain. One form is found in the cell bodies, dendrites, and post‐synaptic terminals of neurons (brain spectrin(240/235E)) and the other subtype is located in the axons and presynaptic terminals (brain spectrin(240/235)). Our recent understanding of brain spectrin subtype localization suggests a possible explanation for a conundrum concerning brain 4.1 localization. Amelin, an immunoreactive analogue of red blood cell (rbc) cytoskeletal (...) protein 4.1, is localized in neuronal cell bodies and dendrites when brain sections are stained with antibody against rbc protein 4.1. However, it has recently been suggested that synapsin I, a neuron‐specific phosphoprotein associated with the cytoplasmic surface of small synaptic vesicles, is related to erythrocyte 4.1. In this review we hypothesize that there are at least two forms of brain 4.1: a cell body/dendritic form (amelin) which is detected with rbc protein 4.1 antibody, and a unique form found exclusively in the presynaptic terminal (synapsin I). The binding of synapsin I to brain spectrin(240/235), and its ability to stimulate the spectrin/F‐actin interaction in a phosphorylation‐dependent manner suggests a model for the regulation of synaptic transmission mediated by the neuronal cytoskeleton. (shrink)

Meta-languages are vital to the development and usage of formal systems, and yet the nature of meta-languages and associated notions require clarification. Here we attempt to provide a clear definition of the requirements for a language to be a meta-language, together with consideration of issues of proof theory, model theory and interpreters for such a language.

While pharmaceutical industry involvement in producing, interpreting, and regulating medical knowledge and practice is widely accepted and believed to promote medical innovation, industry-favouring biases may result in prioritizing corporate profit above public health. Using diabetes as our example, we review successive changes over forty years in screening, diagnosis, and treatment guidelines for type 2 diabetes and prediabetes, which have dramatically expanded the population prescribed diabetes drugs, generating a billion-dollar market. We argue that these guideline recommendations have emerged under pervasive industry (...) influence and persisted, despite weak evidence for their health benefits and indications of serious adverse effects associated with many of the drugs they recommend. We consider pharmaceutical industry conflicts of interest in some of the research and publications supporting these revisions, and in related standard-setting committees and oversight panels. We raise concern over the long-term impact of these multifaceted involvements. Rather than accept industry conflicts of interest as normal, needing only to be monitored and managed, we suggest challenging that normalcy, and ask: what are the real costs of tolerating such industry participation? We urge the development of a broader focus to fully understand and curtail the systemic nature of industry’s influence over medical knowledge and practice. (shrink)