Background: Discussions about medical errors facilitate professional learning for physicians and may provide emotional support after an error, but little is known about physicians’ attitudes and practices regarding error discussions with colleagues.Methods: Survey of faculty and resident physicians in generalist specialties in Midwest, Mid-Atlantic and Northeast regions of the US to investigate attitudes and practices regarding error discussions, likelihood of discussing hypothetical errors, experience role-modelling error discussions and demographic variables.Results: Responses were received from 338 participants . In all, 73% of (...) respondents indicated they usually discuss their mistakes with colleagues, 70% believed discussing mistakes strengthens professional relationships and 89% knew at least one colleague who would be a supportive listener. Motivations for error discussions included wanting to learn whether a colleague would have made the same decision , wanting colleagues to learn from the mistake and wanting to receive support . Given hypothetical scenarios, most respondents indicated they would likely discuss an error resulting in no harm , minor harm or major harm . Fifty-seven percent of physicians had tried to serve as a role model by discussing an error and role-modelling was more likely among those who had previously observed an error discussion .Conclusions: Most generalist physicians in teaching hospitals report that they usually discuss their errors with colleagues, and more than half have tried to role-model discussions. However, a significant number of these physicians report that they do not usually discuss their errors and some do not know colleagues who would be supportive listeners. (shrink)

There has been much discussion about the nature and even existence of so-called “pure conscious events” (PCEs). PCEs are often described as mental events which are non-conceptual and lacking all experiential content (Forman 1990). For a variety of reasons, a number of authors have questioned both the accuracy of such a characterization and even the very existence of PCEs (Katz 1978, Bagger 1999). In this chapter, I take a somewhat different, but also critical, approach to the nature and possibility (...) of PCEs. I focus on several overlapping views found in recent analytic philosophy of mind and examine PCEs in light of them. After introducing terminology and some preliminary matters, I examine whether or not the “higher-order thought (HOT) theory of consciousness” rules out the possibility of PCEs, and conversely, whether or not PCEs show that the HOT theory cannot apply to all conscious states. The HOT theory says that what makes a mental state conscious is that it is accompanied by a higher-order thought to the effect that “I am in mental state M now.” A related theme will be to assess PCEs in light of the recent debate between so-called “conceptualists” and those who believe that there are “non-conceptual contents of experience.” Conceptualism, to which I am very sympathetic, is basically the view that all conscious experience is structured by concepts possessed by the subject. I argue that PCEs are indeed conceptual and so no threat to conceptualism. For example, standard criticisms of conceptualism do not apply to PCEs. Finally, I examine the possibility that PCEs are not conscious at all. In the end, my overall conclusion is that we should hold that PCEs are indeed compatible with both HOT theory and conceptualism or seriously question the idea that PCEs are conscious at all. (shrink)

En su Investigación sobre el entendimiento humano, David Hume consideró la cuestión de las relaciones entre libertad y necesidad como “el tema más discutido de la metafísica, la ciencia más discutida”. El debate sobre esta venerable cuestión sigue siendo hoy tan vivo como lo fue en tiempos de Hume. El presente volumen colectivo es una buena muestra de ello. Los ensayos que lo forman, escritos desde una pluralidad de perspectivas, ponen de manifiesto la complejidad y la unidad interna del (...) problema al que responden. Elaborados con un estilo carente de tecnicismos, pero no de rigor, estos Ensayos sobre libertad y necesidad despertarán el interés tanto de la persona culta como del especialista en filosofía. (shrink)

Are mystical experiences primarily formed by the mystic's cultural background and concepts, as modern day "constructivists" maintain, or do mystics in some way transcend language, belief, and culturally conditioned expectations? Do mystical experiences differ in the different religious traditions, as "pluralists" contend, or are they identical across cultures? Twelve contributors here attempt to answer these questions through close examination of a particular form of mystical experience, "Pure Consciousness"--the experience of being awake but devoid of intentional content for consciousness. The contributors (...) analyze pure consciousness and other mystical experiences from historical Hindu, Buddhist, Christian, and Jewish sources, as well as from modern mystics. They demonstrate that pure consciousness poses serious conceptual problems for a contructivist understanding of mysticism. Revealing the inconsistencies and inadequacies of current models, they make significant strides towards developing new models for the phenomenon of mysticism, breaking new ground for our understanding of mysticism and of human experience in general. (shrink)

Many normative political theorists have engaged in the systematic collection and/or analysis of empirical data to inform the development of their arguments over the past several decades. Yet, the approach they employ has typically not been treated as a distinctive mode of theorizing. It has been mostly overlooked in surveys of normative political theory methods and methodologies, as well as by those critics who assert that political theory is too abstracted from actual political contestation. Our aim is to unearth this (...) grounded normative theory (GNT) approach – to identify its definitive practices and highlight its potential significance. We detail four overlapping commitments characteristic of GNT. These include commitments to expanding the comprehensiveness of input for normative arguments through original empirical research and/or analysis, recursivity in the development of normative claims, attentiveness to the systematic inclusion of a range of voices and ways of knowing, and accountability to those engaged by the theorist in empirical contexts. We discuss methodological distinctions within GNT, including between more- and less-solidaristic approaches. We discuss how GNT answers calls for theorists to engage more closely with empirical political dynamics and we consider responses to possible critiques. (shrink)

Recent studies indicate that mammalian chromosomes contain discretecis‐acting loci that control replication timing, mitotic condensation, and stability of entire chromosomes. Disruption of the large non‐coding RNA gene ASAR6 results in late replication, an under‐condensed appearance during mitosis, and structural instability of human chromosome 6. Similarly, disruption of the mouse Xist gene in adult somatic cells results in a late replication and instability phenotype on the X chromosome. ASAR6 shares many characteristics with Xist, including random mono‐allelic expression and asynchronous replication timing. (...) Additional “chromosome engineering” studies indicate that certain chromosome rearrangements affecting many different chromosomes display this abnormal replication and instability phenotype. These observations suggest that all mammalian chromosomes contain “inactivation/stability centers” that control proper replication, condensation, and stability of individual chromosomes. Therefore, mammalian chromosomes contain four types ofcis‐acting elements, origins, telomeres, centromeres, and “inactivation/stability centers”, all functioning to ensure proper replication, condensation, segregation, and stability of individual chromosomes. (shrink)

In perpetuating and exacerbating restricted access to essential medicines, current trade-related intellectual property rules on medicines may violate core human rights to health and medicines. In this light, there should be serious questions about their necessity, and their justification should be critically assessed from the perspective of human rights standards.

Throws down a challenge to religious studies, offering a multidisciplinary approach - including developmental psychology, neuropsychology, philosophy of mind, and anthropology.

A historical investigation of the exclusion of Africa and Asia from modern histories of philosophy.

This 2010 text pursues Adam Smith's views on moral judgement, humanitarian care, commerce, justice and international law both in historical context and through a twenty-first-century cosmopolitan lens, making this a major contribution not only to Smith studies but also to the history of cosmopolitan thought and to contemporary cosmopolitan discourse itself. Forman-Barzilai breaks ground, demonstrating the spatial texture of Smith's moral psychology and the ways he believed that physical, affective and cultural distance constrain the identities, connections and ethical obligations (...) of modern commercial people. Forman-Barzilai emphasizes his resistance to the sort of relativism, moral insularity and cultural chauvinism that too often accompany localist critiques of cosmopolitan thought today. This is a fascinating, revisionist study that integrates the perspectives of intellectual history, moral philosophy, political theory, cultural theory, international relations theory and political economy, and will appeal across the humanities and social sciences. (shrink)

Kant’s account of the freedom gained through virtue builds on the Socratic tradition. On the Socratic view, when morality is our end, nothing can hinder us from attaining satisfaction: we are self-sufficient and free since moral goodness is (as Kant says) “created by us, hence is in our power.” But when our end is the fulfillment of sensible desires, our satisfaction requires luck as well as the cooperation of others. For Kant, this means that happiness requires that we get other (...) people to work for our ends; and this requires, in turn, that we gain control over the things other people value so as to have influence over them. If this plan for happiness is not subordinated to morality, then what is most valuable to us will be precisely what others value. This is the root of the “passions” that make us evil and make us slaves whose satisfaction depends on others. But, significantly, this dependence is a moral slavery and hence does not signal a loss, or even diminishment of the kind of freedom required for moral responsibility. (shrink)

Hegel's discussion of the concept of “habit” appears at a crucial point in his Encyclopedia system, namely, in the transition from the topic of “nature” to the topic of “spirit” (Geist): it is through habit that the subject both distinguishes itself from its various sensory states as an absolute unity (the I) and, at the same time, preserves those sensory states as the content of sensory consciousness. By calling habit a “second nature,” Hegel highlights the fact that incipient spirit retains (...) a “moment” of the natural that marks a limitation compared to “pure thought” but that also makes perceptual consciousness possible. This makes Hegel's account analogous in important respects to John McDowell's “naturalism of second nature.” But Hegel's account of habit can be seen as a version of a Kantian synthesis of the productive imagination—and hence presupposes a given material that can become one's own by means of habit. This does not mean that Hegel falls into the Myth of the Given, but it does suggest that an appropriate account of second nature might be committed to something McDowell wants to deny: that nonconceptual states of consciousness play a role (even if not a justificatory role) in perception. (shrink)

Vaesen infers unique properties of mind from the appearance of specific cultural innovation – a correlation without causal direction. Shifts in habitat, population density, and group dynamics are the only independently verifiable incentives for changes in cultural practices. The transition from Acheulean to Late Stone Age technologies requires that we consider how population and social dynamics affect cultural innovation and mental function.

For Kant, any authentic moral demands are wholly distinct from the demands of prudence. This has led critics to complain that Kantian moral demands are incompatible with our human nature as happiness-seekers. Kant’s defenders have pointed out, correctly, that Kant can and does assert that it is permissible, at least in principle, to pursue our own happiness. But this response does not eliminate the worry that a life organized around the pursuit of virtue might turn out to be one from (...) which we cannot expect any of this (permissible) happiness. To address this worry, Kant would need to establish that there is a kind of harmony between virtue and our own happiness that can give us confidence that aiming at morality does not require us to abandon our hope for happiness in this life. This paper aims to show that Kant—building on insights from Rousseau that Kant identifies with Cynicism—does offer an account of such a harmony between virtue and worldly happiness. (shrink)

One of the most exciting aspects of this journal, of which I am proud to be an executive editor, is that it has become a venue in which so many distinct fields can interact on a single question, that of consciousness. I know of no other question, or journal, which has brought together so many voices, from so many fields, to swirl around a single topic. It is exciting both to provide a forum and to be a part of this (...) debate. In this article I would like to bring the findings of my somewhat unusual but increasingly accepted field -- mysticism-- to the discussion, for I think they may offer some helpful insights about consciousness. Why? When a biologist seeks to understand a complex phenomenon, one key strategy is to look to at it in its simplest form. Probably the most famous is the humble bacterium E. coli. Its simple gene structure has allowed us to understand much of the gene functioning of complex species. Similarly many biologists have turned to the `memory' of the simple sea slug to understand our own more kaleidoscopic memory. Freud and Durkheim both used totemism, which they construed as the simplest form of religion, to understand the complexities of religious life. The methodological principle is: to understand something complex turn to its simple forms. (shrink)

The concept of second nature plays a central role in McDowell's project of reconciling thought's external constraint with its spontaneity or autonomy: our conceptual capacities are natural in the sense that they are fully integrated into the natural world, but they are a second nature to us since they are not reducible to elements that are intelligible apart from those conceptual capacities. Rather than offering a theory of second nature and an account of how we acquire one, McDowell suggests that (...) Aristotle's account of ethical character formation as the acquisition of a second nature serves as a model that can reassure us that thought's autonomy does not threaten its naturalness. However, far from providing such reassurance, the Aristotelian model of second nature actually generates an anxiety about how the acquisition of such autonomous conceptual abilities could be possible. (shrink)

The first English translation of Fichte’s second set of 1804 lectures on the Wissenschaftslehre.

erkennung der Postmodernität: Hilfen für Historiker – und Historiker der Wissenschaften im Besonderen. Ausgehend von einer Unterscheidung zwischen der Postmodernit?t als einer von der Modernit?t durch eine breite Umkehr ihrer kulturellen Grundannahmen abgegrenzten historischen Ära und dem Postmodernismus – einer von den selbsternannten Postmodernisten in der frühen Postmodernität angenommenen intellektuellen Attitüde – thematisiert der Aufsatz zwei grundsätzliche Charakteristika der Postmodernität: Erstens die Umkehrung der kulturellen Rangfolge von Wissenschaft und Technik, worin Postmodernität und Postmodernismus übereinstimmen. Zweitens die Ablösung des Ideals eines (...) methodisch vorgehenden, uneigennützigen Wissenschaftlers, nicht durch ein fragmentiertes Subjekt, wie der Postmodernismus behauptet, sondern durch den einseitig interessierten Unternehmer, welcher unter Missachtung aller Regeln hartnäckig seine Eigeninteressen verfolgt. Diese Umkehr in Bedeutung und Rolle von Wissenschaft und Technologie, die um 1980 begann, ist ein Kennzeichen des Übergangs von der Modernit?t zur Postmodernität. Diese Umkehr ist primär zu erkennen als eine Ablehnung des Regelhaften, des methodischen Vorgehens – mit dem “Methodismus” als einer die Modernität auszeichnenden kulturellen Perspektive – aber auch als eine Ablehnung der Uneigennützigkeit, einer in der Modernität besonders wert geschätzten Geisteshaltung. Postmodernität konstituiert sich somit als diese Umwertung der Werte, die ihre Quelle im ich-fixierten, transgressiven und “risiko”-freudigen postmodernen Individuum und seinen anti-sozialen Annahmen in Bezug auf Persönlichkeit hat. In der Wissenschaftsgeschichte selbst findet sich daher seit circa 1980 ein entsprechender Wandel der wissenschaftlichen Aufmerksamkeit weg von der Wissenschaft und hin zur Technologie. Damit einhergeht eine erstaunliche Vermeidung sozialhistorischer Perspektivierung, wie sie sich nicht zuletzt in der Abkehr von kausalistischen “Einfluss”-Erklärungen zugunsten voluntaristischer “Ressourcen”-Erklärungen spiegelt.cognizing Postmodernity: Helps for Historians – of Science Especially. stmodernity, a historical era demarcated from modernity by a broad reversal in cultural presuppositions, is distinguished from postmodernism, an intellectual posture adopted by self-identified postmodernists early in postmodernity. Two principal features of postmodernity are addressed: first, the downgrading of science and the upgrading of technology in cultural rank – on which postmodernity and postmodernism are in accord; second, the displacement of the methodical, disinterested scientist, modernity's beau ideal, not by a fragmented subject as postmodernism claims, but by the single-minded entrepreneur, resourcefully pursuing his self-interest in disregard of all rules. The reversal in rank and role as between science and technology, setting in circa 1980, is a marker of the transition from modernity to postmodernity. That reversal is to be cognized primarily as rejection of rule-following, of proceeding methodically – ‘methodism’ being the cultural perspective that uniquely distinguished modernity – but also as rejection of disinterestedness, the quality of mind especially highly esteemed in modernity. Postmodernity is constituted by this transvaluation of values, whose well-spring is the egocentric, transgressive , postmodern personality and its anti-social presumptions regarding personhood. Within the history of science itself there has been since circa 1980 a corresponding turn of scholarly attention away from science to technology, and a growing distaste for social perspectives, reflected, i. a., in the rejection of causalist ‘influence’ explanations in favor of voluntarist ‘resource’ explanations. (shrink)

One of the most exciting aspects of this journal, of which I am proud to be an executive editor, is that it has become a venue in which so many distinct fields can interact on a single question, that of consciousness. I know of no other question, or journal, which has brought together so many voices, from so many fields, to swirl around a single topic. It is exciting both to provide a forum and to be a part of this (...) debate. In this article I would like to bring the findings of my somewhat unusual but increasingly accepted field -- mysticism-- to the discussion, for I think they may offer some helpful insights about consciousness. Why? When a biologist seeks to understand a complex phenomenon, one key strategy is to look to at it in its simplest form. Probably the most famous is the humble bacterium E. coli. Its simple gene structure has allowed us to understand much of the gene functioning of complex species. Similarly many biologists have turned to the `memory' of the simple sea slug to understand our own more kaleidoscopic memory. Freud and Durkheim both used totemism, which they construed as the simplest form of religion, to understand the complexities of religious life. The methodological principle is: to understand something complex turn to its simple forms. (shrink)

Orthologic is defined by weakening the axioms and rules of inference of the classical propositional calculus. The resulting Lindenbaum-Tarski quotient algebra is an orthoimplication algebra which generalizes the author's implication algebra. The associated order structure is a semi-orthomodular lattice. The theory of orthomodular lattices is obtained by adjoining a falsity symbol to the underlying orthologic or a least element to the orthoimplication algebra.

Providing an original and systematic treatment of foundational issues in philosophy of religion, J. L. Schellenberg's new book addresses the structure of..

For Sellars, the possibility of empirical knowledge presupposes the existence of "sense impressions" in the perceiver, i.e., non-conceptual states of perceptual consciousness. But this role for sense impressions does not implicate Sellars' account in the Myth of the Given: sense impressions do not stand in a justificatory relation to instances of perceptual knowledge; their existence is rather a condition for the possibility of the acquisition of empirical concepts. Sellars suggests that learning empirical concepts presupposes that we can remember certain past (...) facts that we could not conceptualize at the time they obtained. And such memory presupposes, in turn, the existence of certain (past) non-conceptual sensory states that can be conceptualized. (shrink)