In this paper, we report on the development and validity of the Professional Decision-Making in Research measure, a vignette-based test that examines decision-making strategies used by investigators when confronted with challenging situations in the context of empirical research. The PDR was administered online with a battery of validity measures to a group of NIH-funded researchers and research trainees who were diverse in terms of age, years of experience, types of research, and race. The PDR demonstrated adequate reliability and parallel form (...) correlation. As hypothesized, the PDR was significantly negatively correlated with narcissism, cynicism, moral disengagement, and compliance disengagement; it was not correlated with socially desirable responding. In regression analysis, the strongest predictors of higher PDR scores were low compliance disengagement, speaking English as a native language, conducting clinical research with human subjects, and low levels of narcissism. Given that the PDR was written at an eighth grade reading level to be suitable for use with English as a second language participants and that only one-fourth of items focused on clinical research, further research into the possible roles of culture and research ethics training across specialties is warranted. This initial validity study demonstrates the potential usefulness of the PDR as an educational outcome assessment measure and a research instrument for studies on professionalism and integrity in research. (shrink)

We take another look at “Just-So” solar neutrino oscillations, characterizing them by the energy Eπ/2 at which the distance-varying angle is π/2, instead of by the usual Δm 2 . The rising spectrum recently observed by SuperKamiokande is consistent with an Eπ/2 ∼6–9 MeV and marginally with 48 MeV. The pp neutrinos must then be reduced to one-half the standard solar model prediction, and 7Be neutrinos must make up a significant part of the SAGE and GALLEX gallium signal. For Eπ/2 (...) close to 9 and 48 MeV, the 7Be neutrinos will also show a large seasonal variation, emphasizing the importance of direct measurements of the 7Be neutrinos. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Editors’ NoteJames M. DuBois, Ana S. Iltis, and Heidi A. WalshFrom childhood, David Slakter had undergone tests and invasive procedures to monitor his nephritis. It was not a surprise when in 2015, doctors told him he needed a kidney transplant. The wife of a childhood friend was a close match and gave him one of her kidneys. Before his transplant, aerobic exercise was difficult; a few months after transplant, (...) Slakter could ride his bike, hike, and work out with a personal trainer. He no longer had to weigh food or gauge his potassium consumption, a concern for people with kidney failure. For Slakter, “life post-transplant has been a significant improvement.”Individuals or family members of those who have received an organ transplant from a living or deceased donor share their stories in this issue of Narrative Inquiry in Bioethics. The symposium is titled “Receiving the Gift of Life: Stories from Organ Transplant Recipients.” Organ transplantation can extend an individual’s life by decades. It can also greatly improve an individual’s quality of life, as was Slakter’s experience. At the same time, organ transplantation is expensive and stressful. Recipients can experience complications, including organ rejection, and there are few appealing alternatives.After her heart transplant, author Leilani R. Graham required four open-heart surgeries, ECMO, and an intra-aortic balloon pump. She experienced delirium, necrotizing pneumonia, and severe muscular atrophy that required her to re-learn how to walk. She struggled with weight gain, explosive mood swings, hair loss, and was terrified that her body would reject the new heart. For Graham, “[Transplant] was not the miracle [she] was hoping for.” Graham says she felt unprepared for and inadequately informed about what to expect after her transplant, which left her “battered, beaten, and bruised” with a 12-inch line from neck to navel and “bullet holes” up and down her torso from the chest tubes. When reflecting on her experience post-transplant, Graham says, “It wasn’t the physical trauma that hurt the most. It was that no one seemed surprised [by the aftereffects of transplant].” Seemingly no one, that is except Graham, who calls on transplant providers to “prioritize empathy.”The symposium editors are Jason T. Eberl and Tristan McIntosh. Three commentary articles, written by Macey Leigh Levan, Heather Lannon, and Vidya A. Fleetwood, Roslyn B. Mannon & Krista L. Lentine, offer important insights into the authors’ stories. The editors thank Mid-America Transplant, the UCSF Lung Transplant Program, Donor Connect, William L. Freeman, MD, MPH, MJIL, CIP, Janet Monk, and the individuals who gave anonymous donations to support the publication of this issue, an open-access VOICES edition of the symposium, and accompanying teaching guides.The research article in this issue, “‘A Shell of My Former Self’: Using Figurative Language to Promote Communication about Patient Suffering,” was written by Tyler Tate, Elizabeth Stein, and Robert A. Pearlman. The relief of suffering is a primary goal of medicine. However, the authors note that clinicians often miss or ignore suffering because they focus on the causes rather than the experience of suffering, or the subjective nature of suffering makes it difficult to discuss. The authors believe that “the key to communicating about suffering lies in finding [End Page vii] the right kind of words to describe the experience” and say that figurative language offers a promising approach. In their research, the authors performed qualitative analysis on 52 works of literature and identified 254 excerpts of figurative language with themes of non-physical or psychological suffering. The authors found 13 salient themes: brokenness, diminishment, disorientation, drowning, emptiness, imprisonment, battle, darkness, isolation, invisibility, lifelessness, punishment, and torture. The authors reiterate that developing a shared language of suffering could foster a therapeutic patient-clinician relationship and improve clinicians’ ability to recognize and address a patient’s experience of suffering.María Susana Ciruzzi wrote the first of two case studies included in this issue. “The Sword of King Solomon” addresses a tragic and difficult subject—how to navigate the situation posed by conjoined twins when “any decision will produce damage and suffering.” The case involves two infant male patients born at 37 weeks gestation as omphalo-ischiopagus conjoined twins... (shrink)

Surgeons share their challenges and dilemmas in making ethical decisions in these twelve personal stories. The three commentary articles draw out the lessons the stories address. The commentators come from diverse backgrounds including sociology, bioethics, nursing, and surgery.

I take it as my assignment to criticize the Gauthier enterprise. At the outset, however, I should express my general agreement with David Gauthier's normative vision of a liberal social order, including the place that individual principles of morality hold in such an order. Whether the enterprise is, ultimately, judged to have succeeded or to have failed depends on the standards applied. Considered as a coherent grounding of such a social order in the rational choice behavior of persons, the enterprise (...) fails. Considered as an extended argument implying that persons should adopt the moral stance embodied in the Gauthier structure, the enterprise is, I dunk, largely successful. Considered as a set of empirically falsifiable propositions suggesting that persons do, indeed, choose as the Gauthier precepts dictate, the enterprise offers Humean hope rather than Hobbesian despair. (shrink)

This book defends the view that any adequate account of rational decision making must take a decision maker's beliefs about causal relations into account. The early chapters of the book introduce the non-specialist to the rudiments of expected utility theory. The major technical advance offered by the book is a 'representation theorem' that shows that both causal decision theory and its main rival, Richard Jeffrey's logic of decision, are both instances of a more general conditional decision theory. The book solves (...) a long-standing problem for Jeffrey's theory by showing for the first time how to obtain a unique utility and probability representation for preferences and judgements of comparative likelihood. The book also contains a major new discussion of what it means to suppose that some event occurs or that some proposition is true. The most complete and robust defence of causal decision theory available. (shrink)

Employing the techniques of modern economic analysis, Professor Buchanan reveals the conceptual basis of an individual's social rights by examining the ...

This paper provides an analysis of the key term aidagara ('betweenness') in the philosophical ethics of Watsuji Tetsurō (1889-1960), in response to and in light of the recent movement in Japanese Buddhist studies known as 'Critical Buddhism'. The Critical Buddhist call for a turn away from 'topical' or intuitionist thinking and towards (properly Buddhist) 'critical' thinking, while problematic in its bipolarity, raises the important issue of the place of 'reason' vs 'intuition' in Japanese Buddhist ethics. In this paper, a comparison (...) of Watsuji's 'ontological quest' with that of Martin Heidegger (1889-1976), Watsuji's primary Western source and foil, is followed by an evaluation of a corresponding search for an 'ontology of social existence' undertaken by Tanabe Hajime (1885-1962). Ultimately, the philosophico-religious writings of Watsuji Tetsurō allow for the 'return' of aesthesis as a modality of social being that is truly dimensionalized, and thus falls prey neither to the verticality of topicalism nor the limiting objectivity of criticalism. (shrink)

Andy Egan has recently produced a set of alleged counterexamples to causal decision theory in which agents are forced to decide among causally unratifiable options, thereby making choices they know they will regret. I show that, far from being counterexamples, CDT gets Egan's cases exactly right. Egan thinks otherwise because he has misapplied CDT by requiring agents to make binding choices before they have processed all available information about the causal consequences of their acts. I elucidate CDT in a way (...) that makes it clear where Egan goes wrong, and which explains why his examples pose no threat to the theory. My approach has similarities to a modification of CDT proposed by Frank Arntzenius, but it differs in the significance that it assigns to potential regrets. I maintain, contrary to Arntzenius, that an agent facing Egan's decisions can rationally choose actions that she knows she will later regret. All rationality demands of agents it that they maximize unconditional causal expected utility from an epistemic perspective that accurately reflects all the available evidence about what their acts are likely to cause. This yields correct answers even in outlandish cases in which one is sure to regret whatever one does. (shrink)

Isaac Levi has long criticized causal decisiontheory on the grounds that it requiresdeliberating agents to make predictions abouttheir own actions. A rational agent cannot, heclaims, see herself as free to choose an actwhile simultaneously making a prediction abouther likelihood of performing it. Levi is wrongon both points. First, nothing in causaldecision theory forces agents to makepredictions about their own acts. Second,Levi's arguments for the ``deliberation crowdsout prediction thesis'' rely on a flawed modelof the measurement of belief. Moreover, theability of agents (...) to adopt beliefs about theirown acts during deliberation is essentialto any plausible account of human agency andfreedom. Though these beliefs play no part inthe rationalization of actions, they arerequired to account for the causalgenesis of behavior. To explain the causes ofactions we must recognize that (a) an agentcannot see herself as entirely free in thematter of A unless she believes herdecision to perform A will cause A,and (b) she cannot come to a deliberatedecision about A unless she adoptsbeliefs about her decisions. FollowingElizabeth Anscombe and David Velleman, I arguethat an agent's beliefs about her own decisionsare self-fulfilling, and that this can beused to explain away the seeming paradoxicalfeatures of act probabilities. (shrink)

_Eros, Wisdom, and Silence_ is a close reading of Plato’s Seventh Letter and his dialogues _Symposium_ and _Phaedrus_, with significant attention also given to _Alcibiades I_. A book about love, James Rhodes’s work was conceived as a conversation and meant to be read side by side with Plato’s works and those of his worthy interlocutors. It invites lovers to participate in conversations that move their souls to love, and it also invites the reader to take part in the author’s (...) dialogues with Plato and his commentators. Rhodes addresses two closely related questions: First, what does Plato mean when he says in the Seventh Letter that he never has written and never will write anything concerning that about which he is serious? Second, what does Socrates mean when he claims to have an art of eros and that this _techne_ is the only thing he knows? Through careful analysis, Rhodes establishes answers to these questions. He determines that Plato cannot write anything concerning that about which he is serious because his most profound knowledge consists of his soul’s silent vision of ultimate, transcendent reality, which is ineffable. Rhodes also shows that, for Socrates, eros is a symbol for the soul’s experience of divine reality, which pulls every element of human nature toward its proper end, but which also leads people to evil and tyranny when human resistance causes it to become diseased. Opening up a new avenue of Plato scholarship, _Eros, Wisdom, and Silence_ is political philosophy at its conversational best. Scholars and students in political philosophy, classical studies, and religious studies will find this work invaluable. (shrink)

The ontological argument appears in a multiplicity of forms. Over the past ten or twelve years, however, the philosophical community seems to have been concerned principally with those versions of the proof which claim that God is a necessary being. In contemporary literature, Professors Malcolm and Hartshorne have been the chief advocates of this view, both men holding that God must be conceived as a necessary being and that, as a result, his existence is able to be demonstrated a priori (...) . This claim has not gone unchallenged; indeed, numerous writers have argued that neither Malcolm nor Hartshorne has exercised due care in his use of ‘necessary’. That is, critics charge that the arguments of both men have only the appearance of validity, for in their reasonings the defenders of the a priori proof have tacitly assumed that God is a logically necessary being. Whether or not a being can be logically necessary, however, is a quaestio disputata . In fact, until recently the question was not in dispute at all—virtually all ‘competent judges’ agreed that only propositions could be spoken of as logically necessary, and thus that God must be defined as a physically or factually necessary being. But is the statement, ‘a physically necessary being exists’, logically true? Critics of the ontological argument think not; and in support of this view they offer analyses of ‘physical necessity’ which, they feel, not only give meaning to the phrase, but also show that a physically necessary being's existence can be proven only by some kind of a posteriori investigation. (shrink)

All of the major themes of Edmund Husserl's phenomenology, from the Logical Investigations to The Crisis of the European Sciences, are investigated from a critical point of view by James M. Edie. The philosophy of logic is considered insofar as it relates to the phenomenological and transcendental foundation of logic itself. Transcendental logic is studied with reference to both the formal logic of Aristotle and Leibniz and the dialectical logic of Hegel. Edie considers Husserl's theories of meaning and reference, (...) intentionality, the distinction between perceptual and eidetic intuition, the notion of the ideality of meaning, the laws of objectivity in general, and formal and material ontology, as well as Husserl's reinterpretation of the apriori. (shrink)

Hubert Dreyfus has argued that cases of absorbed bodily coping show that there is no room for self-awareness in flow experiences of experts. In this paper, I argue against Dreyfus’ maxim of vanishing self-awareness by suggesting that awareness of agency is present in expert bodily action. First, I discuss the phenomenon of absorbed bodily coping by discussing flow experiences involved in expert bodily action: merging into the flow; immersion in the flow; emergence out of flow. I argue against the claim (...) that flow experience does not involve an awareness of agency for each of these features, while conceding that fluent agency does not involve self-awareness in the thetic sense. I challenge the assumption that the awareness of fluent agency must be understood in terms of a thetic awareness of agency. Instead, I develop an Anscombean account of the awareness of fluent agency in terms of the phenomenal character of knowing one’s aims. I respond to the challenge that if an Anscombean account of the awareness of agency is to succeed, then agents must be able to answer Anscombean questions. I consider the objection that awareness of agency is not a form of self-awareness by outlining an account of self-awareness as self-synthesis that is distinct from self-perception and self-ascription, but which makes room for self-awareness in expert bodily action. (shrink)

Richard Jeffrey long held that decision theory should be formulated without recourse to explicitly causal notions. Newcomb problems stand out as putative counterexamples to this ‘evidential’ decision theory. Jeffrey initially sought to defuse Newcomb problems via recourse to the doctrine of ratificationism, but later came to see this as problematic. We will see that Jeffrey’s worries about ratificationism were not compelling, but that valid ratificationist arguments implicitly presuppose causal decision theory. In later work, Jeffrey argued that Newcomb problems are not (...) decisions at all because agents who face them possess so much evidence about correlations between their actions and states of the world that they are unable to regard their deliberate choices as causes of outcomes, and so cannot see themselves as making free choices. Jeffrey’s reasoning goes wrong because it fails to recognize that an agent’s beliefs about her immediately available acts are so closely tied to the immediate causes of these actions that she can create evidence that outweighs any antecedent correlations between acts and states. Once we recognize that deliberating agents are free to believe what they want about their own actions, it will be clear that Newcomb problems are indeed counterexamples to evidential decision theory. (shrink)

Bayesianism claims to provide a unified theory of epistemic and practical rationality based on the principle of mathematical expectation. In its epistemic guise it requires believers to obey the laws of probability. In its practical guise it asks agents to maximize their subjective expected utility. Joyce’s primary concern is Bayesian epistemology, and its five pillars: people have beliefs and conditional beliefs that come in varying gradations of strength; a person believes a proposition strongly to the extent that she presupposes its (...) truth in her practical and theoretical reasoning; rational graded beliefs must conform to the laws of probability; evidential relationships should be analyzed subjectively in terms of relations among a person’s graded beliefs and conditional beliefs; empirical learning is best modeled as probabilistic conditioning. Joyce explains each of these claims and evaluates some of the justifications that have been offered for them, including “Dutch book,” “decision-theoretic,” and “non-pragmatic” arguments for and. He also addresses some common objections to Bayesianism, in particular the “problem of old evidence” and the complaint that the view degenerates into an untenable subjectivism. The essay closes by painting a picture of Bayesianism as an “internalist” theory of reasons for action and belief that can be fruitfully augmented with “externalist” principles of practical and epistemic rationality. (shrink)

In classical theism, God is typically conceived of as having the attribute of omnipresence. However, this attribute often falls prey to two puzzles, the immateriality puzzle and the intensity puzzle. A recent explication of omnipresence by Hud Hudson falls short of solving these puzzles. By attending to key narratives in the Hebrew Scriptures, I argue that one ought to conceive of God’s presence at a location as God’s acting at that location. Thus, God’s omnipresence is God’s acting at all locations.

Any discussion of Wittgenstein's philosophical thought would be incomplete without taking notice of the method he employs. Often criticized for his style and organization, many feel that they are indicative of his state of mind; that such a lack of rigid argumentation betrays an inadequacy within the arguments themselves. However, criticism of Wittgenstein along these lines only serves to demonstrate a superficial reading of his texts. Not simply content (or even able) to just present us with the results of his (...) investigations, Wittgenstein coaxes the reader into taking up an investigation of his own by means of an open dialogue. As a dialogue, we are not confronted with a traditional argumentative structure, i.e. the stating of theses and their subsequent defense. Rather, Wittgenstein attempts to draw the reader away from the obvious by means of an indirect method of discourse. (shrink)