Objective We sought to understand ethics and education needs of emergency nurses and physicians in paediatric and adult emergency departments in order to build ethics capacity and provide a foundation for the development of an ethics education programme. Methods This was a prospective cross-sectional survey of all staff nurses and physicians in three tertiary care EDs. The survey tool, called Clinical Ethics Needs Assessment Survey, was pilot tested on a similar target audience for question content and clarity. Results Of the (...) 123 participants surveyed, 72% and 84% of nurses and physicians fully/somewhat agreed with an overall positive ethical climate, respectively. 69% of participants reported encountering daily or weekly ethical challenges. Participants expressed the greatest need for additional support to address moral distress, conflict management with patients or families and resource issues. Of the 23 reported occurrences of moral distress, 61% were associated with paediatric mental health cases. When asked how the ethics consultation service could be used in the ED, providing education to teams was the most desired method. Conclusions Nurses report a greater need for ethics education and resources compared with their physician colleagues. Ethical challenges in paediatric EDs are more prevalent than adult EDs and nurses voice specific moral distress that are different than adult EDs. These results highlight the need for a suitable educational strategy, which can be developed in collaboration with the leadership of each ED and team of hospital ethicists. (shrink)

Philosophers and scientists have studied sensory perception and, in particular, vision for many years. Increasingly, however, they have become interested in the nonvisual senses in greater detail and the problem of individuating the senses in a more general way. The Aristotelian view is that there are only five external senses—smell, taste, hearing, touch, and vision. This has, by many counts, been extended to include internal senses, such as balance, proprioception, and kinesthesis; pain; and potentially other human and nonhuman senses. This (...) “multisensory turn” has been driven partly by developments in contemporary psychology and neuroscience, which have revealed a host of complex interrelations and interactions between sensory modalities previously thought to be distinct. Contrasts between modalities and other crossmodal phenomena, including multisensory integration, synesthesia, and sensory substitution, have also begun to receive more attention in a burgeoning scientific and philosophical literature on multisensory perception and other crossmodal effects. This article focuses on recent empirically informed contributions to the philosophy of perception, as well as key scientific works that provide important background information and insights into the nature of the senses and sensory perception. Indeed, one of the lessons of the multisensory turn, and of contemporary philosophy of mind more generally, is that philosophers ignore this body of empirical research at their peril because many human and animal senses turn out to be richer and more complex than philosophers and scientists had previously imagined, making this a fruitful area for interdisciplinary interaction and research. (shrink)

The dual role of olfaction in both smelling and tasting, i.e. flavour perception, makes it an important test case for philosophical theories of sensory individuation. Indeed, the psychologist Paul Rozin claimed that olfaction is a “dual sense”, leading some scientists and philosophers to propose that we have not one, but two senses of smell: orthonasal and retronasal olfaction. In this paper I consider how best to understand Rozin’s claim, and upon what grounds one might judge there to be one or (...) two distinct olfactory modalities. I conclude that while Rozin may be right that humans have dual occurrences of an olfactory ‘sense’, the concept of a sense-modality, and hence the ‘sense’ of smell, is ambiguous between two different notions: a physiological sensory channel and an experiential modality, along the lines suggested by J. J. Gibson. Furthermore, recognising that these are complementary rather than competing conceptions of a sense-modality enables the formulation of a powerful ‘dual-concept’ framework for posing and addressing questions concerning the complex architecture of human multisensory experience. (shrink)

Many philosophers and scientists take perceptual experience, whatever else it involves, to be representational. In ‘The Silence of the Senses’, Charles Travis argues that this view involves a kind of category mistake, and consequently, that perceptual experience is not a representational or intentional phenomenon. The details of Travis’s argument, however, have been widely misinterpreted by his representationalist opponents, many of whom dismiss it out of hand. This chapter offers an interpretation of Travis’s argument from looks that it is argued presents (...) a genuine and important challenge to orthodox representational views of experience. Whilst this challenge may not be insurmountable, it places a substantial burden upon the representationalist to explain not only how experiences come to have the contents that they do, but how those contents come to feature in our conscious mental lives. (shrink)

Rubin and Pearl offered approaches to causal effect estimation and Lewis and Pearl offered theories of counterfactual conditionals. Arguments offered by Pearl and his collaborators support a weak form of equivalence such that notation from the rival theory can be re-purposed to express Pearl’s theory in a way that is equivalent to Pearl’s theory expressed in its native notation. Nonetheless, the many fundamental differences between the theories rule out any stronger form of equivalence. A renewed emphasis on comparative research can (...) help to guide applications, further develop each theory, and better understand their relative strengths and weaknesses. (shrink)

It is widely accepted that there is a visual field, but the analogous notion of an auditory field is rejected by many philosophers on the grounds that the metaphysics or phenomenology of audition lack the necessary spatial or phenomenological structure. In this paper, I argue that many of the common objections to the existence of an auditory field are misguided and that, contrary to a tradition of philosophical scepticism about the spatiality of auditory experience, it is as richly spatial as (...) visual experience—and in some ways even more so. By carefully considering the spatiality and boundedness of audition, along with how sounds or their sources are experienced as occurring within the surrounding acoustic environment, we can gain a better understanding of (i) our auditory experience of space and (ii) the conditions for the existence of spatial sensory fields in general in a way that does not privilege vision over the other senses. (shrink)

In his account of visual perception, Thomas Reid describes visible figure as both ‘real and external’ to the eye and as the ‘immediate object of sight’. These claims appear to conflict with Reid's direct realism, since if the ‘immediate’ object of vision is also its direct object, then sight would be perceptually indirect due to the role of visible figure as a perceptual intermediary. I argue that this apparent threat to Reid's direct realism may be resolved by understanding visible figure (...) as the set of geometrical properties that holds between an object's visible surfaces and some particular perspective or point of view. On this relational interpretation of visible figure, and once an ambiguity over the use of the term ‘object’ is resolved, Reid's account of vision is both epistemically and perceptually direct, as well as consistent with his account of the other senses and doctrine of signs. (shrink)

Cramer et al. present a thoughtful application of network analysis to symptoms, but certain questions remain open. These questions involve the intended causal interpretation, the critique of latent variables, individual variation in causal networks, Borsboom's idea of networks as measurement models, and how well the data support the stability of the network results.

In the past decade, digital technology, fiber optics, cellular phones, satellite television, home computers, and the Internet have substantially transformed business, education, and leisure practices. These technologies are becoming so integrated into our daily routines that their ubiquity often goes unnoticed. We are, nonetheless, in the midst of a telecommunications revolution, and the healthcare industry is becoming a major player. The burgeoning field of home-based telemedicine is evidence of this.

Deleuze, Whitehead, Bergson: Rhizomatic Connections is the first book length collection of essays exploring the relations between the work of Gilles Deleuze, Alfred North Whitehead and Henri Bergson. With contributions by established international scholars from cultural studies, philosophy and theology, Deleuze, Whitehead, Bergson examines the articulation between their concepts, methods and modes of doing philosophy and how their thought relates to different disciplines. Organized thematically, each essay examines the section themes in the context of the contrasts, differences and conjunctions--the rhizomatic (...) connections--between their shared concepts. Deleuze, Whitehead, Bergson will make a significant impact upon and contribution to the scholarship on these philosophers, challenging many of the preconceptions, the "images of thought," through which they are all too often read and interpreted. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:HOMO FABER RECONSIDERED: TWO THOMISTIC REFLECTIONS ON WORK KEITH A. BRECLAw Georgetown University Washington, D.C. ATHOUGH WE APPEAR to be poised at the beginning of yet another chapter in the accelerating drama of the industrial revolution-or as some would have it, a postindustrial climax to that revolution-it is far from evident that homo faber and his distinctive activity have found for themselves either a philosophy or a philosopher. (...) The work activity may have become respectable as a philosophical subject only in the nineteenth century, but it has hardly been the object of extended or systematic inquiry, then or now. That is well illustrated by Marx and the Marxian legacy. Marx is arguably to be considered· the preeminent philosopher of work, having elevated work and the worker to the center of his activist program. Yet that same orientation to instigating action leads Marx intentionally to neglect elaborating the philosophical foundations of his thought. To be counted among the consequences of that neglect is a treatment of the work activity which appears to be inconsistent, or at best, incomplete.1 One measure of the inadequacy of Marx's treatment of the subject is to be found in a significant tendency among some twentieth-century Marxists or Marxist-inspired thinkers to abandon the centrality 1 On the unresolved tensions in Marx's concept of work, see, for example: G. A. Cohen, "Marx's Dialectic of Labor," Philosophy and Public Affairs 3 (Spring 1974): 260-261; Peter Fuss, "Theory and Practice in Hegel and Marx: An Unfinished Dialogue," in Terence Ball, ed., Political Theory and Praxis: New Perspectives (Minneapolis: University of Minnesota Press, 1977), pp. 113-114; and R. N. Berki, "On the Nature and Origins of Marx's Concept of Labor," Political Theory 7 (February 1979) : 35-37. 579 580 KEITH A. BRECLAW of work and the worker altogether. Andre Gorz bids a dramatic and final " farewell to the working class." Work has become so de-skilled and fragmented that the Marxian working class has been decisively replaced by a " non-class of non-workers." Work, now thoroughly absorbed and shaped by technocratic industry, is beyond hope of humanization. The radical program he recommends for the " non-class" is to maximize leisure which is already a realizable possibility within the technocratic economy. With that pronouncement, whatever dignity homo faber may have possessed is lost as he vanishes into the depths of a selfreproducing technocratic order.2 In this paper I wish to examine an alternative to Marxism for approaching work as a subject worthy of philosophical attention. \Vhile classical and scholastic thought may not appear at first to be promising grounds on which to consider the topic, the work of two contemporary Thomists-Jacques Maritain and Joseph Pieper-offers a significant and unique contribution in this area. However, I hesitate to say that either of these thinkers has accomplished the construction of a full-scale philosophy of work.3 In all fairness, that is not the intent of either one of them. At the same time, what they have accomplished in their reflections on work in some respects is more extensive and systematic than the results of speculation by Marxist thinkers.4 2 Andre Gorz, Farewell to the Working Class (Boston: South End Press, 1982). Gorz's program for labor is built largely on conclusions about the evolution of capitalism since Marx associated with the thinkers of the Frankfurt School and their contemporary disciples. The notable claim is that the contribution of technology has come to dwarf labor as a factor of production to such an extent that Marx's labor theory of value is no longer operative. This dominant role for technology is also at the root of the deradicalization of the workers' movement. See Jurgen Habermas, "Technology and Science as 'Ideology'," in his Toward a Rational Society, trans. Jeremy Shapiro (Boston: Beacon Press, 1970). 3 M. D. Chenu, in his Theology of W orlo (Chicago: Regenery, 1963), judges that presently we lack not only a theology, but a philosophy, psychology or sociology of work as well (p. 5). There is little reason to conclude that the situation has been altered since Chem1 rendered that judgment. 4 Having said... (shrink)

This monograph represents the first comprehensive study dedicated to the interdisciplinary French philosopher Michel Serres. As the title of this project unequivocally suggests, Serres s prolific body of work paints a rending portrait of what it means for a sentient being to live in the modern world. This book reflects Serres s profound conviction that philosopher c est anticiper / to philosophize (about something) is to anticipate ( Philosophie Magazine ). According to Serres, a philosopher is someone who possesses an (...) extremely broad base of knowledge coupled with the uncanny ability to envision what "might" transpire based upon his or her astute observations concerning phenomena that are already starting to unfold in a given society. Serres s explanation of what engaging in philosophical inquiry entails encourages us to imagine all of the present and future ramifications of certain trajectories that are clearly visible all around us. From 1968 to the present, Serres has been generating forceful, prophetic visions in his works that mingle philosophy, religion, theology, contemporary science, and literature. Comprehensive and insightful introduction both illuminates pressing contemporary issues and presages potential futures-to-come. This is a remarkable achievement and a genuine gift to readers both new and old to Serres s work. -Steven D. Brown, Professor of Psychology, University of Leicester An essential book for becoming aware of the threat of a return of obscurantism despite the development of new technologies and of the necessity of a new century of "Lumieres." -Issa Asgarally, Associate Professor, Mauritius Institute of Education, founder, Foundation for Interculturality and Peace Moser s engaging prose makes this study a great read, and he demonstrates a formidable grasp on the connections within Serres work, as well as the links between Serres and other major twentieth century thinkers. -Tom Trzyna, Professor Emeritus of English, Seattle Pacific University Both timely and thorough. His provocative critique of societal malaise, from our relationship to the planet, to ourselves, to each other, and to technology, as well as the solutions envisioned through an erudite and thoughtful analysis of Serres entire philosophical corpus is a remarkable contribution to Philosophy and French Studies. -Isaac Joslin, University of Denver Keith Moser s pioneering vision of the post-Marxist era, as reflected in the syncretism of philosophy, religion, theology, science and literature in Michel Serres body of work during the last half a century, transforms human consciousness beyond its illusory genophobia that has damaged the very semiotics of life. Moser s monograph taps into a tremendous flow of energy that evokes a passionate desire in a dead humanity to re-live and re-think. -Professor Ananta Sukla, Editor, Journal of Comparative Literature and Aesthetics Keith Moser is Associate Professor of French at Mississippi State University. He is the author of "A Practical Guide to French Harki Literature, J.M.G. Le Clezio: A Concerned Citizen of the Global Village, Le Clezio dans la foret des paradoxes" (co-editor), and "Privileged Moments in the Novels and Short Stories of Le Clezio: His Contemporary Development of a Traditional French Literary Device." Moser has also contributed approximately forty essays to peer-reviewed publications such as "The French Review, The International Journal of Francophone Studies, Romance Notes, Dalhousie French Studies, Les Cahiers Le Clezio, Modern Language Review, French Cultural Studies, Forum for Modern Language Studies" (Oxford), "Interdisciplinary Studies in Literature and Environment" (Oxford), and "Pennsylvania Literary Journal."". (shrink)

Causal inference plays a central role in behavioral science. Historically, behavioral science methodologies have typically sought to infer a single causal relation. Each of the major approaches to causal inference in the behavioral sciences follows this pattern. Nonetheless, such approaches sometimes differ in the causal relation that they infer. Incremental causal inference offers an alternative to this conceptualization of causal inference that divides the inference into a series of incremental steps. Different steps infer different causal relations. Incremental causal inference is (...) consistent with both causal pluralism and anti-pluralism. However, anti-pluralism places greater constraints the possible topology of sequential inferences. Arguments against causal inference include questioning consistency with causation as an explanatory principle, charging undue complexity, and questioning the need for it. Arguments in favor of incremental inference include better explanation of diverse causal inferences in behavioral science, tailored causal inference, and more detailed and explicit description of causal inference. Incremental causal inference offers a viable and potentially fruitful alternative to approaches limited to a single causal relation. (shrink)

We attempt to defend the species-as-individuals hypothesis by examining the logical role played by the binomials (e.g., "Homo sapiens," "Pinus ponderosa") in biological discourse about species. Those who contend that the binomials can be properly understood as functioning in biological theory as singular terms opt for an objectual account of species and view species as individuals. Those who contend that the binomials can in principle be eliminated from biological theory in favor of predicate expressions opt for a predicative account of (...) species and view species as kinds. We contend that biologists' talk about species is talk about species as individuals, and we conclude that the most plausible account of species is an objectual account. (shrink)

General discussions of the appropriate relations between history and philosophy of science must be complemented by examinations of particular studies involving both fields. Martin Curd's attempt to illuminate the rationality of theory change through analysis of the Copernican Revolution is such a study; his work is undercut by serious flaws and actually displays an ahistorical approach. The result misleads both about the Copernican Revolution and the general problem of theory change in science. The study does illustrate several types of failing (...) that can vitiate efforts to bring historical considerations into philosophical discussion, namely, pitfalls in the characterization of theories, arguments, range of choices, and criteria. (shrink)

Many philosophers have held that perceptual experience is fundamentally a matter of perceivers being in particular representational states. Such states are said to have representational content, i.e. accuracy or veridicality conditions, capturing the way that things, according to that experience, appear to be. In this thesis I argue that the case against representationalism — the view that perceptual experience is fundamentally and irreducibly representational — that is set out in Charles Travis’s ‘The Silence of the Senses’ (2004) constitutes a powerful, (...) but much misunderstood and neglected argument against this prevailing philosophical orthodoxy. -/- In chapter 2, I present an interpretation of Travis’s arguments that poses a dilemma for the representationalist concerning the indeterminacy and availability of perceptual content. Chapters 3 and 4 evaluate a variety of arguments in favour of such content based upon the nature of appearances, or ‘looks’, including those by Byrne (2009), Siegel (2010) and Schellenberg (2011b), each of which I find to be problematic. Finally, chapters 5 and 6 examine the relationship between representational content and phenomenal character, i.e. what perceptual experience is subjectively like, outlining some potential responses to Travis’s anti-representationalism. These include the external individuation of content and self-knowledge, and the operation of perceptual discriminatory capacities (the latter of which does not necessarily favour a representationalist account of experience). -/- I conclude that Travis’s arguments establish substantive constraints upon the nature and role of perceptual content. Moreover, I argue that the debate centres less upon the existence of such content than its explanatory role, particularly in relation to phenomenal character and the contents of other mental states: belief, intention, thought, knowledge, and so on. This in turn highlights the need for representationalists to better clarify the role of the contents their theories posit, and why such theories constitute a better explanation of the relevant phenomena than the corresponding non-representational view.. (shrink)

Process philosophy has emerged as an approach to consciousness within contemporary science although re-consideration of Whitehead and James clearly contrasts with twentieth century materialism. In spite of controversy a number of researchers have described the concept of quantum coherence within living organisms that provides the basis of new process oriented theories. Among these researchers are Penrose and Hameroff who suggest that quantum gravity yields coherent processes fundamental to the idea of consciousness. Pribram emphasizes holographic processes in the brain that give (...) rise to quantum brain dynamics. Bohm also recognizes a central role of holographic processes in physics. The work of these researchers and the convergence with earlier work in metaphysics are described. (shrink)

In addition to the scientific and medical issues surrounding the use of fetal tissue transplants, the ethical implications should be considered. Two major ethical issues are relevant. The first of these is whether this experimental procedure can be justified on the basis of potential benefit to the patient. The second is whether the use of tissue obtained from intentionally aborted fetuses can be justified in the context of historical and existing guidelines for the protection of human subjects. The separation of (...) ethical decisions from medical practice and scientific research is necessary to prevent the exploitation of innocent human life. (shrink)

Let FΛ be a finite dimensional path algebra of a quiver Λ over a field F. Let L and R denote the varieties of all left and right FΛ-modules respectively. We prove the equivalence of the following statements. • The subvariety lattice of L is a sublattice of the subquasivariety lattice of L. • The subquasivariety lattice of R is distributive. • Λ is an ordered forest.

The idea that there are five senses dates back to Aristotle, who was one of the first philosophers to examine them systematically. Though it has become conventional wisdom, many scientists and philosophers would argue that this idea is outdated and inaccurate. Indeed, they have given many different answers to this question, ranging from just three (the number of different kinds of physical energy we can detect) to 33 or more senses. Perhaps surprisingly, the issue remains controversial, partly because it is (...) not clear exactly what should count as a ‘sense’. Should proprioception, balance and kinaesthesis, amongst others, be considered additional senses? And if so, how do we figure out how many senses we really have? -/- (Published in Turkish under the title ‘Çok Duyumlu Algi’). (shrink)

Each of our sensory modalities—vision, touch, taste, etc.—works on a slightly different timescale, with differing temporal resolutions and processing lag. This raises the question of how, or indeed whether, these sensory streams are co-ordinated or ‘bound’ into a coherent multisensory experience of the perceptual ‘now’. In this paper I evaluate one account of how temporal binding is achieved: the temporal windows hypothesis, concluding that, in its simplest form, this hypothesis is inadequate to capture a variety of multisensory phenomena. Rather, the (...) evidence suggests the existence of a more complex temporal structure in which multiple overlapping windows support distinct functional mechanisms. To aid in the precise formulation of such views, I propose a taxonomy of temporal window types and their characteristics that in turn suggests promising avenues for future empirical and philosophical research. I conclude by examining some philosophical implications of multi-window models for the metaphysics of perception and perceptual experience more generally. (shrink)

Visual perception is widely taken to present properties such as redness, roundness, and so on. This in turn might be thought to give rise to accuracy conditions for experience, and so content, regardless of which metaphysical view of perception one endorses. An influential version of this argument—Susanna Siegel’s ’Argument from Appearing’—aims to establish the existence of content as common ground between representational and relational views of perception. This goes against proponents of ‘austere’ relationalism who deny that content plays a substantive (...) role in philosophical explanations of conscious perceptual experience. Though Siegel’s argument purports to be neutral with respect to the metaphysics of perception, it relies upon an equivocation between the presentation of property-types and property-instances. Consequently, the argument begs the question against the austere relational view, and so fails to establish the desired conclusion. So while relationalists can and should allow that experiences have accuracy conditions, it does not follow from this that they have contents of any philosophically interesting or significant kind. (shrink)