Definition of the problem. During the last few years obstetricians have become concerned over an increasing rate of cesarean sections, especially an increasing rate of ”section on demand” for non-medical, but personal reasons of pregnant women. For physicians this is a question of risks and benefits for both mother and child. On the other hand, there is the duty to respect women’s autonomy. Arguments. Pregnant women are healthy and the act of giving birth to a child is (...) a physiological one. Thus, the indication has to be proved carefully for surgical intervention instead of vaginal delivery. Cesarean section for non-medical reasons may be helpful for women with an extreme fear of vaginal delivery or previous traumatic experiences. On the other hand the possibility for pregnant women to choose their preferred mode of delivery is combined with the question, whether cesarean section on demand fulfils their demand for a self-determined delivery. Conclusion. With a mode of delivery oriented to the person instead of to the method, self-determination can be realized. Cesarean Section on demand can achieve this in some individual cases. However women’s own ability, activity, and involvement in giving birth to a child may be a stronger manifestation of self-determination. (shrink)

ZusammenfassungDie Diskussion um die steigende Rate an Kaiserschnittentbindungen in der Geburtshilfe erlebt einen neuen Höhepunkt durch das Problem der sog. „Wunschsectio”. Für den Geburtshelfer stellt sich unter Beachtung seiner Fürsorgepflichten die Frage nach der Verantwortbarkeit einer ärztlichen Handlung aufgrund persönlicher Wünsche der Schwangeren, ohne medizinische Indikation, aber mit einem nicht zu vernachlässigenden Risiko. Für die betroffenen Frauen verbindet sich mit der Möglichkeit, die Form der Geburt frei zu wählen, die Frage, ob die Wunschsektio ihre Forderung nach einer selbstbestimmten Geburt erfüllt. (...) In einem „persönlichkeitsspezifischen” Geburtsereignis kann sich Selbstbestimmtheit verwirklichen und die normativ zugrunde liegende Autonomie der Frau gewahrt sein. Eine Wunschsektio kann dies im Einzelfall leisten. Eigene Initiative und Aktivität der Schwangeren dürften jedoch die Selbstbestimmtheit im Erleben der Geburt stärker fördern. (shrink)

ABSTRACT In recent years, the medical establishment has been speaking in favor of women's autonomy in childbirth by advocating cesarean delivery on maternal request (CDMR). This paper offers to look at the ethical dimension of CDMR through a feminist critique of the medicalization of childbirth and its influence on present‐day medical ethics. I claim that the medicalization of childbirth reflects a sexist bias with regard to conceptions of the body and needs to be used with caution when applied to (...) women's reproductive health. I then use this perspective to critically analyze the position of the American College of Obstetricians and Gynecologists (ACOG) on the ethics of decision‐making in patient‐choice surgery. I claim that informed consent cannot be meaningfully exercised unless women are made aware of the sexist underpinnings of the medical model of childbirth and its influence on the ethical reasoning of the American College of Obstetricians and Gynecologists. I also express concern about the effects of normalizing patient‐choice cesarean sections on the choices available to pregnant women using as examples the institutional rules on mandatory cesarean sections for women with a previous cesarean delivery or breech presentation. I conclude with a call for more research into the real cost of convenience in CDMR, particularly as our increasingly strained publicly funded healthcare system would greatly benefit from the de‐medicalization of normal body functions rather than an increased dependence on costly surgical technology. (shrink)

Medical literature on the protective effects of salpingectomy against ovarian cancer has challenged Catholic health care institutions to reexamine policies that prohibit tubal sterilization at the time of cesarean section. Salpingectomy performed for a woman whose fallopian tubes are known or suspected to have a serious and present pathology—risk-reducing salpingectomy—is morally justifiable as a therapeutic intervention. However, salpingectomy performed at the time of another medically indicated procedure, such as cesarean section, on an otherwise fertile woman whose (...) fallopian tubes are presumed to be healthy—opportunistic salpingectomy—constitutes direct sterilization and fails to meet the conditions of double effect. Moreover, until magisterial guidance clarifies the right application of Catholic teaching to the specific question of opportunistic salpingectomy, Catholic health care institutions should, out of prudential judgment and to avoid scandal, avoid establishing institution policies that permit the practice. (shrink)

In this article, we use the principlist approach to identify, analyse and attempt to solve the ethical problem raised by a pregnant woman's request for cesarean delivery in absence of medical indications.We use two different types of premises: factual (facts about cesarean delivery and specifically attitudes of obstetricians as derived from the EUROBS European study) and value premises (principles of beneficence and non-maleficence, respect for autonomy and justice).Beneficence/non-maleficence entails physicians' responsibility to minimise harms and maximise benefits. Avoiding its (...) inherent risks makes a prima facie case against cesarean section without medical indication. However, as vaginal delivery can have unintended consequences, there is a need to balance the somewhat dissimilar risks and benefits. The principle of autonomy poses a challenge in case of disagreement between the pregnant woman and the physician. Improved communication aimed to enable better informed choice may overcome some instances of disagreement. The principle of justice prohibits unfair discrimination, and broadly favours optimising resource utilisation.Available evidence supports vaginal birth in uncomplicated term pregnancies as the standard of care. The principlist approach offered a useful framework for ethical analysis of cesarean delivery on maternal request, identified the rights and duties of those involved, and helped reach a conclusion, although conflict at the individual level may remain challenging. (shrink)

Women are routinely subjected to penetrating surveillance during pregnancy. On the surface, this may appear to flow from a cultural commitment to protect babies – a cultural practice of “better safe than sorry” that is particularly vigilant given the vulnerability of fetuses and babies. In reality, pregnancy occasions incursions against human rights and well-being that would be anathema in other contexts. Our cultural practices concerning risk in pregnancy are infused with oppressive norms about women’s responsibility for pregnancy outcomes and the (...) demands of extreme self-sacrifice from women to protect their fetuses. Of particular concern is our culture’s willingness to enforce norms concerning risk during pregnancy using coercive measures including forced cesarean sections and criminal penalties for exposing fetuses to risk. This chapter will consider assaults on self-determination, bodily integrity and privacy inherent in such interventions, as well as the structural violence and “mangled pieties” that buttress such practices in our unjust society. (shrink)

Cesarean delivery rates have been steadily increasing worldwide. In response, many countries have introduced target goals to reduce rates. But a focus on target goals fails to address practices embedded in standards of care that encourage, rather than discourage, cesarean sections. Obstetrical standards of care normalize use of technology, creating an imperative to use technology during labor and birth. A technological imperative is implicated in rising cesarean rates if physicians or patients fear refusing use of technology. Reproductive (...) autonomy is at stake since a technological imperative undermines patients’ ability to choose cesareans or refuse use of technology increasing the likelihood of cesareans. To address practices driven by a technological imperative I outline three physician obligations that are attached to respecting patient autonomy. These moral obligations show that a focus on respect for autonomy may prove not only an ideal ethical response but also an achievable practical response to lowering cesarean rates. (shrink)

Caesarean delivery is a common and life-saving intervention. However, it involves an overall increased risk for short-term and long-term complications for both mother and child compared with vaginal delivery. From a medical point of view, healthcare professionals should, therefore, not recommend caesarean sections without any anticipated medical benefit. Consequently, caesarean sections requested by women for maternal reasons can cause conflict between professional recommendations and maternal autonomy. How can we assure ethically justified decisions in the case of caesarean sections on maternal (...) request in healthcare systems that also respect patients’ autonomy and aspire for shared decisions? In the maternal–professional relationship, which can be characterised in terms of reciprocal obligations and rights, women may not be entitled to demand a C-section. Nevertheless, women have a right to respect for their deliberative capacity in the decision-making process. How should we deal with a situation of non-agreement between a woman and healthcare professional when the woman requests a caesarean section in the absence of obvious medical indications? In this paper, we illustrate how the maternal–professional relationship is embedded in a nexus of power, trust and risk that reinforces a structural inferiority for women. To accommodate for beneficial use of power, these decision processes need to be trustworthy. We propose a framework, inspired by Lukes’ three-dimensional notion of power, which serves to facilitate trust and allows for beneficial power in shared processes of decision-making about the delivery mode for women requesting planned C-sections. (shrink)

This article uses the US debate over elective Cesarean section to re-consider some of the more contentious issues raised in feminist debates about childbirth. Three waves of feminist commentary and critique in the United States are analysed in light of the ongoing debate over whether women should be able to choose Cesarean for non-medical reasons. I argue that the alternative birth movement's essentialist and occasionally moralistic rhetoric is problematic, and the idea that some women's preference for high-tech (...) obstetrics is the result of a passive 'socialization' into 'dominant values' is theoretically inadequate. On the other hand, the invocation of women's choice and appreciation of high-tech childbirth serves as a weak foundation for a feminist perspective on childbirth. By limiting their analysis to the rhetorical and discursive nature and functions of 'the medical' and 'the natural', poststructuralist critics of the alternative birth movement obscure the connection of these discourses to practices that have very different consequences for maternal and infant health and, most importantly, for the consumption of health care resources. (shrink)

The Nyayamanjari was composed in Kashmir, in the ninth century CE, by Bhatta Jayanta. It is a compendium of theses concerning ontological, epistemological and linguistic issues developed in the classical period of Indian philosophy. Jayanta's approximate date is confirmed by both internal and external evidences, so the Nyayamanjari has become a landmark in the historiography of Indian philosophy. Despite its relevance, however, the history of the textual transmission of the Nyayamanjari is in many respects still unknown. This new critical edition (...) is based on a comprehensive inventory of all the known sources, on a detailed description of the manuscripts, on a textual bibliography of the printed editions, on a genealogical study of the textual transmission, and on a rich apparatus of the indirect transmission. An important result of this research has been the development of a new, rigorous, and yet pragmatic method to edit Nyayamanjari passages, without the demand of formidable resources in terms of time, man-power, and funds. The first part of this publication includes all the propaedeutic steps in view of the critical edition. More specifically, it consists of the recensio of the known Nyayamanjari sources, including their inventory, their description, the collation of their variants, and the study of their genealogy, resulting in a fully documented stemma codicum which guides the editorial choices during the reconstruction of the edited text. The second part contains the critical edition, which covers the first of the three sections composing the sixth book of the Nyayamanjari. This particular section consists of a discussion on semantics and epistemology from the perspective of the Vyakarana, Mimansa and Nyaya traditions, hinging around the holistic theory of the sphota. (shrink)

Cesarean sections are one of the most commonly performed surgical operations worldwide. Though evidence suggests that non-medically indicated cesarean sections raise the health risks for mothers and their babies and result in increased costs of health care compared with vaginal deliveries, reports are common that the frequency of performance of this surgical procedure is far above WHO recommendations. Of special concern has been the current increase of cesarean delivery rates in some Latin American countries. Here we focus (...) on Monterrey, Mexico, a city that has one of the highest rates of cesarean deliveries in the world. We explore aspects that relate to the practice of cesarean section that might shed light on determining why Monterrey has become the capital of cesarean sections. (shrink)

Cesarean sections are one of the most commonly performed surgical operations worldwide. Though evidence suggests that non-medically indicated cesarean sections raise the health risks for mothers and their babies and result in increased costs of health care compared with vaginal deliveries, reports are common that the frequency of performance of this surgical procedure is far above WHO recommendations. Of special concern has been the current increase of cesarean delivery rates in some Latin American countries. Here we focus (...) on Monterrey, Mexico, a city that has one of the highest rates of cesarean deliveries in the world. We explore aspects that relate to the practice of cesarean section that might shed light on determining why Monterrey has become the capital of cesarean sections. (shrink)

In this article, we discuss decision making during labor and delivery, specifically focusing on decision making around offering women a trial of labor after cesarean section. Many have discussed how humans are notoriously bad at assessing risks and how we often distort the nature of various risks surrounding childbirth. We will build on this discussion by showing that physicians make decisions around TOLAC not only based on distortions of risk, but also based on personal values rather than medical (...) data. As a result of this, we will further suggest that the party who is best epistemically situated to make decisions about TOLAC is the woman herself. (shrink)

Distinct sources of stress have emerged during the COVID-19 pandemic. Particularly, fear is expected to generate significant psychological burden on individuals and influence on either unsafe behavior that may hinder recovery efforts or virus-mitigating behaviors. However, little is known about the properties of measures to capture them in research and clinical settings. To resolve this gap, we evaluated the psychometric properties of a novel measure of fear of illness and viruses and tested its predictive value for future development of distress. (...) We extracted a random sample of 450 Chilean adult participants from a large cross-sectional survey panel and invited to participate in this intensive longitudinal study for 35 days. Of these, 163 ended up enrolling in the study after the demanding nature of the measurement schedule was clearly explained to them. For this final sample, we calculated different Confirmatory Factor Analyses (CFA) to evaluate the preliminary proposed structure for the instrument. Complementarily, we conducted a content analysis of the items to qualitatively extract its latent structure, which was also subject to empirical test via CFA. Results indicated that the original structure did not fit the data well; however, the new proposed structure based on the content analysis did. Overall, the modified instrument showed good reliability through all subscales both by its internal consistency with Cronbach’s alphas ranging from 0.814 to 0.913, and with test–retest correlations ranging from 0.715 to 0.804. Regarding its convergent validity, individuals who scored higher in fears tended to also score higher in depressive and posttraumatic stress symptoms at baseline. Furthermore, higher fears at baseline predicted a higher score in posttraumatic stress symptomatology 7 days later. These results provide evidence for the validity, reliability, and predictive performance of the scale. As the scale is free and multidimensional potentially not circumscribed to COVID-19, it might work as a step toward understanding the psychological impact of current and future pandemics, or further life-threatening health situations of similar characteristics. Limitations, practical implications, and future directions for research are discussed. (shrink)

The Declaration of Independence states that all men are created equal in the United States, but that statement does not hold true for words. Some words carry more weight than others--they seem to work harder, get more done, and demand more respect. Political Keywords: Using Language that Uses Us looks at eight dominant words that are crucial to American political discourse, and how they have been employed during the last fifty years. Based on an analysis of eleven separate (...) studies of political language, Political Keywords helps readers to understand what these terms mean and how they are used. For example, the book tracks what politics now means to modern commentators, how schoolteacher impress certain values upon the nation's children by invoking the office of the president, and why an innocent word like government sometimes makes people so upset. It details how the people are referenced in political talk and how the media portray themselves. The book also considers the work done by political parties, political promises, and political consultants because, together, they shed special light on modern elections. Combining social science with subtle forms of cultural interpretation, Political Keywords: Using Language that Uses Us provides a fresh look at both American politics and American language. It is an ideal text for undergraduate and graduate courses in political communication, political language, political campaigns, media and politics, political psychology, public opinion, rhetorical criticism, contemporary public address, and presidential rhetoric. (shrink)

Several lines of evidence suggest that children born via Cesarean section are at greater risk for adverse health outcomes including allergies, asthma and obesity. Vaginal seeding is a medical procedure in which infants born by C-section are swabbed immediately after birth with vaginal secretions from the mother. This procedure has been proposed as a way to transfer the mother's vaginal microbiome to the child, thereby restoring the natural exposure that occurs during vaginal birth that is interrupted in (...) the case of babies born via C-section. Preliminary evidence indicates partial restoration of microbes. However, there is insufficient evidence to determine the health benefits of the procedure. Several studies, including trial, are currently underway. At the same time, in the clinic setting, doctors are increasingly being asked to by expectant mothers to have their babies seeded. This article reports on the current research on this procedure and the issues it raises for regulators, researchers, physicians, and patients. (shrink)

Over the last several years, as cesarean deliveries have grown increasingly common, there has been a great deal of public and professional interest in the phenomenon of women 'choosing' to deliver by cesarean section in the absence of any specific medical indication. The issue has sparked intense conversation, as it raises questions about the nature of autonomy in birth. Whereas mainstream bioethical discourse is used to associating autonomy with having a large array of choices, this conception of (...) autonomy does not seem adequate to capture concerns and intuitions that have a strong grip outside this discourse. An empirical and conceptual exploration of how delivery decisions ought to be negotiated must be guided by a rich understanding of women's agency and its placement within a complicated set of cultural meanings and pressures surrounding birth. It is too early to be 'for' or 'against' women's access to cesarean delivery in the absence of traditional medical indications – and indeed, a simple pro- or con- position is never going to do justice to the subtlety of the issue. The right question is not whether women ought to be allowed to choose their delivery approach but, rather, taking the value of women's autonomy in decision-making around birth as a given, what sorts of guidelines, practices, and social conditions will best promote and protect women's full inclusion in a safe and positive birth process. (shrink)

Leading scholars have combined forces to produce this volume on the philosophy and legal views of Moses Maimonides (11381204) and the historical context in which he worked. The philosophical section examines Maimonides ethical~doctrine, his paradoxical life-style, his Guide of the Perplexed, his attitude to mysticism, his use of language, and his theory of astronomy. The legal section deals with law and medicine, the relation of Maimonides legal thought to the~Talmud, his doctrine of a just war, and his theory (...) of redemption and Messianism. The history section examines Maimonides accession to the position of head of the Jewish community in its historical context at the time of the rise of the Ayyubid dynasty under Saladin. (PRINT ON DEMAND). (shrink)

Definition of the problem: The rapid pace of medical progress has drawn renewed attention to the various possible ways of treating dead or brain-dead pregnant women since the 1980's. The discussion today revolves around medical, social, legal and economic aspects. The historical areas of conflict which surrounded deliveries carried out on dead mothers (usually by means of a Sectio in mortua, nowadays known as a perimortem Caesarean section) and their significance in today's debate are, for the most part, regarded (...) as being of little relevance.Arguments: The history of the Sectio in mortua was, for a long time, influenced by the difficulty in establishing whether the mother and foetus were actually dead, by the degree of autonomy of the foetus in the womb, by religious issues, by the lack of acceptance among the people because of their irrational fears concerning the operation and by legal regulations and constraints especially in relation to operations carried out on the dying. Each of these areas shows remarkable parallels to the present-day medical and ethical discussion.Conclusion: The value of such considerations does not lie in the uncritical application of experience gained in the past, but rather in a growing awareness of the wide spectrum of parameters and in a deeper understanding of the various possible approaches to a given situation. The tradition in the Western world of carrying out a delivery on a dead mother, in spite of the conflict of interests between the mother and the foetus, is of particular importance. In practice, the many non-medical factors should be taken more into consideration, with special emphasis being placed on the informed consent of the relatives. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 461 Whitehead moved beyond classical accounts of "points" and "instants" toward a relativistic understanding of space/time. Lowe is cautious about reading too much of the later thinking into the pre-191o writings. Whitehead's interest in philosophy was satisfied mainly through his discussions with fellow members of the Cambridge Apostles who met regularly to discuss issues of a general nature. Among the Apostles McTaggart stands out as having had (...) the most important influence on Whitehead's philosophical development. McTaggart 's staunch neo-Hegelianism served as a stimulus to Whitehead but he retained an independent outlook throughout. Readers of Process and Reality will be interested in Lowe's treatment of Whitehead's flirtation with Roman Catholicism and his subsequent agnosticism during the last decade of the nineteenth century. By 19~5 he had regained his theism and found a place for it in his system. Much care is given to the collaboration with Russell on Principia Mathematica during the first decade of the new century. Lowe corrects the oft-held belief that Whitehead let Russell do most of the work on the text. By a careful study of the correspondence, Lowe shows that Whitehead continually guided the joint enterprise toward more detailed proofs and elaborations. Russell frequently remained content with truncated arguments for his fundamental logical principles. Whitehead demanded that each argument receive sufficient articulation so as to enhance the pedagogical value of the work. Russell's atomic pluralism, which insisted that all relations were external to their relata, never appealed to Whitehead. During the period of the Principia, Whitehead chose to ignore that aspect of Russell's perspective. One difficult dimension of this decade-long collaboration is Russell's alleged affair with Evelyn Whitehead. Lowe argues that this relationship was never consummated even though Evelyn was and remained one of the three great loves of Russell's life. Whitehead somehow managed to overlook what must have been an obvious threat to the integrity of his marriage. Lowe's brilliant and definitive account in this first volume of a two-volume work brings us to the Whiteheads' move from Cambridge to London. Difficulties with University officials and a need for larger horizons compelled Whitehead to emerge from the cozy atmosphere of Trinity College where he had spent thirty highly creative years working on the frontiers of mathematics and logic. The second volume will take us from the years in London to Whitehead's life at Harvard, and should, no doubt, be as rich and insightful as the first. ROBERT S. CORRINGTON The Pennsylvania State University Allan Janik. Essays on Wittgenstein and Weininger. Studien zur OsterreichischenPhilosophie, Band 9. Amsterdam: Rodopi B.V., 1985. Pp. 161. Paper, $18.95. In 1973, Allan Janik and Stephan Toulmin published Wittgenstein's Vienna in which they explored the intellectual atmosphere of the city in which Wittgenstein grew to intellectual maturity. Both Toulmin, who had been a student of Wittgenstein's at 46~ JOURNAL OF THE HISTORY OF PHILOSOPHY ~5:3 JULY 1987 Cambridge, and Janik, who was interested in Wittgenstein and Schopenhauer, suspected that Wittgenstein might more accurately be seen as a Viennese intellectual dealing with the problems pervading the late Habsburg empire than simply as the successor of Frege and Russell who comes to dominate English and American philosophy. In the section on method in Wittgenstein's Vienna, Janik and Toulmin carefully avoided claiming that their picture of Wittgenstein and Vienna explained the Tractatus or the Philosophical Investigations, but they suggested that Wittgenstein is more intelligible as both a man and a thinker when viewed against his complete historical context, rather than when he is seen solely as a misfit in Cambridge in his last years. Janik has continued exploring themes connected with pre-World War I Austrian philosophy and has emphasized the connection between thinkers in this milieu with the new image of Wittgenstein which is emerging from the wealth of Wittgensteiniana now appearing. The present volume is a group of non-consecutive essays written from 1966 to 1984 in which Janik argues in favor of recognizing Austrian philosophy as something to be understood in terms of the special circumstances of the late Hapsburg empire and its demise. One of its... (shrink)

This collection of essays by leading international philosophers considers central themes in the ethics of Danish philosopher Knud Ejler Løgstrup (1905–1981). Løgstrup was a Lutheran theologian much influenced by phenomenology and by strong currents in Danish culture, to which he himself made important contributions. The essays in What Is Ethically Demanded? K. E. Løgstrup’s Philosophy of Moral Life are divided into four sections. The first section deals predominantly with Løgstrup’s relation to Kant and, through Kant, the system of morality (...) in general. The second section focuses on how Løgstrup stands in connection with Kierkegaard, Heidegger, and Levinas. The third section considers issues in the development of Løgstrup’s ethics and how it relates to other aspects of his thought. The final section covers certain central themes in Løgstrup’s position, particularly his claims about trust and the unfulfillability of the ethical demand. The volume includes a previously untranslated early essay by Løgstrup, “The Anthropology of Kant’s Ethics,” which defines some of his basic ethical ideas in opposition to Kant’s. The book will appeal to philosophers and theologians with an interest in ethics and the history of philosophy. (shrink)

Background: The rapid pace of progress in medical research, the consequent need for the timely transfer of new knowledge into practice, and the increasing need for ethics support, is making the work of Ethics Committees (ECs) ever more complex and demanding. As a response, ECs in many countries exhibit large variation in number, mandate, organization and member competences. This cross-sectional study aims to give an overview of the different types of activities of Italian ECs and favour discussion at a European (...) level.Methods: A questionnaire was emailed to all Italian Ethics Committees contained in the national Registry of the Ministry of Health, enquiring whether the EC was conducting, or planning to conduct, 4 specific activities. A telephone interview was conducted to determine reasons for failure to respond.Results: Response rate was 53% (101 respondents out of 191). 20% of ECs restrict their responsibilities to research protocol review, 25% also offer ethical consultation to institutions, support on individual health care decisions and promotes educational initiatives, while the remaining 50% conduct a few of the examined activities to varying degrees. Large variation was observed across different types of hosting institutions and geographical locations.Conclusions: A common European model should be developed, defining EC functions, member selection modalities, necessary member competences, decision-making criteria and measures for work verification. In the absence of sound empirical evidence, it would be interesting to study the effectiveness and efficiency of the different existing models. (shrink)

The current COVID-19 crisis may have an impact on the mental health of professionals working on the frontline, especially healthcare workers due to the increase of occupational psychosocial risks, such as emotional exhaustion and secondary traumatic stress. This study explored job demands and resources during the COVID-19 crisis in predicting emotional exhaustion and STS among health professionals. The present study is a descriptive and correlational cross-sectional design, conducted in different hospitals and health centers in Spain. The sample consisted of 221 (...) health professionals with direct involvement in treating COVID-19. An online survey was created and distributed nationwide from March 20 to April 15 which assessed: sociodemographic and occupational data, fear of contagion, contact with death/suffering, lack of material and human protection resources, challenge, emotional exhaustion, and STS. Descriptive findings show high levels of workload, contact with death/suffering, lack of MHPR and challenge, and are moderately high for fear of contagion, emotional exhaustion, and STS. We found an indirect significant effect of lack of MHPR on predicting emotional exhaustion through the workload and on STS through fear of contagion, contact with death/suffering, and workload. To conclude, this study examines the immediate consequences of the crisis on health professionals' well-being in Spain, emphasizing the job demands related to COVID-19 that health professionals are facing, and the resources available in these health contexts. These findings may boost follow-up of this crisis among health professionals to prevent them from long-term consequences. (shrink)

On the traditional view, Butler maintains that forgiveness involves a kind of “conversion experience” in which we must forswear or let go of our resentment against wrongdoers. Against this reading, I argue that Butler never demands that we forswear resentment but only that we be resentful in the right kind of way. That is, he insists that we should be virtuously resentful, avoiding both too much resentment exhibited by the vices of malice and revenge and too little resentment where we (...) merely condone the wrongdoer and leave ourselves open to future injury. I argue that this Butlerian approach offers us a more attractive account of forgiveness as a “virtue” than many recent discussions. In the final section, I address Butler’s challenging thesis that forgiveness is an unconditional moral duty. I argue against those who claim that forgiveness is supererogatory (Kolnai/Calhoun) or else merely morally conditional and even morally blameworthy in some cases (Murphy/Hampton/Novitz/Richards). By contrast, I defend a context-sensitive account of forgiveness which recognizes that it takes place on many different levels. I conclude by taking up the difficult issue of whether anybody can be ultimately “unforgivable”, offering some Butlerian and Strawsonian reflections that might help mitigate our judgments about such matters. (shrink)

This volume brings together a range of interdisciplinary perspectives on a topic of central importance, but which has otherwise tended to be approached from within just one or another disciplinary framework. Most of the essays contained here incorporate some degree of interdisciplinarity in their own approach, but the volume nevertheless divides into three main sections: Philosophical considerations; Humanities approaches; Legal, medical, and therapeutic contexts. The volume includes essays by philosophers, medical practitioners and researchers, historians, lawyers, literary, Classical, and Judaic scholars. (...) The essays are united by a common concern with the question of the human character of suffering, and the demands that suffering, and the recognition of suffering, make upon us. (shrink)

Ministers of religion have a unique occupation with designated job demands and incongruous resources at their disposal. Literature indicates that stressors within the work environment are significant predictors of work-nonwork interference. Ministers play a key role within society and provide support for individuals on multiple levels. However, limited studies are found in South Africa focussing on ministers' job characteristics related to work-nonwork interference, and how ministers cope. The main objective of this study was to investigate job demands and job resources (...) as significant predictors of work-nonwork interference amongst ministers of religion, and to identify which coping strategies are most significant for ministers in dealing with work-nonwork interference. A cross-sectional survey design was used amongst ministers working in the three sister churches. Various instruments were administered to measure job characteristics, work-nonwork interference and coping strategies empirically. Statistical analyses included descriptive statistics, product-moment correlations and multiple regression analyses. Results indicated that for ministers different job demands and job resources significantly predicted work-parent, work-home and work-religion/spirituality interference. Results indicated turning to religion as the only significant coping strategy used by ministers to deal with work-parent interference and work-religion interference. Ministers of religion are continually exposed to increasing job demands and a lack of job resources, and therefore experience work-nonwork interference. Nevertheless, the ministers apparently cope by using the strategy best related to their profession, turning to religion/spirituality. Turning to religion/spirituality seems to be the most effective in dealing with work-nonwork interference. (shrink)

It is generally accepted that Popper‘s degree of corroboration, though “inductivist” in a very general and weak sense, is not inductivist in a strong sense, i.e. when by ‘inductivism’ we mean the thesis that the right measure of evidential support has a probabilistic character. The aim of this paper is to challenge this common view by arguing that Popper can be regarded as an inductivist, not only in the weak broad sense but also in a narrower, probabilistic sense. In (...) class='Hi'>section 2, first, I begin by briefly characterizing the relevant notion of inductivism that is at stake here; second, I present and discuss the main Popperian argument against it and show that in the only reading in which the argument is formally it is restricted to cases of predicted evidence, and that even if restricted in this way the argument is formally valid it is nevertheless materially unsound. In section 3, I analyze the desiderata that, according to Popper, any acceptable measure for evidential support must satisfy, I clean away its ad-hoc components and show that all the remaining desiderata are satisfied by inductuvist-in-strict-sense measures. In section 4 I demonstrate that two of these desiderata, accepted by Popper, imply that in cases of predicted evidence any measure that satisfies them is qualitatively indistinguishable from conditional probability. Finally I defend that this amounts to a kind of strong inductivism that enters into conflict with Popper’s anti-inductivist argument and declarations, and that this conflict does not depend on the incremental versus non-incremental distinction for evidential-support measures, making Popper’s position inconsistent in any reading.Keywords: Popper; Inductivism; Confirmation; Corroboration. (shrink)

This article contains reflections on the further structural transformation of the public sphere, building on the author’s widely-discussed social-historical study, The Structural Transformation of the Public Sphere, which originally appeared in German in 1962 (English translation 1989). The first three sections contain preliminary theoretical reflections on the relationship between normative and empirical theory, the deliberative understanding of democracy, and the demanding preconditions of the stability of democratic societies under conditions of capitalism. The fourth section turns to the implications of (...) digitalisation for the account of the role of the media in the public sphere developed in the original work, specifically to how it is leading to the expansion and fragmentation of the public sphere and is turning all participants into potential authors. The following section presents empirical data from German studies which shows that the rapid expansion of digital media is leading to a marked diminution of the role of the classical print media. The article concludes with observations on the threats that these developments pose for the traditional role of the public sphere in discursive opinion and will formation in democracies. (shrink)

Work on analogy has been done from a number of disciplinary perspectives throughout the history of Western thought. This work is a multidisciplinary guide to theorizing about analogy. It contains 1,406 references, primarily to journal articles and monographs, and primarily to English language material. classical through to contemporary sources are included. The work is classified into eight different sections (with a number of subsections). A brief introduction to each section is provided. Keywords and key expressions of importance to (...) research on analogy are discussed in the introductory material. Electronic resources for conducting research on analogy are listed as well. (shrink)

Towards the conclusion of the First Section of the Groundwork of the Metaphysics of Morals, Kant describes a process whereby a subject can undergo a kind of moral corruption. This process, which he calls a “natural dialectic”, can cause one to undermine one’s own or¬dinary grasp of the demands of morality. Kant also claims that this natural dialectic is the basis of the need for moral philosophy itself, since first-order moral reasoning is insufficient to protect against it. I show (...) that this passage is closely related to another in the First Section, one where Kant warns against the threat of “misology”, or the hatred of reason. I argue that both these passages must be read as engaging with specific claims from Rousseau’s writings. Uncovering the historical context and rhetorical function of Kant’s account of moral self-deception can re-orient the reader to his ambitions for the Groundwork itself. (shrink)

IntroductionFew studies have examined psychological distress in healthcare workers across the care continuum. This study describes distress levels reported by HCWs across care settings and factors associated with distress.MethodsA cross-sectional survey of HCWs from Windsor, Ontario, was conducted between May 30th, 2020, and June 30th, 2020. The survey included the Kessler Psychological Distress Scale, sociodemographic, frontline status, perceptions of training, protection, support, respect among teams, and professional and personal stressors. Univariate analyses were used to compare across settings and multivariate logistic (...) regression assessed factors associated with distress.ResultsFour hundred and three HCWs from the hospital, community health and social service, first responder, primary care, home, and long-term care participated in the survey. Common concerns included fear of transmitting COVID-19 to family, safety on the job, and balancing personal care with work demands. LTC and home-care HCWs reported greater concern about workload and staffing levels, whereas community health workers were more anxious about their financial security. Overall, 228 HCWs who completed the K10 reported high distress, with greater rates among hospital and LTC HCWs. Distress was more likely in HCWs who identified as female, younger than 55, perceived lower respect among team, and experienced greater worry about physical and mental health and managing high workloads.ConclusionResults showed a high degree of distress experienced by HCWs across care settings and the impact of the COVID-19 pandemic on personal and work-related stress. Promoting self-care and supportive and collaborative healthcare teams are promising avenues for mitigating symptoms of distress. (shrink)

Abstract:In view of Kramer’s theory about paranoid cognition, this paper examines how exaggerated distrustand such cognition produce important negative effects upon social reality. The first section dealswith Searle’s theory of social reality, and how it is basically explained in terms of one world ofphysical particles and groups of intentional agents performing “we” actions. The aim of this sectionis to show that the “we” actions of collective intentionality allow fundamental social practices,namely, those related to institutions. Looking at trust, cooperation, and (...) collective intentionality, thesecond section examines in what sense these three elements form the triad of human civilization.Finally, the last section analyses which negative effects exaggerated distrust and Kramer’s paranoidcognition have upon the Searlean social reality: both, which break off cooperative relations andsolemn pacts, end up disrupting the triad.Keywords: trust; distrust; cooperation; collective intentionality; paranoide cognition. (shrink)

In this discussion paper, I seek to challenge Hylarie Kochiras’ recent claims on Newton’s attitude towards action at a distance, which will be presented in Section 1. In doing so, I shall include the positions of Andrew Janiak and John Henry in my discussion and present my own tackle on the matter . Additionally, I seek to strengthen Kochiras’ argument that Newton sought to explain the cause of gravity in terms of secondary causation . I also provide some specification (...) on what Kochiras calls ‘Newton’s substance counting problem’ . In conclusion, I suggest a historical correction .Keywords: Isaac Newton ; Action at a distance; Cause of gravity; Fourth letter to Bentley. (shrink)

Maudemarie Clark is a leading interpreter of Nietzsche’s theory of truth, and as such we are fortunate to have her papers on his ethics, politics and metaphysics collected in one volume. Opening her section on politics – the subject of this review – with a critique of Bloom’s The Closing of the American Mind, she condemns Bloom’s Straussian demand that philosophers lie about the fact that no truth exists to protect their way of life as a recurrence of (...) the nihilist ascetic ideal Nietzsche rejected at the end of the Genealogy. In doing so, she definitively frees Nietzsche from Strauss’ grip, and opens up the possibility of questioning anew Nietzsche’s relationship to feminism, queer theory, democracy and community. Her most striking claim is that Nietzsche’s aristocratic ethics can be reconciled with modern democratic politics. Whether that is the case or not is up for debate, but what clearly isn’t, as this collection reminds us, is that we cannot do our thinking about politics without him. (shrink)

With increasing complexity of the networks of social interaction new and more abstract forms of trust are in need. A conceptual analysis of different forms of trust, namely interpersonal trust, trust in groups and institutional trust is given. It is argued that institutional trust cannot totally replace interpersonal trust. Institutional trust rather builds on more personal forms of trust in that it is primarily formed in personal encounters with salient representatives of the institution and presupposes trust in others trusting in (...) the institution. Any form of trust is grounded in some normative foundation. A trusting person can make herself vulnerable to the action of other individuals because she perceives those others as acting from shared aims or values. Thus, some sort of virtue is a prerequisite of any form of genuine trust. While institutional trust may in some respect be more easily acquired than interpersonal trust in general it may bear a fundamental problem: institutional trust may be extraordinary robust with regard to a wide range of behavioral experiences; thus, it may be enduringly maintained although in fact unjustified. In a concluding section the general analysis is illustrated by some reflections on the problem of trust in government. (shrink)

In this chapter I discuss Roger Trigg’s contribution to this volume on Wittgenstein, concepts, and human nature. Trigg shares many of the basic assumptions that form the methodological framework of cognitive science of religion (CSR) arguing that Wittgenstein’s later work shares common ground with presumptions, commitments, and accounts in cultural studies that are usually rejected by proponents of CSR. In particular, he challenges Wittgenstein’s notion of truth, that he sees under the threat of radical relativism. Against his view I argue (...) that Wittgenstein’s later philosophy never comes at the cost of losing the notion of objective truth. It rather demands a change in the conceptual framework that underlies the use of this notion of truth. In the first section I argue for the claim in terms of Wittgenstein’s development. In the second section I explore the social nature of meaning in the Later Wittgenstein, arguing, in the third section, that it does not commit us to radical relativism. Finally, I draw some conclusions from my argument for the studies of CSR. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:196 HISTORY OF PHILOSOPHY in 1943, was to write an Epilogue to Julian Marias' History o] Philosophy. In early 1944, the Epilogue was conceived as a volume of 400 pages, and later of 700. In 1945 a part of the Epilogue was to be detached and given the title The Origin ol Philosophy. Then one completed part of that was published in 1953 as an essay in a Festschrift (...) for Karl Jaspers. That, and other sections, have been put together here. The first part of the book treats philosophy as a cumulative enterprise in which each man rethinks and thinks further what other men have thought. Even when past thought has reached an end, or taken a direction we will not follow, it is only for the reason that it has already happened that we do not have to do it ourselves. This is not because history is rational but because thought is historical, rooted in ideas we did not ourselves create and based on methods we have acquired and sometimes altered. The second part of the book deals with the origin of philosophy--and the origin of "philosophy" for Ortega is concerned throughout with language and etymology. The word "philosophy" is not one Ortega likes; he prefers the word "aletheia," which was used by Parmenides and his contemporaries. In popular language, aletheia meant discovery, exposure, denudation, revelation. For the thinker, "aletheia" is "truth" as a verb, the activity of uncovering reality, which is concealed under the robes of appearance or falsehood. Philosophy, for Ortega, begins with Parmenides and Heraclitus; "proto-philosophers" he calls them. The Ionians had been scientists; their attempts at natural explanation upset religion and tradition, and prepared the way for philosophy. In a remarkably subtle and complex analysis for so short a space, Ortega argues that skepticism, atheism, wealth, and knowledge of nature created a freedom based on a need to create or choose one's own beliefs in a world in which relative abundance demands choice, since in poverty "an individual is never in the position of being able to choose; for choice assumes that the circle of one's possibilities is notably greater than that of one's needs" (p. 98). The social need to define the thinker and so grant him professional status that might minimize the hostility of the tradition-ridden and reactionary populace, especially in Athens, led to the name "sophist," which became disreputable to a hostile citizenry, and then to "philosopher." Socrates was, unfortunately, the only philosopher, the man who liked, had a taste for, or loved wisdom, but made no pretense that he had any, saying only he sought it. But the name persisted, and helped institutionalize the new profession. I haven't even intimated the delight of Ortega's incidental insights. He was probably justified in believing that his stature as a thinker was much greater than his reputation. A first-rate, full-scale study of Ortega in English would help, but what we need most is a collection and translation of his complete works. RSLPH ROSS ~cripps College Discourse on Thinking. By Martin Heidegger. Translated by John M. Anderson and E. Hans Freund. (New York: Harper and Row, 1966. Pp. 93. $3.50.) This is a translation of a speech and conversation originally published under the thematic title Gelassenheit (Pfullingen: Giinther Neske, 1959). Heidegger uses this unusual German word to remind us that there is another way of thinking than the calculative and dialectical modes made prominent by the mathematical sciences and modem cultural philosophy respectively. We have forgotten a less busy mode of thinking, a thinking released from all desire to control reality. Gelassenheit is rendered throughout as "releasement" in this translation. But Gelassenheit does not just mean letting go, or freedom from, as "releasement" may suggest. It also has the more positive sense of composure and a patient letting things be. In the context of Heidegger's attempts to define a mode of thinking not concerned with dominating reality, Gelassenheit comes to mean the freedom to be open to reality. BOOK REVIEWS 197 Heidegger stresses the ability to wait for insight, which is not, however, a mere passive waiting for something fixed. It would be... (shrink)

The aim of this paper is to defend the claim that epistemic autonomy plays a central role in Kant’s account of epistemic normativity. Just as the formula of autonomy ought to regulate the activity of the will, I argue that our epistemic activity, and in particular our beliefs (‘holding to be true’, Fürwahrhalten) ought to be regulated by an epistemic version of this formula. To support this claim, I show that while believing and willing are different kinds of activities, they (...) are subject to the same normative demands. Thus, contrary to what is often assumed, the demand for autonomy applies to cognitive as well as moral agency. However, there are many reasons to be suspicious of the application of Kant’s notion of autonomy to the epistemic realm, so the final section focuses on three objections that question its soundness. I conclude that the analogy between epistemic and moral autonomy turns out to be a lot more robust than is usually thought. (shrink)

Elizabeth Fricker has recently proposed a principle aimed at stating the necessary and sufficient conditions for testimonial justification. Her proposal entails that a hearer is justified in believing a speaker’s testimony only if she recognizes the speaker to be trustworthy, which, given Fricker’s internalist commitments, requires the hearer to have within her epistemic purview grounds which justify belief in the speaker’s trustworthiness. We argue that, as it stands, Fricker’s principle is too demanding, and we propose some amendments to it. We (...) further discuss the viability of her internalist approach to testimony.Keywords: Testimony; Justification; Internalism; Social epistemology; Elizabeth Fricker. (shrink)

Part One of the ERDs addresses the balance Catholic health care institutions must strike between their mission to carry out the healing ministry of Christ and the demands of the US health care system. Divided into two sections, the commentary begins by proposing revisions to the Part One introduction focusing on enhanced application of Catholic social teaching principles and a renewed call for robust conscience and religious liberty protections. It then proposes additions to the Part One directives designed to help (...) Catholic health care respond with integrity to the many contemporarychallenges it faces, and to more full live out its mission and identity. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 10.2 (2000) 175-188 [Access article in PDF] Scope Note 38 Bioethics Resources on the Web * Once described as an "enormous used book store with volumes stacked on shelves and tables and overflowing onto the floor" (Pool, Robert. 1994. Turning an Info-Glut into a Library. Science 266 (7 October): 20-22, p. 20), Internet resources now receive numerous levels of organization, from basic directory listings (...) to elaborate "links" (cross-references to other Internet documents) that flash and glow in the dark. In many ways, the Internet functions as a direct extension of the traditional library. Following linked references across various sites is an electronic version of browsing library stacks, and the serendipitous discoveries made while "surfing the Net" recall the wonders of physically going "book-to-book." Although many of the Internet's best aspects augment library strengths by eliminating physical distance from sources, Net resources pose unique problems for researchers. It is not always clear who is responsible for the content of Web documents, when the document was produced, or how often (if ever) it is updated. Internet resource tools, then, must enable researchers to identify appropriate resources and to evaluate what they find when they get there. Web Research as Taking "Snapshots" Given the Internet's visual nature and fluid content, the process of conducting research on the Web has been likened to taking an informal picture of information on a specific date at a particular time. This metaphor also conveys the "zoom-in" aspect of searching through Web pages by going from general to specific categories. In the first section of this Scope Note, National Reference Center for Bioethics Literature (NRCBL) staff present a snapshot of bioethics resources taken during the spring months of 2000. Entries are divided into the categories of directories, electronic journals, full-text documents, news/current awareness, and teaching resources. In the two subsequent sections, this series of categories is repeated for entries on a specific topic within bioethics-genetics-and again for general search and evaluation tools. Where a Web site may contain pages applicable [End Page 175] to more than one category, multiple entries are made for that site with appropriate information for each category.Much as telecommunication advances have strengthened the relationship of patients and providers as partners, the dynamic nature of the Internet acknowledges that the researcher functions as a librarian whenever accessing the Web. It is our hope that BIOETHICSLINE and the other NRCBL databases not only will enable researchers to search the Web more efficiently, but also will help them to evaluate what they find when they get there. Bioethicsline on the Web: An International Plan in Progress Once only available through libraries, the U.S. National Library of Medicine (NLM), the funding agency for the ongoing development of the BIOETHICS LINE® database from the Kennedy Institute, has provided free Web access to that database of 63,000 citations since September 1998 through Internet Grateful Med. Plans are now underway to eliminate such specialty databases and incorporate all citations into PubMed (for journal articles) or LOCATORplus (for book-like materials and chapters in books). Both of these databases are likewise available at no cost on the Web. In the transition to PubMed and LOCATORplus some features of BIOETHICSLINE that presently are available may be lost. Researchers are encouraged to contact the National Reference Center for Bioethics Literature with search requests or for search strategy assistance with either the current or the future system ([email protected]).The inclusion of bioethics citations in PubMed and LOCATORplus will have several advantages. First, unique keywords from the Bioethics Thesaurus will be considered for inclusion in Medical Subject Headings (MeSH), the indexing vocabulary for PubMed and LOCATORplus, thereby enhancing retrieval of relevant clinical literature by offering more precise terminology covering ethical issues. Second, it will be easier to identify foreign-language materials, which are not currently included in the scope of BIOETHICSLINE. Third, the updating schedule will become more frequent. On the other hand, there may be some loss of searching precision because certain specialized features... (shrink)

Objective: Based on the theory of perceived organizational support (POS), conservation of resource (COR) and job demands-resources (JD-R) model, this study establishes a moderated mediation model to test the role of job satisfaction in mediating the relationship between perceived organizational support and job burnout, as well as the role of regulatory emotional self-efficacy in moderating the above mediating process. Method: A total of 784 police officers were surveyed with the Perceived Organizational Support Scale, the Job Burnout Questionnaire, the Regulatory Emotional (...) Self-Efficacy Scale, and the Minnesota Job Satisfaction Questionnaire. Results: (1) After controlling for gender, seniority, age, police classification, education, and marital status, regression analysis showed a significant negative correlation between perceived organizational support and burnout (r = -0.42, p < 0.01), and the former had a significant negative predictive effect on job burnout (β = -0.42, p < 0.001). (2) The mediating effect test shows that job satisfaction plays a partial role in mediating the relationship between perceived organizational support and job burnout. (3) Through the analysis of the moderated mediation model test, regulatory emotional self-efficacy moderates the first half of the path of “perceived organizational support → job satisfaction → job burnout". Conclusion: Perceived organizational support not only directly affects police job burnout but also indirectly affects police job burnout through job satisfaction. Regulatory emotional self-efficacy enhances the influence of organizational support on job satisfaction. This study indicates the combined effect of perceived organizational support, job satisfaction and regulatory emotional self-efficacy on job burnout and has certain guiding significance for alleviating police job burnout. Keywords: Perceived organizational support, Job burnout, Job satisfaction, Regulatory emotional self-efficacy, Moderated mediation. (shrink)

InMoral Thinking R. M. Hare offers a very influential defense of utilitarianism against intuitive objections. Hare's argument is roughly that utilitarianism conflicts with defensible moral intuitions only in unusual cases and that, in such cases, even defensible moral intuitions are unreliable. This paper reconstructs Hare's arguments and argues that they presuppose the success of his problematic proof of utilitarianism. Contrary to what many have thought, Hare's negative defense of utilitarianism against intuitive objections is not separable from his proof. In the (...) second part of the paper I argue that Hare does not succeed in defending utilitarianism against the objection that it is too demanding. The final section of the paper sketches a substantially revised version of Hare's reply to intuitive objections. So revised, the argument is independent of Hare's proof and affords a plausible answer to the objection that utilitarianism is too demanding. (shrink)

The accession and implementation of new generation free trade agreements bring numerous opportunities as well as challenges to Viet Nam, regarding trade, labor and investment. The increasing number of workers abroad puts a pressure on Vietnamese government to support them in new working cultures and environments. The application of chatbot, which has been known to help certain vulnerable groups such as patients, women and migrants could be one of the tools to support Vietnamese migrant workers by providing immediate information, network (...) connection and consultation. Analyzing the results of the qualitative interviews with 11 migrant workers and the group discussion with two sections from three public social media groups and three active informants, the article argues that migrant workers as a vulnerable group who are supposed to be promising users of chatbot due to their great demand and needs, may have a complicated form of trust and expectation in chatbot. (shrink)

This paper takes laptops as an example to carry out research on quantitative model of brand recognition based on sentiment analysis of big data. The basic idea is to use web crawler technology to obtain the most authentic and direct information of different laptop brands from first-line consumers from public spaces such as buyer reviews of major e-commerce platforms, including review time, text reviews, satisfaction ratings and relevant user information, etc., and then analyzes consumers’ sentimental tendencies and recognition status of (...) the product brands. This study extracted a total of 437,815 user reviews of laptops from e-commerce platforms from January 1, 2019 to December 31, 2021, and performed data preprocessing on the obtained review data, followed by sentiment dictionary construction, attribute expansion, text quantification and algorithm evaluation. This paper analyzed the information receiving and processing hierarchy of the quantitative model of brand recognition, discussed the interactive relationship between brand recognition and consumer sentiment, discussed the brand recognition bias, style and demand in the context of big data, and performed the sentiment statistics and dimension analysis in the quantitative model of brand recognition. The study results show that the quantitative model of brand recognition based on sentiment analysis of big data can transform and map the keywords in text to word vectors in the high-dimensional semantic space by performing unsupervised machine learning on the text based on artificial neural network computer bionic metaphors; the model can accumulate each brand-related buyer review in the corresponding brand recognition dimension, so as to obtain the value of each product in each dimension of brand recognition; finally, the model will add the values of each dimension of brand recognition, that is, obtain the relevant value of the sum of each brand recognition. The results of this paper may provide a reference for further research on the quantitative model of brand recognition based on sentiment analysis of big data. (shrink)

In this retrospective for Ethics, I discuss H.M. Oliver’s “Established Expectations and American Economic Policies.” This article, by a then-modestly-famous economist, has been ignored (no citations) since its 1940 publication. Yet it bears directly on a normative problem at the intersection of ethics and economics that challenges today’s policymakers but has received comparatively little philosophical attention: how should we balance potentially desirable institutional change against the disruption of established expectations? -/- Oliver details how the principle of fulfilling established expectations cuts (...) across political lines. Conservatives, he observes, criticized inflation for disrupting expectations, and demanded the protection of established corporations. New Deal progressives achieved “the safeguarding of the economic positions of certain important sections of the American people” (104) via statutes designed to protect income and homeownership status. And labor leaders lobbied for the preservation of occupational status. Oliver criticizes these demands on two grounds. First, they are noncompossible: they can’t simultaneously be fulfilled. Second, they are economically inefficient. He concludes that “in a modern dynamic economy, the preservation of status is not and cannot be a feasible criterion of economic justice” (107). -/- I argue that Oliver accurately recognizes both the wide endorsement and the moral ill-foundedness of fulfilling expectations. However, I criticize Oliver’s belief in the noncompossibility of expectations. The established expectations of the wealthy, middle-class homeowners and retirees, and current workers can all be maintained, but at the price of constricting the opportunities of new graduates, immigrants, and the poor—all groups yet to develop settled expectations. This insight renders the protection of expectations not merely inefficient but also unjust. (shrink)

There are serious concerns about the commercialization of healthcare and adoption of the business approach in medicine. As market dynamics endanger established professional values, healthcare workers face more complicated ethical dilemmas in their daily practice. The aim of this study was to investigate the willingness of medical students to accept the assertions of commercialized healthcare and the factors affecting their level of agreement, factors which could influence their moral stance when market demands conflict with professional values. A cross-sectional study was (...) conducted in three medical schools in Turkey. The study population consisted of first-, third-, and sixth-year students, and 1,781 students participated in total. Students were asked to state if they agreed with the assertions of commercialized healthcare. Of all students, 87.2 per cent agreed with at least one of the assertions, and one-fifth of them agreed with more than half of the assertions. First-year students significantly agreed more with some assertions than third- and sixth-year students. Being female, having mid-level family income, choosing medicine due to idealistic reasons, and being in the third or sixth years of medical study increased the probability of disagreement. Also, studying in a medical school that included integrated lectures on health policies, rights related to health, and health inequities, along with early field visits, increased the probability of disagreement. This study suggests that agreement with the assertions of commercialized healthcare might be prevalent among students at a considerable level. We argue that this level of agreement is not compatible with best practice in professional ethics and indicates the need for an educational intervention in order to have physicians who give priority to patients’ best interests in the face of market demands. (shrink)

This chapter contains sections titled: Capital Punishment Conclusion Bibliography.

1. Let me begin by distinguishing two conceptions of guilt. The first conceives of guilt as an experience of reprehensible failure in response to specific actions. I feel guilty if I break a promise for reasons that cannot justify this transgression. This conception of guilt as a responsive attitude, which I call locally- reactive guilt, captures a tension in one’s agency that arises from a local failure. The second conception understands guilt as a condition that shapes one’s whole existence. Guilt, (...) on this view, is a persistent feeling of imperfection. Such guilt, existential guilt, presupposes a reference point vis-à-vis which one’s life is so experienced. This reference is most plausibly a shared understanding of moral perfection within a community that is so demanding as to make it hard or impossible to live up to its standards. While the adoption of the Christian God offers one explanation for the emergence of such a shared understanding, other explanations of existential guilt are possible (see section 5 below). Existential guilt manifests itself especially in locally-reactive guilt, but there can be locallyreactive guilt without existential guilt. I submit that Nietzsche is not particularly interested in locally-reactive guilt, and that his vision of the future of humanity can accommodate such guilt. That conception of guilt, at any rate, is not tied to the Christian sittliche Weltordnung that Nietzsche attacks, or to other thick metaphysical or ethical views. Locallyreactive guilt merely presupposes that some set of expectations is in place and perceived as binding. What Nietzsche is interested in is existential guilt. As far as the Genealogy is concerned, this is to some extent a hermeneutical preconception based on my understanding of the German-speaking or otherwise European culture in which Nietzsche operated—a culture in which religious diversity generally amounted merely to the joint presence of Catholics and Lutherans (or, in some places, other Protestants) in the same area, interspersed with relatively small groups of Jews, and in which the Christian legacy was prevalent across all sections of culture.. (shrink)

Cantor’s proof that the reals are uncountable forms a central pillar in the edifices of higher order recursion theory and set theory. It also has important applications in model theory, and in the foundations of topology and analysis. Due partly to these factors, and to the simplicity and elegance of the proof, it has come to be accepted as part of the ABC’s of mathematics. But even if as an Archimedean point it supports tomes of mathematical theory, there is a (...) question that demands clarification: What, exactly, does Cantor’s proof show? One of few places where this question is addressed is Appendix II of Wittgenstein’s Remarks on the Foundations of Mathematics. This essay is devoted to clarifying Wittgenstein’s remarks in that section. (shrink)