A major issue facing the health of young adults in the United States is the often unintentional lack of confidentiality maintained in the provision of sensitive health services. Of primary concern is that young adults who remain on their parents' health insurance plans forgo Sexually Transmitted Infection screening and treatment, as well as other sensitive services such as family planning services and mental health treatment out of a concern that explanation of benefit forms from such services will inform their parents, (...) the policyholders. The challenges of providing confidential health care to young adults have become more prominent and concerning following the passage of the Affordable Care Act, as adult children can now remain on their parents' plans until the age of 26. While this change will grant more young adults access to health care services, ensuring confidential care remains a challenge whenever the parent and not the patient is the policyholder. This article discusses these serious challenges and offers potential solutions to ensuring confidentiality for specific services for young adults. (shrink)

A major issue facing the health of both minors and young adults in the United States is the often unintentional lack of confidentiality maintained in the provision of sensitive health services. Studies have shown that access to confidential care is crucial for minors seeking preventive care and treatment for sensitive services. Evidence demonstrates that many minors will not seek health care if confidentiality cannot be ensured, which can have significant negative health implications; this finding can be extended to young adults (...) covered under their parents health plans. Young adults, not just minors, also often forgo important sensitive services when they face a breach of confidentiality, which most likely occurs when their parents have access to the adult child's health information.Currently, private insurance companies generally send the policyholder an explanation of benefits whenever a service is provided under a plan. EOBs generally include information identifying the patient, provider, type of care received, total charge for services, amount paid by the insurance company, and any financial obligation of the policyholder. (shrink)

A quoi ressemblerait une société vraiment féministe? L'identité, la sexualité, l'amour et la parentalité se vivraient sans contrainte ni injonction. La réponse aux crimes serait la réparation et non l'exclusion. L'attention au soin changerait notre relation au travail. L'écoféminisme nous ferait entrer dans une relation non prédatrice à la nature. Les théoriciennes féministes ont développé, depuis des siècles, suffisamment d'outils pour modifier en profondeur chaque pan de la société, au-delà des relations femmes-hommes. Appliquer un programme féministe à la société, c'est (...) redéfinir le sens d'aimer, d'éduquer, de juger, de produire, de vivre même. Dans cet essai, qui entrecroise vulgarisation des pensées féministes et récit intime, je vous propose des solutions pour répondre aux urgences de l'époque et bâtir un futur désirable. La bonne nouvelle, c'est que ce futur est déjà là. (shrink)

Im Jahr 1966 erschien mit dem Band "Spinozas Philosophie des Absoluten" im Verlag Vittorio Klostermann der erste Band einer Reihe, in der Wolfgang Cramer unter dem Titel "Die absolute Reflexion" in fünf Bänden eine Summe seines philosophischen Lebenswerkes ziehen wollte. 1967 legte Cramer mit "Gottesbeweise und ihre Kritik" einen zweiten Band vor; die weiteren drei geplanten Bände "Das transzendentale Subjekt", "Die absolute Reflexion in der Philosophie des deutschen Idealismus" und "Die absolute Reflexion" sind nicht mehr erschienen. Dass (...) class='Hi'>Cramer jedoch auch in seinen letzten Lebensjahren an der weiteren Durchführung seines philosophischen Gesamtvorhabens gearbeitet hat, geht einerseits aus seinen letzten Veröffentlichungen, andererseits aus Schriften hervor, die sich in seinem Nachlass oder in den Händen seiner Schüler und philosophischen Weggefährten befanden. Herausgegeben von Konrad Cramer, Sohn Wolfgang Cramers und emeritierter Professor für Philosophie an der Universität Göttingen, werden nun diese Arbeiten aus dem Nachlass erstmals veröffentlicht. Cramers Schriften, deren erste im Verlag Klostermann 1957 erschienene "Grundlegung einer Theorie des Geistes" von Dieter Henrich als "einziges grundlegendes systematisches Werk, das nach 1945 in Deutschland veröffentlicht wurde" bezeichnet wurde, standen mit ihrem Beharren auf der Möglichkeit der Begründung einer rationalen Metaphysik zur Zeit ihres Entstehens quer zum Geist des "nachmetaphysischen Zeitalters". Die Texte dieses Bandes dokumentieren den Gang des Cramerschen Denkens hin zu einer Philosophie des Absoluten - einer systematisch begründeten Bestimmung des Absoluten aus absoluter Voraussetzungslosigkeit, die Hand in Hand geht mit Cramers Ausarbeitung einer Theorie des Geistes als einer Ontologie der konkreten singulären Subjektivität. Wolfgang Cramer (1901-1974) war Professor für Philosophie an der Universität Frankfurt am Main. Durch seine seit 1957 durchgängig bei Klostermann erschienenen Bücher wurde er zu einem der wichtigsten systematischen Philosophen im Deutschland der sechziger Jahre des vergangenen Jahrhunderts. (shrink)

1m Juni 1971 hatte das Weizmann-Institut, die berlihmte intematio­ nale Forschungsstatte des Landes Israel, zu einem Symposium unter dem Titel "The Impact of Science on Society" nach Brlissel einge­ laden. Wahrend zweier Tage versuchten Wissenschaftler die Situ­ ation unserer heutigen, durch die Wissenschaft veriinderten Welt zu analysieren. Man fragte sich, welchen Nutzen uns die Wissenschaft gebracht habe und wohin sie uns fUhre. Stellt die Wissenschaft die hochste Ausformung des menschlichen Geistes, die groBte Kultur­ leistung dar? Wie weit geht die Verantwortung (...) des Forschers fUr die Resultate seiner Forschung? Welches ist die Rolle der Wissen­ schaft in einer klinftigen Gesellschaft? In ihren Referaten gaben die Forscher hochst individuelle und origi­ nelle Antworten zu diesem Thema. Der vollstandige W ortlaut des Symposiums wurde 1973 von A. R. MICHAELIS und H. HARVEY unter dem Titel "Scientists in Search of their Conscience" beim Springer-Verlag Berlin - Heidelberg - New York veroffentlicht. Die hiervorliegende deutsche Ausgabe habe ichaus dieser Originalausgabe stark liberarbeitet und durch einftihrende Zwischenkapitel erganzt. Dr. A. R. MICHAELIS, London, Dr. JOSEF COHN und Frau RENATE V. BAMBERG, Europaisches Komitee des Weizmann-Instituts, ZUrich, danke ich fUr die Zusammenarbeit und Hilfe bei der Abfassung der deutschen Ausgabe. Dr. DIETER GAUSS, Gottingen, und Dr. HARALD K. WIEBKING, Springer-Verlag Heidelberg, bin ich fUr die redak­ tionelle Bearbeitung des Manuskripts verbunden. Gottingen, im Sommer 1974 F. CRAMER Inhaltsverzeichnis Einftihrung: Wissenschaft und Gesellschaft in unserer Zeit FRIEDRICH CRAMER........... (shrink)

Unlike some other reproductions of classic texts (1) We have not used OCR(Optical Character Recognition), as this leads to bad quality books with introduced typos. (2) In books where there are images such as portraits, maps, sketches etc We have endeavoured to keep the quality of these images, so they represent accurately the original artefact. Although occasionally there may be certain imperfections with these old texts, we feel they deserve to be made available for future generations to enjoy.

Abstract In this paper I probe the kinds of views about selfhood that inform our understanding of sincerity and authenticity and argue that the terms have separate, but related, boundaries. Borrowing Harry Frankfurt's notion of wholeheartedness, I argue that authenticity is a form of alignment or consistency within the self, which requires self-knowledge and intentionality in order to be actualized. Sincerity involves representing oneself truthfully to others but does not depend on the presence of authenticity. I contrast sincerity and authenticity (...) in depth using literary examples. In the final section, I call into question the assumptions underwriting the distinction between sincerity and authenticity and introduce the category of ?shtick,? which plays with both. I conclude that, although authenticity and sincerity stand in a complex relation to one another, that relation is neither one of synonymity, as might have been the case in the Renaissance, nor of sufficient condition, as Polonius famously claims. (shrink)

In the last two decades few topics in philosophy of science have received as much attention as mechanistic explanation. A significant motivation for these accounts is that scientists frequently use the term “mechanism” in their explanations of biological phenomena. While scientists appeal to a variety of causal concepts in their explanations, many philosophers argue or assume that all of these concepts are well understood with the single notion of mechanism. This reveals a significant problem with mainstream mechanistic accounts– although philosophers (...) use the term “mechanism” interchangeably with other causal concepts, this is not something that scientists always do. This paper analyses two causal concepts in biology–the notions of “mechanism” and “pathway”–and how they figure in biological explanation. I argue that these concepts have unique features, that they are associated with distinct strategies of causal investigation, and that they figure in importantly different types of explanation. (shrink)

What might Adam Smith have learned from Jane Austen and other novelists of his moment? This paper finds and examines a serious problem at the center of Adam Smith’s moral psychology, stemming from an unacknowledged tension between the effort of the spectator to sympathize with the feelings of the agent and that of the agent to moderate her feelings. The agent’s efforts will result in her opacity to spectators, blocking their attempts to read her emotions. I argue that we can (...) resolve this tension by looking to developments in eighteenth-century literature, as perfected in the hands of Jane Austen. I focus on two techniques, focalization and free indirect style, and I show that the problems for spectatorship diminish when we see that good Smithian spectators are savvy readers. (shrink)

This paper describes the origins of the logistic function and its history up to its adoption in bio-assay and the beginning of its wider acceptance in statistics, ca. 1950. The function was probably first invented in 1838 to describe population growth by the Belgian mathematician Verhulst, who gave it its name in 1845; but it was rediscovered independently several times over in the next eighty years, both for this purpose and for the description of autocatalytic chemical reactions. Its adoption in (...) an altogether different role in bio-assay has been determined decisively by the individual actions and personal histories of a few scholars: the widespread acceptance of the growth function is due to Pearl and Reed, the general recognition of Verhulst’s primacy to Yule, and the introduction of the function in bio-assay to Berkson. (shrink)

ABSTRACT:Corporate social responsibility has been hailed as a new means to address gender inequality, particularly by facilitating women’s empowerment. Women are frequently and forcefully positioned as saviours of economies or communities and proponents of sustainability. Using vignettes drawn from a CSR women’s empowerment programme in Ghana, this conceptual article explores unexpected programme outcomes enacted by women managers and farmers. It is argued that a feminist Foucauldian reading of power as relational and productive can help explain this since those involved are (...) engaged in ongoing processes of resistance and self-making. This raises questions about the assumptions made about women and what is it that such CSR programmes aim to empower them ‘from’ or ‘to.’ Empowerment, when viewed as an ethic of care for the self, is better understood as a self-directed process, rather than a corporate-led strategy. This has implications for how we can imagine the achievement of gender equality through CSR. (shrink)

This chapter highlights the complexity of the relationship between enhancement of mood and cognition on the one hand and the improvement of people's well‐being on the other. To do so, two psychiatric conditions, Asperger's syndrome and bipolar disorder, are presented in the chapter. Even though there are both negative and positive aspects to Asperger's syndrome or to bipolar disorders, taking away even these negative aspects would not necessarily promote well‐being. It might also be impossible to isolate the positive aspects of (...) these disorders. An increase in specific forms of cognition might be intrinsically connected to a decrease in specific aspects of mood. A decrease in specific aspects of mood might be intrinsically connected to an increase in creativity. Neither is necessarily linked to any changes in some general form of “well‐being.”. (shrink)

The God who runs after your friendship -- A short note on gender and language for God -- Clothing -- Smell -- Bread and vine -- Laboring woman -- Laughter -- Flame -- In this poverty of expression, thou findest that He is all -- Dingbat -- A short note from the women's prison -- A bookshelf.

In this paper, I identify a form of epistemic insensitivity that occurs when someone fails to make proper use of the epistemic tools at their disposal in order to bring their beliefs in line with epistemically relevant evidence that is available to them. I call this kind of insensitivity agential insensitivity because it stems from the epistemic behavior of an individual agent. Agential insensitivity can manifest as a failure to either attend to relevant and available evidence, or appropriately interpret evidence (...) that is attended to. The concept of agential insensitivity allows us to conceptualize the kind of not-knowing involved in forms of ignorance that are cultivated and maintained by individual agents, especially when this ignorance is enabled or encouraged by social structures. I use the skepticism about racial disparities in policing practices that is displayed by many white Americans as a lens for exploring this connection. Understanding agential insensitivity thus provides insight into both social and epistemic phenomena. (shrink)

Kaplan and Craver claim that all explanations in neuroscience appeal to mechanisms. They extend this view to the use of mathematical models in neuroscience and propose a constraint such models must meet in order to be explanatory. I analyze a mathematical model used to provide explanations in dynamical systems neuroscience and indicate how this explanation cannot be accommodated by the mechanist framework. I argue that this explanation is well characterized by Batterman’s account of minimal model explanations and that it demonstrates (...) how relationships between explanatory models in neuroscience and the systems they represent is more complex than has been appreciated. (shrink)

As clinical trials end, little is understood about how participants exiting from clinical trials approach decisions related to the removal or post-trial use of investigational brain implants, such as deep brain stimulation (DBS) devices. This empirical bioethics study examines how research participants experience the process of exit from research at the end of clinical trials of implanted neural devices. Using a modified grounded theory study design, we conducted semi-structured, in-depth interviews with 16 former research participants from clinical trials of DBS (...) and responsive neurostimulation (RNS). Open-ended questions elicited motivations for joining the trial, understanding of study procedures at the time of initial informed consent, the process of exiting from research, and decisions about device removal or post-trial device use. Thematic analysis identified categories related to: limited preparedness for the end of research participation, straightforwardness of decisions to explant or keep the device, reconciling with the end of research participation, reconciling post-trial expectations, and achieving a sense of closure after exit from research. A preliminary theoretical model describes contextual factors influencing the process and experience of exit from research. Experiences of clinical trial participants should guide research practices to enhance the ethical design and conduct of clinical trials in DBS and other brain devices. (shrink)

According to mainstream philosophical views causal explanation in biology and neuroscience is mechanistic. As the term ‘mechanism’ gets regular use in these fields it is unsurprising that philosophers consider it important to scientific explanation. What is surprising is that they consider it the only causal term of importance. This paper provides an analysis of a new causal concept—it examines the cascade concept in science and the causal structure it refers to. I argue that this concept is importantly different from the (...) notion of mechanism and that this difference matters for our understanding of causation and explanation in science. (shrink)

Does stakeholder theory constitute an established academic field? Our answer is both “yes” and “no.” In the more than quarter-century since Freeman’s seminal contribution in 1984, this domain has acquired some of the administrative, social, and disciplinary trappings of an established field. Stakeholder research has coalesced around a unique intellectual position: that corporations must be understood within the context of their stakeholder relationships and that this understanding must grow out of the interplay between normative and social scientific insights. Yet, much (...) of this domain remains an unexplored territory. In this article, the authors assess the progress to date toward field status and outline future directions for stakeholder research. (shrink)

Causal selection has to do with the distinction we make between background conditions and “the” true cause or causes of some outcome of interest. A longstanding consensus in philosophy views causal selection as lacking any objective rationale and as guided, instead, by arbitrary, pragmatic, and non-scientific considerations. I argue against this position in the context of causal selection for disease traits. In this domain, causes are selected on the basis of the type of causal control they exhibit over a disease (...) of interest. My analysis clarifies the principled rationale that guides this selection and how it involves both pragmatic and objective considerations, which have been overlooked in the extant literature. (shrink)

This article discusses the new reproductive technology of egg freezing in the context of existing literature on gender, medicalization, and infertility. What is unique about this technology is its use by women who are not currently infertile but who may anticipate a future diagnosis. This circumstance gives rise to a new ontological category of “anticipated infertility.” The author draws on participant observation and a qualitative analysis of scientific, mainstream, and marketing literature to identify and compare the representation of two different (...) candidates for egg freezing: women with cancer and healthy young women. Although both populations experience anticipated infertility, their dichotomous portrayals as appropriate candidates are demonstrative of gender norms linking women to motherhood. Egg freezing is a concise illustration of how the medicalization of women’s bodies and bodily processes masks a host of cultural anxieties about aging, illness, reproduction, and risk. (shrink)

This paper explores a distinction among causal relationships that has yet to receive attention in the philosophical literature, namely, whether causal relationships are reversible or irreversible. We provide an analysis of this distinction and show how it has important implications for causal inference and modeling. This work also clarifies how various familiar puzzles involving preemption and over-determination play out differently depending on whether the causation involved is reversible.

Two decades ago, in 1994, in the context of the 4th EU Framework Programme, ELSA was introduced as a label for developing and funding research into the ethical, legal and social aspects of emerging sciences and technologies. Currently, particularly in the context of EU funding initiatives such as Horizon2020, a new label has been forged, namely Responsible Research and Innovation. What is implied in this metonymy, this semantic shift? What is so new about RRI in comparison to ELSA? First of (...) all, for both labels, the signifier was introduced in a top-down manner, well before the concept that was signified by it had acquired a clear and stable profile. In other words, the signifier preceded the research strategies actually covered by these labels. Moreover, the newness of RRI does not reside in its interactive and anticipatory orientation, as is suggested by authors who introduced the term, but rather in its emphases on social-economic impacts. (shrink)

Social scientists appeal to various “structures” in their explanations including public policies, economic systems, and social hierarchies. Significant debate surrounds the explanatory relevance of these factors for various outcomes such as health, behavioral, and economic patterns. This paper provides a causal account of social structural explanation that is motivated by Haslanger (2016). This account suggests that social structure can be explanatory in virtue of operating as a causal constraint, which is a causal factor with unique characteristics. A novel causal framework (...) is provided for understanding these explanations–this framework addresses puzzles regarding the mysterious causal influence of social structure, how to understand its relation to individual choice, and what makes it the main explanatory (and causally responsible) factor for various outcomes. (shrink)

Recent philosophical work has explored the distinction between causal and non-causal forms of explanation. In this literature, topological explanation is viewed as a clear example of the non-causal variety–it is claimed that topology lacks temporal information, which is necessary for causal structure. This paper explores the distinction between topological and causal forms of explanation and argues that this distinction is not as clear cut as the literature suggests. One reason for this is that some explanations involve both topological and causal (...) information. In these “borderline” cases scientists explain some outcome by appealing to the causal topology of the system of interest. These cases help clarify a type of topological explanation that is genuinely causal, but that differs from standard topological and interventionist accounts of explanation. (shrink)

This article examines the multiple realizability thesis within a causal framework. The beginnings of this framework are found in Elliott Sober’s “Multiple Realizability Argument against Reduction,”...

In the United States, sex education is more than just an uncomfortable rite of passage, it's an amorphous curriculum that varies widely based on the politics, experience, resources, and biases of the people teaching it. Most often, it's a train wreck, overemphasizing or underemphasizing STIs, teen pregnancy, abstinence, and consent. In Touchy Subject, philosopher Lauren Bialystok and historian Lisa M. F. Andersen make the case for thoughtful sex education, explaining why it's worth fighting for and which kind most deserves (...) our fight, despite all the inconveniences and compromises along the way. They argue that democratic and humanistic aims can be used to provide the tools to reason about the content and form of sex education. In practice, this amounts to a curriculum that meets what are currently considered highly comprehensive standards, incorporates ethics and civics education, and substantially modifies some aspects of teacher training and school design; it also assigns different responsibilities to different actors inside and outside schools, and it responds to the salient features of young people's evolving worlds, including the inequities that put some students at much higher risk of sexual harm than others. Throughout their inquiry, the authors show the reader how sex education has progressed and how the very concept of "progress" remains contestable. (shrink)

Slurring language has had a lot of recent interest, but the focus has been almost exclusively on racial slurs. Gendered pejoratives, on the other hand—terms like “slut,” “bitch,” or “sissy”—do not fit into existing accounts of slurring terms, as these accounts require the existence of neutral correlates, which, I argue, these gendered pejoratives lack. Rather than showing that these terms are not slurs, I argue that this challenges the assumption that slurs must have neutral correlates, and so that a new (...) approach to thinking about the meaning of slurring terms is required. (shrink)

The year 2020 has yielded twin crises in the United States: a global pandemic and a public reckoning with racism brought about by a series of publicized instances of police violence toward Black men and women. Current data indicate that nationally, Black Americans are three times more likely than White Americans to contract Covid-19, a pattern that underscores the more general phenomenon of health disparity among Black and White Americans. Once exposed, Black Americans are twice as likely to die of (...) the virus. Unsurprisingly, Black Americans report higher levels of fear of Covid-19 than their White peers, but they also report higher levels of hesitancy toward a Covid-19 vaccine. This paper explores why this apparent discrepancy exists. It also provides practical recommendations for how government and public health leaders might address vaccine hesitancy in the context of the twin crises of 2020. (shrink)