Background Traditionally, palliative care has focused on patients suffering from life-threatening somatic diseases such as cancer or progressive neurological disorders. In contrast, despite the often chronic, severely disabling, and potentially life-threatening nature of psychiatric disorders, there are neither palliative care units nor clinical guidelines on palliative measures for patients in psychiatry. Main text This paper contributes to the growing literature on a palliative approach in psychiatry and is based on the assumption that a change of perspective from a curative to (...) a palliative approach could help promote patient-centeredness and increase quality of life for severely ill patients in psychiatry as well as in somatic medicine. To exemplify this, we offer three different clinical scenarios: severe and enduring anorexia nervosa, treatment-refractory schizophrenia, and chronic suicidality and persistent self-injury in borderline personality disorder. Conclusion We emphasize that many typical interventions for treatment-refractory psychiatric disorders may indeed be of a palliative nature. Furthermore, introducing traditional features of palliative care, e.g. so-called goals of care conversations, could aid even further in ensuring that caregivers, patients, and families agree on which treatment goals are to be prioritized in order to optimize quality of life in spite of severe, persistent mental disorder. (shrink)

This paper has two main foci: the history of curriculum design, and implications from the new sciences of chaos and complexity for the development of new forms of curriculum design and teaching implementation. Regarding the first focus, the paper posits that there exist—to use Wittgenstein's phrase—‘family resemblances’ between Peter Ramus’ 16th century curriculum design and that of Ralph Tyler in the 20th century. While this 400‐year linkage is by no means linear, there are overlapping strands from Ramus to Comenius to (...) the Puritans to colonial New England to Horace Mann to Ralph Tyler. What unites these strands, all belonging to the Protestant Methodization movement that swept across northern Europe into colonial America and the USA, is the concept of Method. Taylor's ‘time and motion’ studies set the stage for Tyler's Basic Principles of curriculum design—those starting with set goals and concluding with measured assessment. The second focus draws on the new sciences of chaos and complexity to develop a different sense of curriculum and instruction—open, dynamic, relational, creative, and systems oriented. The paper concludes with an integration of the rational/scientific with the aesthetic/spiritual into a view of education and curriculum informed by complexity. (shrink)

Down Girl is a broad, original, and far ranging analysis of what misogyny really is, how it works, its purpose, and how to fight it. The philosopher Kate Manne argues that modern society's failure to recognize women's full humanity and autonomy is not actually the problem. She argues instead that it is women's manifestations of human capacities -- autonomy, agency, political engagement -- is what engenders misogynist hostility.

The author of this book pursues the objective of treating the whole of pure mathematics [die ganze reine Mathematik] in four sections [Abtheilungen]. One half of the first of these sections is dedicated to arithmetic and is already available. The other half of the first section “A heuristic treatise on number [Zahlenlehre in freier Gedankenentwicklung]” which treats the same discipline is supposed to follow. The author may have opted for such an unusual separation [of the treatment of arithme..

A new theory of ethnic cleansing based on the most terrible cases and cases of lesser violence. Murderous cleansing is modern, 'the dark side of democracy'. It results where the demos is confused with the ethnos. Danger arises where two rival ethno-national movements each claims 'its own' state over the same territory. Conflict escalates where either the weaker side fights because of aid from outside, or the stronger side believes it can deploy sudden, overwhelming force. Escalation is not simply the (...) work of 'evil elites' or 'primitive peoples'. It results from complex interactions between leaders, militants, and 'core constituencies' of ethno-nationalism. Understanding this complex process helps us devise policies to avoid ethnic cleansing in the future. (shrink)

In The City of God , XI, 10, St Augustine claims that the divine nature is simple because ‘it is what it has’ . We may take this as a slogan for the Doctrine of Divine Simplicity , a doctrine which finds its way into orthodox medieval Christian theological speculation. Like the doctrine of God's timeless eternality, the DDS has seemed obvious and pious to many, and incoherent, misguided, and repugnant to others. Unlike the doctrine of God's timeless eternality, the (...) DDS has received very little critical attention. The DDS did not originate with Augustine, but I am not primarily concerned with its pedigree. Nor am I concerned to ask how the doctrine interacts with trinitarian speculation. I will have my hands full as it is. In Section I of this paper I shall provide a rough characterization of the DDS, indicate its complexity, and focus on a particular aspect of the doctrine which will exercise us in the remainder of the paper, namely, the thesis that the divine attributes are all identical with each other and with God. In section n I shall discuss Alvin Plantinga's recent objections to Aquinas' version of the DDS. I shall then offer a more detailed presentation of what I take to be Aquinas' version , and recast it in terms of a theory of attributes which is significantly different from Plantinga's . Although the recasting of the doctrine will enable me to rebut Plantinga's objections , it by no means solves all the problems of the DDS. In section vi I shall discuss the chief lingering problem facing a defender of the DDS. (shrink)

Thomas Mann developed one of the most subtle theories of irony during World War I, concluding that the best irony was irony against both sides of any issue. Such irony was not inconsistent with love for humanity, and even for both sides. He may well have been justified in using irony against both sides in that war. But with the rise of the Nazis, he abandoned two-sided irony and used his irony mostly against them. One the one hand, this meant (...) a better political position, but on the other hand irony was almost absent from many of his wartime essays and declarations. That may have been justified in such a time of danger, but it meant less art and subtlety in his political writings. (shrink)

The science underlying global warming, climate change, and the connections between these phenomena are reviewed. Projected future climate changes under various plausible scenarios of future human behavior are explored, as are the potential impacts of projected climate changes on society, ecosystems, and our environment. The economic, security, and ethical considerations relevant to determining the threat posed by climate change are subsequently assessed. The article then discusses the various means available for climate change mitigation, focusing on the relative strengths and weaknesses (...) of various societal alternatives including ‘geoengineering’ and transitioning to less carbon intensive energy sources. The article concludes with the author's views as to what steps might most profitably be taken to avert dangerous anthropogenic interference with Earth's climate, and the ramifications if such steps are not taken. (shrink)

Suppose that God exists: what difference would that make to the world? The answer depends on the nature of God and the nature of the world. In this book, William E. Mann argues in one new and sixteen previously published essays for a modern interpretation of a traditional conception of God as a simple, necessarily existing, personal being. Divine simplicity entails that God has no physical composition or temporal stages; that there is in God no distinction between essence and existence; (...) that there is no partitioning of God's mental life into beliefs, desires, and intentions. God is thus a spiritual, eternal being, dependent on nothing else, whose essence is to exist and whose mode of existence is identical with omniscience, omnipotence, and perfectly goodness. In metaphysical contrast, the world is a spatial matrix populated most conspicuously by finite physical objects whose careers proceed sequentially from past to present to future. Mann defends a view according to which the world was created out of nothing and is sustained in existence from moment to moment by God. The differences in metaphysical status between creator and creatures raise questions for which Mann suggests answers. How can God know contingent facts and necessary truths without depending on them? Why is it so easy to overlook God's presence? Why would self-sufficient God create anything? Wouldn't a perfect God create the best world possible? Can God be free? Can we be free if God's power is continuously necessary to sustain us in existence? If God does sustain us, is God an accomplice whenever we sin? Mann responds to the Euthyphro dilemma by arguing for a kind of divine command metaethical theory, whose normative content lays emphasis on love. Given the metaphysical differences between us, how can there be loving relationships between God and creatures? Mann responds by examining the notions of piety and hope. (shrink)

The doctrine of divine simplicity, the doctrine that God has no physical or metaphysical complexity whatsoever, is not a doctrine designed to induce immediate philosophical acquiescence. There are severe questions about its coherence. And even if those questions can be answered satisfactorily in favour of the doctrine, there remains the question why anyone should accept it. Thomas V. Morris raises both sorts of questions about a version of the doctrine which I have put forward. In the following pages I shall (...) respond to what I take to be the most serious of Morris's objections. I shall argue that the doctrine survives Morris's onslaught, but that one observation of his points it in a direction I had hitherto not taken seriously. The bulk of Morris's paper raises questions of the first sort; perforce the bulk of my paper will also. I shall offer, at the end, a reason for thinking that neither of us is yet in a position to pronounce categorically on the second question. My remarks in this paper constitute an interim report on how I think things presently stand with divine simplicity. (shrink)

This volume presents fourteen of William E. Mann's essays on three prominent figures in late Patristic and early medieval philosophy: Augustine, Anselm, and Peter Abelard. The essays explore some of the quandaries, arguments, and theories presented in their writings. The essays in this volume complement those to be found in Mann's God, Modality, and Morality. While the essays in God, Modality, and Morality are primarily essays in philosophical theology, those found in the present volume are more varied. Some still deal (...) with issues in philosophical theology. Other essays are aporetic in nature, discussing cases of philosophical perplexity, sometimes but not always leaving the cases unresolved.All the essays display, directly or indirectly, the philosophical influence that Augustine has had. His Confessions is a rich source for philosophical puzzlement. Individual essays examine his reflections on the alleged innocence of infants, which raises questions about cognitive, emotional, and linguistic development; his juvenile theft of pears and its relation to moral motivation; and his struggle with and resolution of the problem of evil. One essay presents the rudiments of an Augustinian moral theory, rooted in his understanding of the Sermon on the Mount. Another essay illustrates the theory by discussing his writings on lying. Mann argues that Abelard amplified Augustine's moral theory by emphasizing the crucial role that intention plays in wrongdoing.Augustine bequeathed to Anselm the notion of. (shrink)

La teoria del potere di Michael Mann è una delle prospettive più influenti nell’ambito della ricerca sul potere contemporanea. La sua grande carica innovativa è data dal modello teorico che Mann elabora nella sua opera più ampia e conosciuta, The Sources of Social Power: le relazioni di potere succedutesi nella storia umana possono essere ripercorse e spiegate sulla base delle quattro categorie costituite dal potere ideologico, economico, militare e politico. Grazie a questa chiave analitica Mann offre risposte empiricamente documentate e (...) teoricamente affascinanti a fondamentali interrogativi storico-politici: come e perché sono sorte le prime grandi civiltà dell’antichità? Come si è generata la proprietà privata? In che modo sono nati gli Stati nazionali? A quali condizioni può prodursi una rivoluzione? Il volume ripercorre, e discute criticamente, il complesso delle ricerche svolte da Mann; esse, facendo luce sul passato, offrono una chiave originale per capire come si è formata la società in cui viviamo, e ci permettono di valutare più chiaramente, in quanto studiosi e cittadini, le scelte che ci si prospettano per il futuro. (shrink)

The philosophers agree that philosophy begins in wonder. How wonder is understood, however, is not at all clear and has implications for contemporary work in feminist phenomenology. Luce Irigaray, for example, has insisted on wonder as the passion that will renew relationships between women and men, provide a foundation for democracy, and launch a new era in history. She calls on women to enact practices of wonder in relation to men. In what follows I briefly review the most significant claims (...) about wonder in the history of philosophy generally, and as related to the phenomenological practice of the epoché particularly. I consider Irigaray’s claims about wonder as they arise out of this tradition, and try to spell out both what is promised to women and what is asked of them through affirmations of wonder. I suggest that this prescriptive notion is at the heart of a new conservatism in “feminist” thought that turns on nostalgia for age-old beliefs about women’s proper mode of relation toward men and their accomplishments, and is deeply homophobic. I urge readers to adopt a more critical attitude toward wonder as related to sexual difference by historicizing the inquiry in keeping with the phenomenological practice of Simone de Beauvoir. Drawing on Kant, Beauvoir, and contemporary work by Sara Ahmed, I suggest that there is a politics of wonder at work here which feminists have every reason to question. Reflecting on the politics of wonder also discloses some key features of critical feminist phenomenological practice. (shrink)

The American thinker Charles Sanders Peirce, best known as the founder of pragmatism, has been influential not only in the pragmatic tradition but more recently in the philosophy of science and the study of semiotics, or sign theory. Strands of System provides an accessible overview of Peirce's systematic philosophy for those who are beginning to explore his thinking and its import for more recent trends in philosophy.

This book offers a thorough account of Thomas Reid's philosophy, focussing on his expressionist aesthetics, then traces his influence in nineteenth-century ...

Womens Liberation and the Sublime is a passionate report on the state of feminist thinking and practice after the linguistic turn. A critical assessment of masculinist notions of the sublime in modern and postmodern accounts grounds the author's positive and constructive recuperation of sublime experience in a feminist voice.

Using as a guide Pellegrino and Thomasma's end-oriented beneficence model of the virtues in medical practice, the author derives from the cardinal forms of psychiatric treatment a set of virtues particular to this field. Prior work from Jung, Havens and Menzer-Benaron helps to clarify the analysis.

There is a long tradition of reading Spinoza as committed, perhaps unwillingly, to the non-reality of finite modes. While acknowledging that Spinoza does seem to rely on the reality of modes in certain places, Michael Della Rocca has called attention to what he labels an “idealist strand.” As a concluding remark in “Steps Toward Eleaticism in Spinoza's Philosophy of Action,” he claims that faced with these two conflicting strands, which are genuinely to be found in the text, it is better (...) to note both rather than artificially imposing a unity on the text. In this paper, I suggest that one need not admit two conflicting strands in Spinoza, on the one hand, nor arbitrarily disregard one strand, on the other. Rather, I argue for a unified view that diagnoses what gives rise to both seemingly conflicting strands. The key to this enterprise is recognizing that finite modes, paradoxically seeming perhaps at first, are not wholly finite. That is, a finite mode is determined by the totality of finite modes—wherein lies its finite aspect, but at the same time, and equally, partially actively determines this totality—wherein lies its infinite aspect. (shrink)

Different ideas of the normative relevance of autonomy can give rise to profoundly different action-guiding principles in healthcare. If autonomy is seen as a value rather than as a right, it can be argued that patients’ decisions should sometimes be overruled in order to protect or promote their own autonomy. We refer to this as paternalism in the name of autonomy. In this paper, we discuss different elements of autonomy (decision-making capacity, efficiency, and authenticity) and arguments in favor of paternalism (...) for the sake of autonomy that have been proposed in the bioethical debate. We argue that if autonomy is valuable, then paternalism for the sake of autonomy may be justified. However, policies allowing paternalism in the name of autonomy may be self-defeating. (shrink)

Moving away from the strong body of critique of pervasive ‘bad data’ practices by both governments and private actors in the globalized digital economy, this book aims to paint an alternative, more optimistic but still pragmatic picture of the datafied future. The authors examine and propose ‘good data’ practices, values and principles from an interdisciplinary, international perspective. From ideas of data sovereignty and justice, to manifestos for change and calls for activism, this collection opens a multifaceted conversation on the kinds (...) of futures we want to see, and presents concrete steps on how we can start realizing good data in practice. (shrink)

While the history and methodology of laboratory experiments in economics have been extensively studied by philosophers, those of field experiments have not attracted much attention until recently. What is the historical context in which field experiments have been advocated? And what are the methodological rationales for conducting experiments in the field as opposed to in the lab? This article addresses these questions by combining historical and methodological perspectives. In terms of history, we show that the movement toward field experiments in (...) economics has two distinct roots. One is the general orientation of medical and social sciences to evidence-based policy evaluation, which gave rise to randomized field experiments in economics. The other is an awareness of several methodological limitations of lab experiments in economics, which required practitioners to get out of the lab and into the field. In these senses, the movement is a consequence of influences from both outside and inside economics: the general evidence-based trend in policy science and an internal methodological development of experimental economics. In terms of methodology, we show that these two roots resulted in two somewhat different notions of “external validity” as methodological rationales of field experiment. Finally, we suggest that analysis of experiments as exhibits highlights a methodological strategy in which both strands complement each other. (shrink)

The _Blackwell Guide to the Philosophy of Religion_ features fourteen new essays written by some of the most prominent philosophers working in the field. Contributors include Linda Zabzeski, Hugh McCann, Brian Leftow, Gareth B. Matthews, William L. Rowe, Elliott Sober, Derk Pereboom, Alfred J. Freddoso, William P. Alston, William J. Wainwright, Peter van Inwagen, Philip Kitcher and Philip Quinn. Features fourteen newly commissioned essays. Provides a comprehensive treatment of the major problems in the philosophy of religion. Surveys the field and (...) presents distinctive arguments. (shrink)

Some philosophers hold that trust grows fragile when people become too rational. They advocate a retreat from reason and a return to local, traditional values. Others hold that truly rational people are both trusting and trustworthy. Everything hinges on what we mean by 'reason' and 'rational'. If these are understood in an egocentric, instrumental fashion, then they are indeed incompatible with trust. With the help of game theory, Martin Hollis argues against that narrow definition and in favour of a richer, (...) deeper notion of reason founded on reciprocity and the pursuit of the common good. Within that framework he reconstructs the Enlightenment idea of citizens of the world, rationally encountering, and at the same time finding their identity in, their multiple commitments to communities both local and universal. (shrink)

In reflecting about experience, philosophers are prone to fall into a dualism of conceptual scheme and pre-conceptual given, according to which the most basic judgments of experience are grounded in non-conceptual impingements on subjects of experience. This idea is dubiously coherent: relations of grounding or justification should hold between conceptually structured items. This thought has been widely applied to 'outer' experience; at least some of the Private Language Argument can be read as applying it to 'inner' experience. In this light, (...) Wittgenstein's suggestion that a sensation is 'not a something' seems infelicitous. The main point of this reading of Wittgenstein is in Richard Rorty's Philosophy and the Mirror of Nature', but Rorty locates the point in the context of a subtle materialism, and a 'communitarian' substitute for first-person authority, which seem non-Wittgensteinian. (shrink)

Recent advances in medical and information technologies, the availability of new types of medical data, the requirement of increasing numbers of study participants, as well as difficulties in recruitment and retention, all present serious problems for traditional models of specific and informed consent to medical research. However, these advances also enable novel ways to securely share and analyse data. This paper introduces one of these advances—blockchain technologies—and argues that they can be used to share medical data in a secure and (...) auditable fashion. In addition, some aspects of consent and data collection, as well as data access management and analysis, can be automated using blockchain-based smart contracts. This paper demonstrates how blockchain technologies can be used to further all three of the bioethical principles underlying consent requirements: the autonomy of patients, by giving them much greater control over their data; beneficence, by greatly facilitating medical research efficiency and by reducing biases and opportunities for errors; and justice, by enabling patients with rare or under-researched conditions to pseudonymously aggregate their data for analysis. Finally, we coin and describe the novel concept of prosent, by which we mean the blockchain-enabled ability of all stakeholders in the research process to pseudonymously and proactively consent to data release or exchange under specific conditions, such as trial completion. (shrink)

While organizations today make extensive use of complex algorithms, the notion of algorithmic accountability remains an elusive ideal due to the opacity and fluidity of algorithms. In this article, we develop a framework for managing algorithmic accountability that highlights three interrelated dimensions: reputational concerns, engagement strategies, and discourse principles. The framework clarifies that accountability processes for algorithms are driven by reputational concerns about the epistemic setup, opacity, and outcomes of algorithms; that the way in which organizations practically engage with emergent (...) expectations about algorithms may be manipulative, adaptive, or moral; and that when accountability relationships are heavily burdened by the opacity and fluidity of complex algorithmic systems, the emphasis of engagement should shift to a rational communication process through which a continuous and tentative assessment of the development, workings, and consequences of algorithms can be achieved over time. The degree to which such engagement is, in fact, rational can be assessed based on four discourse-ethical principles of participation, comprehension, multivocality, and responsiveness. We conclude that the framework may help organizations and their environments to jointly work toward greater accountability for complex algorithms. It may further help organizations in reputational positioning surrounding accountability issues. The discourse-ethical principles introduced in this article are meant to elevate these positioning contests to extend beyond mere adaption or compliance and help guide organizations to find moral and forward-looking solutions to accountability issues. (shrink)

Drugs used to provide improvement of cognitive functioning have been shown to be effective in healthy individuals. It is sometimes assumed that the use of these drugs constitutes cheating in an academic context. We examine whether this assumption is ethically sound. Beyond providing the most up-to-date discussion of modafinil use in an academic context, this contribution includes an overview of the safety of modafinil use in greater depth than previous studies addressing the issue of cheating. Secondly, we emphasize two crucial, (...) but hitherto nearly overlooked, nuances to the issues: the potential for modafinil to decrease inequality and disadvantage in academic settings, and the fact that how modafinil is used dramatically impacts its effects on health, coercion, fairness, authenticity and effort. Finally, we explicitly defend the position that there are no qualitatively morally relevant differences between modafinil use and other enhancement modalities; any such differences are in degree,... (shrink)

Franz Boas’ articulation of a new historicist and relativistic framework for anthropology stands as the founding moment of the discipline. Accordingly, scholars have sought to trace its source and inspirations, often concluding that Boas’ thought was shaped almost exclusively by his German background and characterized by a foundational methodological tension. Here, I instead show that Boas’ most creative early work benefitted from close interaction with debates in psychology and that his methodological reflections were part of the much wider series of (...) discussions in North America engendered by the importation of the German Geistes-/ Naturwissenschaft debate. Central to such debates, as well as to anthropological ones in these years, were the contested definitions of the human mind and of knowledge. Recovering this shared focus reveals the importance of such questions to Boas’ early writings, allowing us to better reconstruct his views on anthropology and to appreciate how he approached the question of how to justify the bounding of human knowledge into specific disciplines. (shrink)

Decisions about withdrawing or continuing life-sustaining treatments are often not made in a reasoned manner: those who must make the decisions are often not sure what would constitute an upright decision and, therefore, doubt the correctness of the decisions they have made or are about to make. Making use especially of what Thomas Aquinas says about omissions (i.e., omitting to do something), this article attempts to establish some principles regarding when and why one might (and might not) morally withdraw life-sustaining (...) treatments, regarding the grounds on which a family might resist a doctor's decision to withdraw treatment (or a doctor the family's wishes) and regarding other related issues. (shrink)

Das Jahrbuch versteht sich als akademisches Forum der wissenschaftlichen Marx-Debatte und will zur Erschließung des enzyklopädischen Oeuvres der beiden Autoren beitragen; es wird in Verbindung mit der Marx-Engels-Gesamtausgabe herausgegeben. Neben Beiträgen aus der internationalen Forschung enthält der aktuelle Doppelband anlässlich des 200. Geburtstags einen Schwerpunkt zu Engels.