This qualitative study describes the lived experience of physicians who work in communities that have experienced a public mass shooting. Semi-structured interviews were conducted with seventeen physicians involved in eight separate mass casualty shooting incidents in the United States. Four major themes emerged from constant comparative analysis: The psychological toll on physicians: “I wonder if I'm broken”; the importance of and need for mass casualty shooting preparedness: “[We need to] recognize this as a public health concern and train physicians to (...) manage it”; massive media attention: “The media onslaught was unbelievable”; and commitment to advocacy for a public health approach to firearm violence: “I want to do whatever I can to prevent some of these terrible events.”. (shrink)

Contributors to this collection examine the Turners’ most important theoretical contributions to anthropology, from their work on pilgrimages, liminality, and communitas to insights from their fieldwork. They illustrate the Turners’ enduring theoretical contributions and their profound effects on the anthropological perspective.

Background Nurses experienced intense ethical and moral challenges during the COVID-19 pandemic. Our 2020 qualitative parent study of frontline nurses’ experiences during the COVID-19 pandemic identified ethics as a cross-cutting theme with six subthemes: moral dilemmas, moral uncertainty, moral distress, moral injury, moral outrage, and moral courage. We re-analyzed ethics-related findings in light of refined definitions of ethics concepts. Research aim To analyze frontline U.S. nurses’ experiences of ethics during the COVID-19 pandemic. Research design Qualitative analysis using a directed content (...) methodology. Participants and research context The study included 43 nurses from three major metropolitan academic medical centers and one community hospital in the northeastern, mid-Atlantic, midwestern, and western United States. Ethical considerations Participant privacy and data confidentiality were addressed. Findings Moral dilemmas arose from many situations, most frequently related to balancing safety and patient care. Moral uncertainty commonly arose from lacking health information or evidence about options. Moral distress occurred when nurses knew the right thing to do, but were prevented from doing so, including with end-of-life issues. Moral injury (accompanied by suffering, shame, or guilt) occurred after doing, seeing, or experiencing wrongdoing, often involving authority figures. Nurses expressed moral outrage at events and people within and outside healthcare. Despite difficult ethical situations, some nurses exemplified moral courage, sometimes by resisting policies they perceived as preventing compassionate care, guided by thinking about what was best for patients. Discussion This content analysis of ethics-related subthemes revealed conceptual characteristics and clarified distinctions with corresponding exemplars. Conceptual clarity may inform responses and interventions to address ethical quandaries in nursing practice. Conclusions Ethics education in nursing must address the moral dilemmas of pandemics, disasters, and other crises. Nurses need time and resources to heal from trying to provide the best care when no ideal option was available. (shrink)

Book reviewed in this article: A History and Theory of Informed Consent. By Ruth R Faden and Tom L Beauchamp.

Bioethics has made a compelling case for the role of experience and empirical research in ethics. This may explain why the movement for empirical ethics has such a firm grounding in bioethics. However, the theoretical framework according to which empirical research contributes to ethics—and the specific role it can or should play—remains manifold and unclear. In this paper, we build from pragmatic theory stressing the importance of experience and outcomes in establishing the meaning of ethics concepts. We then propose three (...) methodological steps according to which the meaning of ethics concepts can be refined based on experience and empirical research: function identification, function enrichment, and function testing. These steps are explained and situated within the broader commitment of pragmatic ethics to a perspective of moral growth and human flourishing. We hope that this proposal will give specific direction to the bridging of theoretical and empirical research in ethics and thus support stronger actualization of ethics concepts. (shrink)

Past research reveals a tension between children's preferences for egalitarianism and ingroup favoritism when distributing resources to others. Here we investigate how children's evaluations and expectations of others' behaviors compare. Four- to 10-year-old children viewed events where individuals from two different groups distributed resources to their own group, to the other group, or equally across groups. Groups were described within a context of intergroup competition over scarce resources. In the Evaluation condition, children were asked to evaluate which resource distribution actions (...) were nicer. In the Expectation condition, children were asked to predict which events were more likely to occur. With age, children's evaluations and expectations of others' actions diverged: Children evaluated egalitarian actions as nicer yet expected others to behave in ways that benefit their own group. Thus, children's evaluations about the way human social actors should behave do not mirror their expectations concerning those individuals' actions. (shrink)

Background:Collaboration between physicians and nurses is key to improving patient care. We know very little about collaboration and interdisciplinary practice in African healthcare settings.Research question/aim:The purpose of this study was to explore the ethical challenges of interdisciplinary collaboration in clinical practice and education in Botswana Participants and research context: This qualitative descriptive study was conducted with 39 participants (20 physicians and 19 nurses) who participated in semi-structured interviews at public hospitals purposely selected to represent the three levels of hospitals in (...) Botswana (referral, district, and primary).Ethical considerations:Following Institutional Review Board Approval at the University of Pennsylvania and the Ministry of Health in Botswana, participants’ written informed consent was obtained.Findings:Respondents’ ages ranged from 23 to 60 years, and their duration of work experience ranged from 0.5 to 32 years. Major qualitative themes that emerged from the data centered on the nature of the work environment, values regarding nurse–doctor collaboration, the nature of such collaboration, resources available for supporting collaboration and the smooth flow of work, and participants’ views about how their work experiences could be improved.Discussion:Participants expressed concerns that their work environment compromised their ability to provide high-quality and safe care to their patients. The physician staffing structure was described as consisting of a few specialists at the top, a vacuum in the middle that should be occupied by senior doctors, and junior doctors at the bottom—and not a sufficient number of nursing staff.Conclusion:Collaboration between physicians and nurses is critical to optimizing patients’ health outcomes. This is true not only in the United States but also in developing countries, such as Botswana, where health care professionals reported that their ethical challenges arose from resource shortages, differing professional attitudes, and a stressful work environment. (shrink)

Can an assessment of individuals’ narcissism help explain the quality of a respondent’s ethical judgment? How is the relationship between religiosity and ethical judgment moderated by the effects of narcissism? With a sample of 385 undergraduate business majors, this study uses a taxonomic approach to examine the effects of intrinsic and extrinsic religiosity as well as orthodox Christian beliefs on ethical judgment. Three distinct clusters were identified: Skeptics, Nominals, and Devouts. Surprisingly, of the three clusters, Nominals and Devouts were the (...) only groups impacted by narcissism, although Skeptics overall demonstrate the worst ethical judgment. (shrink)

A central tenet of constructivist models of conceptual development is that children's initial conceptual level constrains how they make sense of new evidence and thus whether exposure to evidence will prompt conceptual change. Yet little experimental evidence directly examines this claim for the case of sustained, fundamental conceptual achievements. The present study combined scaling and experimental microgenetic methods to examine the processes underlying conceptual change in the context of an important conceptual achievement of early childhood—the development of a representational theory (...) of mind. Results from 47 children (M age = 3.7 years) indicate that only children who were conceptually close to understanding false belief at the beginning of the study, and who were experimentally exposed to evidence of people acting on false beliefs, reliably developed representational theories of minds. Combined scaling and microgenetic data revealed how prior conceptual level interacts with experience, thereby providing critical experimental evidence for how conceptual change results from the interplay between conceptions and evidence. (shrink)

In Spoils of War, a diverse group of distinguished contributors suggest that acts of aggression resulting from the racism and sexism inherent in social institutions can be viewed as a sort of "war," experienced daily by women of color.

Preparing the Next Generation of Oral Historians is an invaluable resource to educators seeking to bring history alive for students at all levels. Filled with insightful reflections on teaching oral history, it offers practical suggestions for educators seeking to create curricula, engage students, gather community support, and meet educational standards. By the close of the book, readers will be able to successfully incorporate oral history projects in their own classrooms.

Computer simulations show that an unstructured neural-network model [Shultz, T. R., & Bale, A. C. (2001). Infancy, 2, 501–536] covers the essential features␣of infant learning of simple grammars in an artificial language [Marcus, G. F., Vijayan, S., Bandi Rao, S., & Vishton, P. M. (1999). Science, 283, 77–80], and generalizes to examples both outside and inside of the range of training sentences. Knowledge-representation analyses confirm that these networks discover that duplicate words in the sentences are nearly identical and that (...) they use this near-identity relation to distinguish sentences that are consistent or inconsistent with a familiar grammar. Recent simulations that were claimed to show that this model did not really learn these grammars [Vilcu, M., & Hadley, R. F. (2005). Minds and Machines, 15, 359–382] confounded syntactic types with speech sounds and did not perform standard statistical tests of results. (shrink)

No student or colleague of Marjorie Grene will miss her incisive presence in these papers on the study and nature of living nature, and we believe the new reader will quickly join the stimulating discussion and critique which Professor Grene steadily provokes. For years she has worked with equally sure knowledge in the classical domain of philosophy and in modern epistemological inquiry, equally philosopher of science and metaphysician. Moreover, she has the deeply sensible notion that she should be a (...) critically intelligent learner as much as an imaginatively original thinker, and as a result she has brought insightful expository readings of other philosophers and scientists to her own work. We were most fortunate that Marjorie Grene was willing to spend a full semester of a recent leave here in Boston, and we have on other occasions sought her participation in our colloquia and elsewhere. Now we have the pleasure of including among the Boston Studies in the Philosophy of Science this generous selection from Grene's philosophical inquiries into the understanding of the natural world, and of the men and women in it. Boston University Center for the R. S. COHEN Philosophy and History of Science M. W. W ARTOFSKY April 1974 PREFACE This collection spans - spottily - years from 1946 ('On Some Distinctions between Men and Brutes') to 1974 ('On the Nature of Natural Necessity'). (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Whose New American Poetry? Anthologizing in the NinetiesMarjorie Perloff (bio)In the two-year span 1993–94, no fewer than three major poetry anthologies appeared that featured the poetry of what has been called “the other tradition”—the tradition inaugurated thirty-five years ago by Donald M. Allen’s New American Poetry: 1945–1960. These three anthologies are, in order of publication, Eliot Weinberger’s American Poetry since 1950: Innovators and Outsiders, Paul Hoover’s Postmodern American Poetry, (...) and Douglas Messerli’s From the Other Side of the Century. A New American Poetry 1960–1990. 1 In 1994, moreover, there were two other large anthologies of alternate poetries by “younger” poets, 2 these two in the tradition of Ron Silliman’s In The American Tree: Language, Poetry, Realism and Douglas Messerli’s earlier ‘Language’ Poetries: An Anthology. They are Peter Gizzi, Connell McGrath, and Juliana Spahr’s two-volume anthology called Writing from the New Coast, 3 and Dennis Barone and Peter Ganick’s The Art of Practice: 45 Contemporary Poets.Five volumes, then, of the “new” alternate poetries. And a sixth—this time a real blockbuster—is in progress: Jerome Rothenberg and Pierre Joris’s two-volume Poems for the Millennium: The University of California Book of Modern and Postmodern Poetry, which differs from all of the above by covering poetry and poetics of the entire twentieth century and from around the world. The first volume of Poems for the Millennium, From Fin-de-Siècle to Negritude (1995), takes us from such “forerunners” of Modernism as Blake, Hölderlin, Dickinson, and Rimbaud through the Futurisms, Dada, Surrealism, and Objectivism, along with complex “galleries” of individual poets, while the second—and sure to be more controversial—volume (1997) brings us up to the global present.A new avant-garde thus seems to be in the making—indeed, oxymoronic as it may sound, a new avant-garde consensus. Yet the countercanonizing of the recent anthologies is not without its own aporias. What these are is my subject here.The Modest OppositionMy starting point is that of the avant-garde anthologists themselves: Donald Allen’s New American Poetry of 1960. From the vantage point of 1995, the most startling thing about the Allen anthology—still acknowledged by all later anthologists as the fountainhead of radical American poetics—is its modesty. The New American Poetry runs to 454 pages, including statements of poetics, biographical notes, and a short bibliography; it contains forty-four poets, all of them having come to prominence in the period between 1945 (the [End Page 104] end of World War II) and 1960 (the date of publication). The four-page preface opens as follows:In the years since the war American poetry has entered upon a singularly rich period. It is a period that has seen published many of the finest achievements of the older generation: William Carlos Williams’ Paterson, The Desert Music and Other Poems, and Journey to Love; Ezra Pound’s The Pisan Cantos, Section: Rock-Drill, and Thrones; H. D.’s later work culminating in her long poem Helen in Egypt; and the recent verse of E. E. Cummings, Marianne Moore, and the late Wallace Stevens. A wide variety of poets of the second generation, who emerged in the thirties and forties, have achieved their maturity in this period: Elizabeth Bishop, Edwin Denby, Robert Lowell, Kenneth Rexroth, and Louis Zukofsky, to name only a few very diverse talents. And we can now see that a strong third generation, long awaited but only slowly recognized, has at last emerged.[xi]Note that Allen introduces the “new” American poetry, not as an “alternative” to anything else but as the successor of two preceding generations. He does not quarrel about the Moderns: if Eliot isn’t included in the above list, it is because he had stopped writing lyric poetry after Four Quartets and had turned to the theater. The cited second generation, moreover, is more “diverse” (Allen’s word) here than it will ever be again in the anthologies: Bishop and Denby, Lowell and Rexroth and Zukofsky. And the third generation, presumably following in the footsteps of the first and second, is now said to... (shrink)

Desmond Clarke's remarks on “my” absurdity argument are puzzling. i) Although I do indeed still believe it to be a valid argument, I certainly would not claim credit for it. I believe that “Reducibility: Another Side Issue?” put the general problem of the reducibility of mind into a somewhat unorthodox context, but the particular claim Clarke is attacking forms only one very unoriginal step in the general argument of that essay. ii) Some points that Clarke makes I would certainly agree (...) to, and believe I have agreed to in some of the texts he cites, while others are far from anything I meant to convey. Under Clarke's, 1) of course the “antinomies” of the paper above referred to trade on ambiguities. That's one of the points of the paper. 2) in both “Reducibility … ” and “To Have A Mind …”, I have tried to specify the sense in which “mechanism” was being used. That I do not take such terms as self-explanatory should be clear, for instance, from the remarks in the latter paper that immediately follow the passage Clarke criticizes. 3) I have no idea how physics is to develop in the future, nor did I wish to suggest that I did. With the rest of Clarke's I entirely agree. As to his, I fail to see its relevance to my argument, unless it simply leads up to and, with which, again, I wholeheartedly concur. Nancy Maull's paper, which Clarke refers to, for example, seems to me to shed great light on what used to be thought the problem of reduction; I don't see how her argument conflicts with “mine.” iii) Clarke's two “interpretations” of “my” argument are even more puzzling. The first paragraph is clear, as far as it goes. But the second is entirely murky. Perhaps I may try to reconstruct it. “The question for the scientist of a reductivist disposition in this context,” Clarke writes, “is: would it be possible to construct an alternative theory which adequately explains the same phenomena as the human sciences?” Fair enough. But apparently one is not allowed to reflect about an answer to this question. One has to wait and see if such a theory does develop. And meantime to notice that any theory by its very nature is intentional: this is to use some part of the human sciences to establish the explanatory power of all the human sciences. Is that what is meant? If so, I would reply: that the claim that theories are inherently intentional is not a thesis of any “human science” but a philosophical thesis about the nature of intelligible discourse. If a wholly non-intentional theory of human action were stated it would invalidate itself as theory. Thus, to respond to the major accusation of, we would have an answer to Clarke's question such that the question could not have been asked. What we have, then, is not a petitio but a valid reductio ad absurdum. (shrink)

The idea of human cruelty to animals so consumes novelist Elizabeth Costello in her later years that she can no longer look another person in the eye: humans, especially meat-eating ones, seem to her to be conspirators in a crime of stupefying magnitude taking place on farms and in slaughterhouses, factories, and laboratories across the world. Costello's son, a physics professor, admires her literary achievements, but dreads his mother’s lecturing on animal rights at the college where he teaches. His colleagues (...) resist her argument that human reason is overrated and that the inability to reason does not diminish the value of life; his wife denounces his mother’s vegetarianism as a form of moral superiority. At the dinner that follows her first lecture, the guests confront Costello with a range of sympathetic and skeptical reactions to issues of animal rights, touching on broad philosophical, anthropological, and religious perspectives. Painfully for her son, Elizabeth Costello seems offensive and flaky, but—dare he admit it?—strangely on target. In this landmark book, Nobel Prize–winning writer J. M. Coetzee uses fiction to present a powerfully moving discussion of animal rights in all their complexity. He draws us into Elizabeth Costello’s own sense of mortality, her compassion for animals, and her alienation from humans, even from her own family. In his fable, presented as a Tanner Lecture sponsored by the University Center for Human Values at Princeton University, Coetzee immerses us in a drama reflecting the real-life situation at hand: a writer delivering a lecture on an emotionally charged issue at a prestigious university. Literature, philosophy, performance, and deep human conviction—Coetzee brings all these elements into play. As in the story of Elizabeth Costello, the Tanner Lecture is followed by responses treating the reader to a variety of perspectives, delivered by leading thinkers in different fields. Coetzee’s text is accompanied by an introduction by political philosopher Amy Gutmann and responsive essays by religion scholar Wendy Doniger, primatologist Barbara Smuts, literary theorist Marjorie Garber, and moral philosopher Peter Singer, author of Animal Liberation. Together the lecture-fable and the essays explore the palpable social consequences of uncompromising moral conflict and confrontation. (shrink)

Marjorie Grene has argued in a number of contexts that any attempt to reduce the explanation of human actions to “mechanistic” explanations is doomed to failure in advance because it is absurd. “This argument examines the status of the reductivist thesis in its own terms and reduces it to absurdity …” ; “the attempt to reduce human purposive, or ‘intentional,‘ action to physiology and ultimately to physics and chemistry is an absurdity rather than simply a confusion”. I wish to (...) show that this argument is fallacious because it involves a petitio principii; and if Plato can be credited with introducing the same argument in the Theaetetus, as she suggests, so much the worse for Plato. (shrink)

49th International Congress on Medieval Studies8 May 2014Western Michigan UniversityKalamazoo, Michigan Emmett Randolph Daniel became interested in the subjects of medieval apocalypticism, eschatology and related matters largely on the heels of the pioneering work done in these fields during the 1950s and 1960s by European scholars like Herbert Grundmann,1 Marjorie Reeves,2 Beatrice Hirsch-Reich,3 and Bernhard Töpfer.4 Nearly fifty years later, that is to say, after the publication of his brief but ground-breaking article of 1968 in Speculum on the subject (...) of the Franciscan Joachites,5 one can attest that “Randy” Daniel was for many years an integral part of a new group of distinguished American... (shrink)