The last thirty years have seen a resurgence of interest in virtue among philosophers, psychologists, and educators. This co-authored book brings an interdisciplinary response to the study of virtue: it not only provides a framework for quantifying virtues, but also explores how we can understand virtue in a philosophically-informed way that is compatible with the best current thinking in personality psychology. The volume presents a major contribution to theemerging science of virtue and character measurement.

How should rational believers pursue the aim of truth? Epistemic utility theorists have argued that by combining the tools of decision theory with an epistemic form of value—gradational accuracy, proximity to the truth—we can justify various epistemological norms. I argue that deriving these results requires using decision rules that are different in important respects from those used in standard (practical) decision theory. If we use the more familiar decision rules, we can’t justify the epistemic coherence norms that epistemic utility theory (...) had hoped to justify. In short, those of us who are attracted to the project of epistemic utility theory face a dilemma. If we choose “consequentialist” rules, then we can vindicate the idea that rational belief has the aim of accuracy—but at the cost of giving up attractive epistemic norms. (shrink)

Ideal epistemologists investigate the nature of pure epistemic rationality, abstracting away from human cognitive limitations. Non-ideal epistemologists investigate epistemic norms that are satisfiable by most humans, most of the time. Ideal epistemology faces a number of challenges, aimed at both its substantive commitments and its philosophical worth. This paper explains the relation between ideal and non-ideal epistemology, with the aim of justifying ideal epistemology. Its approach is meta-epistemological, focusing on the meaning and purpose of epistemic evaluations. I provide an account (...) on which the fundamental difference between ideal and non-ideal epistemic evaluations is that only the non-ideal epistemic ‘ought’ implies any substantive ‘can’. I argue that only ideal epistemic evaluations are ‘normatively robust’: they are neither conventional nor seriously context-sensitive. Non-ideal epistemic evaluations are normatively non-robust, exhibiting both conventionality and serious context-sensitivity from an interesting variety of distinct sources. For this reason, non-ideal epistemic evaluations won’t characterize the fundamental nature of epistemic rationality. Non-ideal epistemic rationality depends, not merely on what’s epistemically valuable, but also on modally contingent epistemic conventions and contextually contingent constraints on epistemic options. If we want a normatively robust theory of epistemic rationality, ideal epistemology is the only game in town. (shrink)

Philosophers of language have tended to focus on examples that are not politically significant in any way. We spend a lot of time analyzing natural kind terms: We think hard about “water” and “pain” and “arthritis.” But we don’t think much about the far more politically significant kind terms (natural or social—it's a matter for dispute) like “race,” “sex,” “gender,” “woman,” “man,” “gay,” and “straight.” In this essay, I will try to show, using the example of “woman,” that it's worth (...) thinking about terms like these, for at least three reasons: (1) There are some interesting puzzles. (2) Politically significant terms matter to people's lives— and it's worth spending at least some of our energy thinking about things that matter in this way. (3) Most importantly, interesting methodological issues emerge at the intersection of philosophy of language and politics. (shrink)

Does rationality require imprecise credences? Many hold that it does: imprecise evidence requires correspondingly imprecise credences. I argue that this is false. The imprecise view faces the same arbitrariness worries that were meant to motivate it in the first place. It faces these worries because it incorporates a certain idealization. But doing away with this idealization effectively collapses the imprecise view into a particular kind of precise view. On this alternative, our attitudes should reflect a kind of normative uncertainty: uncertainty (...) about what to believe. This view refutes the claim that precise credences are inappropriately informative or committal. Some argue that indeterminate evidential support requires imprecise credences; but I argue that indeterminate evidential support instead places indeterminate requirements on credences, and is compatible with the claim that rational credences may always be precise. (shrink)

Epistemology should take seriously the possibility of rationally evaluable changes in conceptual resources. Epistemic decision theory compares belief states in terms of epistemic value. But it's standardly restricted to belief states that don't differ in their conceptual resources. I argue that epistemic decision theory should be generalized to make belief states with differing concepts comparable. I characterize some possible constraints on epistemic utility functions. Traditionally, the epistemic utility of a total belief state has been understood as a function of the (...) epistemic utility of individual (partial) beliefs. The most natural ways of generalizing this account generate a kind of repugnant conclusion. I characterize some possible alternatives, reflecting different epistemic norms. (shrink)

Skepticism about the epistemic value of intuition in theoretical and philosophical inquiry has recently been bolstered by empirical research suggesting that people’s concrete-case intuitions are vulnerable to irrational biases (e.g., the order effect). What is more, skeptics argue that we have no way to ‘‘calibrate” our intuitions against these biases and no way of anticipating intuitional instability. This paper challenges the skeptical position, introducing data from two studies that suggest not only that people’s concrete-case intuitions are often stable, but also (...) that people have introspective awareness of this stability, providing a promising means by which to assess the epistemic value of our intuitions. (shrink)

Until recently, the accepted wisdom in the US was that overt racism would doom a national political campaign. This led to the use of covert messaging strategies like dogwhistles. Recent political events have called this wisdom into question. In this paper, I explore what has happened in recent years to our norms against racist speech, and to the ways that they are applied. I describe several mechanisms that seem to have contributed to the changes that I outline.

As the phenomenon of implicit bias has become increasingly widely known and accepted, a variety of criticisms have similarly gained in prominence. This paper focuses on one particular set of criticisms, generally made from the political left, of what Sally Haslanger calls “implicit bias stories”—a broad term encompassing a wide range of discourses from media discussions to academic papers to implicit bias training. According to this line of thought, implicit bias stories are counterproductive because they serve to distract from the (...) structural and institutional factors that underlie oppression of social groups. This paper argues on the contrary that implicit bias stories, properly told, can help direct attention and concern to structural and institutional factors, and indeed may be especially helpful in motiving action. The key, however, is to tell these stories properly. When implicit bias sto- ries are told in the wrong way, they are indeed counterproductive. This paper looks in detail at several examples of good and bad implicit bias stories, examining what makes some of them counterproductive and others highly effective in motivating action to combat social injustice. (shrink)

Philosophy and Phenomenological Research, EarlyView. Despite the acknowledgement of the moral significance of consent there is still much work to be done in determining which specific sexual encounters count as unproblematically consensual. This paper focuses on the impact of deception. It takes up the specific case of deception about one's self. It may seem obvious that one ought not to lie to a sexual partner about who one is, but determining which features of oneself are most relevant, as well as (...) the lies which it follows would be impermissible to tell, is complicated. It is argued here that deception about one's morally valenced character traits, those we think of as virtues and vices, are particularly problematic. This is true regardless of whether knowing the truth about those traits would have made a difference to one's partner's consent. Attention is then drawn to a range of types of lies that one ought not to tell. (shrink)

Recent scholarship (Goodwin & Darley, 2008) on the meta-ethical debate between objectivism and relativism has found people to be mixed: they are objectivists about some issues, but relativists about others. The studies discussed here sought to explore this further. Study 1 explored whether giving people the ability to identify moral issues for themselves would reveal them to be more globally objectivist. Study 2 explored people's meta-ethical commitments more deeply, asking them to provide verbal explanations for their judgments. This revealed that (...) while people think they are relativists, this may not always be the case. The explanations people gave were sometimes rated by outside (blind) coders as being objective, even when given a relativist response. Nonetheless, people remained meta-ethical pluralists. Why this might be is discussed. (shrink)

The subjective deontic "ought" generates counterexamples to classical inference rules like modus ponens. It also conflicts with the orthodox view about modals and conditionals in natural language semantics. Most accounts of the subjective ought build substantive and unattractive normative assumptions into the semantics of the modal. I sketch a general semantic account, along with a metasemantic story about the context sensitivity of information-sensitive operators.

Volume 98, Issue 4, December 2020, Page 747-762.

Accuracy-first epistemology aims to show that the norms of epistemic rationality can be derived from the effective pursuit of accuracy. This paper explores the prospects within accuracy-first epistemology for vindicating “modesty”: the thesis that ideal rationality permits uncertainty about one’s own rationality. I argue that accuracy-first epistemology faces serious challenges in accommodating three forms of modesty: uncertainty about what priors are rational, uncertainty about whether one’s update policy is rational, and uncertainty about what one’s evidence is. I argue that the (...) problem stems from the representation of epistemic decision problems. The appropriate representation of decision problems, and corresponding decision rules, for (diachronic) update policies should be a generalization of decision problems and decision rules for (synchronic) coherence. I argue that extant accounts build in conflicting assumptions about which kinds of information about the believer should be used to structure epistemic decision problems. In particular, extant accounts of update build in a form of epistemic consequentialism. Related forms of epistemic consequentialism have been shown to generate problems for accuracy-first epistemology’s purported justifications of probabilism, conditionalization, and the principal principle. These results are vindicated only with nonconsequentialist epistemic decision theories. I close with suggestive examples of how, with a fully nonconsequentialist representation of epistemic decision problems, accuracy-first epistemology can allow for rational modesty. (shrink)

Decision-Making Capacity First published Tue Jan 15, 2008; substantive revision Fri Aug 14, 2020 In many Western jurisdictions the law presumes that adult persons, and sometimes children that meet certain criteria, are capable of making their own medical decisions; for example, consenting to a particular medical treatment, or consenting to participate in a research trial. But what exactly does it mean to say that a subject has or lacks the requisite capacity to decide? This question has to do with what (...) is commonly called “decisional capacity”, a central concept in health care law and ethics, and increasingly an independent topic of philosophical inquiry. -/- Decisional capacity can be defined as the ability of subjects to make their own medical decisions. Somewhat similar questions of capacity arise in other contexts, such as capacity to stand trial in a court of law and the ability to make decisions that relate to personal care and finances. However, the history behind the more general legal notions of capacity to stand trial and capacity to manage one’s life is different and operates somewhat differently in law (Roth, Meisel, & Litz 1977; Zapf & Roesch 2005). For the purposes of this discussion the notion of decisional capacity will be limited to medical contexts only; most notably, those where decisions to consent or to refuse treatment or participation in clinical research are concerned. (shrink)

Moral abolitionists claim that morality ought to be abolished. According to one of their most prominent arguments, this is because making moral judgments renders people significantly less tolerant toward anyone who holds divergent views. In this paper we investigate the hypothesis that morality’s tolerance-decreasing effect only occurs if people are realists about moral issues, i.e., they interpret these issues as objectively grounded. We found support for this hypothesis (Studies 1 and 2). Yet, it also turned out that the intolerance associated (...) with realism is mediated by moral conviction and perceived consensus. People tend to feel more strongly about those moral issues they ground objectively and, in doing so, are more prone to display the vice of moral smugness toward those who disagree with them. The remedy for this that has been recommended is humility which we found (Study 3) is indeed related to reduced intolerance, in part by predicting a reduction in realism, but also in part through a direct connection to intolerance. These results put pressure on abolitionists’ “argument from intolerance.”. (shrink)

Abstract: Recent experimental research on the 'Knobe effect' suggests, somewhat surprisingly, that there is a bi-directional relation between attributions of intentional action and evaluative considerations. We defend a novel account of this phenomenon that exploits two factors: (i) an intuitive asymmetry in judgments of responsibility (e.g. praise/blame) and (ii) the fact that intentionality commonly connects the evaluative status of actions to the responsibility of actors. We present the results of several new studies that provide empirical evidence in support of this (...) account while disconfirming various currently prominent alternative accounts. We end by discussing some implications of this account for folk psychology. (shrink)

It’s been argued that there are no diachronic norms of epistemic rationality. These arguments come partly in response to certain kinds of counterexamples to Conditionalization, but are mainly motivated by a form of internalism that appears to be in tension with any sort of diachronic coherence requirements. I argue that there are, in fact, fundamentally diachronic norms of rationality. And this is to reject at least a strong version of internalism. But I suggest a replacement for Conditionalization that salvages internalist (...) intuitions, and carves a middle ground between conservatism and evidentialism. (shrink)

Neurosurgery for psychiatric disorders, also sometimes referred to as psychosurgery, is rapidly evolving, with new techniques and indications being investigated actively. Many within the field have suggested that some form of guidelines or regulations are needed to help ensure that a promising field develops safely. Multiple countries have enacted specific laws regulating NPD. This article reviews NPD-specific laws drawn from North and South America, Asia and Europe, in order to identify the typical form and contents of these laws and to (...) set the groundwork for the design of an optimal regulation for the field. Key challenges for this design that are revealed by the review are how to define the scope of the law, what types of regulations are required, and how to approach international harmonization given the potential migration of researchers and patients. (shrink)

On an attractive, naturalistically respectable theory of intentionality, mental contents are a form of measurement system for representing behavioral and psychological dispositions. This chapter argues that a consequence of this view is that the content/attitude distinction is measurement system relative. As a result, there is substantial arbitrariness in the content/attitude distinction. Whether some measurement of mental states counts as characterizing the content of mental states or the attitude is not a question of empirical discovery but of theoretical utility. If correct, (...) this observation has ramifications in the theory of rationality. Some epistemologists and decision theorists have argued that imprecise credences are rationally impermissible, while others have argued that precise credences are rationally impermissible. If the measure theory of mental content is correct, however, then neither imprecise credences nor precise credences can be rationally impermissible. (shrink)

Background Few studies have been conducted to assess the quality of orientation practices for ethics advisory committees that conduct ethics consultation. This survey study focused on several Harvard teaching hospitals, exploring orientation quality and committee members’ self-evaluation in the American Society of Bioethics and Humanities ethics consultation competencies. Methods We conducted a survey study that involved 116 members and 16 chairs of ethics advisory committees, respectively. Predictor variables included professional demographics, duration on committees and level of training. Outcome variables included (...) familiarity with and preparedness in the ASBH competencies and satisfaction with orientations. We hypothesised that responses would be associated with both the aforementioned predictors and whether or not participants had encountered the ASBH competencies in training. Results A majority of respondents found their orientation curricula to be helpful, although a significant portion of respondents did not receive any orientation or were unsatisfied with their orientation. Familiarity with ASBH competencies was a statistically significant predictor of respondents’ self-evaluation in particular categories. Standard educational materials were reported as offered during orientation, such as readings and case studies ; different medium resources were less evidenced such as videos on ethics consultation. Conclusions Institutions should re-evaluate orientation practices for ethics committee members that perform ethics consultation. Integrating ASBH competencies and useful methods into a resourceful pedagogy will help improve both member satisfaction with orientation and preparation in consultation. (shrink)

Few contemporary philosophers discuss the ways in which the emotion of shame may be gendered. This paper addresses this situation, examining Gabriele Taylor's account of genuine vs. false shame. 1 argue that, by attending to the social pressures placed on many women to conform to a certain vision of femininity, an analysis of the shame to which women may be prone shows that Taylor's account of shame remains incomplete.

Neurodiversity, the advocacy position that autism and related conditions are natural variants of human neurological outcomes that should be neither cured nor normalized, is based on the assertion that autistic people have unique neurological differences. Membership in this community as an autistic person largely results from clinical identification, or biocertification. However, there are many autistic individuals who diagnose themselves. This practice is contentious among autistic communities. Using data gathered from Wrong Planet, an online autism community forum, this article describes the (...) debate about self-diagnosis amongst autistic self-advocates and argues for the acceptance of the practice in light of the difficulties in verifying autism as a ‘natural kind.’ This practice can counteract discriminatory practices towards and within the autistic community and also work to verfiy autistic self-knowledge and self-expertise. This discussion also has important implications for other neurocommunities, neuroethical issues such as identity and privacy, and the emerging field of critical autism studies. (shrink)

Can we extend accuracy-based epistemic utility theory to imprecise credences? There's no obvious way of proceeding: some stipulations will be necessary for either (i) the notion of accuracy or (ii) the epistemic decision rule. With some prima facie plausible stipulations, imprecise credences are always required. With others, they’re always impermissible. Care is needed to reach the familiar evidential view of imprecise credence: that whether precise or imprecise credences are required depends on the character of one's evidence. I propose an epistemic (...) utility theoretic defense of a common view about how evidence places demands on imprecise credence: that your spread of credence should cover the range of chance hypotheses left open by your evidence. I argue that objections to the form of epistemic utility theoretic argument that I use will extend to the standard motivation for epistemically mandatory imprecise credences. (shrink)

Skepticism about the epistemic value of intuition in theoretical and philosophical inquiry fueled by the empirical discovery of irrational bias (e.g., the order effect) in people's judgments has recently been challenged by research suggesting that people can introspectively track intuitional instability. The two studies reported here build upon this, the first by demonstrating that people are able to introspectively track instability that was experimentally induced by introducing conflicting expert opinion about certain cases, and the second by demonstrating that it was (...) the presence of instability?not merely the presence of conflicting information?that resulted in changes in the relevant attitudinal states (i.e., confidence and belief strength). The paper closes with the suggestion that perhaps the best explanation for these (and other) findings may be that intuitional instability is not actually ?intuitional.? (shrink)

Eating behaviors evolve during the first years of life as biological and behavioral processes directed towards meeting requirements for health and growth. For the vast majority of human history, food scarcity has constituted a major threat to survival, and human eating behavior and child feeding practices have evolved in response to this threat. Because infants are born into a wide variety of cultures and cuisines, they come equipped as young omnivores with a set of behavioral predispositions that allow them to (...) learn to accept the foods made available to them. During historical conditions of scarcity, family life and resources were devoted to the procurement and preparation of foods, which are often low in energy, nutrients, and palatability. In sharp contrast, today in non-Third World countries children's eating habits develop under unprecedented conditions of dietary abundance, where palatable, inexpensive, ready-to-eat foods are readily available. (shrink)

Metanormativists hold that moral uncertainty can affect how we ought, in some morally authoritative sense, to act. Many metanormativists aim to generalize expected utility theory for normative uncertainty. Such accounts face the “easy problem of intertheoretic comparisons”: the worry that distinct theories’ assessments of choiceworthiness are incomparable. The easy problem may well be resolvable, but another problem looms: while some moral theories assign cardinal degrees of choiceworthiness, other theories’ choiceworthiness assignments are merely ordinal. Expected choiceworthiness over such theories is undefined. (...) Call this the “hard problem of intertheoretic comparisons.” This paper argues that to solve the hard problem, we should model moral theories with imprecise choiceworthiness. Imprecise choiceworthiness assignments can model incomplete cardinal information about choiceworthiness, with precise cardinal choiceworthiness and merely ordinal choiceworthiness as limiting cases. Generalizing familiar decision theories for imprecise choiceworthiness to the case of moral uncertainty generates puzzles, however: natural generalizations seem to require reifying parts of the model that don’t correspond to anything in normative reality. I discuss three ways of addressing this problem: by demystifying the reified elements by using them as promiscuously as possible; by constructing alternative decision theories that don’t require the troublesome elements; and by employing an alternative model of metanormative decision problems, and of moral uncertainty generally. (shrink)

One of the ethical issues that has been raised recently regarding emerging neurotherapies is that people will be coerced explicitly or implicitly in the workplace or in schools to take cognitive enhancing drugs. This article builds on this discussion by showing how the law may pressure people to adopt emerging neurotherapies. It focuses on a range of private law doctrines that, unlike the criminal law, do not come up very often in neuroethical discussions. Three doctrines—the doctrine of mitigation, the standard (...) of care in negligence, and child custody determinations in family law—are addressed to show how the law may pressure people to consent to treatment by offering a choice between accepting medical treatment and suffering a legal disadvantage. The doctrines considered in this article apply indirect pressure to submit to treatment, unlike court-ordered medical treatment, which applies direct pressure and is not addressed here. The outcome of this discussion is to show that there is a greater range of social pressures that may encourage the uptake of novel neurotherapies than one might initially think. Once treatments that were developed and offered with therapeutic benefits in mind become available, their existence gives rise to unintended legal consequences. This certainly does not mean we should cease developing new therapies that may be of tremendous benefit to patients, but it does raise some questions for physicians and for legal policy-makers. How should physicians, who are required by medical ethical principles to obtain valid consent to treatment, react to a patient’s reluctant consent that is driven by legal pressure? From the legal policy perspective, are our legal doctrines satisfactory or should they be changed because, for example, they unduly promote the collective interest over individual freedom to reject medical treatment or because they channel us toward economically efficient treatments to the detriment of more costly but potentially superior approaches of dealing with behavioural problems? (shrink)

Dugald Stewart claims that conjectural history is ‘the peculiar glory of the latter half of the eighteenth century’. Yet it is hard to see why, in his view, conjectural histories are not merely confabulated just-so stories. This paper examines Stewart's views about the epistemic and moral value of conjectural history.

In this paper, I seek to explore the increasing popular claim that the performance of philosophy and the performance of humor share similar features. I argue that the explanation lies in the function of humor—a function which can be a catalyst for philosophy. Following Ernst Cassirer’s philosophy of symbolic forms and utilizing insights from various philosophical and scientific perspectives on the nature and origins of humor, I argue that the function of humor is to reveal faulty belief or error in (...) judgment. Once such errors are revealed the mind demands resolution, and this is the work of philosophy. But philosophy cannot solve a problem unless it recognizes that there is a problem to solve. That is, the move from ignorance to philosophy requires a mediating step. Humor can act as that step, and, as such, humor can serve as a catalyst for philosophy while being necessarily distinct from it. (shrink)

Kratzer semantics for modals and conditionals generates the prediction that sentences of the form if p, ought p are trivially true. As Frank and Zvolenszky show, for certain flavors of modality, like deontic modality, this prediction is false. I explain some conservative solutions to the problem, and then argue that they are inadequate to account for puzzle cases involving self-frustrating oughts. These cases illustrate a general problem: there are two forms of information-sensitivity in deontic modals. Even generalizations of Kratzer semantics (...) that predict these two roles for information, e.g. Kolodny and MacFarlane, predict that they vary together. I propose a generalization of Kratzer semantics that allows the two roles for information to vary independently of each other. (shrink)

Research on the use of propranolol as a pharmacological memory dampening treatment for post-traumatic stress disorder is continuing and justifies a second look at the legal and ethical issues raised in the past. We summarize the general ethical and legal issues raised in the literature so far, and we select two for in-depth reconsideration. We address the concern that a traumatized witness may be less effective in a prosecution emerging from the traumatic event after memory dampening treatment. We analyze this (...) issue in relation to sexual assault, where the suggestion that corroborating evidence may remedy any memory defects is less likely to be helpful. We also consider the clinical ethical question about a physician's obligation to discuss potential legal consequences of memory dampening treatment. We conclude that this latter question reflects a general problem related to novel medical treatments where the broader socio-legal consequences may be poorly understood, and suggest that issues of this sort could usefully be addressed through the promulgation of practice guidelines. (shrink)

College cheating is prevalent, with rates ranging widely from 9 to 95% (Whitley, 1998). Research has been exclusively conducted with enrolled college students. This study examined the prevalence of cheating in a sample of college alumni, who risk less in disclosing academic dishonesty than current students. A total of 273 alumni reported on their prevalence and perceived severity of 19 cheating behaviors. The vast majority of participants (81.7%) report having engaged in some form of cheating during their undergraduate career. The (...) most common forms of cheating were “copying from another student's assignment” and “allowing others to copy from your assignment.” More students reported cheating in classes for their major than other classes. Males and females cheated at the same rates in classes for their major, and males reported higher rates of cheating than females in nonmajor classes. Respondents reported that their top reasons for cheating were “lack of time” and “to help a friend.”. (shrink)

College cheating is prevalent, with rates ranging widely from 9 to 95%. Research has been exclusively conducted with enrolled college students. This study examined the prevalence of cheating in a sample of college alumni, who risk less in disclosing academic dishonesty than current students. A total of 273 alumni reported on their prevalence and perceived severity of 19 cheating behaviors. The vast majority of participants report having engaged in some form of cheating during their undergraduate career. The most common forms (...) of cheating were “copying from another student's assignment” and “allowing others to copy from your assignment.” More students reported cheating in classes for their major than other classes. Males and females cheated at the same rates in classes for their major, and males reported higher rates of cheating than females in nonmajor classes. Respondents reported that their top reasons for cheating were “lack of time” and “to help a friend.”. (shrink)

Ecumenical views in metaethics hold that normative utterances express hybrid mental states, states which include both a cognitive and a conative component. The ecumenicist can have her cake and eat it too: the view reaps the benefits of both cognitivist and non-cognitivist theories of normative judgement. The conative component of normative judgements accounts for their necessary link with motivation and rational action. The cognitive component makes it possible for the ecumenicist to endorse expressivism without facing the most difficult Frege-Geach challenges. (...) Ridge (2014) provides a defence of ecumenical expressivism about practical normativity that is both ambitious and compelling. I discuss and try to challenge two (unrelated) parts of the view. In the first section, I’ll raise a question for Ridge’s strategy for addressing the Frege-Geach problem, and in particular his proposed recipe for how to interpret normative assertions of arbitrary logical complexity. Then I discuss Ridge’s defence of cognitivism about rationality. I try to highlight some considerations that make expressivism about theoretical and practical rationality attractive. (shrink)

This study uses in-depth interviews and participant observation with gun carriers in Michigan to examine how socioeconomic decline shapes the appropriation of guns by men of diverse class and race backgrounds. Gun carriers nostalgically referenced the decline of Mayberry America—a version of America characterized by the stable employment of male breadwinners and low crime rates. While men of color and poor and working-class men bear the material brunt of these transformations, this narrative of decline impacts how both privileged and marginalized (...) men think of themselves as men because of the ideological centrality of breadwinning to American masculinity. Using Young’s “masculine protectionism” framework, I argue that against this backdrop of decline, men use guns not simply to instrumentally address the threat of crime but also to negotiate their own position within a context of socioeconomic decline by emphasizing their role as protector. (shrink)

ObjectivesTo describe reporting of informed consent in pragmatic trials, justifications for waivers of consent and reporting of alternative approaches to standard written consent. To identify factors associated with (1) not reporting and (2) not obtaining consent.MethodsSurvey of primary trial reports, published 2014–2019, identified using an electronic search filter for pragmatic trials implemented in MEDLINE, and registered in ClinicalTrials.gov.ResultsAmong 1988 trials, 132 (6.6%) did not include a statement about participant consent, 1691 (85.0%) reported consent had been obtained, 139 (7.0%) reported a (...) waiver and 26 (1.3%) reported consent for one aspect (eg, data collection) but a waiver for another (eg, intervention). Of the 165 trials reporting a waiver, 76 (46.1%) provided a justification. Few (53, 2.9%) explicitly reported use of alternative approaches to consent. In multivariable logistic regression analyses, lower journal impact factor (p=0.001) and cluster randomisation (p<0.0001) were significantly associated with not reporting on consent, while trial recency, cluster randomisation, higher-income country settings, health services research and explicit labelling as pragmatic were significantly associated with not obtaining consent (all p<0.0001).DiscussionNot obtaining consent seems to be increasing and is associated with the use of cluster randomisation and pragmatic aims, but neither cluster randomisation nor pragmatism are currently accepted justifications for waivers of consent. Rather than considering either standard written informed consent or waivers of consent, researchers and research ethics committees could consider alternative consent approaches that may facilitate the conduct of pragmatic trials while preserving patient autonomy and the public’s trust in research. (shrink)

Post-traumatic stress disorder is a “young” disorder formally recognized in the early 1980s, although the symptoms have been noted for centuries particularly in relation to military conflicts. PTSD may develop after a serious traumatic experience that induces feelings of intense fear, helplessness or horror. It is currently characterized by three key classes of symptoms which must cause clinically significant distress or impairment of functioning: persistent and distressing re-experiencing of the trauma; persistent avoidance of stimuli associated with the trauma and numbing (...) of general responsiveness; and persistent symptoms of hyper-arousal. One of the possible symptoms within the second class is difficulty in remembering an important aspect of the traumatic event.PTSD is not an uncommon condition, with an estimated lifetime prevalence of about 7-9% based on studies conducted in the United States and Canada, with women at higher risk than men. While not everyone who experiences a significant trauma will go on to develop PTSD, about a third will do so. Sexual assault, along with other forms of assaultive violence, pose a comparatively high risk of PTSD. (shrink)

In this dissertation, I argue that no account of propositional attitude reporting which does not include a significant degree of context-sensitivity can succeed in accommodating our intuitions about the truth conditions of such reports. Next, I argue that there are two general problems to be faced by any context-sensitive theory of attitude ascription, whether semantic or pragmatic. First, any theory which preserves our intuitions about which inference schemas are valid will violate our intuitions about truth conditions of particular attitude reports. (...) Second, all theories which depend upon speaker intentions and audience interests to supply the contextually-determined element will yield incorrect truth conditions for what attitude reports convey . I propose an alternative source for contextually-supplied elements: speaker dispositions. Speaker dispositions, I argue, succeed in securing the right truth conditions for the cases that speaker intentions could not handle. However, I suggest, they also point to a very different way of thinking about the way that communication takes place. (shrink)