Health research is often bounded by disciplinary expertise. While cross-disciplinary collaborations are often forged, the analysis of data which draws on more than one discipline at the same time is underexplored. Life of Breath, a 5-year project funded by the Wellcome Trust to understand the clinical, historical and cultural phenomenology of the breath and breathlessness, brings together an interdisciplinary team, including medical humanities scholars, respiratory clinicians, medical anthropologists, medical historians, cultural theorists, artists and philosophers. While individual members of the Life (...) of Breath team come together to share ongoing work, collaborate and learn from each other’s approach, we also had the ambition to explore the feasibility of integrating our approaches in a shared response to the same piece of textual data. In this article, we present our pluralistic, interdisciplinary analysis of an excerpt from a single cognitive interview transcript with a patient with chronic obstructive pulmonary disease. We discuss the variation in the responses and interpretations of the data, why research into breathlessness may particularly benefit from an interdisciplinary approach, and the wider implications of the findings for interdisciplinary research within health and medicine. (shrink)

Throughout his literary career Walker Percy read and studied the philosophical thought of Charles Sanders Peirce in an attempt to re-present in language the world as Percy knew it. Beginning in 1984 and ending in 1990, the year of his death, Percy corresponded with Kenneth Laine Ketner about the "semiotic" of Peirce. Their letters - honest, instructive, and often filled with down-home humor - record an epistolary friendship of two men both passionately interested in Peirce's theory of signs. This (...) volume of letters provides a rich philosophical perspective for better understanding the fiction and nonfiction of Walker Percy. (shrink)

Moral theories which, like those of Plato, Aristotle and Aquinas, give a central place to the virtues, tend to assume that as traits of character the virtues are mutually compatible so that it is possible for one and the same person to possess them all. This assumption—let us call it the compatibility thesis—does not deny the existence of painful moral dilemmas: it allows that the virtues may conflict in particular situations when considerations associated with different virtues favour incompatible courses of (...) action, but holds that these conflicts occur only at the level of individual actions. Thus while it may not always be possible to do both what would be just and what would be kind or to act both loyally and honestly, it is possible to be both a kind and a just person and to have both the virtue of loyalty and the virtue of honesty. (shrink)

Happiness can be expressed through smiles. Happiness can also be expressed through physical displays that without context, would appear to be sadness and anger. These seemingly incongruent displays of happiness, termed dimorphous expressions, we propose, represent and communicate expressers’ motivational orientations. When participants reported their own aggressive expressions in positive or negative contexts, their expressions represented positive or negative emotional experiences respectively, imbued with appetitive orientations. In contrast, reported sad expressions, in positive or negative contexts, represented positive and negative emotional (...) experiences respectively, imbued with consummatory orientations. In six additional experiments, participant observers interpreted that aggression displayed in positive contexts signalled happy-appetitive states, and sadness displayed in positive contexts signalled happy-consummatory states. Implications for the production and interpretation of emotion expressions are discussed. (shrink)

ABSTRACTClose relationship partners often respond to happiness expressed through smiles with capitalization, i.e. they join in attempting to up-regulate and prolong the individual’s positive emotion, and they often respond to crying with interpersonal down-regulation of negative emotions, attempting to dampen the negative emotions. We investigated how people responded when happiness was expressed through tears, an expression termed dimorphous. We hypothesised that the physical expression of crying would prompt interpersonal down-regulation of emotion when the onlooker perceived that the expresser was experiencing (...) negative or positive emotions. When participants were asked how they would behave when faced with smiles of joy, we expected capitalization responses, and when faced with tears of joy, we expected down-regulation responses. In six experimental studies using video and photographic stimuli, we found support for our hypotheses. Throughout our investigations we test and discuss boundaries of and poss... (shrink)

Much to the chagrin of those terrorists who were hoping to be the ones to shut her up, Oriana Fallaci passed away peacefully in her beloved Florence, surrounded by her sister, her nephews, and very few close friends—those, that is, who did not repudiate the Italian intellectual after her well-known and courageous stance vis-à-vis the Islamic war on the Western world. The room in the downtown clinic, where she spent her last few days, overlooked both the Florence synagogue and (...) Brunelleschi's dome, two of the most powerful symbols of that Judeo-Roman legacy at the heart of the Western culture that…. (shrink)

El libro de Oriana Zorrilla es un texto de investigación periodística importante, que instala en el debate nacional un tema que coloca la experiencia existencial del maltrato en el escenario democrático, retratando una realidad desconocida de acoso laboral a los empleados públicos, constituyéndose en un tema político sobre la calidad y profundidad de nuestra democracia. Ya en el prólogo Armando Uribe señala que el libro “es la denuncia bien fundada en la historia personal y colectiva, y tiene..

Fifteen original essays open up a novel area of inquiry: the distinctively ethical dimensions of women's experiences of and in aging. Contributors distinguished in the fields of feminist ethics and the ethics of aging explore assumptions, experiences, practices, and public policies that affect women's well-being and dignity in later life. The book brings to the study of women's aging a reflective dimension missing from the empirical work that has predominated to date. Ethical studies of aging have so far failed to (...) emphasize gender. And feminist ethics has neglected older women, even when emphasizing other dimensions of 'difference.' Finally work on aging in all fields has focused on the elderly, while this volume sees aging as an extended process of negotiating personal and social change. (shrink)

David Walker’s famous 1829 Appeal to the Colored Citizens of the World expresses a puzzle at the very outset. What are we to make of the use of “Citizens” in the title given the denial of political rights to African Americans? This essay argues that the pamphlet relies on the cultural and linguistic norms associated with the term appeal in order to call into existence the political standing of black folks. Walker’s use of citizen does not need to (...) rely on a recognitive legal relationship precisely because it is the practice of judging that illuminates one’s political, indeed, citizenly standing. Properly understood, the Appeal aspires to transform blacks and whites, and when it informs the prophetic dimension of the text, it tilts the entire pamphlet in a democratic direction. This is the political power of the pamphlet; it exemplifies the call-and-response logic of democratic self-governance. (shrink)

The American novelist Walker Percy (1916-90) considered himself a "thief of Peirce", because he found in the views of C.S. Peirce, the founder of pragmatism, an alternative approach to prevailing reductionist theories in order to understand what we human beings are and what the peculiar nature of our linguistic activity is. -/- This paper describes, quoting widely from Percy, how abduction is the spontaneous activity of our reason by which we couple meanings and experience in our linguistic expressions. This (...) coupling of personal creativity and cultural tradition makes it possible to bridge the gaps between persons and cultures. (shrink)

Recently, concerns have been raised about the phenomenon of ‘overdiagnosis’, the diagnosis of a condition that is not causing harm, and will not come to cause harm. Along with practical, ethical, and scientific questions, overdiagnosis raises questions about our concept of disease. In this paper, we analyse overdiagnosis as an epistemic problem and show how it challenges many existing accounts of disease. In particular, it raises ques- tions about conceptual links drawn between disease and dysfunction, harm, and risk. We argue (...) that ‘disease’ should be considered a vague concept with a non-classical structure. On this view, overdiagnosed cases are ‘borderline’ cases of disease, falling in the zone between cases that are clearly disease, and cases that are clearly not disease. We then develop a pre ́cising definition of disease designed to provide practical help in preventing and limiting overdiagnosis. We argue that for this purpose, we can define disease as dysfunction that has a significant risk of causing severe harm to the patient. (shrink)

I am a Walkerite. David Walker (1796– 97/1830), born in Wilmington, Delaware, to a free mother and a slave father, inherited his mother’s status as free. Walker witnessed the misery of slavery in his native state and during his various travels in the South, including one episode where a son was forced to whip his mother until she died. He settled in Boston in the 1820’s where he established a secondhand clothing business and became the most noted abolitionist (...) in Boston, associating with the abolitionist groups Prince Hall Freemasonry, Massachusetts General Colored Association and the newspaper, Freedom’s Journal. In 1929, he published the first of three editions of his APPEAL, IN FOUR ARTICLES; together with A .. (shrink)

_Philosophy and the Maternal Body_ gives a new voice to the mother and the maternal body which have often been viewed as silent within philosophy. Michelle Boulous Walker clearly shows how some male theorists have appropriated maternity, and suggests new ways of articulating the maternal body and women's experience of pregnancy and motherhood.

This paper provides an account of how virtue epistemology can accommodate knowledge acquired through testimony and extended cognition. Section 1 articulates the characteristic claim of virtue epistemology, and introduces the issues discussed in the paper. Section 2 details a related pair of objections to VE: that it is unable to accommodate cases of knowledge through testimony and extended cognition. Section 3 reviews two different virtue epistemologies and their responses to these objections presented in Greco :1–26, 2012). Considerations are presented for (...) why both of these accounts and responses are inadequate. Because of this, I suggest that it is unlikely that an analysis of the attribution relation will provide an adequate response to the objections. Section 4 advocates for a revised VE and a different way of dealing with the objections, which accommodates how agents are sometimes epistemically dependent on external sources. The central claim, for which a novel argument is presented, is that in some cases of knowledge the success is attributable to the abilities of an information system of which the knower is a part. This requires an important revision to traditional VE, but the characteristic claim of VE still holds true–every instance of knowledge is an instance of success attributable to ability. Thus, VE’s solutions to problems concerning the nature and value of knowledge are secured. (shrink)

In his paper 'The Voluntariness of Judgment' Mark Thomas Walker claims that judgments are voluntary acts. According to Walker, theoretical reasoning can be seen as an instance of practical reasoning, and the outcomes of practical reasoning are actions. There are two reasons why Walker's argument does not establish this conclusion: (i) There are non-reflective judgments which cannot reasonably be described as instances of practical reasoning; Walker's argument does not apply to these judgments, (ii) If one judges (...) that p as a result of deliberation, one has had no choice sincerely to judge as well that non-p instead of p , that is, one cannot judge contrary to one's evidence. Therefore, reflective judgments are not voluntary actions. Walker cannot show that reflective judgments are voluntary, because he fails to give a clear notion of a voluntary action and the role of choice. (shrink)

Current literature suggests that corporate social responsibility (CSR) can affect consumers’ attitudes towards an organization and is regarded as a driver for reputation-building and fostering sustained consumer patronage. Although prior research has addressed the direct influence of CSR on consumer responses, this research examined the mediating influence of consumer’s perceived organizational motives within an NGO setting. Given the heightened public attention surrounding the 2008 Beijing Olympic Games, data were collected from consumers of the Games to assess their perceptions of the (...) International Olympic Committee’s (IOC) socially responsible initiatives. We hypothesized that consumers of the Games were likely to cognitively elaborate on CSR messages by way of three specific attribution effects derived from the literature. The results show that, contingent on CSR awareness, consumers responded positively to social efforts judged to be values-driven and stakeholder-driven; and a negative response was seen for efforts judged to be strategic. These attribution effects influenced various types of patronage and perceived organizational reputation. (shrink)

This review provides a critical appraisal of two of the more significant contributions of the Minnesota approach to moral development. One contribution is the componential model which describes the four psychological components underlying moral behaviour. Evaluation of this model focuses on the adequacy of its synthesis of disparate processes in moral functioning, its instruments for assessing the four components, and its framework for moral education. A second contribution entails the conceptual and methodological reformulations known as the neo-Kohlbergian approach. Evaluation of (...) this approach focuses on its emphasis on macro-morality, redefinition of post-conventional morality, proposal of three moral schemas and six moral types and assessment of moral judgement with the Defining Issues Test. This review identifies the most valuable contributions of the Minnesota approach, as well as its most telling limitations. (shrink)

Moral Repair examines the ethics and moral psychology of responses to wrongdoing. Explaining the emotional bonds and normative expectations that keep human beings responsive to moral standards and responsible to each other, Margaret Urban Walker uses realistic examples of both personal betrayal and political violence to analyze how moral bonds are damaged by serious wrongs and what must be done to repair the damage. Focusing on victims of wrong, their right to validation, and their sense of justice, Walker (...) presents a unified and detailed philosophical account of hope, trust, resentment, forgiveness, and making amends - the emotions and practices that sustain moral relations. Moral Repair joins a multidisciplinary literature concerned with transitional and restorative justice, reparations, and restoring individual dignity and mutual trust in the wake of serious wrongs. (shrink)

Biological dysfunction is regarded, in many accounts, as necessary and perhaps sufficient for disease. But although disease is conceptualized as all-or-nothing, biological functions often differ by degree. A tension is created by attempting to use a continuous variable as the basis for a categorical definition, raising questions about how we are to pinpoint the boundary between health and disease. This is the line-drawing problem. In this paper, we show how the line-drawing problem arises within “dysfunction-requiring” accounts of disease, such as (...) those of Christopher Boorse and Jerome Wakefield. We then provide several detailed examples to establish that biological dysfunction cannot provide a boundary. We examine potential ways of resolving the line-drawing problem, either by dropping one of the claims that generates it, or by appealing to additional criteria. We argue that two of these options are plausible, and that each of these can be applied with regard to different diseases. (shrink)

Amongst traditionally-available frameworks within which end-of-life decisions in Intensive Care Units are situated, we favour Ordinary versus Extra-ordinary care distinctions as the most helpful. Predicated on this framework, we revisit the concepts of personhood and autonomy. We argue that a full account of personhood locates its foundation in relationships with others, rather than merely in “rationality”. A full account of autonomy also recognises relationships with others, as well as the actual reality of the patient’s situation-in-the-world. The fact that, when critically (...) ill, the patient may no longer be able to take an active role in decision-making does not bring about the end of their personhood, or of their autonomy. Because the patient’s autonomy is intimately linked to their relationships with others, once critical illness supervenes, respect for their autonomy devolves to those others with whom the patient is in relationship. In practical application, this means that there must be a dialogue, as the end-of-life of the critically-ill patient in ICU comes into view. Such dialogue should be grounded on this understanding in order to conform best to moral philosophical principles. Ideally the dialogue will involve all those with whom the patient is in relationship and, practical difficulties within an ICU notwithstanding, will aim to be inclusive, non-coercive and reflective as it seeks to maximise the good of the patient in their unique context. (shrink)

In Working Virtue: Virtue Ethics and Contemporary Moral Problems, leading figures in the fields of virtue ethics and ethics come together to present the first ...

This is a revised edition of Walker's well-known book in feminist ethics first published in 1997. Walker's book proposes a view of morality and an approach to ethical theory which uses the critical insights of feminism and race theory to rethink the epistemological and moral position of the ethical theorist, and how moral theory is inescapably shaped by culture and history. The main gist of her book is that morality is embodied in "practices of responsibility" that express our (...) identities, values, and connections to others in socially patterned ways. Thus ethical theory needs to be empirically informed and politically critical to avoid reiterating forms of socially entrenched bias. Responsible ethical theory should reveal and question the moral significance of social differences. The book engages with, and challenges, the work of contemporary analytic philosophers in ethics. Moral Understandings has been influential in reaching a global audience in ethics and feminist philosophy, as well as in tangential fields like nursing ethics; research ethics; disability ethics; environmental ethics, and social and political theory. This revised edition contains a new preface, a substantive postscript to Chapter 1 about "the subject of moral philosophy"; the addition of a new chapter on the importance of emotion in practices of responsibility; and the addition of an afterword, which responds to critics of the book. (shrink)

This paper addresses the relation between Luce Irigaray’s work and politics by asking what it means to read her work locally, in place. The philosophical work of Indigenous scholar, Mary Graham, on the law of obligation, serves to ground such a local reading presenting, simultaneously, a case for a uniquely Australian philosophy. By way of suggesting possible connections between the work of Irigaray and Graham, the paper places Graham’s work on obligation alongside Irigaray’s work on the importance of a symbolic (...) re-distribution of value suggested in her philosophy of horizontal transcendence. Such a reading encourages us to consider what it means to engage work, such as Irigaray’s, in a here and now that differs from the European context of her writing. (shrink)

_Philosophy and the Maternal Body_ gives a new voice to the mother and the maternal body which have often been viewed as silent within philosophy. Michelle Boulous Walker clearly shows how some male theorists have appropriated maternity, and suggests new ways of articulating the maternal body and women's experience of pregnancy and motherhood.

In the recent neuroethics literature, there has been vigorous debate concerning the ethical implications of the use of neurotechnologies that may alter a person’s identity. Much of this debate has been framed around the concept of authenticity. The argument of this chapter is that the ethics of authenticity, as applied to neurotechnological treatment or enhancement, is conceptually misleading. The notion of authenticity is ambiguous between two distinct and conflicting conceptions: self-discovery and self-creation. The self-discovery conception of authenticity is based on (...) a problematic conception of a static, real inner self. The notion of self-creation, although more plausible, blurs the distinction between identity and autonomy. Moreover, both conceptions are overly individualistic and fail sufficiently to account for the relational constitution of personal identity. The authors propose that a relational, narrative understanding of identity and autonomy can incorporate the more plausible aspects of both interpretations of authenticity, while providing a normatively more illuminating theoretical framework for approaching the question of whether and how neurotechnologies threaten identity. (shrink)

James Bohman’s account of what might be involved in thinking about ‘democracy across borders,’ and specifically of what might be involved in thinking about a potential shift from dêmos to dêmoi, compels both affirmation and resistance. His account is both elegant and sharply focussed: positive attributes that nevertheless affirm a very particular understanding of elegance, and a precise focus that manages to evade many considerations that might be considered important by people seeking to think about democracies and their futures in (...) many different situations. (Published: 5 February 2010) Citation: Ethics & Global Politics, Vol. 3, No. 1, 2010, pp. 21-36. DOI: 10.3402/egp.v3i1.4851. (shrink)

Prompted by recent comments on the moral authority of dialogic consensus, we argue that consensus, specifically dialogic consensus, possesses a unique form of moral authority. Given our multicultural era and its plurality of values, we contend that traditional ethical frameworks or principles derived from them cannot be viewed substantively. Both philosophers and clinicians prioritize the need for a decision to be morally justifiable, and also for the decision to be action-guiding. We argue that, especially against the background of our pluralistic (...) society, it is only via unforced dialogue and properly founded argumentation, aiming for consensus, that we can ascribe rightness or wrongness in a normative fashion to dilemmatic situations. We argue that both the process of dialogue, properly constituted, and the consensual outcome itself have moral authority vested within them. Finally, we argue that the consensual decision made is able to withstand moral scrutiny and is action-guiding, without claiming absolute moral authority in other contexts. (shrink)