Background:In the face of scarcity, nurses may inevitably delay or omit some nursing interventions and give priority to others. This increases the risk of adverse patient outcomes and threatens safety, quality, and dignity in care. However, it is not clear if there is an ethical element in nursing care rationing and how nurses experience the phenomenon in its ethical perspective.Objectives:The purpose was to synthesize studies that relate care rationing with the ethical perspectives of nursing, and find the deeper, moral meaning (...) of this phenomenon.Research design:A systematic review and thematic synthesis of qualitative studies was used. Searching was based on guidelines suggested by Joana Brigs Institute, while the synthesis has drawn from the methodology described. Primary studies were sought from nine electronic databases and manual searches. The explicitness of reporting was assed using consolidated criteria for reporting qualitative research. Nine studies involving 167 nurse participants were included. Synthesis resulted in 35 preliminary themes, 14 descriptive themes, and four analytical themes. Discussion of relationships between themes revealed a new thematic framework.Ethical consideration:Every effort has been taken, for the thoroughness in searching and retrieving the primary studies of this synthesis, and in order for them to be treated accurately, fairly and honestly and without intentional misinterpretations of their findings.Discussion:Within limitations of scarcity, nurses face moral challenges and their decisions may jeopardize professional values, leading to role conflict, feelings of guilt, distress and difficulty in fulfilling a morally acceptable role. However, more research is needed to support certain relationships.Conclusions:Related literature is limited. The few studies found highlighted the essence of justice, equality in care and in values when prioritizing care—with little support to the ethical effects of rationing on nurses. Further research on ethical dimension of care rationing may illuminate other important aspects of this phenomenon. (shrink)

Against claims that Origen causes History to evaporate into barren idealism, his theology is shown to have no other source and aim than historical occurences.

This paper concerns regret, where regretting is to be understood, roughly, as mourning the loss of a forgone good. My ultimate aim is to add a new dimension to existing debate concerning the internal logic of regret by revealing the significance of certain sorts of cases—including, most interestingly, certain down-to-earth cases involving vague goals—in relation to the possibility of regret in continued endorsement cases. Intuitively, it might seem like, in continued endorsement cases, an agent’s regret must be tied to the (...) idea that the forgone good is no better than the achieved good but is also not fully made up for by the achieved good because the goods are different in kind. But this view is controversial. After describing a challenge to the view, as well as the main features of the debate regarding regret in which it figures, I appeal first to a fanciful case involving a set of ever-better options, and then to a more down-to-earth case involving a vague goal, to develop a defense of the opposing view that, even in continued endorsement cases, mourning the loss of a forgone good need not be tied to the idea that the loss of the good is not fully made up for by the gain of a preferred or incomparable good of a different kind. (shrink)

When we fail to achieve our goals, procrastination is often the culprit. But how exactly is procrastination to be understood? This edited volume integrates the problem of procrastination into philosophical inquiry, exploring the relationship of procrastination to agency, rationality, and ethics--topics that philosophy is well-suited to address.

Abstract I challenge the view that, in cases where time for deliberation is not an issue, instrumental rationality precludes myopic planning. I show where there is room for instrumentally rational myopic planning, and then argue that such planning is possible not only in theory, it is something human beings can and do engage in. The possibility of such planning has, however, been disregarded, and this disregard has skewed related debates concerning instrumental rationality.

Yanis Varoufakis is an economist and politician. After serving as Greek Finance Minister in 2015, he went on to co-found the Democracy in Europe Movement 2025, of which he is now Secretary- General. The author of many books and academic papers, his latest work, Technofeudalism: What Killed Capitalism?, was published by Bodley Head in 2023. Professor of Economics, and editor of this journal, Michel Zouboulakis interviewed Varoufakis in December 2023. What follows is a transcript of that meeti...

The first collection of twentieth-century French philosopher Michel Henry's work in English, this book provides an excellent introduction to his thought.

Drawing and building on the existing literature, this Element explores the interesting and challenging philosophical terrain where issues regarding cooperation, commitment, and control intersect. Section 1 discusses interpersonal and intrapersonal Prisoner's Dilemma situations, and the possibility of a set of unrestrained choices adding up in a way that is problematic relative to the concerns of the choosers involved. Section 2 focuses on the role of precommitment devices in rational choice. Section 3 considers the role of resoluteness in rational choice and (...) action. And Section 4 delves into some related complications concerning the nature of actions and the nature of intentions. (shrink)

This book focuses on the challenges associated with effective choice over time. In particular, it considers the challenges raised by cyclic preferences and by incomplete preferences, both of which interfere with the agent's neatly ordering her options, and which make the agent susceptible to self-defeating patterns of choice in which the agent is drawn into taking each of a series of steps that collectively lead her to a result that she deems unacceptable. The book's guiding questions are the following: What (...) is an agent to do if she finds herself with cyclic preferences or with incomplete preferences? Is an agent or group of agents with such preferences necessarily irrational? It is argued that the answer to the latter question is "no"; rationality does not invariably prohibit disorderly preferences, but it does (to get back to the first question) prompt us to proceed with caution and with a readiness to show restraint, based on an awareness of larger dynamics, when our preferences are disorderly. Theories of rational choice often dismiss or abstract away from the sorts of disorderly preferences at issue here. They assume that rational agents can and should have neat preferences over their options; but this assumption is problematic. Rationality can validate certain disorderly preference structures while also protecting us from self-defeating patterns of choice. Rationality can thus handle quite a lot of messiness, which is important, since rationality wouldn't be all that helpful if, whenever messiness threatened, we could not turn to it for guidance. (shrink)

Hoi philosophoi kai hē hēdonē --Hoi philosophoi kai hē ischys -- Outopia kai historikē praxē.

A variety of strategies have been used to oppose the influential Humean thesis that all of an agent’s reasons for action are provided by the agent’s current wants. Among these strategies is the attempt to show that it is a conceptual truth that reasons for action are non-relative. I introduce the notion of a basic reason- giving consideration and show that the non-relativity thesis can be understood as a corollary of the more fundamental thesis that basic reason-giving considerations are generalizable. (...) I then consider the relationship between the generalizability thesis and the Humean thesis that all of an agent’s reasons for action are provided by the agent’s current wants. I argue that, contrary to a common assumption, there is a subtle and clearly motivated version of the Humean thesis that does not deny, and so is not threatened by, the generalizability thesis. (shrink)

This paper uses the idea of a proxy, which figures in discussions of bounded rationality, to construct an argument for a revisionary conclusion about ideal instrumental rationality. I consider how subjective responses can figure as proxies in heuristics and develop the following argument: (1) Proxies, even if relatively easy to recognize, can sometimes be messy, prompting incomplete or cyclic preferences. (2) From the point of view of ideal instrumental rationality, it is permissible for an agent to be concerned with a (...) proxy rather than with what it is a proxy for. And so, (3) although it is standardly assumed, as part of the prevailing conception of ideal instrumental rationality, that rational preferences are complete and acyclic, neither incomplete preferences nor cyclic preferences can be dismissed as invariably irrational from the point of view of ideal instrumental rationality. (shrink)

There is growing support for the view that there can be cases of incommensurability, understood as cases in which two alternatives, X and Y, are such that X is not better than Y, Y is not better than X, and X and Y are not equally good. This paper assumes that alternatives can be incommensurable and explores the prominent idea that, insofar as choice situations that agents face qua rational agents involve options that are not rankable as one better than (...) the other or as equally good, the choice situations are, due to this _structural_ feature, _distinctively_ hard. It might seem like choosing between incommensurable alternatives is obviously distinctively hard because, _unlike in other cases_, in cases of incommensurability, one cannot proceed in a way that does justice to the value of each of the goods at stake by factoring their value into one’s decision. The reasoning in this paper suggests that this position is mistaken, not because there is no real challenge here, but because, insofar as a challenge has been identified, it is one that can make cases involving commensurable alternatives hard too. The paper’s reasoning also suggests that the challenge at issue can sometimes, even if not always, be overcome via effective choice over time. Although many of the illustrations focused on in the paper involve low-stakes intrapersonal cases of decisionmaking, the paper’s reasoning is, as is apparent by the end of the paper, relevant for high-stakes and population-level decision-making as well. (shrink)

The core argument in favor of the view that immorality is a natural defect for human beings, which has been developed by Foot, assumes that if justice and compassion have important functions in human survival and reproduction, then injustice and cruelty are natural defects in human beings. But this ignores possibilities and results that cannot reasonably be ignored. Multiple and mixed naturally sound types can and do occur in nature. Moreover, research in the life sciences suggests that at least some (...) bad human behaviors, traits, or strategies are selected for and continue to have important survival-and-reproduction-related functions in human life. All this fits poorly with the position that immorality is a natural defect for human beings. Emerging as much more plausible is the competing view that, for human beings, natural soundness sometimes supports behaviors, traits, or strategies that conflict with (any ideal that can plausibly be called) moral goodness. (shrink)

This paper explores the possibility of incomparability. It first focuses on a challenge to the small-improvement argument for incomparability and then turns to some seemingly more promising, “huge-improvement” variations on the argument. After considering an important complication, it is argued that, whether or not options can be strictly incomparable, there is room for cases beyond not just classic cases of trichotomous comparability but even beyond cases involving options that, though not trichotomously comparable, are still comparable as both positive, or both (...) negative, or, even if indeterminate, both fairly neutral. In the relevant further cases, at least one option that combines a positive feature and a negative feature is not positive, negative, neutral, or even fairly neutral. To the extent that comparability is revealed as applicable in such cases, skepticism about incomparability can persist, but its significance is reduced by the revelation of how little comparability requires. (shrink)

This volume is a wonderful introduction to Foucault and a testimony to the deep humanity of the man himself.

According to a familiar and entrenched philosophical paradigm, poor self-control amounts to diminished control by the self. While some cases of poor self-control may fit this paradigm, many paradigmatic cases of poor self-control, including cases involving individually trivial effects, do not; they are better understood as cases in which the self controls behavior, but does so poorly. As such, philosophical research on poor self-control needs to go beyond research aimed at locating and empowering the self, and into research on what (...) it takes for selves that are already in control to qualify as managerial successes rather than managerial failures. This article focuses on certain pitfalls associated with micromanagement and on the paradoxical connection between micromanagement and poor self-control in cases involving individually trivial effects. The article ends by advancing an approach to managerial success that provides a promising route to avoiding micromanagerial pitfalls while also promoting responsible resilient agency. (shrink)

'A fabulous journey through thirty years of political and intellectual ferment... will reorient our reading of Foucault's major works' Didier Eribon The Essential Works of Michel Foucault offers the definitive collection of his articles, interviews and seminars from across thirty years of his extraordinary career. This first volume, Ethics, contains the summaries of Foucault's renowned courses at the Collège de France, as well as key writings and candid interviews on ethical matters: from the role of the intellectual and philosopher in (...) society to friendship, sexuality and the care of the self and others. Edited by Paul Rabinow Translated by Robert Hurley and Others. (shrink)

It is natural to assume that we would not be willing to compromise the environment if the conveniences and luxuries thereby gained did not have a substantial positive impact on our happiness. But there is room for skepticism and, in particular, for the thesis that we are compromising the environment to no avail in that our conveniences and luxuries are not having a significant impact on our happiness, making the costs incurred for them a waste. One way of defending the (...) no-avail thesis fits neatly with what I will call the exalted view , according to which the key to human happiness lies in the mental (or spiritual) realm rather than in the material realm. After considering this familiar approach to defending the no-avail thesis, I sketch out a very different approach—one that will, I hope, appeal to those who have doubts about the familiar line of defense. The alternative and novel approach builds on a strand of empirical research on (self-reports concerning) happiness that suggests that we are, in a way, quite shallow, and that our happiness depends on whether we are keeping up with the Joneses. I call this view concerning happiness the worldly view . My reasoning suggests that even if the current rift between exalted pictures of human nature and happiness, on the one hand, and worldly pictures of human nature and happiness, on the other, cannot be repaired, it need not hinder agreement on the plausibility of the no-avail thesis; rather, with the rift come two different routes to the same thesis. I conclude that we should take the no-avail thesis very seriously, and that evidence that we are shallow materialists need not be bad news for the environment(alist). (shrink)

It is often supposed that, given two potential objects of choice X and Y, a specific set of circumstances, and a specific choosing agent, one of the following must be true: (1) opting for X is a better choice than opting for Y, (2) opting for Y is a better choice than opting for X, or (3) opting for X and opting for Y are exactly equally good choices. My aim in this paper is to show how some philosophical insights (...) concerning color perception can illuminate the possibility of two options, X and Y, being such that, even given a specific set of circumstances and a specific choosing agent, none of (1), (2), or (3) holds, but X and Y are positively related to one another as “on a par.”. (shrink)

I show, building on Warren Quinn's puzzle of the self-torturer, that destructive conduct with respect to the environment can flourish even in the absence of interpersonal conflicts. As Quinn's puzzle makes apparent, in cases where individually negligible effects are involved, an agent, whether it be an individual or a unified collective, can be led down a course of destruction simply as a result of following its informed and perfectly understandable but intransitive preferences. This is relevant with respect to environmental ethics, (...) since environmental damage is often the result of the accumulation of individually negligible effects. (shrink)

Dans ce manuscrit du début des années 1950, Foucault met en relief la perspective freudienne qui substitue à l’approche biologique de la maladie fondée sur l’évolutionnisme une démarche basée sur la compréhension de sa signification psychologique. Cependant, puisque le point de vue évolutif n’est jamais abandonné par Freud, se pose la question de savoir comment, dans la définition psychanalytique de la maladie et de ses rapports à la personnalité, se distribuent les éléments d’une analyse évolutive et ceux d’une compréhension significative (...) : quel équilibre peut être instauré entre eux, et quelle image de l’homme malade en résulte? En outre, si la maladie a un sens, et si elle se définit par un ensemble de réactions significatives et cohérentes, en quoi est-elle maladie? (shrink)

Sometimes a series of choices do not serve one's concerns well even though each choice in the series seems perfectly well suited to serving one's concerns. In such cases, one has a dynamic choice problem. Otherwise put, one has a problem related to the fact that one's choices are spread out over time. This survey reviews some of the challenging choice situations and problematic preference structures that can prompt dynamic choice problems. It also reviews some proposed solutions, and explains how (...) some familiar but potentially puzzling phenomena — including, for example, self-destructive addictive behavior and dangerous environmental destruction — have been illuminated by dynamic choice theory. (shrink)

Dreadful and dreaded outcomes are sometimes brought about via the accumulation of individually trivial effects. Think about inching toward terrible health or toward an environmental disaster. In some such cases, the outcome is seen as unacceptable but is still gradually realized via an extended sequence of moves each of which is trivial in terms of its impact on the health or environment of those involved. Cases of this sort are not only practically challenging, they are theoretically challenging as well. For, (...) they raise puzzling complications concerning the assessment of conduct. In particular, given cases of this sort, we seem forced to conclude that, sometimes, each current doing in an extended sequence of moves can be correctly assessed as permissible (relative to a certain set of concerns) even though the sequence foreseeably leads to an outcome that is unacceptable (relative to that same set of concerns) and even though acceptable outcomes are available. And this seems paradoxical. I argue that this (apparent) puzzle glosses over complications associated with action individuation and units of agency. Reflection on these complications makes it clear that in cases of the sort that have given rise to the puzzle, there is an accurate way of seeing what is being done at various particular moments that clearly brings out the tight connection between a current doing and non-trivial damage that is to be expected (and is indeed bound to occur if the doing is completed without a hitch). (shrink)

Discussion of temptation has figured prominently in recent debates concerning instrumental rationality. In light of some particularly interesting cases in which giving in to temptation involves acting in accordance with one’s current evaluative rankings, two lines of thought have been developed: one appeals to the possibility of deviating from a well-grounded resolution, and the other appeals to the possibility of being insufficiently responsive to the prospect of future regret. But the current appeals to resolutions and regret and some of the (...) verdicts provided face some serious challenges. Building on recent work concerning instrumental rationality, and delving into some important complications concerning human psychology, I revisit the relevant cases of temptation and analyze them in a way that puts resolutions, rational failure, and regret in their proper places. In the process, I highlight and explain the significance of the neglected fact that resolutions can introduce effective anchor points, which can serve agents faced with temptation well, even if the resolutions are abandoned. (shrink)

Procrastination is frustrating. Because the procrastinator's frustration is self-imposed, procrastination can also be quite puzzling. I consider attempts at explaining, or explaining away, what appear to be genuine cases of procrastination. According to the position that I propose and defend, genuine procrastination exists and is supported by preference loops, which can be either stable or evanescent.

It is commonly held that rational preferences must be acyclic. There have, however, been cases that have been put forward as counterexamples to this view. This paper focuses on the following question: If the counterexamples are compelling and rational preferences can be cyclic, what should we conclude about the presumed acyclicity of the “better than” relation? Building on some revisionary suggestions concerning acyclicity and betterness, I make a case for hanging on to the presumption that “better than” is acyclic even (...) if “is rationally preferred to” is not. As I explain, the divergence my view makes room for does not threaten to make “better than” judgments less relevant to choice than judgments about rational preference. To the contrary, it makes them more relevant. Toward the end of the paper, I extend my results to the relation “is morally better than” in light of the possibility that there might be moral preferability cycles. (shrink)

L'inscription inédite d'Ambracie, qui est ici publiée, fait connaître le règlement frontalier entre les deux cités qui est intervenu après la destruction de l'Épire par Paul-Émile en 167 avant J.-C. Elle comprend le texte d'arbitrage entre Ambraciotes et Charadrites, puis les dispositions pratiques prises pour le bornage et le texte du serment. Elle permet de résoudre bien des problèmes de géographie historique : le fleuve Aphas est le Louros, Horraon — Horreum chez Tite-Live — est localisé dans le beau site (...) archéologique voisin d'Ammotopos, Charadros à Palaia Philippias. La délimitation frontalière peut être reconstituée et fait penser à celles qu'Ambracie tente de régler, à la même époque, avec ses voisins Athamanes et Acarnaniens. Le document permet d'identifier le grand temple archaïque dégagé à Arta comme étant celui d'Apollon Sôter et souligne les relations étroites entretenues avec l'Élide et la Thessalie ; il renseigne sur les institutions des deux cités et complète le calendrier épirote. (shrink)

Sentence repetition tasks have been extensively employed to assess bilingual children’s linguistic and cognitive resources. The present study examined whether monoliterate bilingual children differ from their monolingual peers in SR accuracy and cognitive tasks, and investigated links between vocabulary, updating, verbal and visuospatial working memory and SR performance in the same children. Participants were two groups of 35 children, 8–12 years of age: one group consisted of Albanian-Greek monoliterate bilingual children and the other of Greek monolingual children attending a monolingual-Greek (...) educational setting. The findings demonstrate that the two groups performed similarly in the grammaticality scores of the SR. However, monolinguals outperformed the monoliterate bilinguals in SR accuracy, as well as in the visuospatial working memory and updating tasks. The findings did not indicate any bilingual advantage in cognitive performance. The results also demonstrate that updating and visuospatial working memory significantly predicted monolingual children’s SR accuracy scores, whereas Greek vocabulary predicted the performance of our monoliterate bilingual children in the same task. We attribute this outcome to the fact that monoliterate bilingual children do not rely on their fluid cognitive resources to perform the task, but instead rely on language proficiency while performing the SR. (shrink)

This paper defends a version of the view that, sometimes, rational choice between two options can be grounded on a good reason whose justifying force does not depend on how the two options compare. The route via which this view is arrived at does not presuppose the existence of incomparable options, and so allows for common ground with skeptics about incomparability. Still, it requires that challenging cases be acknowledged and addressed, rather than abstracted from or assumed away. Ultimately, the reasoning (...) provided suggests that rationality can handle quite a lot of messiness, which is important, since rationality wouldn’t be all that helpful if, whenever messiness threatened, we had to rush to its rescue rather than look to it for guidance. (shrink)