Abstract The values of the healthcare sector are fairly ubiquitous across the globe, focusing on caring and respect, patient health, excellence in care delivery, and multi-stakeholder collaboration. Many individual pharmacists embrace these core values. But their ability to honor these values is significantly determined by the nature of the system they work in. -/- The paper starts with a model of the prevailing pharmacist workforce model in Scotland, in which core roles are predominantly separated into hierarchically disaggregated jobs focused on (...) one professional ‘pillar’: Clinician /Practice Provider; Educator; Leader/Manager; and Researcher. This is the ‘Atomistic’ Model. This skills-segregation yields a workforce of individuals working in isolation rather than collaborating together, and lacking a shared information flow, purpose and identity. Key strategic flaws include suboptimal responsiveness to population and subpopulation needs, inconsistency and inequity of care, an erosion of professional agency, and lower job satisfaction. It is conjectured that this results from a lack of congruence between values, professional ethos, and organizational structure. ‘Atomism’ culminates in a syndrome of widespread professional-level cognitive dissonance. -/- The paper contrasts this with a new emerging workforce vision, The Collaborative Care Model. This new model defines a systems-first-approach, built on the principle that all jobs must include all four professional ‘pillars’. Vertical skills integration, involving education and task sharing, will support sustainability and succession planning. Horizontal skills integration (across practice, leadership and research) is included to improve responsiveness to population need and individual professional agency. The working conditions, supportive ethos, and career structure needed to make the model work are described. Moral theory and workforce theory are used to justify why the model may be more effective for population health, delivering greater job satisfaction for individuals and ultimately helping systematically realize and honor healthcare values. Finally, the paper sketches the first steps needed to implement the model at the national level, starting with the operationalization of new multi-pillar professional curricula across the career spectrum. Potential pitfalls and challenges are also discussed. -/- Co-Authors: 1. Paul Forsyth (PF) Lead Pharmacist Clinical Cardiology, Pharmacy, NHS Greater Glasgow & Clyde. Contribution: Conceptualization; Model Curation; Model Theory; Model Visualization; Writing - original draft (lead author), Writing - review & editing (lead author) 2. Andrew Radley (AR), Consultant in Public Health Pharmacy, NHS Tayside. Contribution: Conceptualization; Model curation; Model Theory; Writing - review & editing 3. Gordon Rushworth (GR), MPharm MSc FFRPS FRPharmS (Consultant). Programme Director, Highland Pharmacy Education & Research Centre, NHS Highland, Inverness. Contribution: Model curation; Writing - review & editing 4. Fiona Marra (FM) National Lead Clinician Scottish Infection and Immunology Network (SPAIIN) / Advanced Pharmacist HCV / HIV, NHS Greater Glasgow & Clyde. Contribution: Model curation; Writing - review & editing 5. Susan Roberts (SR) Associate Postgraduate Pharmacy Dean, NHS Education for Scotland. Contribution: Model curation; Writing - review & editing 6. Roisin O’Hare (RO) Lead Teacher Practitioner Pharmacist, Northern Ireland University Network, Southern Health and Social Care Trust. Contribution: Model curation; Writing - review & editing 7. Catherine Duggan (CD) Chief Executive Officer, International Pharmaceutical Federation (FIP). Contribution: Model curation; Writing - review & editing 8. Barry Maguire (BM) Senior Lecturer, School of Philosophy, Psychology and Life Sciences, The University of Edinburgh. Contribution: Conceptualization; Model Curation; Model Theory; Model Visualization; Supervision; Writing - original draft (senior academic supervisor), Writing - review & editing (senior academic supervisor) -/- . (shrink)

How do people learn multisensory, or amodal, representations, and what consequences do these representations have for perceptual performance? We address this question by performing a rational analysis of the problem of learning multisensory representations. This analysis makes use of a Bayesian nonparametric model that acquires latent multisensory features that optimally explain the unisensory features arising in individual sensory modalities. The model qualitatively accounts for several important aspects of multisensory perception: (a) it integrates information from multiple sensory sources in such a (...) way that it leads to superior performances in, for example, categorization tasks; (b) its performances suggest that multisensory training leads to better learning than unisensory training, even when testing is conducted in unisensory conditions; (c) its multisensory representations are modality invariant; and (d) it predicts ‘‘missing” sensory representations in modalities when the input to those modalities is absent. Our rational analysis indicates that all of these aspects emerge as part of the optimal solution to the problem of learning to represent complex multisensory environments. (shrink)

We report the results of an experiment in which human subjects were trained to perform a perceptual matching task. Subjects were asked to manipulate comparison objects until they matched target objects using the fewest manipulations possible. An unusual feature of the experimental task is that efficient performance requires an understanding of the hidden or latent causal structure governing the relationships between actions and perceptual outcomes. We use two benchmarks to evaluate the quality of subjects’ learning. One benchmark is based on (...) optimal performance as calculated by a dynamic programming procedure. The other is based on an adaptive computational agent that uses a reinforcement-learning method known as Q-learning to learn to perform the task. Our analyses suggest that subjects were successful learners. In particular, they learned to perform the perceptual matching task in a near-optimal manner (i.e., using a small number of manipulations) at the end of training. Subjects were able to achieve near-optimal performance because they learned, at least partially, the causal structure underlying the task. In addition, subjects’ performances were broadly consistent with those of model-based reinforcement-learning agents that built and used internal models of how their actions influenced the external environment. We hypothesize that people will achieve near-optimal performances on tasks requiring sequences of action—especially sensorimotor tasks with underlying latent causal structures—when they can detect the effects of their actions on the environment, and when they can represent and reason about these effects using an internal mental model. (shrink)

The collusive relationship between the U.S. Forest Service and the lumber industry substantially harms the public interest, and inspires Congressional clearcutting and stumping policies. An anthropocentric1 (or homocentric) culture milieu fosters destruction of America''s old growth forests which results in ethically-relevant questions. It is proposed that corporate moral responsibility be extended to indirect stakeholders and that a transcendent environmental ethic, biocentrism2 (or deep ecology), oblige management to expand the sphere of external stakeholders to include environment objects such as animals, trees, (...) and biotic communities. (shrink)

In his paper ‘Miracles: metaphysics, physics, and physicalism’, 1 Kirk McDermid appears to have two primary goals. The first is to demonstrate that my account of how God might produce a miracle without violating any laws of nature is radically flawed. The second is to suggest two alternative accounts, one suitable for a deterministic world, one suitable for an indeterministic world, which allow for the occurrence of a miracle without violation of the laws of nature, yet do not suffer from (...) the defects of what McDermid terms the ‘Larmerian’ model. I briefly describe my model, reply to McDermid's criticism of it, and evaluate his alternative accounts. (shrink)

Research on positive psychology demonstrates that specific individual dispositions are associated with more desirable outcomes. The relationship of positive psychological constructs, however, has not been applied to the areas of business ethics and social responsibility. Using four constructs in two independent studies (hope and gratitude in Study 1, spirituality and generativity in Study 2), the relationship of these constructs to sensitivity to corporate social performance (CSCSP) were assessed. Results indicate that all four constructs significantly predicted CSCSP, though only hope and (...) gratitude interacted to impact CSCSP. Discussion focuses upon these findings, limitations of the study, and future avenues for research. (shrink)

The first is that a miracle, understood as an event produced by a transcendent agent overriding the usual course of nature, involves a violation of the laws of nature. Larmer argues that events are explained by reference to both relevant laws and units of mass/energy in the sequences to be explained. He contends that a miracle need not be conceived as involving a violation of natural law, but rather as the creation or annihilation of mass/energy by a transcendent agent. In (...) reply to the objection that this account would violate the first law of thermo-dynamics, he distinguishes two forms of the principle -- one metaphysical, one scientific -- and aruges that a miracle would not violate the principle considered as a scientific law. The second assumption is that miracle testimony cannot serve as evidence for theism. Larmer demonstrates that the logical ties connecting the concept of miracle to theism need not imply that one must be a theist to evaluate miracle testimony properly. All that is required is that one is prepared to entertain theism as a hypothesis. Attacking these assumptions allows Larmer to show that Humean balance-of-probabilities arguments, based on a presumed conflict between evidence which establishes belief in the laws of nature and evidence in favour of miracles, miss the point if miracles need not be defined as violations of the laws of nature. He argues that, in the absence of a general argument demonstrating that the testimonial evidence in favour of miracles conflicts with the evidence for the laws of nature, it is up to the atheist to demonstrate, on a case-by-case basis, why the testimonial evidence is to be rejected. His conclusion is that, contrary to what is usually thought, the burden of proof lies not upon the shoulders of the theist, but upon the shoulders of the atheist. (shrink)

Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the Ethics Consultation Quality Assessment Tool. ECQAT enables raters to assess the (...) quality of ethics consultations based on the written record. Through rigorous development and preliminary testing, we identified key elements of a quality ethics consultation, established scoring criteria, developed training guidelines, and designed a holistic assessment process. This article describes the development of the ECQAT,.. (shrink)

Written by the preeminent democratic theorist of our time, this book explains the nature, value, and mechanics of democracy. In a new introduction to this Veritas edition, Ian Shapiro considers how Dahl would respond to the ongoing challenges democracy faces in the modern world. “Within the liberal democratic camp there is considerable controversy about exactly how to define democracy. Probably the most influential voice among contemporary political scientists in this debate has been that of Robert Dahl.”—Marc Plattner, _New York (...) Times_ “An excellent introduction for novices, as well as a trusty handbook for experts and political science mavens.”—_Publishers Weekly_. (shrink)

The Legitimacy of Miracle defends the view that miracles, in the strong sense of being events produced by a supernatural agent overriding the usual course of nature, can take place without violating any laws of nature. This means that the evidence for miracles cannot be judged to be in conflict with the evidence for the laws of nature; the result being that Humean objections to the rationality of belief in miracles fail.

To the extent that Mircea Eliade is concerned with millenarianism he is concerned with it as only an instance of religious phenomena generally and is concerned with its meaning rather than its cause. Yet presupposed in the meaning he finds is a theory of its cause, and that theory is worth examining both because it elucidates Eliade's approach to religion as a whole and because as an explanation of millenarianism it is atypical and even unique.

Where do our moral beliefs come from? Theologians and scientists provide often conflicting answers. Robert Hinde resolves these conflicts to offer a groundbreaking, multidisciplinary response, drawing on psychology, philosophy, evolutionary biology and social anthropology. Hinde argues that understanding the origins of our morality can clarify the debates surrounding contemporary ethical dilemmas such as genetic modification, increasing consumerism and globalisation. Well-chosen examples and helpful summaries make this an accessible volume for students, professionals and others interested in contemporary and historical ethics.

This book argues that the Russian-British philosopher Isaiah Berlin should primarily be understood through British idealism. Though he adopted Kantian methodology and a view of people as purposive beings, he rejected the Idealists' monism and theories of positive liberty. Robert A. Kocis demonstrates how, like Michael Oakeshott and R. G. Collingwood, Berlin can be seen as a 'post-Idealist' thinker, invested in the implications of that rich tradition.

In lieu of an abstract, here is a brief excerpt of the content:Berkeley and Scepticism: A Fatal Dalliance Robert A. Imlay This article is divided into three sections. In the first section I try to show how Berkeley inadvertently commits himself to scepticism or subjectivism by employing against the representational realist an argument that seeks to identify all sensible quaUties regardless of degree with pleasure or pain viewed as feeling states. An appeal to the act-object distinction as a way (...) of avoiding this result is shown to be futile because ofthe purely grammatical nature ofthat distinction. Berkeley must, ifhe can do so consistently, radically change course and attack the alleged identity head-on. In view of that I try to show more clearly in the second section why the sceptic or subjectivist—and Berkeleyhimself—are convinced that the identity forces itselfupon us. At the same time I try to explain why even a representationaUsm that agrees to identify heat, for example, with felt heat but clings to something unfelt like heat qua heat to be found in the fire is no answer to these philosophers. If it were, admittedly, the identity would not have to be attacked head-on. Against this form of representational readism an appeal is once more made to the purely grammatical nature of the act-object distinction which in our view Ues behind Berkeley's anti-representationalist Ukeness principle. In the third section, attacking the identity head-on I try to show the identification of heat and pain, to continue with that example, assumes that all differences between the two would have to be transparent to consciousness. And that is already to assume what needs to be proved, namely, that there is no epistemologically opaque, mind-independent heat ofthe fire. Unfortunately, this Une ofattack is notopen toBerkeley, because hehas otherarguments designedto show that there is, indeed, no mind-independent heat of the fire. If, on the other hand, he rejected the transparency of consciousness, he would run the risk—as he is fully aware—of allowing in scepticism or subjectivism through another door. Finally, Berkeley's attempt to avoid scepticism or subjectivism by making sensible qualities objects ofperception is seen to run afoul ofthe purely grammatical nature of the act-object relation, the subject with which this paper more or less began. Volume XVIII Number 2 501 ROBERT A. IMLAY One tried but perhaps not always true way of dealing with the philosophical sceptic or subjectivist is to give her all the rope that she requires in order to hang herself. This is the way of Descartes in the first and the beginningofthe secondMeditation where sceptical doubt, indeed denial, pushed to its limit, is supposed to demonstrate to the philosopher that he exists. It is, however, also the way ofBerkeley at least to the extent that he is prepared to employ a sceptical or subjectivist argument to arrive at a position that is supposed to be in the final analysis incompatible with scepticism or subjectivism. Such astrategyis, needless to say, not withoutits dangers. Indeed, it is because ofthem thatjust such a strategy, ifit could succeed, would constitute areal epistemic tourdeforce. The most obvious and pressing danger is that by unabashedly employing a sceptical or subjectivist argument one inevitably becomes committed to scepticism or subjectivism oneself. Nor is that danger to be averted merely by quaUfying the argument in question in such a way that it loses its sceptical or subjectivist bite. For at least in the case of Berkeley and the particular argument of his that we have in mind, it can lose that bite only by ceasing to be itself. By the same token it will leave intact or at least play no role in the dismantling of a position that on further analysis is supposed to be not only compatible with scepticism or subjectivism but, ifBerkeley is right, ultimately vindicates it. The argument is the one in which Berkeley insists on the identity, regardless ofdegree, ofall the sensible qualities—heat and cold, sweet and bitter, for example—with either pleasure or pain viewed as feeling states in order to put them in the mind along with the latter.1 This argument is essentially a sceptical or subjectivist one and, if he were to abandon it... (shrink)

Where does the mind begin and end? Most philosophers and cognitive scientists take the view that the mind is bounded by the skull or skin of the individual. Robert Wilson, in this provocative and challenging 2004 book, provides the foundations for the view that the mind extends beyond the boundary of the individual. The approach adopted offers a unique blend of traditional philosophical analysis, cognitive science, and the history of psychology and the human sciences. The companion volume, Genes and (...) the Agents of Life, explores the theme in the biological sciences. Written with verve and clarity, this ambitious book will appeal to a broad swathe of professionals and students in philosophy, psychology, cognitive science, and the history of the behavioural and human sciences. You can download the table of contents here. (shrink)

I am grateful to Philip Quinn for his thorough and penetrating critique of my paper on classical theism and pantheism. He has given me much to think about, and it would be philosophically remiss of me not to acknowledge that – in the light of his remarks – the argument which I employed in defence of the thesis that classical theism implies a version of pantheism might well benefit from some amendment. However, the purpose of this brief counter-rejoinder is to (...) establish that the nexus of my argument has emerged from his commentary in reasonably robust health, i.e., to demonstrate that if the argument of my former paper is to be rejected, it will take something more than Professor Quinn's critique to make that clear. Very concisely, then, my response is as follows: At a preliminary point, Professor Quinn claims that my argument ‘merits careful scrutiny’ because, if it succeeds, ‘something shockingly at variance with received views’ will have been established . I find this to be somewhat odd. For it seems clear that St Paul was a ‘classical theist’, indeed a very special one in so far as the shaping of Christian theism is concerned. And while his famous and oftcited dictum that God is the One in Whom ‘we live, move, and have our being’ may be such that it is permissible to construe it in ways which do not imply any version of pantheism, it clearly seems unjustified to maintain that pantheistic doctrines are ‘shockingly at variance’ with that most intriguing statement of St Paul's. (shrink)

The purpose of this paper is to clear up the long-standing veritable mountain of misinterpretation, perpetuated from critic to critic, concerning the admittedly problematic concept of self-authenticating religious experience. While it may well be the case, as many have argued, that a sort of ‘experience’ about which one could not be mistaken is simply a logically impossible state of affairs, this cannot be known to be the case so long as what is under attack is a bogus concept, obviously absurd, (...) having nothing whatsoever to do with the correct interpretation of ‘self-authentication’. Hence, my mission herein is essentially that of philosophical analysis or clarification of meaning. Only upon suitable clarification of this concept will we be in a position to consider the question of its possible application, i.e. whether or not there could be an instantiation of such experience. I might point out that my central concern is somewhat more explicatory than historical, though I believe that the account developed in this paper is essentially congenial with the intent of those who have been proponents of the view that there can be self-authenticating religious experience. Let us begin, then, by turning to some representative criticism of the concept in question. (shrink)

In theory, cochlear implants hold out the possibility of enabling profoundly prelingually deaf children to hear. For these children's parents, who are usually hearing, this possibility is a great relief. Yet the decision to have this prosthetic device implanted ought not to be viewed as an easy or obvious one. Implant efficacy is modest and the burdens associated with them can be great. Moreover, the decision to forgo cochlear implantation for one's child, far from condemning her to a world of (...) meaningless silence, opens the child up to membership in the Deaf community, which has a rich history, language, and value system of its own. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:John Davis, Teacher: A Recollection I first met John Davis in the late fifties when I was doing a two-year M.A. in philosophy at Western. John taught a graduate course in symboliclogic. It was both a philosophy course and across-listed course in the foundation ofmathematics. There was, as a result, a mixture of philosophy and mathematics students in the course. My most vivid memory ofJohn was ofan amazingly energetic (...) and enthusiastic teacher who was anything but indifferent to his subject matter and to his students. I, if I may introduce a personal note, suffered from an extreme form of math anxiety—I couldn't even understand a truth-table. John was always extremely patient with me and it is thanks to him that I managed to scrape through. Another vivid memory was of a man with a kind of Moorean passion for getting it right. When he didn't understand something, he let us know it. He was constitutionally incapable of intellectual pretence. I took away from my time with him the idea that philosophy was extremely difficult; but ifone worked very hard, it was possible to get the right answer. And no relativist he, John was profoundly convinced that there was a right answer to get. Robert A. lmlay... (shrink)

Stakeholder theory has become a central issue in the literature on business ethics / business and society. There are, however, a number of problems with stakeholder theory as currently understood. Among these are: 1) the lack of a coherent justificatory framework, 2) the problem of adjudicating between stakeholders, and 3) the problem of stakeholder identification. In this essay, I propose that a possible source of obligations to stakeholders is the principle of fairness (or fair play) as discussed in the political (...) philosophic literature of Rawls, Simmons, and Cullity among others. The principle of fairness states that, “Whenever persons or groups of persons voluntarily accept the benefits of a mutually beneficial scheme of co-operation requiring sacrifice or contribution on the parts of the participants and there exists the possibility of free-riding, there exist obligations of fairness on the part of these persons or groups to co-operate in proportion to the benefits accepted.” In this essay I discuss the gaps in the current stakeholder literature, elucidate and defend a principle of fairness that fills the gap, compare the fairness model to other similar models of business ethics, and draw some conclusions for the future of stakeholder theory. (shrink)

The Eugenic Mind Project is a wide-ranging, philosophical book that explores and critiques both past and present eugenic thinking, drawing on the author’s intimate knowledge of eugenics in North America and his previous work on the cognitive, biological, and social sciences, the fragile sciences. Informed by the perspectives of Canadian eugenics survivors in the province of Alberta, The Eugenic Mind Project recounts the history of eugenics and the thinking that drove it, and critically engages contemporary manifestations of eugenic thought, newgenics. (...) An accessible, original work of scholarship adopting what the author calls a standpoint eugenics, this book focuses on the roots of eugenic thinking past and present. It will provoke and enrich discussions about human nature and human diversity, the social uses of biotechnology, and social policy governing future generations. You can download the preface and acknowledgements here. (shrink)