The ICD-11 personality disorder model is the first fully dimensional assessment of personality pathology. It consists of a personality disorder dysfunction-severity dimension, which encompasses both self- and interpersonal dysfunction, and six optional qualifiers for five prominent personality traits—Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia —plus a borderline pattern that is defined by the criteria of DSM-IV borderline PD. This article reports on the development of a new self-report measure to assess self- and interpersonal dysfunction and the five trait qualifiers. It (...) is the first comprehensive measure of the ICD-11 PD model in that it is the only one to include both PD dysfunction-severity as well as trait scales and because it is based on the Clinical Description and Diagnostic Guidelines, which are more detailed than the “statistical” model description that is currently on the ICD-11 website. The authors wrote 992 items and then reduced the pool to 300 items by eliminating redundancy and selecting the consensus best few items for each subconstruct. Data were collected using an online sample of 383 Prolific workers. Using exploratory factor analysis, seven domain scales were developed, each of which contained two to four scales assessing components of the domain. These preliminary scales’ psychometrics were excellent, as were the domains’ and their components’ convergent and discriminant validity, with a few generally minor exceptions. Structural analyses at the component level revealed a three-factor structure consisting of two moderately correlated Internalizing factors, one centered on Self Dysfunction with two NA components and a DSN component and the other on Interpersonal Dysfunction with DET and ANK components; as well as an Externalizing factor with DSL and a DSN component that was uncorrelated with the other two factors. Two aspects of the results in particular are striking: ANK was not the opposite end of a DSN dimension, but rather contributed to an Internalizing Interpersonal Dysfunction dimension and DSN had both an Internalizing and an Externalizing component. Implications of the findings and study limitations are discussed. (shrink)

The year 2020 is facing one of the worst public health situations in decades. The world is experiencing a pandemic that has triggered significant challenges to healthcare systems in both high and low‐middle income countries (LMICs). Government policymakers and healthcare personnel are experiencing real‐life ethical dilemmas and are pressed to respond to these situations. Many possible treatments are being investigated, one of which is the use of hydroxychloroquine or chloroquine. These drugs are approved for use by patients with systemic lupus (...) erythematosus (SLE), rheumatoid arthritis, and malaria. The demand for these products has increased, and the stocks are depleting for the patient population for whom the drugs are intended initially. Although both innovator and generic pharmaceutical manufacturers are making plans for increased production, there are challenges with global supply chains disruption and the retention of supplies for local markets. This may cause countries that rely on the importation of pharmaceuticals to be out of stock of supplies for an extended period. There are allegations of off‐label prescribing and hoarding. Pharmacists are the custodians and dispensers of medications and are faced with the task of assessing prescriptions and making decisions about the allocation of these products. This paper seeks to 1) highlight some of the ethical challenges of dispensing hydroxychloroquine by pharmacists during the COVID‐19 pandemic, 2) identify some of the responses to these issues from various regulatory authorities in the USA, and 3) recommend approaches to assist pharmacists in their decision‐making process, especially in LMICs. (shrink)

The year 2020 is facing one of the worst public health situations in decades. The world is experiencing a pandemic that has triggered significant challenges to healthcare systems in both high and low‐middle income countries (LMICs). Government policymakers and healthcare personnel are experiencing real‐life ethical dilemmas and are pressed to respond to these situations. Many possible treatments are being investigated, one of which is the use of hydroxychloroquine or chloroquine. These drugs are approved for use by patients with systemic lupus (...) erythematosus (SLE), rheumatoid arthritis, and malaria. The demand for these products has increased, and the stocks are depleting for the patient population for whom the drugs are intended initially. Although both innovator and generic pharmaceutical manufacturers are making plans for increased production, there are challenges with global supply chains disruption and the retention of supplies for local markets. This may cause countries that rely on the importation of pharmaceuticals to be out of stock of supplies for an extended period. There are allegations of off‐label prescribing and hoarding. Pharmacists are the custodians and dispensers of medications and are faced with the task of assessing prescriptions and making decisions about the allocation of these products. This paper seeks to 1) highlight some of the ethical challenges of dispensing hydroxychloroquine by pharmacists during the COVID‐19 pandemic, 2) identify some of the responses to these issues from various regulatory authorities in the USA, and 3) recommend approaches to assist pharmacists in their decision‐making process, especially in LMICs. (shrink)

Developing World Bioethics, Volume 21, Issue 4, Page 193-200, December 2021.

Bradley offers a quick and convincing argument that no Boolean semantic theory for conditionals can validate a very natural principle concerning the relationship between credences and conditionals. We argue that Bradley’s principle, Preservation, is, in fact, invalid; its appeal arises from the validity of a nearby, but distinct, principle, which we call Local Preservation, and which Boolean semantic theories can non-trivially validate.

When speakers utter conflicting moral sentences, it seems clear that they disagree. It has often been suggested that the fact that the speakers disagree gives us evidence for a claim about the semantics of the sentences they are uttering. Specifically, it has been suggested that the existence of the disagreement gives us reason to infer that there must be an incompatibility between the contents of these sentences. This inference then plays a key role in a now-standard argument against certain theories (...) in moral semantics. In this paper, we introduce new evidence that bears on this debate. We show that there are moral conflict cases in which people are inclined to say both that the two speakers disagree and that it is not the case at least one of them must be saying something incorrect. We then explore how we might understand such disagreements. As a proof of concept, we sketch an account of the concept of disagreement and an independently motivated theory of moral semantics which, together, explain the possibility of such cases. (shrink)

Despite its small stature, "if" occupies a central place both in everyday language and the philosophical lexicon. In allowing us to talk about hypothetical situations, "if" raises a host of thorny philosophical puzzles about language and logic. Addressing them requires tools from linguistics, logic, probability theory, and metaphysics. Justin Khoo uses these tools to navigate a maze of interconnected issues about conditionals, some of which include: the nature of linguistic communication, the relationship between logical and natural languages, and the (...) relationship between different kinds of modality. According to Khoo's theory, conditionals form a unified class of expressions which share a common semantic core that encodes inferential dispositions. Thus, rather than represent the world, conditionals are devices used to communicate how we are disposed to infer. Khoo shows that this theory can be extended to predict the probabilities of conditionals, as well as how different kinds of conditionals differ both semantically and pragmatically. Khoo's book will make for a significant contribution to the literature on conditionals and should be of interest to philosophers, linguists, and computer scientists. (shrink)

I argue that code words like “inner city” do not semantically encode hidden or implicit meanings, and offer an account of how they nonetheless manage to bring about the surprising effects discussed in Mendelberg 2001, White 2007, and Stanley 2015 (among others).

It is often assumed that when one party felicitously rejects an assertion made by an- other party, the first party thinks that the proposition asserted by the second is false. This assumption underlies various disagreement arguments used to challenge contex- tualism about some class of expressions. As such, many contextualists have resisted these arguments on the grounds that the disagreements in question may not be over the proposition literally asserted. The result appears to be a dialectical stalemate, with no independent (...) method of determining whether any particular instance of disagreement is over the proposition literally asserted. In this paper, I propose an independent method for assessing whether a disagreement is about what’s literally asserted. Focusing on epistemic modals throughout, I argue that this method provides evidence that some epistemic modal disagreements are in fact not over the proposition literally asserted by the utterance of the epistemic modal sentence. This method provides a way to break the stalemate, and reveals a new data point for theories of epistemic modals to predict—that is, how there can be such modal disagreements. In the rest of the paper, I motivate a general theory of how to predict these kinds of disagreements, and then offer some brief remarks about how contextualist, relativist, and expressivist theories of epistemic modals might accommodate this new data point. (shrink)

Inquiry into the meaning of logical terms in natural language (‘and’, ‘or’, ‘not’, ‘if’) has generally proceeded along two dimensions. On the one hand, semantic theories aim to predict native speaker intuitions about the natural language sentences involving those logical terms. On the other hand, logical theories explore the formal properties of the translations of those terms into formal languages. Sometimes, these two lines of inquiry appear to be in tension: for instance, our best logical investigation into conditional connectives may (...) show that there is no conditional operator that has all the properties native speaker intuitions suggest if has. Indicative conditionals have famously been the source of one such tension, ever since the triviality proofs of both Lewis (1976) and Gibbard (1981) established conclusions which are in prima facie tension with ordinary judgments about natural language indicative conditionals. In a recent series of papers, Branden Fitelson has strengthened both triviality results (Fitelson 2013, 2015, 2016), revealing a common culprit: a logical schema known as IMPORT-EXPORT. Fitelson’s results focus the tension between the logical results and ordinary judgments, since IMPORT-EXPORT seems to be supported by intuitions about natural language. In this paper, we argue that the intuitions which have been taken to support IMPORT-EXPORT are really evidence for a closely related, but subtly different, principle. We show that the two principles are independent by showing how, given a standard assumption about the conditional operator in the formal language in which IMPORT-EXPORT is stated, many existing theories of indicative conditionals validate one, but not the other. Moreover, we argue that once we clearly distinguish these principles, we can use propositional anaphora to show that IMPORT-EXPORT is in fact not valid for natural language indicative conditionals (given this assumption about the formal conditional operator). This gives us a principled and independently motivated way of rejecting a crucial premise in many triviality results, while still making sense of the speaker intuitions which appeared to motivate that premise. We suggest that this strategy has broad application and an important lesson: in theorizing about the logic of natural language, we must pay careful attention to the translation between the formal languages in which logical results are typically proved, and natural languages which are the subject matter of semantic theory. (shrink)

At the center of the literature on conditionals lies the division between indicative and subjunctive conditionals, and Ernest Adams’ famous minimal pair: If Oswald didn’t shoot Kennedy, someone else did. If Oswald hadn’t shot Kennedy, someone else would have. While a lot of attention is paid to figuring out what these different kinds of conditionals mean, significantly less attention has been paid to the question of why their grammatical differences give rise to their semantic differences. In this paper, I articulate (...) and defend an answer to this question that illuminates and unifies the meanings of both kinds of conditionals. The basic idea is that epistemic and metaphysical possibilities differ with respect to their interaction with time, such that there can be present epistemic possibilities with different pasts, while present metaphysical possibilities share the same past. The interpretation of conditionals is subject to a pragmatic constraint that rules out interpretations in which their consequents are directly settled by information used to build their domains. The past + future morphology on subjunctives, but not indicatives, is what allows them to receive a metaphysical interpretation in light of this pragmatic constraint. The resulting theory predicts several surprising features of indicatives and subjunctives, which I argue are correct. (shrink)

The Ramseyan thesis that the probability of an indicative conditional is equal to the corresponding conditional probability of its consequent given its antecedent is both widely confirmed and subject to attested counterexamples (e.g., McGee 2000, Kaufmann 2004). This raises several puzzling questions. For instance, why are there interpretations of conditionals that violate this Ramseyan thesis in certain contexts, and why are they otherwise very rare? In this paper, I raise some challenges to Stefan Kaufmann's account of why the Ramseyan thesis (...) sometimes fails, and motivate my own theory. On my theory, the proposition expressed by an indicative conditional is partially determined by a background partition, and hence its probability depends on the choice of such a partition. I hold that this background partition is contextually determined, and in certain conditions is set by a salient question under discussion in the context. I show how the resulting theory offers compelling answers to the puzzling questions raised by failures of the Ramseyan thesis. (shrink)

I argue that not all context dependent expressions are alike. Pure (or ordinary) indexicals behave more or less as Kaplan thought. But quasi indexicals behave in some ways like indexicals and in other ways not like indexicals. A quasi indexical sentence φ allows for cases in which one party utters φ and the other its negation, and neither party’s claim has to be false. In this sense, quasi indexicals are like pure indexicals (think: “I am a doctor”/“I am not a (...) doctor” as uttered by different individuals). In such cases involving a pure indexical sentence, it is not appropriate for the two parties to reject each other’s claims by saying, “No.” However, in such cases involving a quasi indexical sentence, it is appropriate for the par- ties to reject each other’s claims. In this sense, quasi indexicals are not like pure indexicals. Drawing on experimental evidence, I argue that gradable adjectives like “rich” are quasi indexicals in this sense. e existence of quasi indexicals raises trouble for many existing theories of context dependence, including standard contextualist and relativist theories. I propose an alternative semantic and pragmatic theory of quasi indexicals, negotiated contextualism, that combines insights from Kaplan 1989 and Lewis 1979. On my theory, rejection is licensed with quasi indexicals (even when neither of the claims involved has to be false) because the two utterances involve conflicting proposals about how to update the conversational score. I also adduce evidence that conflicting truth value assessments of a single quasi indexical utterance exhibit the same behavior. I argue that negotiated contextualism can account for this puzzling property of quasi indexicals as well. (shrink)

ABSTRACTRecent debate over the semantics and pragmatics of epistemic modals has focused on intuitions about cross-contextual truth-value assessments. In this paper, we advocate a different approach to evaluating theories of epistemic modals. Our strategy focuses on judgments of the incompatibility of two different epistemic possibility claims, or two different truth value assessments of a single epistemic possibility claim. We subject the predictions of existing theories to empirical scrutiny, and argue that existing contextualist and relativist theories are unable to account for (...) the full pattern of observed judgments. As a way of illustrating the theoretical upshot of these results, we conclude by developing a novel theory of epistemic modals that is able to predict the results. (shrink)

Disjunctive antecedent conditionals —conditionals of the form if A or B, C—sometimes seem to entail both of their simplifications and sometimes seem not to. I argue that this behavior reveals a genuine ambiguity in DACs. Along the way, I discuss a new observation about the role of focal stress in distinguishing the two interpretations of DACs. I propose a new theory, according to which the surface form of a DAC underdetermines its logical form: on one possible logical form, if A (...) or B, C does entail both of its simplifications, while on the other, it does not. (shrink)

A proof by Allan Gibbard (Ifs: Conditionals, beliefs, decision, chance, time. Reidel, Dordrecht, 1981) seems to demonstrate that if indicative conditionals have truth conditions, they cannot be stronger than material implication. Angelika Kratzer's theory that conditionals do not denote two-place operators purports to escape this result [see Kratzer (Chic Linguist Soc 22(2):1–15, 1986, 2012)]. In this note, I raise some trouble for Kratzer’s proposed method of escape and then show that her semantics avoids this consequence of Gibbard’s proof by denying (...) modus ponens. I also show that the same holds for Anthony Gillies’ semantics (Philos Rev 118(3):325–349, 2009) and argue that this consequence of these theories is not obviously prohibitive—hence, both remain viable theories of indicative conditionals. (shrink)

I discuss three observations about backtracking counterfactuals not predicted by existing theories, and then motivate a theory of counterfactuals that does predict them. On my theory, counterfactuals quantify over a suitably restricted set of historical possibilities from some contextually relevant past time. I motivate each feature of the theory relevant to predicting our three observations about backtracking counterfactuals. The paper concludes with replies to three potential objections.

I articulate the challenge disagreement poses for epistemic contextualism, and then discuss several possible replies on behalf of the contextualist.

According to operator theories, "if" denotes a two-place operator. According to restrictor theories, "if" doesn't contribute an operator of its own but instead merely restricts the domain of some co-occurring quantifier. The standard arguments (Lewis 1975, Kratzer 1986) for restrictor theories have it that operator theories (but not restrictor theories) struggle to predict the truth conditions of quantified conditionals like -/- (1) a. If John didn't work at home, he usually worked in his office. b. If John didn't work at (...) home, he must have worked in his office. -/- Gillies (2010) offers a context-shifty conditional operator theory that predicts the right truth conditions for epistemically modalized conditionals like (1b), thus undercutting one standard argument for restrictor theories. I explore how we might generalize Gillies' theory to adverbially quantified conditionals like (1a) and deontic conditionals, and argue that a natural generalization of Gillies' theory -- following his strategy for handling epistemically modalized conditionals -- won't work for these other conditionals because a crucial assumption that epistemic modal bases are closed (used to neutralize the epistemic quantification contributed by "if") doesn't have plausible analogs in these other domains. (shrink)

A middle fact is a true proposition about what would have happened had A been true (where A is in fact false), whose truth isn't entailed by any non-counterfactual facts. I argue that there are no middle facts; if there were, we wouldn't know them, and our ignorance of them would result in ignorance about whether regret is fitting in cases where we clearly know it is. But there's a problem. Consider an unflipped fair coin which is such that no (...) non-counterfactual fact determines that it would have landed heads had it been flipped (or tails had it been flipped). If there are no middle facts, it's not true that it would have landed heads had it been flipped nor that it would have landed tails had it been flipped. Yet each counterfactual is still possibly true for all we know. I argue that we can resolve this tension in the anti-middle fact position, further strengthening the case against middle facts. (shrink)

Socializing students to Academic Integrity in the face of great cultural, linguistic and socioeconomic diversity in the student population in higher education calls for innovative strategies that are aligned with equity, diversity and inclusion principles. Through a mixed method of quantitative analysis of learner engagement data from the Learning Management System and analysis of anonymous evaluation survey, along with thematic analysis of students’ open-ended responses in the evaluation survey, the authors explored how students responded to AI Socialization during a 4-week (...) non-credit, online co-curricular program called ‘Reading and Writing Excellence’. Nine groups of undergraduate students from 34 disciplines in different global locations during the COVID-19 pandemic were introduced to a curated set of AI online resources. Through a learner-driven, instructor-facilitated approach the AI Socialization also engaged students in language development and empowered them to communicate about their disciplinary course topics through written journal entries, receiving instructor feedback that increased their cultural and linguistic capital for further academic writing. This approach led to a high volume of written output. Nonparametric ANOVA was used to establish that low-proficiency students were able to produce as much written output as their more proficient peers. Survey results for various aspects important to academic integrity show students’ self-perception of readiness for academic writing: paraphrasing and summarizing ; organization of ideas ; critical thinking ; logic/argument. Insights gained about educative engagement, language development and learner empowerment that can help students from diverse backgrounds to avoid Academic Integrity Violations and gain transformative access and success in higher education are incorporated into a set of recommendations that are applicable to a wide range of teaching contexts. (shrink)

The 21st century has been revolutionary for the field of clinical genomics, with major advancements and breakthroughs over the years. It is now considered an instrumental tool in clinical and preventive medicine and has been used on a day-to-day basis to complement current clinical practice. However, with advancements in genomics comes greater bioethical concerns, which becomes increasingly complex with more cutting-edge technology. Some of the major ethical concerns include obtaining informed consent, possibility for genetic enhancements and eugenics, genomic equity and (...) potential discrimination and cloning. It is imperative that we appreciate the benefits of genomic medicine in complementing traditional practices, identify and address the ethical concerns with relation to the practice of genomic medicine, and to ensure a common goal of improving human lives. With these in mind, the practice of genomics can have maximum impact in the collective health of the population, with greater benefit to all. (shrink)

This paper discusses and relates two puzzles for indicative conditionals: a puzzle about indeterminacy and a puzzle about triviality. Both puzzles arise because of Ramsey's Observation, which states that the probability of a conditional is equal to the conditional probability of its consequent given its antecedent. The puzzle of indeterminacy is the problem of reconciling this fact about conditionals with the fact that they seem to lack truth values at worlds where their antecedents are false. The puzzle of triviality is (...) the problem of reconciling Ramsey's Observation with various triviality proofs which establish that Ramsey's Observation cannot hold in full generality. In the paper, I argue for a solution to the indeterminacy puzzle and then apply the resulting theory to the triviality puzzle. On the theory I defend, the truth conditions of indicative conditionals are highly context dependent and such that an indicative conditional may be indeterminate in truth value at each possible world throughout some region of logical space and yet still have a nonzero probability throughout that region. (shrink)

Malaysia had its first four patients with COVID-19 on 25 January 2020. In the same week, the World Health Organization declared it as a public health emergency of international concern. The pandemic has since challenged the ethics and practice of medicine. There is palpable tension from the conflict of interest between public health initiatives and individual’s rights. Ensuring equitable care and distribution of health resources for patients with and without COVID-19 is a recurring ethical challenge for clinicians. Palliative care aims (...) to mitigate suffering caused by a life-limiting illness, and this crisis has led to the awareness and urgency to ensure it reaches all who needs it. We share here the palliative care perspectives and ethical challenges during the COVID-19 pandemic in Malaysia. (shrink)

Clinical ethics consultation service remains undeveloped in developing countries. It is recognised that its introduction poses challenges. Malaysia, a multicultural society with diverse religions, values and perceptions further complicate the introduction of formal clinical ethics consultation service. Clinicians attending a national congress workshop completed a Strengths–Weaknesses–Opportunities–Threats analysis. The aim was to gain insight into clinician’s expectations and promote initiatives leading to the introduction of clinical ethics consultation service. Clinicians agree that clinical ethics consultation service can improve quality of care, reduce (...) healthcare costs and advocate for patients and providers. The analysis highlighted constraints in sufficient critical mass of relevant expertise and restricted opportunities for training. The opportunities lie in education, curriculum development and availability of dedicated proponents. Cultural barriers, limited resources, lack of awareness, differenc... (shrink)

According to long-standing orthodoxy in contemporary analytic philosophy of language, the content of a sentence (that is, the information it encodes and what on.

Review of Horgan and Potrc (2008). I discuss both their linguistic and ontological theses.

I respond to Theodore Korzhukin's criticism of my paper, "Probabilities of conditionals in context".

The sociotechnical concept of closure requires researchers to identify the relevant social groups and technological frames associated with a technology, and also to map the social, political, economic, and other forces which, over time, reduce an artifacts's interpretative flexibility to a more singular and homogeneous sociotechnical formation. The closure concept has proven very useful, but I argue that its success has led it to acquire a quasi-objective status that can unnecessarily restrict the power of sociotechnical analyses. Rather than being used (...) as a meta-theoretical key that can unlock the genealogy of an artifact, closure can become a theoretical thing whose history has to be explained. Rather than using closure to explain the artifact, therefore, we wind up looking for closure itself. I argue instead for a sociotechnical theory in which artifacts, relevant social groups, and technological frames are never closed but are always open to new interpretations. (shrink)

In India culture and religion play important roles in the workforce's perception of work, social ethics, moral discipline, and human relations. Some of these values originate from the teachings of Mahatma Gandhi. This article presents selections of Gandhi's teachings and philosophy that are germane to modern- day business management, especially for multinational corporations operating in India. It serves to help foreign managers understand India's culture and work values, as well as offer guidelines for successful total quality management. Three of India's (...) national-level quality awards are used to present the essential concepts of total quality. (shrink)

This article reflects on Collins’s classic work, The Credential Society, situating his critique of educational credentialism within broader ‘conflict sociology’. The discussion reappraises Collins’s work in the context of the ‘new credentialism’, ‘new learning’ and the race, gender and class concerns raised in current debates on higher education. The article characterizes contemporary higher education as being trapped in a Procrustean dynamic: techno-utopianism with job displacement and expansionism with declining public support. Collins attempts to escape the legacy of structural-functionalism through conflict (...) sociology or predictions of systemic crisis. This is contrasted with his contemporary, Herbert Gintis’s eclectic attempt to construct a transdisciplinary social science. The key problem of marketized inequality is linked to the sociology of absences in conflict sociology, and it is argued that inequalities of class, race, gender and coloniality in higher education and credentialism can no longer be ignored. (shrink)

_Tsai Ming-liang_ Jean-Pierre Rehm, Olivier Joyard and Daniele Riviere Paris: Dis Voir, 1999 ISBN: 2-906571-90-3 127 pps.

The Covid-19 pandemic creates an unprecedented threatening situation worldwide with an urgent need for critical reflection and new knowledge production, but also a need for imminent action despite prevailing knowledge gaps and multilevel uncertainty. With regard to the role of research ethics in these pandemic times some argue in favor of exceptionalism, others, including the authors of this paper, emphasize the urgent need to remain committed to core ethical principles and fundamental human rights obligations all reflected in research regulations and (...) guidelines carefully crafted over time. In this paper we disentangle some of the arguments put forward in the ongoing debate about Covid-19 human challenge studies and the concomitant role of health-related research ethics in pandemic times. We suggest it might be helpful to think through a lens differentiating between risk, strict uncertainty and ignorance. We provide some examples of lessons learned by harm done in the name of research in the past and discuss the relevance of this legacy in the current situation. (shrink)

We are living in an algorithmic age where mathematics and computer science are coming together in powerful new ways to influence, shape and guide our behaviour and the governance of our societies. As these algorithmic governance structures proliferate, it is vital that we ensure their effectiveness and legitimacy. That is, we need to ensure that they are an effective means for achieving a legitimate policy goal that are also procedurally fair, open and unbiased. But how can we ensure that algorithmic (...) governance structures are both? This article shares the results of a collective intelligence workshop that addressed exactly this question. The workshop brought together a multidisciplinary group of scholars to consider barriers to legitimate and effective algorithmic governance and the research methods needed to address the nature and impact of specific barriers. An interactive management workshop technique was used to harness the collective intelligence of this multidisciplinary group. This method enabled participants to produce a framework and research agenda for those who are concerned about algorithmic governance. We outline this research agenda below, providing a detailed map of key research themes, questions and methods that our workshop felt ought to be pursued. This builds upon existing work on research agendas for critical algorithm studies in a unique way through the method of collective intelligence. (shrink)

Background Supporting physicians in Intensive Care Units s as they face dying patients at unprecedented levels due to the COVID-19 pandemic is critical. Amidst a dearth of such data and guided by evidence that nurses in ICUs experience personal, professional and existential issues in similar conditions, a systematic scoping review is proposed to evaluate prevailing accounts of physicians facing dying patients in ICUs through the lens of Personhood. Such data would enhance understanding and guide the provision of better support for (...) ICU physicians. Methods An SSR adopts the Systematic Evidenced Based Approach to map prevailing accounts of caring for dying patients in ICUs. To enhance the transparency and reproducibility of this process, concurrent and independent use of tabulated summaries, thematic analysis and directed content analysis is adopted. Results Eight thousand three hundred fifty-eight abstracts were reviewed from four databases, 474 full-text articles were evaluated, 58 articles were included, and the Split Approach revealed six categories/themes centered around the Innate, Individual, Relational and Societal Rings of Personhood, conflicts in providing end of life care and coping mechanisms employed. Conclusion This SSR suggests that caring for dying patients in ICU impacts how physicians view their personhood. To resolve conflicts within individual concepts of personhood, physicians use prioritization, reframing and rely on accessible, personalized support from colleagues to steer coping strategies. An adapted form of the Ring Theory of Personhood is proposed to direct timely personalized, appropriate and holistic support. (shrink)

The reproduction of cultural systems in cases where cultural group selection may occur is typically incomplete, with only certain cultural traits being adopted by less successful cultural groups. Why a particular trait and not another is transmitted might not be explained by cultural group selection. We explore this issue through the case of religious syncretism.

In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children’s hospitals have ethics committees but that those committees are rarely consulted. We speculate that the reasons for the paucity of ethics consults might be because ethical dilemmas are aired in other venues. The role of the ethics consultant, then, might be to shape the institutional climate and create safe spaces for the discussion of (...) difficult and sometimes contentious issues. Finally, we report how pediatric clinical ethics has evolved differently in a number of other countries around the world. (shrink)