In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on (...) trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next, the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone. (shrink)

In Coldness and Cruelty, Deleuze remarks that masochism may be reflected on from three perspectives: as a pleasure–pain alliance, as an enactment of humiliation and slavery, and as a consideration of the enslavement of contractual relations. Later Deleuze and Guattari consider masochism in terms of an ontology of desire – in terms of virtuality rather than extensity. I argue that while the actualisation of pain might be considered secondary, and is oftentimes portrayed as incidental in popular depictions, it also constitutes (...) the exhaustive/exhausted and refrain functions of masochism so that the masochist might be thought of as the figure of exhaustion. (shrink)

This provocative study forges new and creative connections between Deleuzian philosophy and contemporary film studies.

This article chronicles the process used to transform a content-driven chemistry lab course into a course focused on developing critical-thinking skills. In general, the process described includes the following: 1) determining the needs of the students, 2) understanding the history of the course, 3) identifying some specific critical thinking skills that could be developed in the course, 4) considering how the skills can be taught developmentally, 5) defining criteria for the skills at different levels; 6) revising the lab manual to (...) include explicit critical-thinking definitions, directions and criteria for students, and 7) designing assessments of the students’ critical thinking abilities as defined and practiced in the lab. Six critical thinking skills (testing hypotheses, distinguishing between observationsand inferences, identifying assumptions, drawing conclusions supported by data, evaluating conclusions, and considering alternative explanations of data) were incorporated into the course. The lab manual displaying the results of this transformation is available by request from either the author or the journal editor. (shrink)

1. Introduction. It is an amazing thing that, unlike pebbles, clouds and stars, the smallest building stones of Nature—the electrons, the protons and the neutrons—are all completely uniform. There seems to be a necessity in Nature for systems of a very special form, and one can wonder now what kind of necessity this is. I believe that this can only be a mathematical necessity, that consequently the principle of Nature is a mathematical one. How else could Nature obey the mathematical (...) laws of physics if it were not because of her own principle? It can be argued that these mathematical laws, like Newtonian mechanics, the classical theory of electromagnetism and the quantum theory of the electron are all some form of beginner's luck, and that continued investigation will reveal Nature as more and more mysterious and irrational. If that were true, one might as well give up the pursuit of physics completely! But on one hand modern physics has discovered what we believe to be the elementary particles of the material world, and on the other hand it comes out that at least a part of these elementary forms obey mathematic laws to a very high degree of accuracy. (shrink)

Today’s students are accustomed to a world where information is available on-demand, anywhere and anytime. They bring this expectation to their academic world where they want to work cooperatively and flexibly, using the modern information processing tools and access with which they are familiar. New hardware platforms such as e-Readers and tablet computers have made substantial inroads in the consumer market. E-Readers are becoming more prevalent in universities – replacing the need for physical textbooks, lecturing notes and other academic documents. (...) Many universities are now running pilot programs, while some are already using e-Readers. Tablet computers, apart from their ability to read, edit or create various types of information documents, also offer additional features such as collaborative and social networking services. This empirical research project investigated student perspectives on the educational use of e-Readers and tablets within the University of Cape Town. A questionnaire was distributed to a significant portion of the student population and stratified according to seniority and faculty. Quantitative data was gathered and analysed on themes ranging from awareness to preferences to facilitating conditions around e-Readers within the academic environment. The students sent a clear signal: that they are keen to embrace these new technologies and the advantages they offer. E-Books can be updated automatically and downloaded to e-Readers instantly from almost anywhere in the world. Students feel they would benefit greatly through the use of e-Readers and many believe they are set to replace books completely. Having access to a portable library of information in their backpacks would benefit both students and the environment. However, there are a number of barriers to the comprehensive introduction of these technologies, including the cost of the devices; cost, rights and file format of e-books; the need for a critical mass of textbooks available in digital format and device characteristics such as battery life, and ubiquitous Wi-Fi access. (shrink)

Analysis of the Freudian interpretation of the Oedipus myth which functions as a paradigm case for the Oedipus complex reveals the neglect of certain essential details. Moreover, it appears that clinical material as presented by psychoanalysts in support of the Oedipus complex is strongly biased towards the acceptance of the hypothesis that the Oedipus complex is a universal phenomenon. In this article arguments are given that cast serious doubt on the validity of psychoanalytic theory. The author proposes a new interpretation (...) which explains the putative Oedipal conflict in the child as the projection of parental aggression on the child. (shrink)

Extending a strategy previously used by Clancy, Schacter, McNally, and Pitman , we administered a neutral and a trauma-related version of the Deese–Roediger–McDermott paradigm to a sample of women reporting recovered or repressed memories of childhood sexual abuse , women reporting having always remembered their abuse , and women reporting no history of abuse . We found that individuals reporting recovered memories of CSA are more prone than other participants to falsely recalling and recognizing neutral words that were never presented. (...) Moreover, our study is the first to show that this finding even held when trauma-related material was involved. Correlational analyses revealed that fantasy proneness, but not self-reported traumatic experiences and dissociative symptoms were related to false recall and false recognition. (shrink)

The literature on thought experiments has been mainly concerned with thought experiments that are directed at a theory, be it in a constructive or a destructive manner. This has led some philosophers to argue that all thought experiments can be formulated as arguments. The aim of this paper is to draw attention to a type of thought experiment that is not directed at a theory, but fulfills a specific function within a theory. Such thought experiments are referred to as functional (...) thought experiments, and they are routinely used in applied statistics. An example is given from frequentist statistics, where a thought experiment is required to establish the probability space. It is concluded that (a) not all thought experiments can be formulated as arguments, and (b) the role of thought experiments is more general and more important to scientific reasoning than has previously been recognized. (shrink)

Dutch: Bij alle aandacht die er op dit moment is voor de aard van zingevingsvragen is de analogie tussen de betekenis van taal enerzijds en leven en werkelijkheid anderzijds wel opgemerkt, maar nog nergens uitvoerig doorgelicht. Marcel Sarot voorziet in dit gemis door een zorgvuldige analyse van de structurele overeenkomsten tussen verschillende theorieën over beide vormen van betekenis. Vervolgens past hij de gemaakte onderscheidingen toe in een weerlegging van de argumenten tegen de theïstische vorm van zingeving van Elmar D. Klemke (...) en Jaap van Heerden. -/- English: The question of the meaning of life is the subject of a lively scholarly debate both in the Netherlands and abroad. I concentrate on an aspect of this question that has often been mentioned but is still waiting for a careful treatment: the analogy between linguistic meaning and the meaning of life. With respect to linguistic meaning, I distinguish between two types of theories of meaning. According to the first type of theory words are names for concepts and hence also for the structural divisions of reality to which our concepts correspond, and the meaning of a word is the concept (or thing or class of things) to which it refers. According to the second type of theory, words are tools which we use to exercise conceptual skills, and the meaning of a word is the conceptual skill exercised with that word. Corresponding to these theories of linguistic meaning, I distinguish between two types of theories of the meaning of life. According to the first type of theory, externalism, the meaning of life is determined by its relation ("reference") to a transcendent primary determinant of meaning; it is therefore independent of the "use" we make of it. According to the second type of theory, internalism, the meaning of life is determined by the use we make of it: life cannot acquire meaning without our giving meaning to it. Just as the theory which construes words as tools does not imply that we cannot use words to refer to extra-linguistic objects, internalism does not imply that reality does not provide objective grounds upon which to build our meaning. Subjective internalists argue that there is no such ground and that man has to create his own meaning ex nihilo, but objective internalists, most theists among them, argue that there are such grounds. Finally I employ the distinctions made above in a counter-argument against the anti-theistic arguments of two subjective internalists, Jaap van Heerden and Elmar D. Klemke. I show that they mistakenly suppose that the theistic alternative has to be construed along externalist lines, whereas theists themselves construe their theory of meaning along objective internalist lines, which renders it much more plausible. (shrink)

Considering Pragma-Dialectics honors the monumental contributions of one of the foremost international figures in current argumentation scholarship: Frans van Eemeren. The volume presents the research efforts of his colleagues and addresses how their work relates to the pragma-dialectical theory of argumentation with which van Eemeren’s name is so intimately connected. This tribute serves to highlight the varied approaches to the study of argumentation and is destined to inspire researchers to advance scholarship in the field far into the future. Replete with (...) contributions from highly-esteemed academics in argumentation study, chapters in this volume address such topics as: *Pragma-dialectic versus epistemic theories of arguing and arguments; *Pragma-dialectics and self-advocacy in physician-patient interactions; *The pragma-dialectical analysis of the ad hominem family; *Rhetoric, dialectic, and the functions of argument; and *The semantics of reasonableness. As an exceptional volume and a fitting tribute, this work will be of interest to all argumentation scholars considering the astute insights and scholarly legacy of Frans van Eemeren. (shrink)

Fundamentele filosofische studie over hermeneutiek, opgevat als het stem geven aan degene die niet (meer) zelf kan spreken, met beschouwingen over het betreffende gedachtegoed van enkele vooraanstaande denkers zoals Plato en Heidegger.

A philosophical analysis of the future of art must explicate art’s nature, as well as discuss the historical nature of art practice. Only so can one explain those contemporary developments in art which have led many people to doubt whether art even has a future. Arguably, art practice as we know it started with the installing of the modern system of the fine arts. I explain the pragmatics of art so understood, and suggest that we can define art, internally. We (...) need not resort to a nominalist approach that claims that something is a work of art if some representative of the art world says it is. Instead of such empty proceduralism, I explain how all art’s focal objects, persons and activities are mutually adjusted and can only be understood in light of the whole. Within that whole of art practice, the contemporary samples of art’s alleged failure can be assessed. Now the modern system treats the arts as aesthetic, and prescribes that to judge a work one has to experience it for oneself. Why this should be so, I explain in terms of the perceivability of the artist in the work. Next, art develops as a whole rather than in a piecemeal manner. Particular contemporary works may alienate the audience from art practice, yet once they are recognisably in a procedure which has clear artistic potency they can be incorporated fruitfully in the modern system as explained. In all, the future of art is the future of the modern system, unless the system as a whole goes. We see this happen with the Taliban, but do not ourselves seem to be vulnerable to such onslaught. Yet, our culture may be in the process of eliminating the human mind from the objective reality, and if nothing stops us, art too will come to an end. Luckily, by then we will not be such as to lament that demise. (shrink)

The thesis developed and defended in this paper is that is it false that all knowledge is founded on experience. Much of our knowledge (or alleged knowledge), it is argued, is based on testimony. Still, many philosophers have either not dealt with testimony at all, or treated it very unkindly. One of the reasons for this is that those philosophers (such as Descartes and Locke) work with a concept of knowledge according to which knowledge is certain, indubitable, and/or self-evident. And (...) if knowledge is what these philosophers say it is, then there is no such thing as knowledge based on testimony indeed. Thomas Reid is introduced as holding that we do have testimonial knowledge and that therefore Descartes' and Locke's concept of knowledge is untenable. Reid furthermore holds that human beings are endowed with a disposition to accept or believe what otherstell us („the principle of credulity”). The working of this principle is refined through all kinds of experience. What Reid says or shows is how this disposition in fact operates. Many epistemologists, however, have higher aspirations and look for reasons or arguments that can justify our factual acceptance of testimony. The inductive argument Hume offers, it is argued, is unconvincing. There is even reason to think that the principle of credulity can never be justified by adducing reasons. This does not imply, however, that acceptance of testimony is unjustified. Whether or not it is depends, among other things, on the concept of justification one uses. On an internalist concept of justification (as Locke's or Hume's) this disposition may never be justified. But on an externalist conception it may. This may be disappointing, given some widely held philosophical aspirations, but at the same time it is, as Alston has said, a lesson in intellectual humility. (shrink)