Precision cell signaling activities of reactive electrophilic species (RES) are arguably among the most poorly‐understood means to transmit biological messages. Latest research implicates native RES to be a chemically‐distinct subset of endogenous redox signals that influence cell decision making through non‐enzyme‐assisted modifications of specific proteins. Yet, fundamental questions remain regarding the role of RES as bona fide second messengers. Here, we lay out three sets of criteria we feel need to be met for RES to be considered as true cellular (...) signals that directly mediate information transfer by modifying “first‐responding” sensor proteins. We critically assess the available evidence and define the extent to which each criterion has been fulfilled. Finally, we offer some ideas on the future trajectories of the electrophile signaling field taking inspiration from work that has been done to understand canonical signaling mediators. (shrink)

Historically, philosophers, artists, and spiritual leaders have extolled the benefits of solitude; currently, advice on how to achieve solitude is the subject of many popular books and articles. Seldom, however, has solitude been studied by psychologists, who have focused instead on the negative experiences associated with being alone, particularly loneliness. Solitude, in contrast to loneliness, is often a positive state—one that may be sought rather than avoided. In this article, we examine some of the benefits that have been attributed to (...) solitude—namely, freedom, creativity, intimacy, and spirituality. In subsequent sections, we consider the environmental settings and personality characteristics conducive to solitude, how time spent alone is experienced differently across the life span, and the potential dangers related to the attractiveness of solitude. We conclude with a brief discussion of the theoretical and practical implications of solitude. (shrink)

The recent book Rush Rhees on Religion and Philosophy contains a stimulating collection of writin~s by Rush Rhees on a variety of topics in the philosophy of religion. Comprising accounts of personal, religious and moral struggles, these essays provide a refreshing change from the often dry, overly technical approach to philosophy writing. Despite spanning more than thirty years, Rhees' s essays disclose a fairly consistent philosophy.of religion with a clear emphasis. Since he was Wittgenstein's student and long-time friend as (...) well as a literary executor ofWittgenstein's writings, it is not surprising that Rhees's comments on the philosophy of religion reveal a distinctly Wittgensteinian approach, both in content and style. Moreover, Rhees's particular way of doing philosophy of religion seems, in retrospect, to have set the course that subsequent philosophy of religion of the Wittgensteinian type would take. (shrink)

In a Sentences Commentary written about 1250 the Franciscan Richard Rufus subjects Anselm’s argument for God’s existence in his Proslogion to the most trenchant criticism since Gaunilon wrote his response on behalf of the “fool.” Anselm’s argument is subtle but sophistical, claims Rufus, because he fails to distinguish between signification and supposition. Rufus therefore offers five reformulations of the Anselmian argument, which we restate in modern formal logic and four of which we claim are valid, the fifth turning on a (...) possible scribal error. Rufus’s final conclusion is that the formulation in Proslogion, chapter 3, is convincing, but not that of chapter 2. (shrink)

Núñez and colleagues (2019) question whether cognitive science still exists “as a coherent academic field with a well‐defined and cohesive interdisciplinary research program.” This worry may be premature on two grounds. First, we are not convinced that the Lakatosian criterion of coalescence around a core framework is the best standard for judging whether a field is well‐defined and productive. Second, although we acknowledge that cognitive science is not as visible as we would like, we doubt that this low profile accurately (...) reflects the state of actual research and teaching programs based on the cognitive science approach. (shrink)

Núñez and colleagues (2019) question whether cognitive science still exists “as a coherent academic field with a well‐defined and cohesive interdisciplinary research program.” This worry may be premature on two grounds. First, we are not convinced that the Lakatosian criterion of coalescence around a core framework is the best standard for judging whether a field is well‐defined and productive. Second, although we acknowledge that cognitive science is not as visible as we would like, we doubt that this low profile accurately (...) reflects the state of actual research and teaching programs based on the cognitive science approach. (shrink)

Genesis 16 tells of Abraham conceiving Ishmael with his wife Sarai's servant Hagar. Dominican Friar Richard Fishacre (ca. 1200-1248) used this Biblical narrative to explore the relationship of the natural and Divine sciences. Fishacre believed that the theologian must first study the world, before he could be fruitful as a theologian. How do the natural sciences, in short, help us better understand the Scriptures? Fishacre, like his contemporaries Albert the Great (ca. 1200-1280) and Thomas Aquinas (1225-1274) looked at ways that (...) the newly-translated natural philosophy of Aristotle, with its empirical emphasis and a belief that knowledge begins in sense perception, could supplement the more otherworldly Neoplatonic approach to philosophy and the sciences inherited from St. Augustine. Hagar's Vocation is a collection of fifteen essays which focus on the contributions of Richard Fishacre, the first Dominican theologian at Oxford to have left a written legacy. The questions addressed by Fishacre include his arguments for God's existence, the multi-faceted problem of the human soul, the eternity of the world, the nature of light, the free choice of the will, angels and "spiritual matter," interiority and self-knowledge, undoing the past and God's absolute power, the magical arts, and the role of philosophy in a theology of creation. R. James Long, the world's leading authority on Fishacre, in this volume promises to establish this hitherto little studied English friar as a major figure in the development of a learned or philosophically grounded theology that remains the great achievement of High Scholasticism. (shrink)

While even today lesbian, gay, bisexual and transgender people might have cause to distrust the healthcare establishment, how much more fragile was the relationship between sexual minorities and health professionals in the first decade of the AIDS epidemic. Dissent from consensus healthcare and health research then was a question of survival in the face of political and medical intransigence. This article focuses on one version of AIDS dissent: The narrative representations of AIDS in fiction by the gay African-American fantasy writer (...) Samuel R. Delany, which rejected the rigid binarism of “safe” and “unsafe” sex practices, Delany’s evidence-based dissent. He also engaged in a related form of cultural dissent: speaking the unspeakably obscene, at a time when Silence = Death. Delany called into question both the inferential leaps based on limited epidemiological research that were represented in safer sex guidelines and the widespread public reticence about sexual behavior. (shrink)

After completing his first degree with first class honors in philosophy and classics at Edinburgh in 1878, Pringle-Pattison was awarded a Hibbert Travelling Scholarship which he used to travel to Germany to study the work of Kant and Hegel. Interest in Hegel in Germany had waned at this time, however, and Pringle-Pattison commented that Germany was the worst place to study Hegel. In Berlin he boarded with the Stropp family whose daughter he would later marry. From Berlin he went to (...) Jena where he found John Haldane, brother of his friend and fellow student, R. B. Haldane, along with a group of Scottish students, with whom he met weekly to study Hegel's Rechtsphilosophie. In the summer of 1880 he went to Göttingen with the aim of studying with Hermann Lotze. Pringle-Pattison respected Lotze for his reassertion of the fundamental truth of the world implied in moral and spiritual experience. J. H. Muirhead says that he "was born by the Lotzean reaction to suspect the whole idea of the Absolute as a menace to individual reality in general and human personality in particular." Lotze, however, was lecturing only to beginning students that summer and Pringle-Pattison set to work on his essay for the Hibbert Trust which was published in 1882 under the title The Development From Kant to Hegel. Pringle-Pattison returned to Edinburgh in 1880 where he succeeded Sorley as Campbell Fraser's assistant. In 1883, as was mentioned above, Pringle-Pattison and R. B. Haldane edited a volume of essays written by younger Hegelians which was intended to show dissatisfaction with the content of the journal, Mind, which was dominated by English empiricism. One year later he moved to Cardiff where he took the foundation chair of philosophy. (shrink)

In papers published between 1930 and 1935. Zermelo outlines a foundational program, with infinitary logic at its heart, that is intended to (1) secure axiomatic set theory as a foundation for arithmetic and analysis and (2) show that all mathematical propositions are decidable. Zermelo's theory of systems of infinitely long propositions may be termed "Cantorian" in that a logical distinction between open and closed domains plays a signal role. Well-foundedness and strong inaccessibility are used to systematically integrate highly transfinite (...) concepts of demonstrability and existence. Zermelo incompleteness is then the analogue of the Problem of Proper Classes, and the resolution of these two anomalies is similarly analogous. (shrink)

Of the measures for resolving work—family conflict proposed by Janet Gornick and Marcia Meyers, government programs that provide or pay for nonparental child care would advance gender equality. However, paid parental leaves of six months for both parents, and the encouragement of part-time work, would retard it, and possibly reverse some of the advances toward gender equality that have been made in the home and the workplace. Female jobholders would increase their time at home to a much greater extent than (...) would male jobholders, increasing the share women do of child care, cleaning, cooking, and laundry. In the workplace, employers would become more reluctant to place women in nonroutine jobs, where substitution of one worker for another is difficult. Finally, recent studies of the effect on young children of nonparental care are reviewed. They can be interpreted in more than one way, and the lessons drawn from them depend crucially on the opinions of those doing the analysis. (shrink)

Economic markets are not morally free zones. Contrary to popular misconceptions, market functioning rests on the ethical principles of fairness and voluntariness. This ethical foundation can be traced back at least to moral philosopher Adam Smith, one of the founders of modern economics. In the inconspicuous form of microeconomic axioms, these moral foundations are preserved. Thus, virtually all “neo-classic” economic concepts presuppose a market ethics of fairness and voluntariness. In a world of pervasive uncertainty on the long-term development of (...) the human-environment interaction, the protection of the global life-support systems is an important test case for the scope of the ethical content of market ethics. We review risk protection strategies in the face of this uncertainty that are (i) based on the insurance effect of biological diversity, and (ii) that employ a safe minimum standard (SMS). Because the fairness principle of market ethics requires that economic agents who cause “external” costs must, at least, compensate those who are burdened with these costs, the interests of future generations have to be included in responsible economic decision-making. The market and market ethics approach is applied to the analysis of a SMS for biological diversity, and to the inherent problems of such an approach. At the microeconomic level of individual decision-making, an unconditional protection is supported by market ethics neither for the putative interests of future generations nor for biological diversity: Poor people who struggle to cover their basic needs cannot not be required to care for biological diversity. In all other cases, the protection of biological diversity in favour of future generations is supported—if costs are not “unacceptably high”. At which cost level this point is approached, market ethics is not designed to decide. (shrink)

"Williams's masterful translation satisfies (at last!) a long-standing need. There are lots of good translations of Augustine's great work, but until now we have been forced to choose between those that strive to replicate in English something of the majesty and beauty of Augustine's Latin style and those that opt instead to convey the careful precision of his philosophical terminology and argumentation. Finally, Williams has succeeded in capturing both sides of Augustine's mind in a richly evocative, impeccably reliable, elegantly (...) readable presentation of one of the most impressive achievements in Western thought--Augustine's Confessions." --Scott MacDonald, Professor of Philosophy and Norma K. Regan Professor in Christian Studies, Cornell University. (shrink)

Through staged photographs in which she herself is often the lead actor or through appropriation of historical photographs, contemporary African American artist Carrie Mae Weems deconstructs the shaming of the black female body in American visual culture and offers counter-hegemonic images of black female beauty. The mirror has been foundational in Western theories of subjectivity and discussions of beauty. In the artworks I analyze in this article, Weems tactically employs the mirror to engage the topos of shame in order to (...) reject it as a way of seeing the self and to offer a new way of lovingly seeing the self. I use the work of Kelly Oliver, Helen Block Lewis, and bell hooks to articulate the relationships among the mirror, shame, and black female subjectivity in Weems's work. Weems's subjects often reckon with what Oliver calls “social melancholy” as they experience shame while standing before the mirror. However, Weems also shows that by looking again—a critical strategy I explain using Oliver's model of “the loving eye”—her subjects can use the mirror as a corrective to the social shaming gaze and make it a stage for establishing black female subjectivity, a gaze of self-love, and beauty. (shrink)

Rejection of the philosophical relevance of history of philosophy remains pronounced within contemporary analytic philosophy. The two main reasons for this rejection presuppose that strict deduction is both necessary and sufficient for rational justification. However, this justificatory ideal of scientia holds only within strictly formal domains. This is confirmed by a neglected non-sequitur in van Fraassen’s original defence of ‘Constructive Empiricism’. Conversely, strict deduction is insufficient for rational justification in non-formal, substantive domains of inquiry. In non-formal, substantive domains, rational justification (...) is also, in part, ineliminably social and historical, for sound reasons Hegel was the first to articulate. Demonstrating this involves considering closely two key reasons many analytic philosophers (still) reject the philosophical relevance of historical philosophy (§2). As specific example of presumed, though fallacious, deductivism about justification in the non-formal domain of empirical knowledge is found in van Fraassen’s (1980) defence of ‘Constructive Empiricism’ (§3). These first two sections contend that philosophical consideration of historical philosophy is required to properly formulate key issues in non-formal domains. I next consider the further issues involved rational justification in non-formal domains, issues quintessentially posed by the Pyrrhonian Dilemma of the Criterion (§4). Finally I consider what kind of history of philosophy is required for cogent philosophy in non-formal domains (§5). (shrink)

Understanding the relationship between wilderness outings and the resulting experience has been a central theme in resource-based, outdoor recreation research for nearly 50 years. The authors provide a review and synthesis of literature that examines how people, over time, build relationships with wilderness places and express their identities as consequences of multiple, ongoing wilderness engagements (i.e., continued participation). The paper reviews studies of everyday places and those specifically protected for wilderness and backcountry qualities. Beginning with early origins and working through (...) contemporary research the authors synthesize what diverse social scientists have learned about the long-term and continual nature of wilderness participation and its impact on the formation of identity. The thrust of the paper points researchers, planners, and managers in non-traditional directions and reframes goals and objectives for visitor planning and management in wilderness and other protected areas. (shrink)

ABSTRACTModern technological means allow for meaningful interaction across arbitrary distances, while human morality evolved in environments in which individuals needed to be spatially close in order to interact. We investigate how people integrate knowledge about modern technology with their ancestral moral dispositions to help relieve nearby suffering. Our first study establishes that spatial proximity between an agent's means of helping and the victims increases people's judgement of helping obligations, even if the agent is constantly far personally. We then report and (...) meta-analyse 20 experiments elucidating the cognitive mechanisms behind this effect, which include inferences of increased efficaciousness and personal involvement. Implications of our findings for the scientific understanding of ancestral moral dispositions in modern environments are discussed, as well as suggestions for how these insights might be exploited to increase charitable giving. Our meta-analysis provides a practical example.. (shrink)

Long DNA palindromes pose a threat to genome stability. This instability is primarily mediated by slippage on the lagging strand of the replication fork between short directly repeated sequences close to the ends of the palindrome. The role of the palindrome is likely to be the juxtaposition of the directly repeated sequences by intrastrand base‐pairing. This intra‐strand base‐pairing, if present on both strands, results in a cruciform structure. In bacteria, cruciform structures have proved difficult to detect in vivo, suggesting (...) that if they form, they are either not replicated or are destroyed. SbcCD, a recently discovered exonuclease of Escherichia coli, is responsible for preventing the replication of long palindromes. These observations lead to the proposal that cells may have evolved a post‐replicative mechanism for the elimination and/or repair of large DNA secondary structures. (shrink)

The increasing incidence of ethical dilemmas in long-term care settings, in concert with recommendations from the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, has prompted long-term care institutions to develop mechanisms to address these concerns. Some facilities have chosen to set up an ethics committee, although estimates obtained in the past few years indicate that only between 2 and 27% of institutional long-term care settings have such committees. Ethics committees (...) are responsible for assisting staff, residents, and families with the resolution of ethi- cal concerns, and typically engage in policy review and development, case review, and education. Such committees usually count among their membership representatives from a variety of disciplines, with family members, patients, and representatives from patient advocacy groups supplementing the professional component of the committee. (shrink)

Can we understand important social issues by studying individual personalities and decisions? Or are societies somehow more than the people in them? Sociologists have long believed that psychology can't explain what happens when people work together in complex modern societies. In contrast, most psychologists and economists believe that if we have an accurate theory of how individuals make choices and act on them, we can explain pretty much everything about social life. Social Emergence takes a new approach to these (...) longstanding questions. Sawyer argues that societies are complex dynamical systems, and that the best way to resolve these debates is by developing the concept of emergence, focusing on multiple levels of analysis - individuals, interactions, and groups - and with a dynamic focus on how social group phenomena emerge from communication processes among individual members. This book makes a unique contribution not only to complex systems research but also to social theory. (shrink)

While researchers have examined the types of ethical issues that arise in long-term care, few studies have explored long-term care nurses’ experiences of moral distress and fewer still have examined responses to initial moral distress. Using an interpretive description approach, 15 nurses working in long-term care settings within one city in Canada were interviewed about their responses to experiences of initial moral distress, resources or supports they identified as helpful or potentially helpful in dealing with these situations, (...) and factors that hindered nurses in their responses. Using a thematic analysis process, three major themes were identified from the nurses’ experiences: (i) the context of the situation matters; (ii) the value of coming together as a team; and (iii) looking for outside direction. The work of responding to initial moral distress was more fruitful if opportunities existed to discuss conflicts with other team members and if managers supported nurses in moving their concerns forward through meetings or conversations with the team, physician, or family. Access to objective others and opportunities for education about ethics were also identified as important for dealing with value conflicts. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What Emotional Responding Is to Blame It Might Not Be to ResponsibilityR. J. R. Blair (bio)Keywordsblame, responsibility, emotional responses, psychopathyIn this interesting paper, Levy argues that by failing the moral/conventional distinction task (Blair 1995), individuals with psychopathy show a fundamental inability to categorize moral harms and as such their moral responsibility for their actions is reduced. He argues that, although we might still wish to incarcerate such individuals to (...) prevent them inflicting further harm on others, we should be less enthusiastic to blame them for their actions.In many respects, I agree with much of Levy's treatise. I certainly do not regard ascriptions of blame as useful in my own work with this population. I believe that our goal should be to fully understand the nature of their emotional deficit to be able to treat it similarly to other researchers who work to treat other emotional disorders. To me, Levy's argument appears sound.However, I offer three considerations and raise questions within these considerations that might further the debate. First, not all rules involve care-based emotional responses to victims. As Levy notes, this is the origin of the moral/conventional distinction. The problem here is that we do consider someone responsible if they break a conventional transgression. The student talking in class is generally considered blameworthy for this action as long as they knew that the rule of not talking during the lesson applied to that classroom. Yet, there is no victim and no care-based emotional response. Here, the only thing necessary to ascribe blame and responsibility is that the individual knew that a rule exists. Given this holds for conventional transgressions, why must we necessarily make a special case, with respect to responsibility, for moral transgressions?I believe that Levy is fully aware of this concern. He specifically makes reference to moral responsibility and writes that:the kind and degree of wrongness, and therefore blame, which attaches to infringements of the rules [against double parking or line-jumping] is very different, and usually much less significant, than the kind and degree attaching to moral wrongs. For psychopaths, all offences are merely conventional, and therefore—from their point of view—none of them are all that serious.(2007, p. 132)But the danger here is that issues of blame and responsibility may become highly relativistic and hinge on the strength of the emotional reaction. This is a problem because, although we might judge someone as more blameworthy if he intentionally [End Page 149] runs over five people rather than one, do we really consider that there is a distinction in moral responsibility between these two cases? If not, might not responsibility relate to factual knowledge of the existence of the rule against the transgression rather than the emotional response to the transgression?Second, there is considerable debate regarding whether psychopathy represents a taxon or a continuum (e.g., Vasey et al. 2005; Edens et al. 2006). Assuming it does represent a continuum, then we have an additional concern. How little of an emotional response to the transgression reduces one's moral responsibility and blame? Is it only the very reduced (although usually not absent) levels of emotional response that are shown by individuals with psychopathy? Or should we consider moral responsibility and blame proportional to the level of the emotional response? If this latter option is adopted, then what should we do about individuals who show heightened emotional responses, for example, patients with specific anxiety disorders (Rauch, Shin, and Wright 2003)? There are already some data that inhibited children (a developmental precursor to some anxiety disorders; Kagan and Snidman 1999) show heightened conscience development (Asendorpf and Nunner-Winkler 1992). If such children commit moral transgressions, should we regard them as more morally responsible and more blameworthy than regular folks?Third, the issue of intention received little attention in this paper. I have been considered to show a similar lack of attention to intention in the past (Nichols 2002) and, moreover, in some respects the issue was of limited concern given Levy's main goals. However, I mention it because so much of whether we consider someone responsible for their actions and... (shrink)

Background: Medicine is full of value conflicts. Limited resources and legal regulations may place doctors in difficult ethical dilemmas and cause moral distress. Research on moral distress has so far been mainly studied in nurses. Objective: To describe whether Norwegian doctors experience stress related to ethical dilemmas and lack of resources, and to explore whether the doctors feel that they have good strategies for the resolution of ethical dilemmas. Design: Postal survey of a representative sample of 1497 Norwegian doctors in (...) 2004, presenting statements about different ethical dilemmas, values and goals at their workplace. Results: The response rate was 67%. 57% admitted that it is difficult to criticise a colleague for professional misconduct and 51% for ethical misconduct. 51% described sometimes having to act against own conscience as distressing. 66% of the doctors experienced distress related to long waiting lists for treatment and to impaired patient care due to time constraints. 55% reported that time spent on administration and documentation is distressing. Female doctors experienced more stress that their male colleagues. 44% reported that their workplace lacked strategies for dealing with ethical dilemmas. Conclusion: Lack of resources creates moral dilemmas for physicians. Moral distress varies with specialty and gender. Lack of strategies to solve ethical dilemmas and low tolerance for conflict and critique from colleagues may obstruct important and necessary ethical dialogues and lead to suboptimal solutions of difficult ethical problems. (shrink)

In the digital age, the concept of identity has evolved in ways that challenge long-held philosophical assumptions about the self. No longer has fixed or continuous, identity become fragmented, shaped by multiple digital personas that people craft in response to the ever-expanding digital universe. Now, there is no sense of a fixed self that remains constant throughout space and time. Self and identity can be seen as a Heraclitean flux always in a state of becoming and never for a (...) moment being in a state of being. The boundaries between the real and the virtual have blurred, and hyperreal experiences now often seem more significant than actual events. This review delves into the complex relationship between selfhood and digital representation, exploring how traditional theories like Baudrillard’s hyperreality and Buddhist notions of impermanence help explain this transformation. It examines the implications of digital simulations, especially in the context of digital immortality, which raises profound questions about consciousness, existence, and the essence of being. In a world where avatars, social media profiles, and virtual realities dominate, self navigates an uncertain terrain between reality and simulation. This study is an exploration of the evolving nature of identity, consciousness, and human experience in the age of digital fragmentation, with a focus on the philosophical and psychological dimensions of selfhood in the modern, digitized world. (shrink)

Most readers will agree with the starting assumptions of Klee that contemporary science and philosophy assume a primarily micro-deterministic view of nature–and that this has long been the case, or was at least until the 1970s. Defending a strict micro-determinism, Klee argues that concepts of emergence that seemingly are opposed to micro-determinist doctrine can be shown, on analysis, to be ultimately consistent with a thoroughgoing philosophy of micro-determinism. An exception is made, however, in the case of my own view, (...) labeled “direct macro-determinism,” which he describes as “ultimately more troublesome” but then disposes of as being based on “simplistic analogies” and “metaphors” and “too weak to be conclusive.”. (shrink)

We propose a new approach for tracing value change. Value change may lead to a mismatch between current value priorities in society and the values for which technologies were designed in the past, such as energy technologies based on fossil fuels, which were developed when sustainability was not considered a very important value. Better anticipating value change is essential to avoid a lack of social acceptance and moral acceptability of technologies. While value change can be studied historically and qualitatively, we (...) propose a more quantitative approach that uses large text corpora. It uses probabilistic topic models, which allow us to trace values that are latent. We demonstrate the approach for five types of value change in technology. Our approach is useful for testing hypotheses about value change, such as verifying whether value change has occurred and identifying patterns of value change. The approach can be used to trace value change for various technologies and text corpora, including scientific articles, newspaper articles, and policy documents. (shrink)

The paper considers the morality of nuclear energy development as it concerns future people, especially the creation of highly toxic nuclear wastes requiring long?term storage. On the basis of an example with many parallel moral features it is argued that the imposition of such costs and risks on the future is morally unacceptable. The paper goes on to examine in detail possible ways of escaping this conclusion, especially the escape route of denying that moral obligations of the appropriate type (...) apply to future people. The bulk of the paper comprises discussion of this philosophical issue, including many arguments against assigning obligations to the future drawn both from analyses of obligation and from features of the future such as uncertainty and indeterminacy. A further escape through appeal to moral conflict is also considered, and in particular two conflict arguments, the Poverty and Lights?going?out arguments are briefly discussed. Both these escape routes are rejected and it is concluded that if the same standards of behaviour are applied to the future as to the present, nuclear energy development is morally unacceptable. (shrink)

Medical technologies and assistive devices such as ventilators and power wheelchairs are designed to sustain life and/or improve functionality but they can also contribute to stigmatization and social exclusion. In this paper, drawing from a study of ten men with Duchenne muscular dystrophy, we explore the complex social processes that mediate the lives of persons who are dependent on multiple medical and assistive technologies. In doing so we consider the embodied and emplaced nature of disability and how life is lived (...) through bodies coupled with technologies and experienced as 'techno-body-subjects in situ'. Normative implications for theory and research, including bioethics research, are discussed. (shrink)

Human societies are extraordinarily cooperative compared to those of most other animals. In the vast majority of species, individuals live solitary lives, meeting to only to mate and, sometimes, raise their young. In social species, cooperation is limited to relatives and (maybe) small groups of reciprocators. After a brief period of maternal support, individuals acquire virtually all of the food that they eat. There is little division of labor, no trade, and no large scale conflict. Communication is limited to a (...) small repertoire of self-verifying signals. No one cares for the sick, or feeds the hungry or disabled. The strong take from the weak without fear of sanctions by third parties. Amend Hobbes to account for nepotism, and his picture of the state of nature is not so far off for most other animals. In contrast, people in even the simplest human societies regularly cooperate with many unrelated individuals. Human language allows low-cost honest communication of virtually unlimited complexity. The sick are cared for, and sharing leads to substantial flows of food from the middle aged to the young and old. Division of labor and trade are prominent features of every historically known human society, and archaeology indicates that they have a long history. Violent conflict among sizable groups is common. In every human society, social life is regulated by commonly held moral systems that specify the rights and duties of individuals enforced, albeit imperfectly, by third party sanctions. (shrink)

Human migration is nonrandom. In small scale societies of the past, and in the modern world, people tend to move to wealthier, safer, and more just societies from poorer, more violent, less just societies. If immigrants are assimilated, such nonrandom migration can increase the occurrence of culturally transmitted beliefs, values, and institutions that cause societies to be attractive to immigrants. Here we describe and analyze a simple model of this process. This model suggests that long run outcomes depend on (...) the relative strength of migration and local adaptation. When local adaption is strong enough to preserve cultural variation among groups, cultural variants that make societies attractive always predominate, but never drive alternative variants to extinction. When migration predominates, outcomes depend both on the relative attractiveness of alternative variants and on the initial sizes of societies that provide and receive immigrants. (shrink)

The position on the question of divine providence of the Aristotelian commentator Alexander of Aphrodisias (fl. c. A.D. 200) is of particular interest. It marks an attempt to find avia mediabetween the Epicurean denial of any divine concern for the world, on the one hand, and the Stoic view that divine providence governs it in every detail, on the other.2As an expression of such a middle course it finds a place in later classifications of views concerning providence.3It is also of (...) topical interest: Alexander's fullest discussion, in his treatiseDe providentia (On Providence)(surviving only in two Arabic versions), has only recently been edited and translated,4although some aspects of his position had long been known from other texts preserved in Greek.5. (shrink)

Background Clients are invited to play a role in decisions about their care. Collaborative deliberation comprises constructive engagement, recognition of alternative actions, comparative learning, construction and elicitation of preferences and preference integration. Collaborative deliberation between clients and professionals is a process that requires an interest in each other, sharing of views on alternatives and preferences and integrating into decisions. The aim is to gain insight into collaborative deliberation in consultations and the clients’ perception of arranging long-term care. Design A (...) descriptive qualitative study to explore collaborative deliberation in consultations between clients and professionals. Six organisations providing long-term care were included. Data collection of nine clients involved observations of consultation with field notes and audio-records, interviews with clients and professionals shortly and 3–6 months after the consultation and questionnaires to collect background information. The data were analysed by deductive content analysis. Findings Constructive engagement was visible in all consultations. Clients and professionals showed respect, empathy and curiosity towards each other. In most consultations, two or more alternative actions are recognised and discussed. Comparative learning appears to be two sided, the client and the professional learn from each other's knowledge and experiences. Construction and elicitation of preference, and preference integration, seems to be present, but difficult to recognise in all consultations. Discussion/conclusion Although all propositions could be identified, there seems room for improvement in preference elicitation and integration of these preferences in the discussions on courses of action. Assistance seems needed with preference elicitation, both for the clients and for the professional. (shrink)

If I say “we are now living in England” or “grass is green in summer’ or ‘the cat is on the mat’ what I say will normally be true or false—the statements are true if they correctly report how things are, or correspond to the facts; and if they do not do these things, they are false. Such a statement will only fail to have a truth-value if its referring expressions fail to refer ; or if the statement lies on (...) the border between truth and falsity so that it is as true to say that the statement is true as to say that it is false. Are moral judgments normally true or false in the way in which the above statements are true or false? I will term the view that they are objectivism and the view that they are not subjectivism. The objectivist maintains that it is as much a fact about an action that it is right or wrong as that it causes pain or takes a long time to perform. The subjectivist maintains that saying than an action is right or wrong is not stating a fact about it but merely expressing approval of it or commending it or doing some such similar thing. I wish in this paper, first, to show that all arguments for subjectivism manifestly fail, and secondly to produce a strong argument for objectivism. But, to start with, some preliminaries. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Homeric ΔΙΙΠΕΤΕΟΣΠΟΤΑΜΟΙΟand the Celestial NileR. Drew GriffithHomeric διιπετής, which occurs only in the verse–end formula διιπετέος (Il. 16.174, 17.263, 21.268, 326; Od. 4.477, 581, 7.284; cf. Hes. fr. 320 Merkelbach–West), is usually interpreted as "fallen from Zeus, i.e., from heaven,... fed or swollen by rain" (LSJ),1 for high–thundering, cloud–gatherer Zeus is the sky who rains and snows (Il. 12.25; Od. 9.111, 14.457, Alc. Z 14.1 Lobel–Page 5 338.1 Voigt; (...) Ar. Nub. 368, 373; Babrius 65.1; Marcus Aurelius 5.7), and rivers can be "swollen by rain and melted snow" (). Yet it only takes a moment for the desperate nature of this interpretation to become clear: it has at least four flaws.2First, there is διι–. We may explain the quantity of the second iota (long in διιπετής, short in Διί) either as metrical lengthening, or as a survival of the Mycenaean, with or without the emendation to διειπετής proposed by one Zenodorus (schol. E2Od. 4.477, var. l. Zenodotus, HQ) and supported by some moderns,3 but the form itself is unexpected. Even supporters of the usual interpretation admit that διι is a very odd way of saying "from Zeus," which should be expressed by a [End Page 353] genitive of source:4 indeed, when Euripides wants to characterize a statue as having "fallen from the sky," he uses διοπετής (IT 977; cf. fr. 971 Nauck2 ). They account for διι- in one of three ways: either as chosen on the analogy of διίφιλος where the dative is appropriate,5 or as a compendious expression meaning "by (the command of) Zeus,"6 as an Arcado– Cypriot use of the dative as an ablative.7 This last approach relies in turn on the hypothesis (itself controversial) of an Achaean stratum of the Homeric language, in which are alleged to persist forms specific to the Mycenaean dialect.8Second, the final element, πετής, is elsewhere in Homer derived from πέτομαι (Il. 12.201, etc.;Il. 8.42, etc.; cf. Hes. Theog. 267). Unlike διιπετής, these words are accented paroxytone (but note παλιμπετές Il. 16.395, Od. 5.27, which means "falling or flying backward"; Pind. Pyth. 3.105; and Aesch. Supp. 782), but this shows only that during the Alexandrian period, when the written accents were devised, scholars associated them with a different root from διιπετής. Leaving our word aside, for examples of -πετής derived from πίπτω we must look to Aeschylus, Pindar, and subsequent authors.9 (Words with πετής from πετάννυμι are attested in later Greek.)10Third, the earliest post–Homeric uses of διιπετής (Eur. Bacch. 1267, Rhes. 43, Hypsipyle fr. 1. sp. IV, 1.31 Bond; Hippoc. Morb. Mul. 1.24) demand the translation "translucent" vel sim. (Etym. Magn. s.v.), and Zenodotus (apud schol. Il. 17.263) glosses the word in its Homeric use as διαυγής,11 yet the semantic development from "fallen from Zeus, etc." (on the usual interpretation) to "translucent" can only be seen as "encore inexpliqué."12 [End Page 354]Fourth, one of the three named rivers to which Homer applies διιπετής is the Nile (Od. 4.477, 581; the others are Spercheius, Il. 16.174, and Scamander, Il. 21.268, 326), yet if ever there were a river that is not "fed or swollen by rain" it is the Nile: rainfall is scarce in Egypt (Hdt. 3.10.3), and, knowing this, Diogenes hypothesized that the Nile was fed by subterranean springs (64 A18 Diels–Kranz; cf. Sen. Q.Nat. 4.2.28–30, 6.8.3–5; schol. Ap. Rhod. 4.269 = p. 277 Wendel). The application of the epithet to the Nile would have, therefore, to be classed among Homer's (admittedly numerous) formulary illogicalities.13Not all scholars accept the usual view. In 1958 M. Treu pointed to a then newly discovered papyrus fragment of Alcman containing the adjective διαιπετής in the phrase (III 66–67 PMG, PMGF = fr. 26.66–67 Calame), which was taken to describe a star "falling through..., less prob.... flying through" heaven (LSJ Suppl. s.v.),14 to hypothesize that the Homeric instances of διιπετής are all miscorrections of an original διαιπετής, "flying through." This theory has won few adherents,15 and R. Renehan (1972b) has with more... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Homeric ΔΙΙΠΕΤΕΟΣΠΟΤΑΜΟΙΟand the Celestial NileR. Drew GriffithHomeric διιπετής, which occurs only in the verse–end formula διιπετέος (Il. 16.174, 17.263, 21.268, 326; Od. 4.477, 581, 7.284; cf. Hes. fr. 320 Merkelbach–West), is usually interpreted as "fallen from Zeus, i.e., from heaven,... fed or swollen by rain" (LSJ),1 for high–thundering, cloud–gatherer Zeus is the sky who rains and snows (Il. 12.25; Od. 9.111, 14.457, Alc. Z 14.1 Lobel–Page 5 338.1 Voigt; (...) Ar. Nub. 368, 373; Babrius 65.1; Marcus Aurelius 5.7), and rivers can be "swollen by rain and melted snow" (). Yet it only takes a moment for the desperate nature of this interpretation to become clear: it has at least four flaws.2First, there is διι–. We may explain the quantity of the second iota (long in διιπετής, short in Διί) either as metrical lengthening, or as a survival of the Mycenaean, with or without the emendation to διειπετής proposed by one Zenodorus (schol. E2Od. 4.477, var. l. Zenodotus, HQ) and supported by some moderns,3 but the form itself is unexpected. Even supporters of the usual interpretation admit that διι is a very odd way of saying "from Zeus," which should be expressed by a [End Page 353] genitive of source:4 indeed, when Euripides wants to characterize a statue as having "fallen from the sky," he uses διοπετής (IT 977; cf. fr. 971 Nauck2 ). They account for διι- in one of three ways: either as chosen on the analogy of διίφιλος where the dative is appropriate,5 or as a compendious expression meaning "by (the command of) Zeus,"6 as an Arcado– Cypriot use of the dative as an ablative.7 This last approach relies in turn on the hypothesis (itself controversial) of an Achaean stratum of the Homeric language, in which are alleged to persist forms specific to the Mycenaean dialect.8Second, the final element, πετής, is elsewhere in Homer derived from πέτομαι (Il. 12.201, etc.;Il. 8.42, etc.; cf. Hes. Theog. 267). Unlike διιπετής, these words are accented paroxytone (but note παλιμπετές Il. 16.395, Od. 5.27, which means "falling or flying backward"; Pind. Pyth. 3.105; and Aesch. Supp. 782), but this shows only that during the Alexandrian period, when the written accents were devised, scholars associated them with a different root from διιπετής. Leaving our word aside, for examples of -πετής derived from πίπτω we must look to Aeschylus, Pindar, and subsequent authors.9 (Words with πετής from πετάννυμι are attested in later Greek.)10Third, the earliest post–Homeric uses of διιπετής (Eur. Bacch. 1267, Rhes. 43, Hypsipyle fr. 1. sp. IV, 1.31 Bond; Hippoc. Morb. Mul. 1.24) demand the translation "translucent" vel sim. (Etym. Magn. s.v.), and Zenodotus (apud schol. Il. 17.263) glosses the word in its Homeric use as διαυγής,11 yet the semantic development from "fallen from Zeus, etc." (on the usual interpretation) to "translucent" can only be seen as "encore inexpliqué."12 [End Page 354]Fourth, one of the three named rivers to which Homer applies διιπετής is the Nile (Od. 4.477, 581; the others are Spercheius, Il. 16.174, and Scamander, Il. 21.268, 326), yet if ever there were a river that is not "fed or swollen by rain" it is the Nile: rainfall is scarce in Egypt (Hdt. 3.10.3), and, knowing this, Diogenes hypothesized that the Nile was fed by subterranean springs (64 A18 Diels–Kranz; cf. Sen. Q.Nat. 4.2.28–30, 6.8.3–5; schol. Ap. Rhod. 4.269 = p. 277 Wendel). The application of the epithet to the Nile would have, therefore, to be classed among Homer's (admittedly numerous) formulary illogicalities.13Not all scholars accept the usual view. In 1958 M. Treu pointed to a then newly discovered papyrus fragment of Alcman containing the adjective διαιπετής in the phrase (III 66–67 PMG, PMGF = fr. 26.66–67 Calame), which was taken to describe a star "falling through..., less prob.... flying through" heaven (LSJ Suppl. s.v.),14 to hypothesize that the Homeric instances of διιπετής are all miscorrections of an original διαιπετής, "flying through." This theory has won few adherents,15 and R. Renehan (1972b) has with more... (shrink)

This piece, included in the drift special issue of continent. , was created as one step in a thread of inquiry. While each of the contributions to drift stand on their own, the project was an attempt to follow a line of theoretical inquiry as it passed through time and the postal service(s) from October 2012 until May 2013. This issue hosts two threads: between space & place and between intention & attention . The editors recommend that to experience the (...) drifiting thought that attention be paid to the contributions as they entered into conversation one after another. This particular piece is from the BETWEEN INTENTION & ATTENTION thread: Jeremy Fernando, Sitting in the Dock of the bay, watching... * R.H. Jackson, Reading Eyes * Gina Rae Foster, Nyctoleptic Nomadism: The Drift/Swerve of Knowing * Bronwyn Lay, Driftwood * Patricia Reed, Sentences on Drifitng * David Prater, drift: a way * * * * The gaze drifts where the stare dares not. The gaze is attentive while the stare is intent. Dériver : Equally to drift and/or to derive. —When drifting then, something must be taken along. Something must be derived from the drift. Something of oneself must always become other. Incorporating the other, incorporating oneself as other. Je est un autre , Rimbaud disait; 1 this in his last letter to Georges Izambard, a final correspondence to a former mentor and friend, from whom he was drifting away, having derived much. The drift is a control incomplete. To drift is to come closer and closer, but to always be turning away, pulling apart, pulling oneself apart. It is parabolic in the sense that it is always eluding a formerly established intent. Of all axes, it never finds room to rest. Filling new spaces, always changing places, ever escaping the Cartesian; the indubitable pinpointing of position. It is never pinned down. Love together what we will be apart. Once together, we will drift apart. Il le faut . Attention is held; it traces the path. It follows each point which traces the arc, the line, the swerve. It is not concerned with the figure being drawn, but rather the movement between one point and the next. The smallest movement. The clinamen of De Rerum Natura is the smallest of swerves, it is nothing more than the minimum — nec plus quam minimum . Michel Serres says of the clinamen , that it is an absurdity — a logical, geometrical, mechanical, physical absurdity. 'The clinamen, from here (its state of absurdity), finds refuge in subjectivity; it passes from the world to the soul, from the physical to the metaphysical, from the theory of inert bodies in freefall to the theory of the free movements of the living.' 2 So this swerve is something of the mind and something of the body, both in action, rather than a body which is merely acted upon. Swerve, however, has a connotation of suddenness. It is a movement which is made to avoid an otherwise inevitable impact. Drift, on the other hand, is the unleashing of something which is then allowed to follow a more complex series of forces. These forces now come from within as well as without. It is no longer tethered; now following tides, winds, flows or pitched slopes, now acting on its own. We are not atoms in freefall. Our attention long ago pulled us from this precipitous descent. We now live, ourselves, as one of the many forces. In the drift, as with the gaze, there is an ease. ‘Ease is the proper name of this unrepresentable space.’ It is the space nearest, the next, the neighboring space. To occupy this space requires a turn, a shift or a drift. It cannot be reached by proceeding straight ahead. ‘..the space adjacent, the empty place where each can move freely, in a semantic constellation where spatial proximity borders on opportune time (ad-agio, moving at ease) and convenience borders on the correct relation.’ 3 Intention always seeks to straighten this line, to make it less complex, to isolate the point of departure and the desired destination. It believes there can be two points and, between them, there must be a straight line. Can there be? Maybe. Must there be? Never. Straight lines may exist, but they can never be followed to the finish. After leaving this point, we will never reach that one without being buffeted at least a little — at least the least. One foot in front of the other, this is a very restrictive dance, less even than a two-step. Straight lines lead only to lost intentions, being the shortest and quickest way to get there. When attention drifts it slowly turns away from the intended target, leaving it for something which pulls the attention away. Now we are for a moment free; all at once we can pivot, now we can waltz. Drifting along the page, deriving from what is seen. Reading is seeing; the movement of the eyes as they drift. Reading in the eyes what has been seen, what has been derived from the act of reading. Reading eyes drift back and forth down the page, now and then jump back and forth, up to the top, one word, back down, quickly a few pages back, now gaze out towards the horizon. When attention drifts it is the gaze that follows. Our attention is not restricted to the path the words follow, but links them together; deriving what is to be seen, rather than read. La philosophie fait voir . ‘Thus, philosophers speak through proverbs, and demonstrate. They connect their imaginations with foreign rings, flown into famous tombs.’ 4 Now drifting off to sleep, dreams come as unintended visions. To dream is pure drift, vision without an object, gazing into the dark, reading the unknown of the night. NOTES: Arthur Rimbaud, Poésies (Paris: Bibliothéque de Cluny, 1958), 57. Michel Serres, La Naissance de la Physique (Paris: Les Editions de Minuit, 1977), 10. Translation courtesy of R.H. Jackson. Giorgio Agamben, The Coming Community (Minneapolis: University of Minnesota, 1993), 25. Louis Aragon, Une Vague des Rêves (Paris: Editions Seghers, 2006), 10. Translation courtesy of R.H. Jackson.  . (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Nihilistic Cosmology and Catonian Ethics in Lucan’s Bellum CivileR. Sklenár*For many years, a powerful communis opinio dominated the scholarly literature on Lucan: that the poet is not merely influenced by Stoicism but is himself a committed Stoic, who expounds his doctrines both in his own voice and in the speeches of Cato. 1 The obvious difficulty with this argument is that Cato’s Stoic ideal defies reconciliation with some of (...) the most powerful and characteristic utterances of Lucan’s authorial voice. A more recent line of interpretation, typified by W. R. Johnson (1987), John Henderson (1988), and Jamie Masters (1992), 2 has rejected the putatively Stoic Lucan in favor of a dark, sinister, at times grimly parodic poet who both describes and exemplifies a view of the cosmos as chaotic, fragmentary, and ultimately meaningless. Under this reading, which has gained currency mostly since the mid-1980s, 3 Lucan’s Cato becomes a nasty caricature both of the Stoic sage and of the traditional Roman vir bonus. 4 While this satirical interpretation of Lucan’s Cato represents a significant improvement over the orthodoxy which it has displaced, it still does not adequately account for the systematic opposition between Cato’s Stoic ideal and the universe in which he attempts to practice it, or for the painful futility of his attempt to make sense of a world where senselessness is sovereign.The Stoic morality according to which Cato regulates his life presupposes a Stoic cosmos, both governed by and part of a divine logos. This cosmos is reason and order, all its processes part of a divine plan. 5 Since the task of human beings is to understand this plan and [End Page 281] consciously to conform their actions to it, the highest ethical plane is reached when human reason, brought to perfection, governs all aspects of a person’s behavior, for it brings that person into harmony with the rationally ordered cosmos. In other words, the height of wisdom and the height of goodness are one and the same (Long and Sedley 1987, I 374). But Lucan deposits Cato into a universe devoid of reason, “one wholly without purpose or meaning” (Johnson 1987, 10), marked by “the blatant absence of any design” (8)—in short, a nihilistic universe, 6 where the cosmological prerequisites for Catonian ethics necessarily fail. Cato’s pursuit of the Stoic ideal is in a literal sense doomed from the start, as Lucan assigns a prominent section of the Bellum Civile’s long proem to an exposition of his anti-rational cosmology:Fert animus causas tantarum expromere rerum, immensumque aperitur opus, quid in arma furentem impulerit populum, quid pacem excusserit orbi. invida fatorum series summisque negatum stare diu nimioque graves sub pondere lapsus nec se Roma ferens. sic, cum compage soluta saecula tot mundi suprema coegerit hora antiquum repetens iterum chaos, [omnia mixtis sidera sideribus concurrent,] 7 ignea pontum astra petent, tellus extendere litora nolet excutietque fretum, fratri contraria Phoebe ibit et obliquum bigas agitare per orbem indignata diem poscet sibi, totaque discors machina divulsi turbabit foedera mundi.(1.67–80)As many commentators have noted, the imagery of this passage is strongly reminiscent of the Stoic theory of ekpyrosis, 8 in which the celestial fire draws the other elements up toward itself and thereby consumes [End Page 282] the entire universe; hence Lucan’s image of the stars falling into the sea (ignea pontum astra petent): in fact the sea would be rising up toward the stars, but Lucan adopts the perspective of a terrestrial observer, from which the stars would appear to be falling. The world-conflagration, moreover, is a metaphor for the civil war and its causes. 9 These causes, though multiple, are not discrete; instead, they comprise a chain of causation, as indicated by series in the first cause (invida fatorum series) and further suggested by the paratactic arrangement in which all four causes are listed. The semantic force of series does not confine itself to the first cause, but rather governs a sequence in which each cause results directly from its predecessor. Summisque negatum / stare diu and nimioque graves sub pondere lapsus, then, are both consequences of fate’s... (shrink)

J S Mill used the term ‘dead dogma’ to describe a belief that has gone unquestioned for so long and to such a degree that people have little idea why they accept it or why they continue to believe it. When wives and children were considered chattel, it made sense for the head of a household to have a ‘sovereignal right’ to do as he wished with his property. Now that women and children are considered to have the full (...) complement of human rights and slavery has been abolished, it is no longer acceptable for someone to have a ‘right’ to completely control the life of another human being. Revealingly, parental rights tend to be invoked only when parents want to do something that is arguably not in their child's best interest. Infant male circumcision is a case in point. Instead of parental rights, I claim that parents have an obligation to protect their children's rights as well as to preserve the future options of those children so far as possible. In this essay, it is argued that the notion that parents have a right to make decisions concerning their children's bodies and minds—irrespective of the child's best interests—is a dead dogma. The ramifications of this argument for the circumcision debate are then spelled out and discussed. (shrink)

Business ethics, as a discipline, appears to be at a crossroads. Down one avenue lies more of the same: mostly philosophers takingwhat they know of ethics and ethical theory and applying it to business. There is a long tradition of scholars working in the area known as “business and society” or “social issues in management.” Most of these scholars are trained as social scientists and teach in business schools. Their raison d’etre has been admirable: trying to get executives and (...) students of business to understand the social impacts of business and to see business in broad, societal terms. (shrink)

The debate about the relative epistemic weights carried in favour of a theory by predictions of new phenomena as opposed to accommodations of already known phenomena has a long history. We readdress the issue through a detailed re-examination of a particular historical case that has often been discussed in connection with it-that of Mendeleev and the prediction by his periodic law of the three 'new' elements, gallium, scandium and germanium. We find little support for the standard story that these (...) predictive successes were outstandingly important in the success of Mendeleev's scheme. Accommodations played an equal role-notably that of argon, the first of the 'noble gases' to be discovered; and the methodological situation in this chemical example turns out to be in interesting ways different from that in other cases-invariably from physics-that have been discussed in this connection. The historical episode when accurately analysed provides support for a different account of the relative weight of prediction and accommodation-one that is further articulated here. (shrink)

Objective: To identify the frequency and nature of care conflict dilemmas that United States long-term care providers encounter, response strategies, and use of ethics resources to assist with dispute resolution. Design: An online cross-sectional survey was distributed to the Society for Post-Acute and Long-Term Care Medicine (AMDA). Results: Two-thirds of participants, primarily medical directors, have rejected surrogate instructions and 71% have managed family conflict. Conflict over treatment decisions and issues interpreting advance directives were frequently reported. Half of facilities (...) lack a formal dispute mediation policy. Only five respondents have called an ethics consult for assistance. Conclusion: Ethically tense care conflicts commonly arise in long-term and post-acute care facilities. Few facility procedures incorporate ethics resources into actual practice. Recommendations are made to create actionable policy, increase access to ethics services, and support staff skill development in order to improve the end-of-life care experiences for patients, families, and care facility staff. (shrink)

Q: What did the elephant say to the naked man?A: It looks O.K., but can you breathe through it?Let me begin by justifying that joke for those of you didn’t find it funny. The relationship between the morphology of the physical organs and their activities has long been a vexed issue in the philosophy of biology: the question of whether structure determines function is of course of contemporary importance in evolutionary theory. That there was a relationship between structure and (...) function was not in general a matter of doubt to the Greek theoretical biologists: but both the extent, and crucially the direction, of the dependence was. And the question need not be restricted to a consideration of the function of a particular part in isolation: when Aristotle takes issue with Anaxagoras for asserting that humans are the most intelligent species because they have hands, claiming rather that they have hands because they are intelligent, he is making a claim not just about the direction of explanation involved, but he is also implicitly at least indicating the scope of such explanations. For Aristotle, intelligence is one of the human functions: and that function necessitates the existence and development of certain organic structures. (shrink)

MY AIM in writing this paper is to ask help in the laying of a pair of ghosts who continue to haunt moral philosophy. Their names are ‘objectivism’ and ’subjectivism'; but the second sometimes assumes the name of ‘relativism'. I have long been convinced that the supposed battles between these two have no real substance; but for all that, they go on confusing many moral philosophers. It would be a great benefit to our profession if somebody could put an (...) end to the confusion once for all; but it has proved harder than might have been hoped, and that is my excuse for trying again. (shrink)

It has been alleged that Bayesian usage of prior probabilities allows one to obtain empirical statements on the basis of no evidence whatever. We examine this charge with reference to several examples from the literature, arguing, first, that the difference between probabilities based on weighty evidence and those based on little evidence can be drawn in terms of the variance of a distribution. Moreover, qua summaries of vague prior knowledge, prior distributions only transmit the empirical information therein contained and, therefore, (...) their consequences for long-run frequency behavior are "a priori" in at best a Pickwickian sense. (shrink)

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