Psychiatric practice is often faced with complex situations that seem to pose serious moral dilemmas for practitioners. Methods for solving these dilemmas have included the development of more objective rules to guide the practitioner such as utilitarianism and deontology. A more modern variant on this objective model has been 'Principlism' where 4 mid level rules are used to help solve these complex problems. In opposition to this, there has recently been a focus on more subjective criteria for resolving complex moral (...) dilemmas. In particular, virtue ethics has been posited as a more sensitive method for helping doctors to reason their way through difficult ethical issues. Here the focus is on the character traits of the practitioner. Bloch and Green advocated another way whereby more objective methods such as Principlism and virtue ethics are combined to produce what they considered sound moral reasoning in psychiatrists. This paper points out some difficulties with this approach and instead suggests that a better model of ethical judgment could be developed through the use of narratives or stories. This idea puts equal prima facie value on the patient's and the psychiatrist's version of the dilemma they are faced with. It has the potential to lead to a more genuine empathy and reflective decision-making. (shrink)

The impact of the Salters’ Hall Synod went beyond its immediate context in England and spread throughout the British Isles and into Ireland. Ulster Presbyterianism was wracked with debate over confessional subscriptionism and Unitarianism. Two key interlocutors in this debate were the Unitarian theologian William Hamilton Drummond and his orthodox counterpart, Alexander Carson. This essay traces the debate with a particular emphasis on their use of Scottish Common Sense philosophy as a way into or out of heterodox views (...) of the Trinity. (shrink)

Introduction -- Defining pluralism : Simon Pokagon, Ida B. Wells-Barnett, and Thomas fortune -- Evolution and American Indian philosophy -- Feminist resistance : Anna Julia Cooper, Jane Addams, and Charlotte Perkins Gilman -- Labor, empire and the social gospel : Washington Gladden, Walter Rauschenbusch, and Jane Addams -- A new name for an old way of thinking : William James -- Making ideas clear : Charles Sanders Peirce -- The beloved community and its discontents : Josiah Royce and the realists (...) -- War, anarchism, and sex : Emma Goldman and Margaret Sanger -- Democracy and social ethics : John Dewey -- Naturalism and idealism, fear, and conventionality : Mary Whiton Calkins and Elsie Clews Parsons -- Race riots and the color line : W. E. B. du Bois -- Philosophy reacts : Hartley Burr Alexander and Morris R. Cohen -- Creative experience : Mary Parker Follett -- Cultural pluralism : Horace Kallen and Alain Locke -- War and the rise of logical positivism : Otto Neurath and Rudolf Carnap -- Mccarthyism and American empiricism : Jacob Loewenberg, Henry Sheffer, C. I. Lewis, and Charles Morris -- The linguistic turn : Gustav Bergmann, May Brodbeck, and W. V. O. Quine -- Resisting the turn : Donald Davidson, Wilfrid Sellars, and the pluralist rebellion -- Philosophy outside : John Muir, Aldo Leopold, Joseph Wood Krutch, and Rachel Carson -- Economics and technology : Lewis Mumford, C. Wright Mills and John Kenneth Galbraith -- Politics : John Rawls, Robert Nozick, Michael Sandel, Martha Nussbaum, and Noam Chomsky -- Civil rights : Martin Luther King, Jr., Richard Wright and James Baldwin -- Black power : Malcolm X, James Cone, Audre Lorde, Bell Hooks, Angela Davis, and Cornel West -- Latin American American philosophy -- Red power, indigenous philosophy : Vine Deloria, Jr. and contemporary American Indian thought -- Feminism -- Engaged philosophy and the environment -- American philosophy today -- Recovering and sustaining the American tradition -- American philosophy revitalized -- The spirit of American philosophy in the new century. (shrink)

There are two families of influential and stubborn puzzles that many theories of aboutness (intentionality) face: underdetermination puzzles and puzzles concerning representations that appear to be about things that do not exist. I propose an approach that elegantly avoids both kinds of puzzle. The central idea is to explain aboutness (the relation supposed to stand between thoughts and terms and their objects) in terms of relations of co-aboutness (the relation of being about the same thing that stands between the thoughts (...) and terms themselves). (shrink)

Previous research has established that goal tracking emerges early in the first year of life and rapidly becomes increasingly sophisticated. However, it has not yet been shown whether young children continue to update their representations of others’ goals over time. The current study investigates this by probing young children’s ability to differentiate between goal directed actions that have been halted because the goal was interrupted, and because the goal was abandoned. To test whether children are sensitive to this distinction, we (...) manipulated the experimenter’s reason for not completing a goal-directed action - his initial goal is either interrupted by an obstacle, or it is abandoned in favour of an alternative. We measure whether children’s helping behaviour is sensitive to the experimenter’s reason for not completing his goal-directed action by recording whether they complete the experimenter’s initial goal or the alternative goal. The results showed that children helped complete the experimenter’s initial goal significantly more often after this goal had been interrupted than after it had been abandoned. These results support the hypothesis that children continue to update their representations of others’ goals over time by the age of two, and specifically that they differentiate between abandoned and interrupted goals. (shrink)

The usual, comparative, conception of inference to the best explanation (IBE) takes it to be ampliative. In this paper I propose a conception of IBE ('Holmesian inference') that takes it to be a species of eliminative induction and hence not ampliative. This avoids several problems for comparative IBE (for example, how could it be reliable enough to generate knowledge?). My account of Holmesian inference raises the suspicion that it could never be applied, on the grounds that scientific hypotheses are inevitably (...) underdetermined by the evidence (i.e. are inevitably ampliative). I argue that this concern may be resisted by acknowledging, as Timothy Williamson has shown, that all knowledge is evidence. The latter suggests an approach to resisting scepticism different from those (e.g. the reliabilist approach) that embrace fallibilism. (shrink)

The rise of modernity in the 19th century can, among other things, be vividly illustrated by the phenomenal advance of medical profession and, in particular, surgery as its most radical form. In the 20th century, the doctor has already been steadily associated with the phenomenon of power. Medical experiments on human subjects are generally recognized as one of the most extreme manifestations of this discursive nexus. Despite considerable amount of historical research, predominantly dealing with the experiences of Nazi medicine and (...) its patients in concentration camps and some other disciplinary institutions, as well as somewhat gloomy attraction providing for unabated fascination on the part of trivial literature, such experiments have not yet become an established literary topos. The elusive nature of this phenomenon which belongs to the kern of post-war anxiety, but is rarely addressed to, allows me to attest to the fact that human experiments, especially those conducted in Nazi concentration camps, have become a cultural «exclusion zone». Nonetheless, there is a whole range of texts in which attempts has been made to overcome the cultural taboo and to give voice to the victims of human vivisection. Two of them – Friedrich Dürrenmatt’s Suspicion and Marcel Beyers The Flying Foxes – are analyzed in this paper against the backdrop of the so called «intellectual witness» – a concept proposed by Geoffrey Hartman and meaning a distanced witnessing, mostly on behalf of younger generations or, as in case with Dürrenmatt, of those who stayed aside of the World War II. In both novels, the narrative structures of intellectual witnessing serve to surmount the metaphorizing tendency which turns the reality of human experiments into tropes corroborating the author’s idea or concept. Combining documentary elements with the elements of trivial fiction, Dürrenmatt and Beyer make significant strides in deconstructing the naïve «over-identifying» with the victims, as well as their overt fictionalization. As a result, they manage to open the possibility of witness beyond the perspective of eyewitnesses, and at the same time subjugate this rearticulation of the past to the demands of the present situation that facilitates it. This perilous duality reveals the ethical double bind which seems to be inherent to the most reactualizations of utterly traumatic historical experiences, such as human experimentation, transformed into «exclusion zones» and then voiced through intellectual witness and other forms of «secondary witness». In order to become an object of witnessing, those traumatic experiences must correspond to the anxieties of the present originating from them. While triggering the reactualization process, such anxieties, however, also subject the experience of concrete victims to the desiderata of a traumatized «(intellectual) witness» and, in such a way, misuse the tragedy as a means of the witness’s coming to terms with his or her own trauma. (shrink)

Edouard Machery argues that many traditional philosophical questions are beyond our capacity to answer. Answering them seems to require using the method of cases, a method that involves testing answers to philosophical questions against what we think about real or imagined cases. The problem, according to Machery, is that this method has proved unreliable ; what we think about these kinds of cases is both problematically heterogeneous and volatile. His bold solution: abandon the method of cases altogether and with it (...) many of the questions that we have come to associate with philosophy itself. Many of the critical responses to Machery’s book have focused on whether empirical work on judgements about philosophical cases supports his claim that the method of cases is unreliable. Our problem with these responses is that they accept that reliability is the right way to frame empirically informed concerns about the method of cases, and we think that it is not. The reason is simple: the kind of unreliability thesis that Machery needs proves to be empirically intractable, at least by anything like the current methods used by experimental philosophers, or so we shall argue here. While we have empirical grounds for thinking that unreliability arguments don’t give us reason to abandon the method of cases, we do think that there are empirical grounds for thinking that it needs to be reformed. There are other standards that we expect our methods to meet beyond mere reliability, especially standards of practical rationality, which are too often forgotten in metaphilosophical discussions that tend to focus exclusively on epistemological considerations. Methodological considerations, after all, are not just matters of epistemic normativity, but practical rationality as well. What’s more, considerations of practical rationality become particularly important when we move from the kind of extreme scepticism that Machery endorses to the kind of progressive reformation that we think should be pursued. And so we conclude by arguing that thinking about philosophical inquiry in terms of standards of practical rationality allows us both to better understand what kinds of problems recent empirical work on philosophical cognition raises for the method of cases and also how that work can point the way to reforming it. (shrink)

Jennifer Lackey argues that knowing that p is not sufficient for being epistemically properly positioned to assert that p. Where that knowledge is entirely second-hand and the subject is an expert, the subject is not properly positioned to make such an assertion—since experts are held to higher epistemic standards. We reject Lackey’s argument. In particular, we argue that the division of labour in science makes isolated, second-hand assertions by experts both inevitable and frequent.

I present an argument that encapsulates the view that theory is underdetermined by evidence. I show that if we accept Williamson's equation of evidence and knowledge, then this argument is question-begging. I examine ways of defenders of underdetermination may avoid this criticism. I also relate this argument and my critique to van Fraassen's constructive empiricism.

The article discusses the features of landscape philosophy, as well as the prospects of its practical application to analyze the crises of modern society associated with the scientific and technological revolution, globalization and the massification of culture. The concept of landscape becomes particularly important in connection with the urban turn in philosophy. The analysis given in this article has shown that landscape philosophy explains the negative characteristics of colonial cognition. The interpretation of the concept of space in landscape philosophy is (...) considered. Following S. Goryainov, we consider landscape philosophy as a philosophy of crisis. Our analysis has shown that landscape philosophy contributes to the approbation of models for solving the crisis of language and mind. Landscape philosophy and philosophical anthropology reveal existential problems. The works of M. de Unamuno, M. Scheler, M. Foucault and V. Podoroga were analyzed in this context. The significance of Unamuno's philosophy for the analysis of the role of individual creative space in the contemporary world is revealed. The applicability of Scheler's concept of spirit for the analysis of the problems of landscape philosophy is revealed. It is proved that within the framework of Podoroga's landscape philosophy, the problem of the correlation of politics and political. Using the concepts of utopia, atopia, and heterotopia, various aspects of the crisis of contemporary man man associated with the transformation of the subject's identity, the fragmentation of meanings and significance are studied. Thus, Podoroga's works are valuable for crisis philosophy because they analyze both spatial and political aspects of the crisis of contemporary society. Podoroga's works make it possible to reflect the contradictions of contemporary society, which ensures the prospects of their application for the analysis of changes in the contemporary social space. (shrink)

Religion und Vervollkommnung – des Einzelnen wie der Kirche bzw. der Christenheit – sind eng miteinander verwoben und gründen auf der Überzeugung, den Einzelnen für das Reich Gottes vorbereiten zu müssen bzw. dieses als Kirche in der Welt zu repräsentieren. Nicht zuletzt ist die asketische Tradition des Christentums im Dienst dieses Zieles zu sehen, die durch eine methodische Lebensführung den Wandel der Seele zum Guten erreichen wollte. Gnadentheologisch war dies umstritten, weil die Möglichkeit des Menschen dazu beizutragen – je nach (...) theologischer Position – unterschiedlich gewertet wurde. Je optimistischer man hinsichtlich des menschlichen Beitrags war, umso generativer waren diese Konzepte in pädagogischer Hinsicht. Die 1909 gegründete katholische Jugendbewegung Quickborn, in der Schüler/innen höherer Schulen aktiv waren, stellt ein gutes Beispiel dafür dar, wie Religion zum Mittel sittlich-religiöser Vervollkommnung wurde. Um angesichts einer rasanten Modernisierung für gebildete junge Katholiken weiterhin relevant zu bleiben, musste an aktuellen Strömungen wie dem Abstinenzideal angeknüpft werden. Dieses war in der Reformpädagogik sowie in der Lebens- und Sozialreform um 1900 im Kaiserreich sehr präsent und konnte offenbar in Verbindung mit dem Jugendmotiv neuen religiösen Enthusiasmus wecken. Der Beitrag untersucht die Motive einer Sakralisierung der Abstinenz, ihrer pädagogischen Ziele und erwarteten Wirkungen z.B. auf Körper, Seele oder Volk sowie die verschiedenen Praktiken der Selbsterziehung und fragt schließlich danach, ob in der Verbindung von Religion und Perfektion nicht Transzendenz, konkrete Humanität (H. R. Schlette), Gnade (Kontingenz) und Fragment als doch immerhin zentrale Dimensionen biblischen Christentums ausgeblendet wurden. (shrink)

Este artigo tem como objetivo explicitar a crítica que Schopenhauer faz à fundamentação da moral proposta por Kant. Para cumprir este objetivo exporemos em primeiro lugar e de forma concisa, a fundamentação da ética realizada por Kant. Depois analisaremos as críticas feitas por Schopenhauer à ética de Kant e finalizaremos indicando a alternativa de Schopenhauer em fundamentar a moral pelo sentimento da compaixão.

ObjectiveCo-morbid insomnia and sleep apnea is a common and debilitating condition that is more difficult to treat compared to insomnia or sleep apnea-alone. Emerging evidence suggests that cognitive behavioral therapy for insomnia is effective in patients with COMISA, however, those with more severe sleep apnea and evidence of greater objective sleep disturbance may be less responsive to CBTi. Polysomnographic sleep study data has been used to predict treatment response to CBTi in patients with insomnia-alone, but not in patients with COMISA. (...) We used randomized controlled trial data to investigate polysomnographic predictors of insomnia improvement following CBTi, versus control in participants with COMISA.MethodsOne hundred and forty five participants with insomnia and sleep apnea [apnea-hypopnea index ≥ 15] were randomized to CBTi or no-treatment control. Mixed models were used to investigate the effect of pre-treatment AHI, sleep duration, and other traditional, and novel [quantitative electroencephalography ] polysomnographic predictors of between-group changes in Insomnia Severity Index scores from pre-treatment to post-treatment.ResultsCompared to control, CBTi was associated with greater ISI improvement among participants with; higher AHI, less wake after sleep onset, and less N3 sleep. No quantitative electroencephalographic, or other traditional polysomnographic variables predicted between-group ISI change.DiscussionAmong participants with COMISA, higher OSA severity predicted a greater treatment-response to CBTi, versus control. People with COMISA should be treated with CBTi, which is effective even in the presence of severe OSA and objective sleep disturbance. (shrink)

In describing morality as an art, I do not merely mean that there is a fine art of conduct, of which good manners are an obvious instance: the delicate adjustment of behaviour to small or subtle changes in our circumstances, the variation of our responses with differences in the age, standing, consideration of the persons with whom we talk. That there is such an art of good life is true, but it only means that in the instruments of life, as (...) with our microscopes and telescopes, there are fine as well as coarse adjustments. Nor do I mean merely that, as Plato said, living is a craft, like weaving or carpentering, and that virtue is its technique. I mean something more than an analogy; and that the best way to understand morality is to see what it has in common with fine art, and at the same time the differences which, leaving it still an art, separate it from fine art. (shrink)

Levinas a cherche a eriger l'ethique en philosophie premiere. Comment ce projet est-il conciliable avec la methode phenomenologique dont il s'est toujours inspire et dont il est reste tributaire tout au long de sa vie? L'auteur essaie d'y repondre en mettant en evidence ce qu'il appelle une phenomenologie sans phenomenalite. Celle-ci s'inscrit expressement dans la tradition de la phenomenologie transcendantale que Levinas prolonge et actualise en promouvant un concept inedit du transcendantal (concu comme conditionnement mutuel du constituant et du constitue (...) ). Au sommet de cette phenomenologie est l' epiphanie du visage, manifestation d'une alterite radicale qui confere le sens a l'apparaissant sur un mode non intentionnel et non phenomenal. C'est autour du visage que s'articulent les categories fondamentales de son parcours: jouissance, demeure, possession, feminite, amour, erotisme, fecondite, etc. Le present ouvrage qui s'appuie essentiellement sur le premier chef d'oeuvre de Levinas (Totalite et infini, paru en 1961) tente d'eclaircir ces concepts, tout en exposant les idees directrices de la philosophie levinassienne de la subjectivite, de la transcendance, du langage, du temps et de la verite. (shrink)

Social philosophy as a discipline has a number of standard research topics at its disposal, such as the search for the best form of government, the elucidation of the laws of the development of society, the problem of free will and will to power, etc., while the study of the phenomenon of fear is knocked out of this series and is not prerogative of social philosophy. However, upon closer examination, the problem of fear is extremely urgent for social philosophy, and (...) some of its aspects can be correctly interpreted only when using optics and the methodology of this field of scientific knowledge. In this article, we are talking about the peculiarities of the phenomenon of fear, which has an impact on a specific individual in particular and on society as a whole. The author strives to isolate those features that distinguish fear from the total number of problems of modern societies and to present fear as a phenomenon that can not be analyzed only with the help of the means of the natural sciences. Having these features determined, we will understand the need to examine the phenomenon of fear in studying the state of modern societies as well as social philosophy will possess the necessary tools for this analysis. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Human Genome Research in an Interdependent WorldAlexander Morgan Capron (bio)This has been the year of agenda-setting conferences for the ambitious ELSI (ethical, legal and social issues) program of the Human Genome Project (HGP). But of the dozen or more major meetings of this sort held across the country, the one held at the National Institutes of Heakh (NIH) in Bethesda, MD, June 2-4, 1991, was distinctive in several respects.1As (...) its name implies, "Human Genome Research in an Interdependent World" was a global look at the issues raised by gene mapping and sequencing. Unlike previous conferences, however, this meeting looked beyond a comparative analysis of clinical and domestic legal issues, and concentrated on topics that may require responses on a truly international level if they are to be successfully resolved.The meeting's organizers gathered an impressive group of more than seventy participants from fifteen countries, including the first significant contingent of Soviet and Japanese scientists, physicians, and philosophers at an ELSI meeting. In addition to talks by the heads of the genome projects in the Soviet Union, Japan, and the United States, the meeting was keynoted by Dr. James Wyngaarden, director general of the Human Genome Organization (HUGO), and I had the honor of serving as its general chairman.The goal of the meeting was to consider an array of issues that scientists, philosophers, and lawyers from around the world suggested might have international significance, with an eye to deciding three things: (1) Does the issue deserve further attention? (2) Is the issue best addressed in an international or domestic context? and (3) Do structures exist to which the issue can be referred for resolution? In the final sessions, the entire group debated proposed resolutions on the various topics and narrowed the list needing further, intensive exploration.To provide an international framework for this process, the conference [End Page 247] established a Global Steering Committee on Ethical and Social Issues in Genome Research, which will coordinate the efforts of several task forces charged with refining the tentative resolutions adopted by the conference participants on June 4. The task forces are expected to be able to complete work on some topics by the time of the steering committee's first meeting, which was described by one participant as a "check point," probably within the coming year; on other topics, the task forces will provide interim reports and arrange to continue their analysis. Several topics—less complex or more embryonic—were referred directly to the steering committee. On all issues, a major objective will be to ascertain what existing or newly created structure or structures are capable of implementing the group's recommendations and then to monitor the issue to ensure that appropriate implementation is occurring.Issues to be Explored by Task ForcesInsurance and EmploymentWhile individuals may derive medically useful information from the expanded range of genetic tests that will flow from the HGP, they could also be harmed if test results become a basis for discrimination. An area of particular concern at the conference in Bethesda was whether genetic information should be used to decide eligibility for employment or the scope and cost of health and life insurance. The complexity of this issue is increased as barriers to worker migration fall (especially in Europe) and as more firms carry on business internationally. Furthermore, questions arise about the limits of required testing and whether individuals may decline to be informed of the results of tests.The task force will not only gather information on practices and legal standards throughout the world—especially in light of the differences among nations with regard to the linkage of employment and various forms of insurance—but will also examine international anti-discrimination laws as a possible means of supplementing domestic statutes and regulations. As a starting point, the Bethesda meeting agreed on a set of principles for the task force to refine.2ForensicsAlthough their legal status is not fully resolved, DNA tests are being used increasingly in judicial proceedings and civil and criminal investigations as a highly probative means to identify people. Most forensic uses of "DNA fingerprints" are domestic, but international cooperation among investigative bodies... (shrink)