BackgroundMost end-of-life decisions are made by family members. Current ethical guidelines for family decision making are based on a hierarchical model that emphasizes the patient’s wishes over his or her best interests. Evidence suggests that the model poorly reflects the strategies and priorities of many families.MethodsResearchers observed and recorded 26 decision-making meetings between hospital staff and family members. Semi-structured follow-up interviews were conducted. Transcriptions were analyzed using qualitative techniques.ResultsFor both staff and families, consideration of a patient’s best interests generally took (...) priority over the patient’s wishes. Staff generally introduced discussion of the patient’s wishes for rhetorical purposes, such as persuasion. Competing moral frameworks, which de-emphasized the salience of patients’ autonomy and “right to choose,” played a role in family decision making.ConclusionsThe priority given to the patients’ wishes in the hierarchical model does not reflect the priorities of staff and families in making decisions about end-of-life care. (shrink)

The purpose of this research is to examine the impact of individual and firm moral philosophies on marketing exchange relationships. Personal moral philosophies range from the extreme forms of true altruists and true egoists, along with three hybrids that represent middle ground. Organizational postures are defined as Ethical Paradigm, Unethical Paradigm, and Neutral Paradigm, which result in changes to personal moral philosophies and company and industry performance. The study context is a simulation of an exchange environment using a variation of (...) the prisoners' dilemma game. A literature review is provided in the opening section, followed by details on the simulation, discussion of the results, and the implications for theory and practice. (shrink)

We examine how prior mental health predicts hopes and how hopes predict subsequent mental health, testing hypotheses in a longitudinal study with an Australian nation-wide adult sample regarding mental health consequences of the COVID-19 outbreak during its initial stage. Quota sampling was used to select a sample representative of the adult Australian population in terms of age groups, gender, and geographical location. Mental health measures were selected to include those with the best psychometric properties. Hypotheses were tested using generalized linear (...) models with random intercepts, with the type of GLM determined by the nature of the dependent variable. Greater anxiety, depression, distress, and loneliness predict less hope, but impaired quality of life and stress positively predict hopes of gaining new skills. Distress and loneliness predict hopes for social connectedness and an improved society, suggesting that predictors of hope depend on what is hoped for. These findings suggest the need for more nuanced theories of hope. Greater hopes for societal improvement predict lower anxiety, depression, distress, and impaired quality of life, but greater hopes for skills and better mental health predict higher levels of these covariates. Moreover, when relevant prior psychological states are more intense, the impact of hope state declines. These findings indicate that the consequences of hope are heterogeneous, and suggest a possible explanation for the seemingly inconsistent therapeutic effectiveness of raising hope. (shrink)

The Fundamentals of Care Framework is an evidence‐based, theory‐informed framework that conceptualises high‐quality fundamental care. The Framework places the nurse–patient relationship at the centre of care provision and outlines the nurse behaviours required for relationship development. Numerous instruments exist to measure behavioural aspects of the nurse–patient relationship; however, the literature offers little guidance on which instruments are psychometrically sound and best measure the core relationship elements of the Fundamentals of Care Framework. This study evaluated the quality of nurse–patient relationship instruments (...) by (1) assessing their content development and measurement properties (e.g. dimensionality, targeting, reliability, validity) and (2) mapping instrument content to the Framework's core relationship elements: trust, focus, anticipate, know, and evaluate. Twenty‐seven instruments were evaluated. Findings demonstrated that patients and nurses were rarely involved in item development. Most instruments exhibited poor measurement properties, with only one instrument having complete information on all quality indicators. Instrument content focused primarily on nurses getting to know patients and earning their trust, with only 54, 18, and 1 item(s), respectively, measuring ‘focus’, ‘anticipate’ and ‘evaluate’. Hence, there does not appear to be a robust instrument measuring behavioural aspects of nurse–patient relationships, nor one capturing the relationship elements of the Fundamentals of Care Framework. (shrink)

This essay investigates the marginalisation in eighteenth-century literary theoretical discussions of a category of emotion, ‘the affections’, which plays a significant role elsewhere in eighteenth-century thought, especially in moral philosophy and theology. It proposes that affections are incompatible with a series of principles that underpin dominant concepts of the literary in early and mid-eighteenth-century literary criticism by authors including Kames, Burke, Alison, Duff, Brown, Du Bos, Trapp and Beattie, many of whom were associated with the Scottish Enlightenment. By analysing (...) eighteenth-century theories of the perceived obscurity of literary emotions in comparison with the emotions of the other fine arts , and by highlighting the perceived distinction of literary emotions from what theorists of the period term ‘reality’, it shows how the supremacy of the belief that literary merit is tied to the individuality, particularity, and plausibility of represented emotion gives rise to a prioritisation of passions over affections in literary critical discussions about the emotions. (shrink)

In this compelling volume, ten distinguished thinkers -- William G. Lycan, Galen Strawson, Jeffrey Poland, Georges Rey, Frances Egan, Paul Horwich, Peter Ludlow, Paul Pietroski, Alison Gopnik, and Ruth Millikan -- address a variety of conceptual issues raised in Noam Chomsky's work. Distinguished list of critics: William G. Lycan, Galen Strawson, Jeffrey Poland, Georges Rey, Frances Egan, Paul Horwich, Peter Ludlow, Paul Pietroski, Alison Gopnik, and Ruth Millikan. Includes Chomsky's substantial new replies and responses to each essay. The (...) best critical introduction to Chomsky's thought as a whole. (shrink)

Many people accept, at least implicitly, what I call the asymmetry claim: the view that moral realism is more defensible than aesthetic realism. This article challenges the asymmetry claim. I argue that it is surprisingly hard to find points of contrast between the two domains that could justify their very different treatment with respect to realism. I consider five potentially promising ways to do this, and I argue that all of them fail. If I am right, those who accept the (...) asymmetry claim have a significant burden of proof. (shrink)

Abstract: If anger is the emotion of injustice, and if most injustices have prominent epistemic dimensions, then where is the anger in epistemic injustice? Despite the question my task is not to account for the lack of attention to anger in epistemic injustice discussions. Instead, I argue that a particular texture of transformative anger – a knowing resistant anger – offers marginalized knowers a powerful resource for countering epistemic injustice. I begin by making visible the anger that saturates the silences (...) that epistemic injustices repeatedly manufacture and explain the obvious: silencing practices produce angry experiences. I focus on tone policing and tone vigilance to illustrate the relationship between silencing and angry knowledge management. Next, I use María Lugones’s pluralist account of anger to bring out the epistemic dimensions of knowing resistant anger in a way that also calls attention to their histories and felt textures. The final section draws on feminist scholarship about the transformative power of angry knowledge to suggest how it might serve as a resource for resisting epistemic injustice. (shrink)

The status of moral testimony has recently been challenged, for both epistemic and non‐epistemic reasons. This paper distinguishes two methods of teaching: transmission, “classic” learning from testimony, that results in second hand knowledge, and propagation which results in first hand knowledge and understanding. Moral propagation avoids most of the epistemic and non‐epistemic problems of transmission. Moreover, moral propagation can develop and refine non‐cognitive attitudes too. Therefore moral testimony should (and normally does) take the form of moral propagation, not transmission.

Creativity is typically defined as a disposition to produce valuable ideas. We argue that this is a mistake and defend a new definition of creativity in terms of the imagination. It follows that creativity has instrumental value at most and then only in the right circumstances. We consider the role of tradition and judgment in worthwhile creativity and argue that there is frequently a tension between greater creativity and the production of value.

This book focuses on the unity, diversity, and centrality of the notion of law as it is employed in Kant's theoretical and practical philosophy. Eric Watkins argues that, by thinking through a number of issues in various historical, scientific, and philosophical contexts over several decades, Kant is able to develop a univocal concept of law that can nonetheless be applied to a wide range of particular cases, despite the diverse demands that these contexts give rise to. In addition, (...) class='Hi'>Watkins shows how Kant comes to view both the generic conception of law which he develops and its different particular instances as crucial components of his systematic philosophy as a whole. This volume's new and unified account of a major current running through Kant's work will be important for scholars interested in numerous aspects of his philosophy, from the theoretical and abstract to the practical and empirical. (shrink)

Analysis of online mathematics forums can help reveal how explanation is used by mathematicians; we contend that this use of explanation may help to provide an informal conceptualization of simplicity. We extracted six conjectures from recent philosophical work on the occurrence and characteristics of explanation in mathematics. We then tested these conjectures against a corpus derived from online mathematical discussions. To this end, we employed two techniques, one based on indicator terms, the other on a random sample of comments lacking (...) such indicators. Our findings suggest that explanation is widespread in mathematical practice and that it occurs not only in proofs but also in other mathematical contexts. Our work also provides further evidence for the utility of empirical methods in addressing philosophical problems. (shrink)

Although forgiveness is often taken to bear a close connection to the value of reconciliation, there is a good deal of scepticism about its role in situations where there is no consensus on the moral complexion of the past and no admission of guilt on the part of the perpetrator. This scepticism is typically rooted in the claims that forgiveness without perpetrator acknowledgement aggravates the risk of recidivism; yields a substandard and morally compromised form of political accommodation; and comes across (...) as patronizing and offensive to the recipient, thereby causing further alienation. In this article, my aim is to show, firstly, that none of these arguments is decisive and, secondly, that forgiveness is a suitable object of political concern in the absence of cross-community consensus on the rights and wrongs of a conflict. In this way, I aim to demonstrate that forgiveness deserves to be taken seriously as a means to civic reconciliation in a broader range of situations than many have allowed. (shrink)

Recent exciting work on Cavendish’s natural philosophy highlights the important role of motion in her system. But what is motion, according to Cavendish? I argue that motion, for Cavendish, is what I call ‘compositional motion’: for a body to be in motion is just for it to divide from some matter and join with other matter. So when Cavendish claims to reduce all natural change to motion, she is really reducing all natural change to mereological change. Cavendish also uses ‘motion’ (...) to name the power that matter has to set itself in compositional motion. That power is not reducible to local motion. If motion is not local motion and if motive power is not a function of actual motion, then despite her polemics, Cavendish does not reduce natural change to local motion. Instead, she offers a unique and exciting account of natural change. (shrink)

Many philosophers endorse the ideal of justice yet disagree radically over what that ideal requires. One persistent problem for thinking about justice is that the unjust social arrangements that originally motivated our questions may also distort our thinking about possible answers. This paper suggests some strategies for improving our thinking about justice in the unjust meantime. As our world becomes more just, we may expect our thinking about justice to improve.

The early Epicurean revival in Florence and Italy -- Medicean Florence : Ficino and Bartolomeo Scala -- Republican Florence : the university lectures of Marcello Adriani -- Niccol Machiavelli and the influence of Lucretius -- Lucretian networks in the late fifteenth and early sixteenth centuries -- Appendix : notes on Machiavelli's transcription of MS Vat. Rossi 884.

In our contemporary moment, when machine learning algorithms are reshaping many aspects of society, the work of N. Katherine Hayles stands as a powerful corpus for understanding what is at stake in a new regime of computation. A renowned literary theorist whose work bridges the humanities and sciences among her many works, Hayles has detailed ways to think about embodiment in an age of virtuality ( How We Became Posthuman, 1999), how code as performative practice is located ( My Mother (...) Was a Computer, 2005), and the reciprocal relations among human bodies and technics ( How We Think, 2012). This special issue follows the 2017 publication of her book Unthought: The Power of the Cognitive Nonconscious, in which Hayles traces the nonconscious cognition of biological life-forms and computational media. The articles in the special issue respond in different ways to Hayles’ oeuvre, mapping the specific contours of computational regimes and developing some of the ‘inflection points’ she advocates in the deep engagement with technical systems. (shrink)

A Scientific Integrity Consortium developed a set of recommended principles and best practices that can be used broadly across scientific disciplines as a mechanism for consensus on scientific integrity standards and to better equip scientists to operate in a rapidly changing research environment. The two principles that represent the umbrella under which scientific processes should operate are as follows: Foster a culture of integrity in the scientific process. Evidence-based policy interests may have legitimate roles to play in influencing aspects of (...) the research process, but those roles should not interfere with scientific integrity. The nine best practices for instilling scientific integrity in the implementation of these two overarching principles are Require universal training in robust scientific methods, in the use of appropriate experimental design and statistics, and in responsible research practices for scientists at all levels, with the training content regularly updated and presented by qualified scientists. Strengthen scientific integrity oversight and processes throughout the research continuum with a focus on training in ethics and conduct. Encourage reproducibility of research through transparency. Strive to establish open science as the standard operating procedure throughout the scientific enterprise. Develop and implement educational tools to teach communication skills that uphold scientific integrity. Strive to identify ways to further strengthen the peer review process. Encourage scientific journals to publish unanticipated findings that meet standards of quality and scientific integrity. Seek harmonization and implementation among journals of rapid, consistent, and transparent processes for correction and/or retraction of published papers. Design rigorous and comprehensive evaluation criteria that recognize and reward the highest standards of integrity in scientific research. (shrink)

Dementia has rapidly become a major global health crisis. As the aging population continues to increase, the burden increases commensurately on both individual and societal levels. The behavioral and psychological symptoms of dementia are a prominent clinical feature of Alzheimer’s disease and related dementias. BPSD represent a myriad of manifestations that can create significant challenges for persons living with dementia and their care providers. As such, BPSD can result in detriments to social interaction with others, resulting in harm to the (...) psychosocial health of the person with dementia. While brain deterioration can contribute to BPSD as the disease progresses, it may be confounded by language and communication difficulties associated with ADRD. Indeed, when a person with dementia cannot effectively communicate their needs, including basic needs such as hunger or toileting, nor symptoms of pain or discomfort, it may manifest as BPSD. In this way, a person with dementia may be attempting to communicate with what little resources are available to them in the form of emotional expression. Failing to recognize unmet needs compromises care and can reduce quality of life. Moreover, failing to fulfill said needs can also deteriorate communication and social bonds with loved ones and caregivers. The aim of this review is to bring the differential of unmet needs to the forefront of BPSD interpretation for both formal and informal caregivers. The overarching goal is to provide evidence to reframe the approach with which caregivers view the manifestations of BPSD to ensure quality of care for persons with dementia. Understanding that BPSD may, in fact, be attempts to communicate unmet needs in persons with dementia may facilitate clinical care decisions, promote quality of life, reduce stigma, and foster positive communications. (shrink)

For those open to the possibility that philosophical thought can improve life, David Hume's Essays: Moral, Political, and Literary have something to say. In the first comprehensive study of the Essays, Margaret Watkins engages closely with these neglected texts and shows how they provide important insights into Hume's perspective on the breadth and depth of human life, arguing that the Essays reveal his continued commitment to philosophy as a discipline that can promote both social and individual progress. Addressing topics (...) such as politics, war, slavery, the priesthood, the development of industry, aesthetics, emotional disorders, egoism, friendship, sexuality, gender relations, and the nature of philosophy itself, the volume examines Hume's purposes and aims against the backdrop of the eighteenth century society in which he lived. It will be of interest to scholars of modern thought in philosophy, politics, history, and economics. (shrink)

If it can be argued that companies should engage with social justice advocacy, what factors might deter them from doing so? This question is pursued in a qualitative research study with participants from corporate and social justice organisations. Six inhibiting factors are identified: a lack of understanding of social justice concepts; fear of reputational risk; short-term profit orientation; a compliance mindset; disconnectedness from operating environment; and recognition that business purpose will determine its societal engagement. This research extends the theoretical and (...) practice boundaries of corporate social responsibility, while also advocating for an intensified engagement of management education with social justice in practice. (shrink)

It is natural to think that sight is distinctive amongst the senses in that we typically see ordinary objects directly, rather than seeing a visual equivalent to a sound or odour. It is also natural to think that sounds and odours (like rainbows and holograms) are sensibilia, in that they are each intimately related to just one of our senses. In this chapter, I defend these natural-seeming claims. I present a view on which odours are indeed sensibilia, a claim that (...) is in need of defence when confronted with the suggestion that they are clouds of molecules. Furthermore, I argue that odours and rainbows, whilst both sensibilia, differ in ways that reflect their different roles for perceivers. (shrink)

There is a strong case to be made for thinking that an obscure logic, KR, is better than classical logic and better than any relevant logic. The argument for KR over relevant logics is that KR counts disjunctive syllogism valid, and this is the biggest complaint about relevant logics. The argument for KR over classical logic depends on the normativity of logic and the paradoxes of implication. The paradoxes of implication are taken by relevant logicians to justify relevant logic, but (...) considerations on the normativity of logic show that only some of the paradoxes of implication are genuine. KR avoids all the genuine paradoxes of implication, unlike classical logic. Overall, KR avoids the genuine paradoxes of implication and avoids the major objection to relevant logics. This combination of features provides strong reason to give KR a place in the conversation about the right logic. (shrink)

Alternative food movements work to create more environmentally and economically sustainable food systems, but vary widely in their advocacy for social, racial and environmental justice. However, even those food justice activists explicitly dedicated to equity must respond to the unintended consequences of their work. This paper analyzes the work of activists in Oakland, CA, who have increasingly realized that their gardens, health food stores and farm-to-table restaurants play a role in what scholars have called green gentrification, the upscaling of neighborhoods (...) through the creation of environmental amenities. Gentrification has had grave consequences for the low-income communities of color that food justice activists seek to serve. Activists are reflexive about this dynamic, and have developed strategies to push back against displacement. Most commonly, non-profit organizations and individual social entrepreneurs found businesses that seek to raise the profile of people of color in the trendy Oakland food scene while employing long-term residents in well-paying, green jobs. However, while these efforts are an essential component of a broader agenda to create both food justice and development without displacement, even these relatively high paying “good food jobs” cannot keep up with escalating rents. For this reason, we also highlight the direct action and policy-oriented strategies engaged by a smaller number of food justice activists, and argue that these are necessary compliments to a market-based approach. (shrink)

Do time travellers retain their normal freedom and abilities when they travel back in time? Lewis, Horwich and Sider argue that they do. Time-travelling Tim can kill his young grandfather, his younger self, or whomever else he pleases—and so, it seems can reasonably deliberate about whether to do these things. He might not succeed. But he is still just as free as a non-time traveller. I’ll disagree. The freedom of time travellers is limited by a rational constraint. Tim can’t reasonably (...) deliberate on killing his grandfather, certain that he’ll fail. If Tim follows his evidence, and appropriately self-predicts, he will be certain he won’t kill his grandfather. So if Tim is both evidentially and deliberatively rational, he can’t deliberate on killing his grandfather. This result has consequences. Firstly, it shows how evidential limits in the actual world contribute to our conception of the future as open. Secondly, it undercuts arguments against the possibility of time travel. Thirdly, it affects how we evaluate counterfactuals in time travel worlds, as well as our own. I’ll use the constraint to motivate an evidential and temporally neutral method of evaluating counterfactuals that holds fixed what a relevant deliberating agent has evidence of, independently of her decision. Using this method, an agent’s local abilities may be affected by what happens globally at other times, including the future. (shrink)

This article argues for a realist conception of human needs. By ‘realist’ we mean that certain fundamental needs are categorically distinct from consumer wants, holding independently of people's subjective beliefs as objective life requirements. These basic needs, we contend, are baseline measures of social justice in the sense that no society that does not prioritise their satisfaction can be legitimate. The paper concludes with a comprehensive response to seven core objections to our position.

In addition to ensuring that appropriate standards of evidence are employed when attempting to identify adaptations, researchers should investigate all nonevolutionary factors that could potentially explain their results. Evolutionary analyses may be undermined by alternative, non-evolutionary explanations either because not all relevant information is included in an evolutionary analysis, or because inappropriate methods incapable of detecting an adaptation are employed.

Good communication is vital in healthcare both among healthcare professionals and be tween healthcare professionals and their patients And well written documents describing and or explaining the information in structured databases may be easier to comprehend more edifying and even more convincing than the structured data even when presented in tabu lar or graphic form Documents may be automatically generated from structured data using techniques from the eld of natural language generation These techniques are concerned with how the content organisation (...) and language used in a document can be dynamically selected depending on the audience and context They have been used to generate health education ma terials explanations and critiques in decision support systems and medical reports and progress notes.. (shrink)

These authors describe their relationships with nature and childhood in the context of major Western traditions of philosophy and religion.