The importance of patients taking an active role in their healthcare is recognized internationally, to improve safety and effectiveness in practice. There is still, however, some ambiguity about the conceptualization of that patient role; it is referred to interchangeably in the literature as engagement, involvement, and participation. The aim of this discussion paper is to examine and conceptualize the concepts of patient engagement, involvement, and participation within healthcare, particularly nursing. The concepts were found to have semantic differences and similarities, although, (...) from a nursing perspective, they can be summoned to illustrate the establishment of a mutual partnership between a patient and a nurse. The individualization of such processes requires the joint effort of engagement, involvement, or participation, represented by interactive actions of both the patient (asking questions, telling/speaking up, knowledge acquisition, learning, and decision‐making) and the nurse (recognizing, responding, information sharing, teaching, and collaborating). Suggesting that the concepts can be used interchangeably comes with some caution, requiring that nurses embrace patients playing a role in their health and healthcare. Further research and practice development should focus on how patients and nurses receive and respond to each other to establish patient engagement, involvement, and participation. (shrink)

Within the rough ground that is the field of education there is a complex web of ethical obligations: to prepare our students for their future work; to be ethical as educators in our conduct and teaching; to the ethical principles embedded in the contexts in which we work; and given the Southern context of this work, the ethical obligations we have to this land and its First Peoples. We put out a call to colleagues whose work has been concerned with (...) the pedagogies of professional ethics, the ethical burdens of institutional injustice, and the application of ethical theory to education’s applied fields. In the responses we received it can be seen that ethical concerns in education are broad ranging, covering terrain varying from the preparation of preservice teachers, ethics in higher education, early childhood and care, educational leadership, relational and communicative ethics. Perhaps it could also be argued that this paper demonstrates Gibbon’s observation that ‘Assumptions about the particularity of this time as new and ripe with opportunity to make a difference through philosophy of education are not new and there’s much to learn from the persistence of wanting to imagine that they are’. However, while the field of ethics is perennially concerned with human relations and pedagogical interventions to improve these, the responses collected here show that educational ethics is far from static. Educational ethics is a field that continues to develop in response to changing contexts. (shrink)

This book describes the application of Artificial Life simulation to evolutionary scenarios of wide ethical interest, including the evolution of altruism, rape and abortion, providing a new meaning to “experimental philosophy”. The authors also apply evolutionary ALife techniques to explore contentious issues within evolutionary theory itself, such as the evolution of aging. They justify these uses of simulation in science and philosophy, both in general and in their specific applications here.Evolving Ethics will be of interest to researchers, enthusiasts, students and (...) interested lay readers in the fields of Artificial Life, philosophy of science, ethics, agent- and individual-based modeling in ecology and the social sciences, computer simulation, evolutionary biology, evolutionary psychology and the social sciences.Dr Steven Mascaro is a researcher in computer simulation and Artificial Life.Dr Kevin Korb is a Reader in the Clayton School of Information Technology, Monash University.Dr Ann Nicholson is an Associate Professor in the Clayton School of Information Technology, Monash University.Owen Woodberry is a researcher in the Clayton School of Information Technology, Monash University. (shrink)

This white paper outlines the plans of the History Philosophy Culture Working Group of the Next Generation Event Horizon Telescope Collaboration.

There is a kinship between Owen Flanagan's The Really Hard Problem and William James's The Varieties of Religious Experience that not only can help us to understand Flanagan's book but also can help scholars, particularly scholars of religion, to be attentive to an important development in the realm of the "spiritual but not religious." Specifically, Flanagan's book continues a tradition in philosophy, exemplified by James, that addresses questions of religious or spiritual meaning in terms accessible to a broad audience outside (...) the context of organized religions. Both James and Flanagan are concerned to refute the popular perception that the sciences of the mind pose a threat to meaning and particularly to meaningful processes of human growth and transformation. Where James used the subconscious to bridge between science and religion and persuade his readers of the reality of the More, Flanagan uses a scientifically grounded understanding of transcendence to enchant his readers into believing in Less. Although I think that Flanagan's attempt to link the psychological and sociocultural levels of analysis via the concept of transcendence is scientifically premature, his attempt at a naturalistic spirituality raises questions of definition that scholars of religion need to take seriously. (shrink)

Ansel Adams, Robert Adams, Carlos Almaraz, Robert Arneson, John Baldessari, Lewis Baltz, Robert Bechtle, Jeff Brouws, Laurie Brown, Angela Buenning, Darlene Campbell, Mark Campbell, Gary Carlos, Fandra Chang, Stephane Couturier, Robert Dawson, Joe Deal, Richard Diebenkorn, John Divola, Beth Yarnelle Edwards, Kota Ezawa, William A. Garnett, Jeff Gillette, Joe Goode, Todd Hido, David Hockney, Salomon Huerta, Robert Isaacs, Thomas Lawson, Jean Lowe, Alex MacLean, Richard Meisinger, Jr., Richard Misrach, Rick Monzon, Barrie Mottishaw, Martin Mull, Deborah Oropallo, Bill Owens, Rondal (...) Partridge, John Register, Ed Ruscha, Peter Saul, Mary Snowden, Joel Sternfeld, Larry Sultan, Rudy Vanderlans, Camilo Jose Vergara, Henry Wessel, Amir Zaki. (shrink)

This paper offers a new interpretation of Kant's relationship with skepticism in the Groundwork for the Metaphysics of Morals. My position differs from commonly held views in the literature in two ways. On the one hand, I argue that Kant's relationship with skepticism is active and systematic (contrary to Hill, Wood, Rawls, Timmermann, and Allison). On the other hand, I argue that the kind of skepticism Kant is interested in does not speak to the philosophical tradition in any straightforward sense (...) (contrary to Forster and Guyer). On my reading, Kant takes up a skeptical method in the Groundwork as a way of exposing certain obstacles in our ordinary and philosophical thinking about morality. The central obstacle he is interested in is practical in character, arising from a natural tendency we have to rationalize against the moral law. In attempting to resolve this tendency, I argue, the Groundwork turns out to have a profoundly educative task. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Wild Justice: A Study of Euripides’ HecubaGeorgia Ann MachemerMossman, Judith. Wild Justice: A Study of Euripides’ Hecuba. Oxford: Clarendon Press, 1995. xiv 1 283 pp. Cloth, $55. (Oxford Classical Monographs)Judith Mossman’s monograph on Euripides’ Hecuba deserves its accolades. It is well-written, well-argued, and shows a quality sometimes lacking in today’s publish-or-perish world, scholarly integrity. Sceptical of the theses she seeks to refute, Mossman nevertheless adopts no arrogant poses, (...) but carefully weighs the merits of each position before casting it aside. Having found questions in a vast array of comparative and critical material, she meticulously develops answers from the ancient evidence itself, comprehensively drawing into one orbit not just classical Greek poetry and Attic tragedies, but also a variety of prose works, both early and late. In no way arbitrary, her comment avoids easy solutions garnered from contemporary fields of thought and faces even intractable textual problems head-on. With its sights high, the book never wanders wide of the mark, claiming neither too much nor too little. Nor does it pretend to [End Page 134] a fashionable last word on its subject, preferring rather to advance a tradition of interpretation so that those who later raise objections will happily find themselves engaged in a dialogue with its author in the common search for new insights.Dr. Mossman’s obvious admiration for Hecuba is affirmed by the play’s history as a select text in the Byzantine manuscript tradition, and, as she demonstrates in her “Epilogue” (210–43), by the esteem accorded it in subsequent ages, especially the Renaissance, which considered it an ancient type of the then popular revenge tragedy. As I lack the background, however, to judge her winning treatment of Hecuba’s Renaissance heritage, I shall confine my remarks here to her presentation of the play’s internal dramatic excellence. This I found to be well conceived, thorough, and convincing.The opening chapters on antecedent myth, the structural unity of spoken dialogue with conjectured stage spectacle, and the dramatic integration of the chorus serve as a suitable warm-up for the more controversial topics of the later chapters. Of these preliminary exercises I was most taken by Mossman’s reconstruction of the play’s original staging and its possible effect on the contemporary audience (chapter 2). It was a good idea to pay attention to this experiential dimension at the outset. By doing so the author alerts her readers not only to the natural indeterminacy of dramatic texts, but also to the enormous gap between our literary readings of ancient plays and our perusal of them as vehicles for performances, ancient or otherwise. Mossman plays this critical game well. What she says is lucid and enlivening. Nevertheless, the heart of her discussion lies elsewhere, in the chapters on Euripides’ “rhetoric as a characterizing force” (94), Polyxena’s heroic sacrificial death, and the justice of Hecuba’s savage revenge.In these chapters Mossman successfully takes up the cudgel, first against the rhetorical formalists who argue that characters in Greek tragedies are often poorly motivated, inconsistent, generalized types that have been created largely without regard to individualizing details of the plot, a view sometimes wrongly attributed to Aristotle (see especially the excursus on Aristotle, 138–41); she then counters Nicole Loraux’s post-Freudian, feminist belief in the erotic nature of Polyxena’s sacrifice (Tragic Ways of Killing a Woman, tr. Anthony Forster [Harvard 1987; orig. publ. Paris 1985] 56–61); and finally she argues against the many who, like Martha Nussbaum (The Fragility of Goodness [Cambridge 1986] 408, 414–16) claim that in the play’s second half Hecuba degenerates into subhuman brutality.As regards character development, Mossman contends that what we see in ancient drama is never a change of ethos, but the interplay of ethos and events and the delineation of “successive emotions which arise in response to successive situations” (102). As in the rhetorical handbooks, speeches must be judged by their appropriateness to type of both speaker and addressee and to the specifics of the individual case. Using these ancient principles, Mossman reviews the speeches of the play and, by means of their opposing and... (shrink)

This is the first book to offer the best essays, articles, and speeches on ethics and intelligence that demonstrate the complex moral dilemmas in intelligence collection, analysis, and operations. Some are recently declassified and never before published, and all are written by authors whose backgrounds are as varied as their insights, including Robert M. Gates, former Director of the Central Intelligence Agency; John P. Langan, the Joseph Cardinal Bernardin Professor of Catholic Social Thought at the Kennedy Institute of Ethics, Georgetown (...) University; and Loch K. Johnson, Regents Professor of Political Science at the University of Georgia and recipient of the Owens Award for contributions to the understanding of U.S. intelligence activities. Creating the foundation for the study of ethics and intelligence by filling in the gap between warfare and philosophy, this is a valuable collection of literature for building an ethical code that is not dependent on any specific agency, department, or country. (shrink)

When in 1866 American publisher Ticknor and Fields released St. Martin's Summer, Anne Hampton Brewster's second full-length novel, she was already the author of more than fifty short stories, poems, and essays that had appeared in such prominent venues as Godey's Lady's Book, Graham's American Monthly Magazine, Neal's Saturday Gazette, Lippincott's Magazine, the Atlantic Monthly, and Peterson's.1 Nonetheless, Brewster and this imaginative transformation of her first European Grand Tour in 1857–58, including interactions with utopian visionary and politician Robert Dale Owen, (...) remain relatively unknown in literary and utopian studies.2 St. Martin's Summer deserves more attention, especially among the latter, for the... (shrink)

Shaping the Normative Landscape is an investigation of the value of obligations and of rights, of forgiveness, of consent and refusal, of promise and request. David Owens shows that these are all instruments by which we exercise control over our normative environment.

We call beliefs reasonable or unreasonable, justified or unjustified. What does this imply about belief? Does this imply that we are responsible for our beliefs and that we should be blamed for our unreasonable convictions? Or does it imply that we are in control of our beliefs and that what we believe is up to us? Reason Without Freedom argues that the major problems of epistemology have their roots in concerns about our control over and responsibility for belief. David (...) class='Hi'>Owens focuses on the arguments of Descartes, Locke and Hume - the founders of epistemology - and presents a critical discussion of the current trends in contemporary epistemology. He proposes that the problems we confront today - scepticism, the analysis of knowlege, and debates on epistemic justification - can be tackled only once we have understood the moral psychology of belief. This can be resolved when we realise that our responsibility for beliefs is profoundly different from our rationality and agency, and that memory and testimony can preserve justified belief without preserving the evidence which might be used to justify it. Reason Without Freedom should be of value to those interested in contemporary epistemology, philosophy of mind and action, ethics, and the history of 17th and 18th century. (shrink)

The co-instantiation thesis is pivotal to a significant solution to the problem of causal exclusion. But this thesis has been subject to some powerful objections. In this paper, I argue that these difficulties arise because the thesis lacks the necessary metaphysical framework in which its claims should be interpreted and understood. Once this framework is in place, we see that the co-instantiation thesis can answer its critics. The result is a rehabilitated co-instantiation solution to the troubling problem of causal exclusion. (...) But questions remain concerning the viability of certain of its applications. (shrink)

In an important departure from theories of causation, David Owens proposes that coincidences have no causes, and that a cause is something which ensures that its effects are no coincidence. In Causes and Coincidences, he elucidates the idea of a coincidence as an event which can be analysed into constituent events, the nomological antecedents of which are independent of each other. He also suggests that causal facts can be analysed in terms of non-causal facts, including relations of necessity. Thus, (...) causation is defined in terms of coincidence, and coincidence without reference to causation. David Owens challenges the ideas associated with Hume, Davidson and Lewis, constructing a theory which distinguishes nomological necessity and sufficiency from their logical counterparts. He is able to offer novel solutions to the major problems of causation, including the direction of causation, the logical form of causal statements, the distinction betwen causal connections and logical connections, and the relationship between psychological and physical causation. (shrink)

Why do human beings make and accept promises? What human interest is served by this procedure? Many hold that promising serves what I shall call an information interest, an interest in information about what will happen. And they hold that human beings ought to keep their promises because breaches of promise threaten this interest. On this view human beings take promises seriously because we want correct information about how other human beings are going to act. Some such view is taken (...) for granted by most philosophical accounts of promissory obligation.1 I agree that human beings do want such information and that they often get it by accepting promises. But I doubt that promising exists because it serves this information interest. (shrink)

One way of discerning what sort of control we have over our mental lives is to look at cases where that control is not exercised. This is one reason why philosophers have taken an interest in the phenomenon of akrasia, in an agent's ability to do, freely and deliberately, something that they judge they ought not to do. Akrasia constitutes a failure of control but not an absence of control. The akratic agent is not a compulsive; an akratic agent has (...) the ability to control their action, to make it conform to their judgement, but they fail to exercise that ability. They freely and deliberately give in to temptation. (shrink)

This article analyzes the experiences of ecologists who used data they did not collect themselves. Specifically, the author examines the processes by which ecologists understand and assess the quality of the data they reuse, and investigates the role that standard methods of data collection play in these processes. Standardization is one means by which scientific knowledge is transported from local to public spheres. While standards can be helpful, the results show that knowledge of the local context is critical to ecologists' (...) reuse of data. Yet, this information is often left behind as data move from the private to the public world. The knowledge that ecologists acquire through fieldwork enables them to recover the local details that are so critical to their comprehension of data collected by others. Social processes also play a role in ecologists' efforts to judge the quality of data they reuse. (shrink)

This paper critically examines the extent to which health promoting wearable technologies can provide people with greater autonomy over their health. These devices are frequently presented as a means of expanding the possibilities people have for making healthier decisions and living healthier lives. We accept that by collecting, monitoring, analysing and displaying biomedical data, and by helping to underpin motivation, wearable technologies can support autonomy over health. However, we argue that their contribution in this regard is limited and that—even with (...) respect to their ‘autonomy enhancing’ potential—these devices may deliver costs as well as benefits. We proceed by rehearsing the distinction that can be drawn between procedural autonomy and substantive-relational autonomy. While the information provided by wearable technologies may support deliberation and decision-making, in isolation these technologies do little to provide substantive opportunities to act and achieve better health. As a consequence, wearable technologies risk generating burdens of anxiety and stigma for their users and reproducing existing health inequalities. We then reexamine the extent to which wearable technologies actually support autonomous deliberation. We argue that wearable technologies that subject their users to biomedical and consumerist epistemologies, norms and values also risk undermining processes of genuinely autonomous deliberation. (shrink)

Dispositional compatibilists argue that a proper understanding of our abilities vindicates both compatibilism and the principle of Alternate Possibilities (the claim that the ability to do otherwise is required for freedom and moral responsibility). In this paper, I argue that this is mistaken. Both analyses of dispositions and abilities should distinguish between local and global dispositions or abilities. Once this distinction is in place, we see that neither thesis is established by an analysis of abilities.

Two models of assertion are described and their epistemological implications considered. The assurance model draws a parallel between the ethical norms surrounding promising and the epistemic norms which facilitate the transmission of testimonial knowledge. This model is rejected in favour of the view that assertion transmits knowledge by expressing belief. I go on to compare the epistemology of testimony with the epistemology of memory.

Chapter One THE PROBLEM OF BEING IN THE METAPHYSICS TO determine whether the notion of Being in Alexander of Hales is Aristotelian or Platonic, a recent historian seeks his criterion in "the gradual separation of the Aristotelian ...

Joseph Owens presents an introduction to metaphysics designed to develop in the reader a habitus of thinking. Using original Thomistic texts and Etienne Gilson's interpretation of St. Thomas Aquinas, Owens examines the application of metaphysical principles to the issues that arise in a specifically Christian environment. An Elementary Christian Metaphysics focuses on questions of existence and the nature of revealed truths. Following his historical introduction to metaphysics, Owens provides a general investigation of the first principles and causes (...) of being and also a study of knowledge and of the divine nature and attributes in light of natural reason. "Irrespective of one's intellectual genotype, an exposure to the sustained, developmental elucidation of Aquinas' insights executed by an author such as Owens can only enhance any metaphysical approach to reality." --The New Scholastic "An Elementary Christian Metaphysics is intended primarily for undergraduate students as an introduction to metaphysics. . . . The scope of the metaphysical study pursued by Owens includes not only a general investigation of beings but also an analysis of knowledge (epistemology) and of the divine nature, all in light of natural reason." --Studies in Religion Joseph Owens (1908-2005) taught philosophy at the Pontifical Institute of Mediaeval Studies and the University of Toronto for forty years. He is the author of a number of books, including An Interpretation of Existence, also published by the University of Notre Dame Press. (shrink)

I argue that a gendered division of labor is often the result of choices by women that count as fully voluntary because they are an expression of preferences and commitments that reflect women's understanding of their own good. Since liberalism has a commitment to respecting fully voluntary choices, it has a commitment to respecting these gendered choices. I suggest that justified political action may require that we fail to respect some people's considered choices.

Do we control what we believe? Are we responsible for what we believe? In a series of ten essays David Owens explores various different forms of control we might have over belief, and the different forms of responsibility these forms of control generate.

The essence of religion was once widely thought to be a unique form of experience that could not be explained in neurological, psychological, or sociological terms. In recent decades scholars have questioned the privileging of the idea of religious experience in the study of religion, an approach that effectively isolated the study of religion from the social and natural sciences. Religious Experience Reconsidered lays out a framework for research into religious phenomena that reclaims experience as a central concept while bridging (...) the divide between religious studies and the sciences. Ann Taves shifts the focus from "religious experience," conceived as a fixed and stable thing, to an examination of the processes by which people attribute meaning to their experiences. She proposes a new approach that unites the study of religion with fields as diverse as neuroscience, anthropology, sociology, and psychology to better understand how these processes are incorporated into the broader cultural formations we think of as religious or spiritual. Taves addresses a series of key questions: how can we set up studies without obscuring contestations over meaning and value? What is the relationship between experience and consciousness? How can research into consciousness help us access and interpret the experiences of others? Why do people individually or collectively explain their experiences in religious terms? How can we set up studies that allow us to compare experiences across times and cultures? Religious Experience Reconsidered demonstrates how methods from the sciences can be combined with those from the humanities to advance a naturalistic understanding of the experiences that people deem religious. (shrink)

Ann Whittle offers a fresh approach to questions about whether our actions are free and whether we are morally responsible for them. She argues that the answers to these questions depend on the contexts in which we make claims about our abilities and our control over our actions.

Companies increasingly seek to use gay protagonists in audio-visual commercials to attract a new affluent target group. There is also growing demand for the diversity present in society to be reflected in media formats such as advertising. Studies have shown, however, that heterosexual consumers, who may be part of the company's loyal consumer base, tend to react negatively to gay-themed advertising campaigns. Searching for an instrument to mitigate this unwanted effect, the present study investigated whether carefully selected background music can (...) shape the perceived gender of gay male advertising protagonists. In a 2 × 2 between-subjects online experiment, 218 heterosexual participants watched a commercial promoting engagement rings that featured gay male protagonists, scored with feminine- or masculine-connoted background music. As expected, women generally reacted more positively than men to the advertising. Men exposed to the masculine-connoted background music rated the promoted brand more positively, and masculine music also enhanced these men's acceptance of gay men in general more than was the case for feminine background music. Carefully selected background music affecting the perceived gender of gay male advertising protagonists may prevent negative reactions from heterosexual audiences and, therefore, motivate companies to use gay protagonists in television commercials on a more regular basis. (shrink)

The A-Theory of time has long struggled with the results of special relativity. One proposed solution is to stipulate the existence of a physically or metaphysically privileged frame which defines the global present for all observers. Recently this proposal has cropped up in literature on spatially closed universes (SCUs) which seem to naturally instantiate such structures. This paper examines the privileged frame proposal through the lens of SCUs, arguing that even in these space-times which seem overwhelmingly friendly to A-theoretic accounts (...) the theory face insurmountable challenges. (shrink)

In this major new assessment of Hannah Arendt's writings on International Relations Patricia Owens provides a compelling case for Arendt's continued relevance to debates about suicide bombing; genocide; the ethics of war; civilian casualties; and the dangers of lies and hypocrisy in wartime.

Stress in health care is affected by moral factors. When people are prevented from doing ‘good’ they may feel that they have not done what they ought to or that they have erred, thus giving rise to a troubled conscience. Empirical studies show that health care personnel sometimes refer to conscience when talking about being in ethically difficult everyday care situations. This study aimed to construct and validate the Stress of Conscience Questionnaire (SCQ), a nine-item instrument for assessing stressful situations (...) and the degree to which they trouble the conscience. The items were based on situations previously documented as causing negative stress for health care workers. Content and face validity were established by expert panels and pilot studies that selected relevant items and modified or excluded ambiguous ones. A convenience sample of 444 health care personnel indicated that the SCQ had acceptable validity and internal consistency (Cronbach’s alpha exceeded 0.83 for the overall scale). Explorative factor analysis identified and labelled two factors: ‘internal demands’ and ‘external demands and restrictions’. The findings suggest that the SCQ is a concise and practical instrument for use in various health care contexts. (shrink)

Worries about the possibility of consent recall a more familiar problem about promising raised by Hume. To see the parallel here we must distinguish the power of consent from the normative significance of choice. I'll argue that we have normative interests, interests in being able to control the rights and obligations of ourselves and those around us, interests distinct from our interest in controlling the non-normative situation. Choice gets its normative significance from our non-normative control interests. By contrast, the possibility (...) of consent depends on a species of normative interest that I'll call a permissive interest, an interest in its being the case that certain acts wrong us unless we declare otherwise. In the final section, I'll show how our permissive interests underwrite the possibility of consent. (shrink)

Reports of children participating in hunger strikes while detained in offshore detention centres raise interrelated ethical issues and recognizable challenges for the medical decision-makers at these sites. A composite case study, informed by reports in the public domain, is employed to explore the unique challenges of consent and decision-making in these circumstances and the perennial issues inherent in adolescents’ developing capacity and autonomy. We present an amalgamated case of a fourteen-year-old adolescent who refused to consent to medical reversal of her (...) hunger strike protest. The medical team became the final arbiter when her parents, who were also in detention, could not agree with each other even after mediation. The case explores the complexity of evaluating the adolescent’s capacity to provide informed consent while influenced by the opinions of co-detainees in this extreme setting. We argue that the parents and the child had compromised decisional capacity due to the effects of detention. The challenges to the medical team are recognized and discussed. The team members faced a difficult dilemma and considered the competing values of the multiple cultural and ethical factors. Each team member integrated his or her own roles, duties, and discipline-specific professional guidelines with the primary goal of mitigating potential harms. (shrink)

It is widely held that one who sincerely promises to do something must at least intend to do that thing: a promise communicates the intention to perform. In this paper, I argue that a promise need only communicate the intention to undertake an obligation to perform. I consider examples of sincere promisors who have no intention of performing. I argue that this fits well with what we want to say about other performatives - giving, commanding etc. Furthermore, it supports a (...) theory of promissory obligation which I have advocated elsewhere - the authority interest theory - against the orthodox information interest theory. (shrink)