In his State of the Union address on January 31, 2006, President George W. Bush asserted: “for all Americans, we must confront the rising cost of care, strengthen the doctor-patient relationship, and help people afford the insurance coverage they need.” Soon thereafter, the White House National Economic Council released a summary of President Bush's plans for health care reform. The Bush plan argues that increased consumer control over health care purchasing decisions will go a long way to solving America's health (...) care woes. By making patients more value-conscious consumers, the Bush Administration hopes to reduce costs, improve quality and increase competition within the health care sector.The problem of rising health care costs is not new. In fact, President Bush's statement could have come from any American President in the last fifty years. (shrink)

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Objectives To determine the role played by law in medical specialists9 decision-making about withholding and withdrawing life-sustaining treatment from adults who lack capacity, and the extent to which legal knowledge affects whether law is followed. Design Cross-sectional postal survey of medical specialists. Setting The two largest Australian states by population. Participants 649 medical specialists from seven specialties most likely to be involved in end-of-life decision-making in the acute setting. Main outcome measures Compliance with law and the impact of legal knowledge (...) on compliance. Results 649 medical specialists (of 2104 potential participants) completed the survey (response rate 31%). Responses to a hypothetical scenario found a potential low rate of legal compliance, 32% (95% CI 28% to 36%). Knowledge of the law and legal compliance were associated: within compliers, 86% (95% CI 83% to 91%) had specific knowledge of the relevant aspect of the law, compared with 60% (95% CI 55% to 65%) within non-compliers. However, the reasons medical specialists gave for making decisions did not vary according to legal knowledge. Conclusions Medical specialists prioritise patient-related clinical factors over law when confronted with a scenario where legal compliance is inconsistent with what they believe is clinically indicated. Although legally knowledgeable specialists were more likely to comply with the law, compliance in the scenario was not motivated by an intention to follow law. Ethical considerations (which are different from, but often align with, law) are suggested as a more important influence in clinical decision-making. More education and training of doctors is needed to demonstrate the role, relevance and utility of law in end-of-life care. (shrink)

Graphical AbstractIdentifying the properties and molecules of the intestinal microbiome may help our understanding of various diseases and therefore facilitate their treatment; from excluding pathogens to manipulation of the immune system and regulation of non-intestinal sites.

Adaptations made by agrarian households in the face of global change risks are largely dependent on their livelihood goals. I argue that adaptation-limit research is crucial to many agrarian development programs because a focus on adaptation limits may allow researchers and practitioners to better understand and support successful adaptation and allow smallholders to pursue their goals. In this study of smallholder farming in Northwest Costa Rica, I found that security and the unique parcelero identity of rice farmers in this region (...) define livelihood goals. I show that an understanding of the multidimensionality and fluidity of farmer livelihood goals may enrich our current understanding of actor-centered adaptation limits as insurmountable thresholds. In response to worsening global change risks, farmers in this study traded off certain goals to pursue others. In this way, farmers do not perceive adaptation limits as insurmountable. Alternative indicators of adaptation limits did exist; irreversibility in adaptation and the great hardship associated with tradeoffs among livelihood goals may mark adaptation limits. (shrink)

The central claim of this essay is that Édouard Glissant’s concept of “opacity” is most fruitfully understood not as a built-in protection of a population or as a summary term for cultural difference, but rather as a political accomplishment. That is, opacity is not a given but an achievement. Taken up in this way, opacity is relevant for ongoing decolonial work today.

This article examines how Hannah Arendt’s idea of a “right to have rights” could travel in the Americas. It offers a reading of the right to have rights that foregrounds the right to land as a basic right. This reading emerges through an attention to contemporary Indigenous social movements and political philosophy. Taken together, this examination and reading ask justice-oriented actors to support land back movements as part of a broader practice of defending human rights and situating those rights within (...) a responsibility to land. (shrink)

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This essay responds to John McDermott’s diagnosis of politics and religious life in the U.S.: “[B]oth traditional political and religious institutions are no longer an adequate let alone rich resource for a celebratory language.” I present a new celebratory language by reading William James’s description of saintliness in Varieties of Religious Experience. James gives me the resources to naturalize and democratize saintliness. Distinguished not by her transcendent miracles but by her this-worldly energies and experiments, the pragmatic saint remakes the experience (...) of her community through celebration, a form of appreciation and criticism exemplified in engaged art. My ethical and aesthetic description of the saint thus builds on E. Paul Colella’s recent political description of the saint as the “strenuous citizen.”. (shrink)

Davis demonstrates how Simone Weil's Marxism challenges current neoliberal understandings of the self and of human rights. Explaining her related critiques of colonialism and of political parties, it presents Weil as a twentieth-century political philosopher who anticipated and critically responded to the most contemporary political theory.

The paper explores how the framework of systemic risks can help govern the risks imposed through solar climate engineering research. The central argument is that a systemic perspective of risk is a useful tool for analysing and assessing the risks imposed through Stratospheric Aerosol Injection (SAI) research. SAI is a form of climate engineering that could cool the planet by enhancing its albedo through the injection of aerosols into the stratosphere. Researching such a technology creates systemic risks with a strong (...) sociotechnical component. This component consists of the potential societal harm that a developing or new technology might cause to existing norms, values, institutions, and politics. The systemic risk framework is a valuable heuristic for this case, given the complex interdependencies of societal systems, infrastructures, markets, etc. At the same time, the systemic risk framework can be enhanced through the inclusion of a more robust and reflected ethical considerations on technological risks. Consequently, this article seeks to supplement the systemic risk governance framework with insights from technology ethics. Specifically, the paper offers an ethically reflective conception of societal value dynamism and stakeholder engagement and participation, tying it to existing systemic risk governance approaches. (shrink)

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We investigated the accuracy of gender stereotypes regarding digital game genre preferences. In Study 1, 484 female and male participants rated their preference for 17 game genres (gender differences). In Study 2, another sample of 226 participants rated the extent to which the same genres were presumably preferred by women or men (gender stereotypes). We then compared the results of both studies in order to determine the accuracy of the gender stereotypes. Study 1 revealed actual gender differences for most genres—mostly (...) of moderate size. Study 2 revealed substantial gender stereotypes about genre preferences. When comparing the results from both studies, we found that gender stereotypes were accurate in direction for most genres. However, they were, to some degree, inaccurate in size: For most genres, gender stereotypes overestimated the actual gender difference with a moderate mean effect size. (shrink)

ABSTRACT I read a selection of Simone Weil’s political philosophy in the way that she reads Marx – as forming “not a doctrine but a method of understanding and action.” My claim is that Weil’s method is likewise twofold: she attempts to understand the world through inquiry, then she tests her understanding through action. First, I read “Reflections Concerning the Causes of Liberty and Social Oppression” (1934). In that essay, inquiry, exemplified by Weil’s calling into question the term “revolution,” is (...) her way of understanding reality around her, including forces of oppression and possibilities for liberation. Second, I read her “Factory Journal” (1934–1935), which records how she tested her theories from “Reflections” by placing herself in French factories. My conclusion states the fruits of Weil’s method for philosophy today: an interrogation of present political keywords (resistance, resilience) and a practice of philosophy as a way of life. (shrink)

In this essay, I read Stuart Hall’s idea of “politics without guarantees” as meaning that all concepts are saturated with history and that no use of a concept can prevent it from being co-opted. The contribution of this reading is that it shifts the task of critical theory: if all concepts carry limitations and can be used to advance domination, then critical theorists need not search for pure concepts or worry about how to prevent our concepts from being captured. Instead, (...) our task is to strategically leverage always already imperfect concepts with a view toward shared political goals. For an example of this kind of critical theory, I look to W. E. B. Du Bois’s uses of “human,” “humanity,” and “human rights” in Black Reconstruction, which I suggest were informed by how he came to understand “humanity” in John Brown. (shrink)

In order to consider the history of varying relationships between Marxism and post-colonial theory, the author examines sources from Edward Said’s archive housed at Columbia University’s Rare Book & Manuscript Library. He considers patterns wherein academic institutions in the Global North archive collections from or about the Global South. Thus, this essay investigates questions of history, responsibility, and coloniality in material collection, access, and distribution. But beyond this formal abstract, the essay proceeds in a decidedly personal tone. That is, the (...) author situates himself as a participant in these relationships, patterns, and questions. (shrink)

This thesis explores the ethical challenges that a potential research program for solar climate engineering via Stratospheric Aerosol Injection (SAI) could incur. These ethical challenges are comprised of epistemic hurdles in relation to the research process, as well as societal questions of justice and the value of nature. The thesis proposes a variety of tools and approaches to assess and possibly govern the risks and uncertainties invoked by the research of SAI and its societal implications. The methodological approach is based (...) mainly on ethical and philosophical analysis and reflection and the main findings take the form of discursive argumentation and normative reflection. (shrink)

This book directs discussions of critical theory to the Caribbean as a key source in the theory and practice of freedom, liberation, and justice. In dialogue with Frankfurt School Critical Theory, while highlighting contributions of Caribbean theorists, the volume offers a wider archive of Marxism as well as of social critique and construction.

About 6% of women in the world live in countries that ban all abortions, and 34% in countries that only allow abortion to preserve maternal life or health. In the USA, over the last decades—even before Dobbs v. Jackson Women’s Health Organization overturned the federal right to abortion—various states have sought to restrict abortion access. Often times, this legislation has been advanced based on legislators’ personal moral values. At the bedside, in contrast, provision of abortion care should adhere to the (...) normative principles of medical ethics and reproductive justice, centreing patients and their individual reproductive intentions and desires. Abortion regulations, through their influence on patients and providers, may facilitate or impede such ethical care at the bedside. In this paper, we present a framework to model how abortion legislation should fit into the patient–provider relationship and to clarify the dynamics by which legislation may affect healthcare encounters. Our proposed framework serves as a tool to analyse the ethical impact of abortion regulations. We propose a model for assessing abortion policies based not on legislators’ or advocates’ individual moral claims, but on the shared, normative framework of clinical medical ethics. Through contrasting case studies, we demonstrate how a robust normative ethical framework can recentre patients and their reproductive needs. Our model is one way to account for—and safeguard—patients’ diverse viewpoints and needs in the development of abortion policy, and it can serve to ground narratives for advocacy by healthcare workers and their professional organisations. (shrink)

Much of the commentary in the wake of the Charlie Gard litigation was aimed at apparent shortcomings of the law. These include concerns about the perceived inability of the law to consider resourcing issues, the vagueness of the best interests test and the delays and costs of having disputes about potentially life-sustaining medical treatment resolved by the courts. These concerns are perennial ones that arise in response to difficult cases. Despite their persistence, we argue that many of these criticisms are (...) unfounded. The first part of this paper sets out the basic legal framework that operates when parents seek potentially life-sustaining treatment that doctors believe is against a child’s best interests, and describes the criticisms of that framework. The second part of the paper suggests an alternative approach that would give decision-making power to parents, and remove doctors’ ability to unilaterally withhold or withdraw life-sustaining treatment that they regard is futile. This proposal is grounded in several values that we argue should guide these regulatory choices. We also contend that the best interests test is justifiable and since the courts show no sign of departing from it, the focus should be on how to better elucidate the underlying values driving decisions. We discuss the advantages of our proposed approach and how it would address some of the criticisms aimed at the law. Finally, we defend the current role that the judiciary plays, as an independent state-sanctioned process with a precedent-setting function. (shrink)

The challenges of the Anthropocene are growing ever more complex and uncertain, underpinned by the emergence of systemic risks. At the same time, the landscape of risk governance has become compartmentalised and siloed, characterized by non-overlapping activities, competing scientific discourses, and distinct responsibilities distributed across diverse public and private bodies. Operating across scales and disciplines, actors tend to work in silos which constitute critical gaps within the interface of science, policy, and practice. Yet, increasingly complex and ‘wicked’ problems require holistic (...) solutions, multi-scalar communication, coordination, collaboration, data interoperability, funding, and stakeholder engagement. To address these problems in a real-world context, we present the Risk-Tandem framework for bridging theory and practice; to guide and structure the integration of disaster risk management (DRM), climate change adaptation (CCA) and systemic risk management through a process of transdisciplinary knowledge co-production. Advancing the frontiers of knowledge in this regard, The Risk-Tandem framework combines risk management approaches and tools with iterative co-production processes as a cornerstone of its implementation, in efforts to promote the co-design of fit-for-purpose solutions, methods and approaches contributing toward strengthened risk governance alongside stakeholders. The paper outlines how the framework is developed, applied, and further refined within selected case study regions, including Denmark, Germany, Italy and the Danube Region. (shrink)

Emerging research has examined individual differences in affective forecasting; however, we are aware of no published study to date linking psychopathology symptoms to affective forecasting problem...

In this paper we examine the relation between technologies that aim to remediate pollution and moral responsibility. Contrary to the common view that successful remediation technologies will permit the wheels of industry to turn without interruption, we argue that such technologies do not exculpate polluters of responsibility. To make this case, we examine several environmental and non-environmental cases. We suggest that some strategies for understanding the moral problem of pollution, and particularly those that emphasise harms, exclude an important dimension of (...) morality. In lieu of these strategies, we employ the concept of respect to characterise the type of attitude that underlies many of our judgments about responsibility. (shrink)

ABSTRACTDepression is associated with increased emotional response to stress. This is especially the case during the developmental period of adolescence. Cognitive reappraisal is an effective emotion regulation strategy that has been shown to reduce the impact of emotional response on psychopathology. However, less is known about whether cognitive reappraisal impacts the relationship between depressive symptoms and emotional responses, and whether its effects are specific to emotional reactivity or emotional recovery. The current study examined whether cognitive reappraisal moderated the relationship between (...) depressive symptoms and trait or state measures of emotional reactivity and recovery. A community sample of 127 adolescents, at an age of risk for depression, completed self-report measures of trait emotional responding and depressive symptoms. In addition, they completed an in vivo social stress task and were assessed on state emotional reactivity and recove... (shrink)

We show that the actuality operator A is redundant in any propositional modal logic characterized by a class of Kripke models (respectively, neighborhood models). Specifically, we prove that for every formula ${\phi}$ in the propositional modal language with A, there is a formula ${\psi}$ not containing A such that ${\phi}$ and ${\psi}$ are materially equivalent at the actual world in every Kripke model (respectively, neighborhood model). Inspection of the proofs leads to corresponding proof-theoretic results concerning the eliminability of the actuality (...) operator in the actuality extension of any normal propositional modal logic and of any “classical” modal logic. As an application, we provide an alternative proof of a result of Williamson’s to the effect that the compound operator A□ behaves, in any normal logic between T and S5, like the simple necessity operator □ in S5. (shrink)

We suggest that the inclusion of anxiety, as one relevant mood factor, could enhance the implementation of the integrative memory model in research and the clinic. The role of anxiety in Alzheimer's disease neuroanatomy, symptomology, and progression is used as an example. Customization of the integrative memory model can establish strong foundations for pathology-specific models of memory deficits, enhancing the development of precision medicine applications.

In this paper, we describe the use of legal ontologies as a basis to improve IT support for professional judges. As opposed to most legal ontologies designed so far, which are mostly based on dogmatic and normative knowledge, we emphasize the importance of professional knowledge and experience as an important pillar for constructing the ontology. We describe an intelligent FAQ system for junior judges that intensively use the ontology.

Some time ago, Joel Katzav and Brian Ellis debated the compatibility of dispositional essentialism with the principle of least action. Surprisingly, very little has been said on the matter since, even by the most naturalistically inclined metaphysicians. Here, we revisit the Katzav–Ellis arguments of 2004–05. We outline the two problems for the dispositionalist identified Katzav in his 2004 , and claim they are not as problematic for the dispositional essentialist at it first seems – but not for the reasons espoused (...) by Ellis. (shrink)

The inconsistent definition of empathy has had a negative impact on both research and practice. The aim of this article is to review and critically appraise a range of definitions of empathy and, through considered analysis, to develop a new conceptualisation. From the examination of 43 discrete definitions, 8 themes relating to the nature of empathy emerged: “distinguishing empathy from other concepts”; “cognitive or affective?”; “congruent or incongruent?”; “subject to other stimuli?”; “self/other distinction or merging?”; “trait or state influences?”; “has (...) a behavioural outcome?”; and “automatic or controlled?” The relevance and validity of each theme is assessed and a new conceptualisation of empathy is offered. The benefits of employing a more consistent and complete definition of empathy are discussed. (shrink)

Luke in the preface of his Gospel says that he is going to write ‘in an orderly account’ (Lk 1:3). However, scholars have no consensus about the kind of order Luke is seeking. Many believe that Luke writes as a historian. Because Greco-Roman historians seem to have a practice to indicate in their prefaces the writing methodologies of their writings, this article aims to ascertain Luke’s writing order through a comparison of Luke’s two prefaces with those in the writings of (...) the Greco-Roman historians. This article proposes that Luke most likely adopts the common writing methodologies of the Greco-Roman historians and writes in chronological order. (shrink)

Physicians working in the world of competitive sports face unique ethical challenges, many of which center around conflicts of interest. Team-employed physicians have obligations to act in the club's best interest while caring for the individual athlete. As such, they must balance issues like protecting versus sharing health information, as well as issues regarding autonomous informed consent versus paternalistic decision making in determining whether an athlete may compete safely. Moreover, the physician has to deal with an athlete's decisions about performance (...) enhancement and return to play, pursuit of which may not be in the athlete's long-term best interests but may benefit the athlete and team in the short term. These difficult tasks are complicated by the lack of evidence-based standards in a field influenced by the lure of financial gains for multiple parties involved. In this article, we review ethical issues in sports medicine with specific attention paid to American professional football. (shrink)