Early in the COVID-19 pandemic there was widespread concern that healthcare systems would be overwhelmed, and specifically, that there would be insufficient critical care capacity in terms of beds, ventilators or staff to care for patients. In the UK, this was avoided by a threefold approach involving widespread, rapid expansion of critical care capacity, reduction of healthcare demand from non-COVID-19 sources by temporarily pausing much of normal healthcare delivery, and by governmental and societal responses that reduced demand through national lockdown. (...) Despite high-level documents designed to help manage limited critical care capacity, none provided sufficient operational direction to enable use at the bedside in situations requiring triage. We present and describe the development of a structured process for fair allocation of critical care resources in the setting of insufficient capacity. The document combines a wide variety of factors known to impact on outcome from critical illness, integrated with broad-based clinical judgement to enable structured, explicit, transparent decision-making founded on robust ethical principles. It aims to improve communication and allocate resources fairly, while avoiding triage decisions based on a single disease, comorbidity, patient age or degree of frailty. It is designed to support and document decision-making. The document has not been needed to date, nor adopted as hospital policy. However, as the pandemic evolves, the resumption of necessary non-COVID-19 healthcare and economic activity mean capacity issues and the potential need for triage may yet return. The document is presented as a starting point for stakeholder feedback and discussion. (shrink)

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The National Institutes of Health Clinical Center's Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the (...) range of consent strategies, and gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. This article describes areas of agreement and areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and tim.. (shrink)

Zen is not just about what we do in the meditation hall, but what we do in the home, the workplace, and the community. That's the premise of this book: how to cook what Zen Buddhists call "the supreme meal"—life. It has to be nourishing, and it has to be shared. And we can use only the ingredients at hand. Inspired by the thirteenth-century manual of the same name by Dogen, the founder of the Japanese Soto Zen tradition, this (...) book teaches us how we can "enlarge the family we're feeding" if we just use some imagination. Bernie Glassman founded Greyston Bakery in Yonkers, New York, in 1982 to employ those whom other companies deem unemployable—the homeless, ex-cons, recovering addicts, low-skill individuals—with the belief that investing in people, and not just products, does pay. He was right. Greyston has evolved into an $8 million-a-year business with clients all over New York City. It is the sole supplier of brownies to Ben & Jerry's Ice Cream, and has even sold cakes to the White House. But financial profit is only one of two bottom lines that Greyston is committed to. The other one is social impact, and this goal is certainly being met. The bakery enterprise has led to the creation of the Greyston Foundation, an integrated network of organizations that provide affordable housing, child care, counseling services, and health care to families in the community. Using entrepreneurship to solve the problems of the inner city, Greyston has become a national model for comprehensive community development. Its giving back is more than just sloughing off a percentage of its profits and donating it to charity; it's about working with the community's needs right from the beginning—bringing them from the margins to the core. As its company motto goes, "We don't hire people to bake brownies. We bake brownies to hire people." This book is as much a self-manual as a business manual, addressing such concepts as • Beginner's mind • The Middle Way of Sustainability • The "hungry ghosts" of Buddhism as a picture of all humanity • Working with our faults • Indra's Net and the interconnectedness of life • Leaving no trace. (shrink)

We begin with a prepositional languageLpcontaining conjunction (Λ), a class of sentence names {Sα}αϵA, and a falsity predicateF. We (only) allow unrestricted infinite conjunctions, i.e., given any non-empty class of sentence names {Sβ}βϵB,is a well-formed formula (we will useWFFto denote the set of well-formed formulae).The language, as it stands, is unproblematic. Whether various paradoxes are produced depends on which names are assigned to which sentences. What is needed is a denotation function:For example, theLPsentence “F(S1)” (i.e.,Λ{F(S1)}), combined with a denotation functionδsuch (...) thatδ(S1)“F(S1)”, provides the (or, in this context, a)Liar Paradox.To give a more interesting example,Yablo's Paradox[4] can be reconstructed within this framework.Yablo's Paradoxconsists of an ω-sequence of sentences {Sk}kϵωwhere, for eachnϵω:WithinLPan equivalent construction can be obtained using infinite conjunction in place of universal quantification - the sentence names are {Si}iϵωand the denotation function is given by:We can express this in more familiar terms as:etc. (shrink)

Logical pluralism is the view that there is more than one correct logic. In this article, I explore what logical pluralism is, and what it entails, by: (i) distinguishing clearly between relativism about a particular domain and pluralism about that domain; (ii) distinguishing between a number of forms logical pluralism might take; (iii) attempting to distinguish between those versions of pluralism that are clearly true and those that are might be controversial; and (iv) surveying three prominent attempts to argue for (...) logical pluralism and evaluating them along the criteria provided by (ii) and (iii). (shrink)

Logical pluralism is the view that there is more than one formal logic that correctly (or best, or legitimately) codifies the logical consequence relation in natural language. This essay provides a taxonomy of different variations on the logical pluralist theme based on a five-part structure, and then identifies an unoccupied position in this taxonomy: perspectival logical pluralism. Perspectival pluralism provides an attractive position from which to formulate a philosophy of logic from a feminist perspective (and from other, identity-based perspectives, such (...) as critical race theory). An example of how such an account might be developed is sketched. The essay concludes by defusing an obvious objection to the perspectival approach: the claim that the correct logic (or logics), in virtue of the formal nature of logic, should be independent of considerations regarding the identity of the reasoner. (shrink)

One of the main reasons for providing formal semantics for languages is that the mathematical precision afforded by such semantics allows us to study and manipulate the formalization much more easily than if we were to study the relevant natural languages directly. Michael Tye and R. M. Sainsbury have argued that traditional set-theoretic semantics for vague languages are all but useless, however, since this mathematical precision eliminates the very phenomenon (vagueness) that we are trying to capture. Here we meet this (...) objection by viewing formalization as a process of building models, not providing descriptions. When we are constructing models, as opposed to accurate descriptions, we often include in the model extra ‘machinery’ of some sort in order to facilitate our manipulation of the model. In other words, while some parts of a model accurately represent actual aspects of the phenomenon being modelled, other parts might be merely artefacts of the particular model. With this distinction in place, the criticisms of Sainsbury and Tye are easily dealt with—the precision of the semantics is artefactual and does not represent any real precision in vague discourse. Although this solution to this problem is independent of any particular semantics a detailed account of how we would distinguish between representor and artefact within Dorothy Edgington's degree-theoretic semantics is presented. (shrink)

‘Feminist logic’ may sound like an impossible, incoherent, or irrelevant project, but it is none of these. We begin by delineating three categories into which projects in feminist logic might fall: philosophical logic, philosophy of logic, and pedagogy. We then defuse two distinct objections to the very idea of feminist logic: the irrelevance argument and the independence argument. Having done so, we turn to a particular kind of project in feminist philosophy of logic: Valerie Plumwood's feminist argument for a relevance (...) logic. Plumwood's work serves as our primary case study as we turn to the project of considering three different ways we might understand her argument and revisionist arguments like it: as a priori theorizing, as ameliorative conceptual engineering, or as instances of anti-exceptionalist approaches to logic. After arguing that the anti-exceptionalist approach seems to provide the most promising means of understanding the kind of project undertaken in a feminist challenge to classical logic, we briefly address the consequences that this might have for logic instruction. Here, we argue for the perhaps unexpected conclusion that feminist programs ought to offer more, not less, instruction in logic for those who take interest. (shrink)

Roy T Cook examines the Yablo paradox--a paradoxical, infinite sequence of sentences, each of which entails the falsity of all others that follow it. He focuses on questions of characterization, circularity, and generalizability, and pays special attention to the idea that it provides us with a semantic paradox that involves no circularity.

The Serbian Orthodox Church has been described in scholarship as having had a significant impact onto the social and political life of Serbia, especially since the wars of the nineties. With the coming of the age of the Internet and social science automation, however, more options have gradually become available to researchers in the recent years. For this reason, this article will tackle the official rhetoric of the Serbian Orthodox Church in relation to the sociopolitical with the assistance of social (...) science automation. Forming an examination via the methodological lens of Operational Code Analysis, this article delves into the Church’s discourse on Kosovo, via heavy vetting of all official statements given on the website of the Serbian Orthodox Church. It also expands upon the initial methodology – Operational Code Analysis – to an analysis of an institution with a uniform discourse, which has so far not seen light in scholarly production. (shrink)

It is shown that the logical truth of instances of the T-schema is incompatible with the formal nature of logical truth. In particular, since the formality of logical truth entails that the set of logical truths is closed under substitution, the logical truth of T-schema instances entails that all sentences are logical truths.

Michael Dummett argues that acceptance of potentially infinite collections requires that we abandon classical logic and restrict ourselves to intuitionistic logic. In this paper we examine whether Dummett is correct. After developing two detailed accounts of what, exactly, it means for a concept to be potentially infinite (based on ideas due to Charles McCarty and Øystein Linnebo, respectively), we construct a Kripke structure that contains a natural number structure that satisfies both accounts. This model supports a logic much stronger than (...) intuitionistic logic, demonstrating that Dummett was wrong. We conclude by briefly examining ways to extend the account(s) in question to indefinitely extensible concepts such as Cardinal, Ordinal, and Set. (shrink)

A difficulty for alethic pluralism has been the idea that semantic evaluation of conjunctions whose conjuncts come from discourses with distinct truth properties requires a third notion of truth which applies to both of the original discourses. But this line of reasoning does not entail that there exists a single generic truth property that applies to all statements and all discourses, unless it is supplemented with additional, controversial, premises. So the problem of mixed conjunctions, while highlighting other aspects of alethic (...) pluralism worth investigating further, does not constitute an effective objection to it. (shrink)

Science strives for coherence. For example, the findings from climate science form a highly coherent body of knowledge that is supported by many independent lines of evidence: greenhouse gas emissions from human economic activities are causing the global climate to warm and unless GHG emissions are drastically reduced in the near future, the risks from climate change will continue to grow and major adverse consequences will become unavoidable. People who oppose this scientific body of knowledge because the implications of cutting (...) GHG emissions—such as regulation or increased taxation—threaten their worldview or livelihood cannot provide an alternative view that is coherent by the standards of conventional scientific thinking. Instead, we suggest that people who reject the fact that the Earth’s climate is changing due to greenhouse gas emissions oppose whatever inconvenient finding they are confronting in piece-meal fashion, rather than systematically, and without considering the implications of this rejection to the rest of the relevant scientific theory and findings. Hence, claims that the globe “is cooling” can coexist with claims that the “observed warming is natural” and that “the human influence does not matter because warming is good for us.” Coherence between these mutually contradictory opinions can only be achieved at a highly abstract level, namely that “something must be wrong” with the scientific evidence in order to justify a political position against climate change mitigation. This high-level coherence accompanied by contradictory subordinate propositions is a known attribute of conspiracist ideation, and conspiracism may be implicated when people reject well-established scientific propositions. (shrink)

Debates about new technologies, such as crop and food genetic modification, raise pressing questions about the ways ‘experts’ and ‘ nonexperts’ communicate. These debates are dynamic, characterized by many voices contesting numerous storylines. The discoursal features, including language choices and communication strategies, of the GM debate are in some ways taken for granted and in others actively manipulated by participants. Although there are many voices, some have more influence than others. This study makes use of 50 hours of in-depth interviews (...) with GM scientists, nonexperts, and other stakeholders in the GM debate to examine this phenomenon. We uncover rhetorical devices used by scientists to characterize and ultimately undermine participation by non-experts in areas including rationality, knowledge, understanding and objectivity. Scientists engage with ‘the public’ from their own linguistic and social domain, without reflexive confirmation of their own status as part of the public and the citizenry. This raises a number of interesting ironies and contradictions, which are explored in the article. As such, it provides valuable insights into an increasingly important type of discourse. (shrink)

A co-authored article with Roy T. Cook forthcoming in a special edition on the Caesar Problem of the journal Dialectica. We argue against the appeal to equivalence classes in resolving the Caesar Problem.

Achieving equity in international research is one of the pressing concerns of the twenty-first century. In this era of progressive globalization, there are many opportunities for the deliberate or accidental export of unethical research practices from high-income regions to low- and middle-income countries and emerging economies. The export of unethical practices, termed “ethics dumping,” may occur through all forms of research and can affect individuals, communities, countries, animals, and the environment. Ethics dumping may be the result of purposeful exploitation but (...) often arises from lack of awareness of good ethical and governance practice. This chapter describes the work of the TRUST project toward counteracting the practice of ethics dumping through the development of tools for the improvement of research governance structures. Multi-stakeholder consultation informs all of TRUST’s developments. Most importantly, this gives voice to marginalized vulnerable groups and indigenous people, who have been equal and active partners throughout the project. At the heart of the TRUST project is an ambitious aim to develop a Global Code of Conduct for Research in Resource-Poor Settings. Uniquely, the Code provides guidance across all research disciplines in clear, short statements, focusing on research collaborations that entail considerable imbalances of power, resources and knowledge and using a new framework based on the values of fairness, respect, care, and honesty. The code was recently adopted by the European Commission as a reference document for Horizon 2020 and Horizon Europe. (shrink)

Individualism: The Cultural Logic of Modernity is an edited collection of sixteen essays on the idea of the modern sovereign individual in the western cultural tradition. Reconsidering the eighteenth-century realist novel, twentieth-century modernism, and underappreciated topics on individualism and literature, this volume provocatively revises and enriches our understanding of individualism as the generative premise of modernity itself.

One aspect of Foucault's thought brings him much closer to Freud than many commentators believe. This Freudian “moment” in Foucault is formulated in the following dictum: the soul is the prison of the body. For Foucault, the modern soul is formed when the norms that govern disciplinary training and exercise are internalized. Once internalized, these norms affect our self-understanding and conduct. This paper focuses on Foucault's account of internalization. It shows that this Freudian moment in Foucault mitigates his criticisms of (...) the repressive hypothesis, but it also suggests a conception of interiority that can be interpreted as the modern instantiation of the rapport à soi. (shrink)

Paradoxes are arguments that lead from apparently true premises, via apparently uncontroversial reasoning, to a false or even contradictory conclusion. Paradoxes threaten our basic understanding of central concepts such as space, time, motion, infinity, truth, knowledge, and belief. In this volume Roy T Cook provides a sophisticated, yet accessible and entertaining, introduction to the study of paradoxes, one that includes a detailed examination of a wide variety of paradoxes. The book is organized around four important types of paradox: the (...) semantic paradoxes involving truth, the set-theoretic paradoxes involving arbitrary collections of objects, the Soritical paradoxes involving vague concepts, and the epistemic paradoxes involving knowledge and belief. In each of these cases, Cook frames the discussion in terms of four different approaches one might take towards solving such paradoxes. Each chapter concludes with a number of exercises that illustrate the philosophical arguments and logical concepts involved in the paradoxes. _Paradoxes_ is the ideal introduction to the topic and will be a valuable resource for scholars and students in a wide variety of disciplines who wish to understand the important role that paradoxes have played, and continue to play, in contemporary philosophy. (shrink)

This chapter opens with a discussion on the mechanics of canon in the Star Wars universe. The practice of dividing a fiction into canonical and noncanonical parts is not merely an exercise in fanboy/girl esoterica. Once a fiction is massive enough, and the Star Wars fiction is certainly quite massive, the canon/noncanon divide can play a practical role in pointing to which portions of the story are required knowledge for understanding and interpreting the overall universe. Canon/noncanon distinctions make massive fictions (...) like Star Wars accessible. A particular work will not be eternally canonical or eternally noncanonical. The canon/noncanon divide does not merely tell us that some stories count as genuine parts of the Star Wars fiction while others do not. It also dictates which version of a particular story counts as genuine when there are multiple versions from which to choose. (shrink)

We develop and defend a novel interpretation of mainstream Marvel Comics—an interpretation we call the Fictional Journalism Interpretation. We then show how this interpretation of Marvel comics (i) challenges standard accounts of the manner in which fictional truths are generated by fictions and (ii) provides us with novel, interesting, and in some cases simpler explanations of, and understandings of, phenomena within these comics that are hard to deal with adequately on more traditional accounts, including both contradictions in the fiction and (...) various metafictional storytelling strategies. We conclude by defending the view from a number of objections. (shrink)

Background: Attention to ethical leadership in nursing has diminished over the past several decades. Objectives: The aim of our study was to investigate how frontline nurses and formal nurse leaders envision ethical nursing leadership. Research design: Meta-ethnography was used to guide our analysis and synthesis of four studies that explored the notion of ethical nursing leadership. Participants and research context: These four original studies were conducted from 1999-2008 in Canada with 601 participants. Ethical considerations: Ethical approval from the original studies (...) covered future analysis. Findings: Using the analytic strategy of lines-of-argument, we found that 1) ethical nursing leadership must be responsive to practitioners and to the contextual system in which they and formal nurse leaders work, and 2) ethical nursing leadership requires receiving and providing support to increase the capacity to practice and discuss ethics in the day-to-day. Discussion and conclusion: Formal nurse leaders play a critical, yet often neglected role, in providing ethical leadership and supporting ethical nursing practice at the point of patient care. (shrink)

Although ethical leadership by formal nurse leaders is critical to enhancing ethical health-care practice, research has shown that many nurses feel unsupported by their leaders. In this article, we consider the limited attention directed toward ethical leadership of formal nurse leaders and how our own research on ethical nurse leadership compares to other research in this field. In searching Nursing Ethics since its inception 20 years ago, we found only a dozen articles that directly addressed this topic. We then reviewed (...) nurses’ professional codes of ethics in Canada and found significant retractions of ethical guidelines for formal nurse leaders’ ethical responsibilities over the past decade. We began to seek explanations of why this is so and offer some recommendations for the study and enhancement of ethics for formal nurse leadership. (shrink)

The Revenge Problem threatens every approach to the semantic paradoxes that proceeds by introducing nonclassical semantic values. Given any such collection Δ of additional semantic values, one can construct a Revenge sentence:This sentence is either false or has a value in Δ.TheEmbracing Revengeview, developed independently by Roy T. Cook and Phlippe Schlenker, addresses this problem by suggesting that the class of nonclassical semantic values is indefinitely extensible, with each successive Revenge sentence introducing a new ‘pathological’ semantic value into the (...) discourse. The view is explicitly motivated in terms of the idea that every notion thatseemsto be expressible should, if at all possible,beexpressible. Extant work on the Embracing Revenge view has failed to live up to this promise, since the formal languages developed within such work are expressively impoverished. We rectify this here by developing a much richer formal language, and semantics for that language, and we then prove an extremely powerful expressive completeness result for the system in question. (shrink)

What kind of duty do we have to try to stop other people doing wrong? The question is intelligible in just about any culture, but few of them seek to answer it in a rigourous fashion. The most striking exception is found in the Islamic tradition, where 'commanding right' and 'forbidding wrong' is a central moral tenet already mentioned in the Koran. As an historian of Islam whose research has ranged widely over space and time, Michael Cook is well (...) placed to interpret this complex subject. His book represents the first sustained attempt to map the history of Islamic reflection on this obligation. It covers the origins of Muslim thinking about 'forbidding wrong', the relevant doctrinal developments over the centuries, and its significance in Sunni and Shi'ite thought today. In this way the book contributes to the understanding of Islamic thought, its relevance to contemporary Islamic politics and ideology, and raises fundamental questions for the comparative study of ethics. (shrink)

Wittgenstein's Metaphysics offers a radical new interpretation of the fundamental ideas of Ludwig Wittgenstein. It takes issue with the conventional view that after 1930 Wittgenstein rejected the philosophy of the Tractatus and developed a wholly new conception of philosophy. By tracing the evolution of Wittgenstein's ideas, Cook shows that they are neither as original nor as difficult as is often supposed. Wittgenstein was essentially an empiricist, and the difference between his early views (as set forth in the Tractatus) and (...) the later views (as expounded in the Philosophical Investigations) lies chiefly in the fact that after 1930 he replaced his early version of reductionism with a subtler version. So he ended where he began, as an empiricist armed with a theory of meaning. This iconoclastic interpretation is sure to influence all future study of Wittgenstein and will provoke a reassessment of the nature of his contribution to philosophy. (shrink)

Which famous twentieth-century philosopher instigated a revolution in philosophy, arguing that the philosopher’s business is not to advance general theories about reality, but rather to help release our thinking from the intellectual cramps produced by a misunderstanding of the forms of language? Wittgenstein? Wrong! according to John W. Cook. This revolution in philosophy actually had no author. Apparently, it arose through a misinterpretation of Wittgenstein’s later writings. In fact, Cook implies, Wittgenstein himself was not genuinely engaged in a (...) struggle with philosophical puzzles, but rather had an ontological theory up his sleeve: he was a conventional empiricist in the tradition of Berkeley, Ernst Mach, and Russell, though he happened to express himself so obscurely that some philosophers, believing themselves inspired by his writings, dreamed up the whole revolution by mistake, as it were. However, Cook is not arguing that the revolution should be canceled; rather he looks at Wittgenstein’s work from the standpoint of that accidental revolution, berating Wittgenstein, as it were, for not having thought to be a Wittgensteinian himself. (shrink)

A dearth of literature focuses on the relationship between acculturation, power distance and liminality for migrant nurses entering foreign workplaces. Expectations are for migrant nurses to be practice‐ready swiftly. However, this aspiration is naïve given the complex shifts that occur in deeply held cultural beliefs and practices and is dependent on an organisational climate of reciprocal willingness to adapt and learn. This exploratory study identified that although a plethora of literature addresses challenges migrant nurses face, there are limited data that (...) link these transitional processes to concepts that might usefully guide transitions. This study draws from the overarching concept of acculturation, together with Hofstede's (2011) notion of power distance and the theory of liminality to explore the experiences of eight migrant nurses. Data highlighted that adjusting to altered hierarchical relationships took many months because negotiating power distance challenged deeply held beliefs and assumptions about professional and organisational hierarchies. Migrant nurses’ accounts indicated a paucity of organisational processes to address these difficulties; therefore, they navigated this liminal space of adjustment to power distance differences in an ad hoc manner. Their acculturation experiences, arguably unnecessarily prolonged, indicate the value in workplace commitment to exploring a collaborative, critically reflective approach to optimise transitions. (shrink)

In a global era of apology and reconciliation, Canadians, like their counterparts in other settler nations, face a moral and ethical dilemma that stems from an unsavoury colonial past. Canadians grew up believing that the history of their country is a story of the cooperative venture between people who came from elsewhere to make a better life and those who were already here, who welcomed and embraced them, aside from a few bad white men.on 11 June 2008, the Prime Minister (...) of Canada Stephen Harper made a Statement of Apology on behalf of the Canadian government for the Indian Residential Schools system : “The government now recognizes that the consequences of the Indian Residential... (shrink)

In this article, we examine the ethical implications of randomised control trials (RCTs) as a practice of quantification in international development. Often referred to as the “gold standard” for the evaluation of development interventions, RCTs are lauded for their ability to generate supposedly objective, unbiased, and rigorous evidence to inform policy decisions for poverty alleviation. At the same time, critiques of quantification within and beyond development challenge claims of objectivity and neutrality, raising epistemological and ethical questions regarding the role of (...) quantitative research, the numbers they produce, and the processes triggered by practices of quantification. Building on these critiques, this study develops a decolonial analysis of the RCT methodology. We argue that RCTs, by enacting the coloniality of being, knowledge, and power, serve to perpetuate global coloniality, and its core organising principle, namely colonial difference. The study contributes to ongoing conversations addressing the ethical stakes of knowledge production and (de)coloniality. (shrink)