The experiences of clinicians who care for the sick and dying after withdrawal of treatment are rarely documented. This may be because these narratives, which offer insight into the intentionality and character of the clinician, do not lend themselves to clinical reports. The experience of palliative care touches clinicians in different ways and often confronts them with complex ethical dilemmas about care and treatment. This article explores the character of the clinician in relation to the telos of medicine and the (...) experience of accompanying the dying after withdrawal of treatment. (shrink)

This study explores the capability of academic staff assisted by the Turnitin Artificial Intelligence (AI) detection tool to identify the use of AI-generated content in university assessments. 22 different experimental submissions were produced using Open AI’s ChatGPT tool, with prompting techniques used to reduce the likelihood of AI detectors identifying AI-generated content. These submissions were marked by 15 academic staff members alongside genuine student submissions. Although the AI detection tool identified 91% of the experimental submissions as containing AI-generated content, only (...) 54.8% of the content was identified as AI-generated, underscoring the challenges of detecting AI content when advanced prompting techniques are used. When academic staff members marked the experimental submissions, only 54.5% were reported to the academic misconduct process, emphasising the need for greater awareness of how the results of AI detectors may be interpreted. Similar performance in grades was obtained between student submissions and AI-generated content (AI mean grade: 52.3, Student mean grade: 54.4), showing the capabilities of AI tools in producing human-like responses in real-life assessment situations. Recommendations include adjusting the overall strategies for assessing university students in light of the availability of new Generative AI tools. This may include reducing the overall reliance on assessments where AI tools may be used to mimic human writing, or by using AI-inclusive assessments. Comprehensive training must be provided for both academic staff and students so that academic integrity may be preserved. (shrink)

The authors in this edited volume reflect on their experiences with culturally relevant pedagogy-as students, as teachers, as researchers-and how these experiences were often at odds with their backgrounds and/or expectations.

That bad things happen to good people was as true in early China as it is today. Franklin Perkins uses this observation as the thread by which to trace the effort by Chinese thinkers of the Warring States Period, a time of great conflict and division, to seek reconciliation between humankind and the world. Perkins provides rich new readings of classical Chinese texts and reflects on their significance for Western philosophical discourse.

Clinical Ethics, Ahead of Print. This paper is a response to a recent BMJ Blog: ‘The duty to treat: where do the limits lie?’ Members of the Surrey Heartlands Integrated Care Service Clinical Ethics Group reflected on arguments in the Blog in relation to resuscitation during the COVID-19 pandemic.Clinicians have had to contend with ever-changing and conflicting guidance from the Resuscitation Council UK and Public Health England regarding personal protective equipment requirements in resuscitation situations. St John Ambulance had different guidance (...) for first responders.The situation regarding resuscitation led the CEG to consider ethical aspects of health care professionals’ responses to the need for resuscitation during COVID-19. Members agreed that professionals should, ideally, have the level of PPE required for an aerosol generating procedure. However, there was no consensus regarding professionals’ duty to care when this is not available. On the one hand, it was agreed that the casualty/patient’s interests regarding resuscitation should be prioritised due to professionals’ contract with the public and professional privilege. On the other hand, risk thresholds were considered relevant to individual decision-making and professionals’ duty to care. All agreed that decision-making should not be influenced by rewards or reprimands. It was agreed also that decisions to resuscitate should not be considered as moral heroism or supererogatory - regardless of PPE availability - but rather as ‘minimally decent’. We agreed that it may be acceptable for professionals, with good reasons, to opt out of resuscitation attempts and these should be reflected on and discussed before the event. (shrink)

Why was Leibniz so fascinated by Chinese philosophy and culture? What specific forms did his interest take? How did his interest compare with the relative indifference of his philosophical contemporaries and near-contemporaries such as Spinoza and Locke? In this highly original book, Franklin Perkins examines Leibniz's voluminous writings on the subject and suggests that his interest was founded in his own philosophy: the nature of his metaphysical and theological views required him to take Chinese thought seriously. Leibniz was unusual (...) in holding enlightened views about the intellectual profitability of cultural exchange, and in a broad-ranging discussion Perkins charts these views, their historical context, and their social and philosophical ramifications. The result is an illuminating philosophical study which also raises wider questions about the perils and rewards of trying to understand and learn from a different culture. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Journal of the History of Ideas 63.3 (2002) 447-464 [Access article in PDF] Virtue, Reason, and Cultural Exchange: Leibniz's Praise of Chinese Morality Franklin Perkins I should regard myself very proud, very pleased and highly rewarded to be able to render Your Majesty any service in a work so worthy and pleasing to God; for I am not one of those impassioned patriots of one country alone, but (...) I work for the well-being of the whole of mankind, for I consider heaven as my country and cultivated men as my compatriots. —Leibniz (to Peter the Great), 1716 1 Diversity and Harmony Leibniz worked tirelessly to promote tolerance, peace, and the exchange of ideas, perhaps most in his attempts to bridge religious factions in Europe, but also in his receptiveness to the past and his attitude toward other cultures. This accommodation of differences is rooted in the belief that the most perfect possible world maximizes both diversity and harmony. In a time of rapid globalization, as the imperative to maximize diversity and harmony grows, I believe it is worthwhile to turn our attention to Leibniz's philosophy, particularly as it is expressed in his writings on China. The ground of Leibniz's openness toward other cultures is different from the ground to which we are accustomed. Multiculturalism is usually grounded in skepticism. We should accept and tolerate others because we can never be certain that our own beliefs are correct. The ground of Leibniz's tolerance leads in the opposite direction—we should [End Page 447] accept others not because no one knows the truth but because everyone knows something of the truth. 2The well-known metaphor of monads as perspectives on a city illustrates this approach. Leibniz writes, "Indeed, all individual substances are differentexpressions of the same universe and different expressions of the same universal cause, namely God. But the expressions vary in perfection, just as different representations or drawings of the same town from different points of view do." 3 The metaphor of different monads as different perspectives on a town captures what is needed for cultural exchange. What each of us "sees" is not wrong but partial or perspectival. Because our view is limited, we must learn from others whose views have different limitations, and we must be careful not to force our perspective on others. At the same time, each perspective is grounded in truth, which is what Leibniz intends when he says that each monad expresses the same universe. That is said to express a thing in which there are relations [habitudines] which correspond to the relations of the thing expressed. But there are various kinds of expression.... What is common to all these expressions is that we can pass from a consideration of the relations in the expression to a knowledge of the corresponding properties of the thing expressed. Hence, it is clearly not necessary for that which expresses to be similar to the thing expressed, if only a certain analogy is maintained between the relations. 4Leibniz gives many examples. An idea expresses its object. The perception of a monad expresses the universe, and the understanding of a mind expresses the understanding of God. Every effect expresses its cause. The senses and secondary qualities express their objects, as well as the body and its organs. Definitions express the essence of what they define. Paintings express the cities they represent. What do such dissimilar relationships have in common? The two things need not be similar but their conditions must be analogous. In the New Essays Leibniz writes that the resemblance is a relation of order, as an ellipse resembles the circle whose projection it is, "there is a certain precise and natural relationship between what is projected and the projection which is [End Page 448] made from it, with each point on the one corresponding through a certain relation with a point on the other." 5 In the Theodicy Leibniz says that the representation has a natural relationship to what is represented. If this representation is imperfect, then it... (shrink)

This paper explores the formative role of substances of intoxication in the social and scientific establishment of the biological subject in late nineteenth-century Germany. Sourcing the emergence of substances of intoxication as “vital substances” from Brunonianism, this narrative traces their initial significance for Romantic physiology, followed by their rejection from neo-mechanical scientific physiology. Emphasis is placed on late nineteenth-century psychological research on the effects of intoxicants on the mind as the site of a dynamic encounter between theories of the mind (...) and the body, particularly through Kraepelin’s concept of intoxication as model psychosis, and his related research. The biological subject, here, is anti-vitalistic, and, yet, conceptually distinct from neo-mechanism. (shrink)

History and System represents the first contemporary volume on Hegel’s philosophy of history to be published in English. The editor notes that “with the possible exceptions of Augustine and Vico, no philosopher before Hegel had such a deep sense of the mutual penetration of history and philosophy as did Hegel. Historical reflection influenced his reading of other philosophers and philosophical reason penetrated his views of past events and eras.” Reflecting the best of Hegelian scholarship, the papers here focus on the (...) sources of Hegel’s philosophy of history, its internal structure and relation to other parts of his system, analyses of specific aspects of his philosophy of history, and its influence on subsequent thinkers. In its breadth and depth, the volume attests to the continued and growing importance of Hegel’s thought for contemporary philosophy. (shrink)

Perkins, Patricio Agustín. Respuesta al comentario de Juan Diego Bogotá “La relación filosófica entre Husserl y Avenarius en Problemas fundamentales de la fenomenología.” Ideas y Valores 65.160 (2016): 286-289.

In Either/Or, Part One, Kierkegaard presents what he calls the aesthetic form of life. There he focuses on a large variety of the stereotypical views of women, from a sentimental and whining appraisal of her position in the world, through the view that sexual exploitation is an uncontrollable natural instinct and/or drive for which men are not morally responsible, to the view that woman is a jest, not to be taken seriously as a moral and responsible being, and then that (...) she is just there as a sexual object or plaything to be reflectively seduced on the male's terms and for his pleasure or rejection, whatever suits him at the moment. Needless to say, this great variety of views of the "uses" of woman has provoked a large critique, and just as predictably, that critique is as varied as the intellectual tools available for the analysis of a work that is as literary as it is philosophic. The present collection of essays treats these and many other of the most important issues raised in Either/Or in fresh and perceptive ways. Even where familiar themes are argued, the authors introduce innovative interpretive models, new approaches and new materials are appealed to, or new rebuttal arguments against previously held positions are offered. Several of the articles, for instance, appropriate or criticize methods or insights derived from postmodernism and/or feminist philosophy, an approach that would have been unlikely two decades ago. (shrink)

This paper develops a novel problem for representationalism (also known as "intentionalism"), a popular contemporary account of perception. We argue that representationalism is incompatible with supervaluationism, the leading contemporary account of vagueness. The problem generalizes to naive realism and related views, which are also incompatible with supervaluationism.

For the first time in English the world community of scholars is systematically assembling and presenting the results of recent research in the vast literature of Soren Kierkegaard. Based on the definitive English edition of Kierkegaard's works by Princeton University Press, this series of commentaries addresses all the published texts of the influential Danish philosopher and theologian.

Written with the general reader in mind, this collection will prove useful by both scholar and student, and will lead the general reader to encounter one of the ...

The article attempts to settle a controversy between d f pears and j o urmson over the nature of russell's early theory of memory. it is shown that contrary to what pears claims in his "bertrand russell and the british tradition in philosophy," russell had explicitly abandoned a realist account of memory by 1915. the article sides with urmson as against pears, but apparently both have overlooked two of russell's little noticed 1915 papers in the "monist.".

Abstract:The examination of racist, normalized ideology within American education is not new. Theoretical and practical conceptions of social justice in education have attempted to attend to educational inequality. Oftentimes, these attempts have reinstated the status quo because they were framed within the same Eurocentric paradigm. To address this, Django Paris proposed culturally sustaining pedagogy as a means of empowering minoritized students by sustaining the cultural competence of their communities and dismantling coloniality within educational practices. He, Michael Domínguez, and others argue (...) that epistemic expansion is imperative for equitizing educational spaces and closing the ontological distance between teachers and students. Drawing from their work as well as scholarship from the fields of educational policy, urban education, Afrocentrism, and Indigenous studies, this paper seeks to expand the discussion about culturally relevant and responsive music education to account for students’ musical epistemologies and the ways in which “epistemic travel” might inform normalized musical practices. (shrink)

ExcerptI then looked more closely at the picture of the child and realized to my inexpressible horror that it was a picture of me as a child. This was proof of my guilt… . I wasted no time with denials but said at once to Agathe that only two possibilities remained: either immediate flight and concealment, or suicide. She said very firmly that only the latter came into consideration. Overcome by fear and horror, I awoke.1So ends the account of a (...) dream from early July of 1942, written less than eight months after Adorno's…. (shrink)

Gasping respiration in the dying patient is the last respiratory pattern prior to terminal apnoea. The duration of the gasping respiration phase varies; it may be as brief as one or two breaths to a prolonged period of gasping lasting minutes or even hours. Gasping respiration is very abnormal, easy to recognise and distinguish from other respiratory patterns and, in the dying patient who has elected to not be resuscitated, will always result in terminal apnoea.Gasping respiration is also referred to (...) as agonal respiration and the name is appropriate because the gasping breaths appear uncomfortable and raise concern that the patient is suffering and in agony. Enough uncertainty exists about the influence of gasping respiration on patient wellbeing, that it is appropriate to assume that the gasping breaths are burdensome to patients. Therefore, gasping respiration at the end of life should be treated.We propose that there is an ethical basis, in rare circumstances, for the use of neuromuscular blockade to suppress prolonged episodes of agonal respiration in the well-sedated patient in order to allow a peaceful and comfortable death. (shrink)

abstract: "[T]rue Christianity cannot exist without both the inward experience and outward practice of justice, mercy, and truth," writes John Wesley, the eighteenth-century founder of Methodism. For him, belief and behavior, motivation and praxis, collapse dialectically into one. The Kyoto-formed dialogist Masao Abe identifies one strength and one weakness each in the poles of Western and Zen thought. For him, the West understands the importance of ethical behavior but cannot understand the oneness of all things. Conversely, Zen Buddhism is deficient (...) in its conception of ethics but more actualized in understanding the interdependence of all things ( pratītyasamutpāda ). While his Western interlocutors include a disproportionate number of heirs to the Wesleyan tradition, Abe himself never deals directly with Wesley. This is presumably because of the latter's European Modernist philosophical and theological commitments. Still, putting these diverse worldviews in creative dialogue with each other might do more to resolve Abe's twofold tension than does his conversation with more "likely" interlocutors. If Abe is correct that "the practical problem par excellence" in Buddhism is integrating the "oneness of practice and enlightenment and that the West tends to bifurcate existence to its own detriment," Wesley can be invited into the conversation to stand in the gap between these challenges. For the Methodist patriarch, understanding and ethics are two sides of one coin in his emphases on "practical divinity" and "social holiness.". (shrink)

Although there is much interest in the development of prosocial behaviour in young children, and many interventions that attempt to cultivate kindness in children, there is a paucity of research exploring children’s lived experiences of kindness and including their voices. In this study, children’s understanding of kindness is approached through qualitative interviews using puppets. Interviews were conducted with 33 children aged 5-6 years in 3 schools in the United Kingdom. Through thematic analysis, 4 themes were developed: doing things for others, (...) relating with others, rules and values, and kindness affects us. These themes are examined in light of current thinking on prosocial and sociomoral development, and several key insights are highlighted, including types of prosocial behaviour, social connection, kindness-by-omission and defending, in-group bias, universal kindness versus personal safety, self-image, and a desire to improve the condition of society. These findings have implications for future research on prosocial development and for the design of kindness-based interventions, as well as providing an ecologically valid method of inquiry for use with young children. (shrink)

Critico la teoría hermenéutica de Landgrebe sobre el cartesianismo de Husserl mostrando la estructura argumentativa en la que se inserta, lo que pretende y lo que está forzada a pretender. Su núcleo duro radica en los conceptos de crítica inmanente y lógica interna y tiene como meta final promover una idea de trascendental no-entitativa voluntarista y correlacional opuesta a la de un yo absoluto. Para probar esto, analizo tres niveles del cartesianismo de Landgrebe: primero, la síntesis contradictoria entre apodicticidad y (...) experiencia; segundo, su interpretación de Filosofía Primera, y, tercero, el objetivismo de Husserl. Concluyo de la función que juega el cartesianismo en este esquema y del fracaso de documentar con ejemplos la idea que el concepto no describe una noción en la filosofía de Husserl, sino que es una herramienta hermenéutica para controlar el sentido de trascendental en esta filosofía.I criticize Landgrebe’s hermeneutical theory about Husserl’s Cartesianism describing the structure of the argument where this concept is rooted, what it claims and what it is forced to claim. The theory’s hard core is based on the concepts of immanent critique and internal logic and it’s final goal consists in advancing a non-entitative voluntaristic and correlational definition of transcendental opposite to that of an absolute I. To prove this, I analyze three levels inside Landgrebe’s concept of Cartesianism: first, the contradictory synthesis of experience and apodicticity; second, his interpretation of First Philosophy, and, third, Husserl’s objectivism. I conclude from the goal that Cartesianism plays in this argument and the failure in documenting this idea with examples that Landgrebe’s Cartesianism is rather an hermeneutical tool made to control the definition of transcendental in Husserl’s philosophy than a concept describing Husserl’s thought. (shrink)

This volume of the International Kierkegaard Commentary is offered to our readers, whom we invite to learn what they can here and then to become our teachers by ...

Recent Russell scholarship has made clear the importance of Russell’s contributions to ethical theory. But his provocative two-page 1922 paper, “Is There an Absolute Good?”, anticipating by two decades what has come to be called “error theory”, is still little known and not fully understood by students of Russell’s ethics. In that little paper, never published in Russell’s lifetime, he criticizes the “absolutist” view of G. E. Moore; and, with the help of his own 1905 theory of descriptions, he exposes (...) what he takes to be the fallacy underlying Moore’s (and his own earlier) arguments regarding value judgments and puts forward a new analysis which preserves the “absolutist” meaning at the cost of rendering all value judgments false. This article attempts to: (1) make clear just what Russell was doing in his little paper and how to understand it in the evolution of his metaethical thinking, (2) defend his 1922 theory against some recent criticisms, and (3) suggest the most likely reasons why he so quickly abandoned his new theory. (shrink)

This article examines Kant’s overlooked concept of “active play,” as opposed to “free play,” in connection with the influence of the Brunonian system of medicine, both of which, I propose, are central to understanding the broader significance of intoxication in Kant’s post-1795 work. Beginning with a discussion of the late-18th century German reception of Brunonian theory, the idea of vital stimulus, and their importance for Kant, I assess the distinction drawn between gluttony and intoxication in The Metaphysics of Morals and (...) Anthropology from a Practical Point of View. Both are analysed in the context of the Brunonian system of medicine, having establishing Kant’s commitment to the Brunonianism system, as corroborated by Wasianski. What emerges is a novel understanding of intoxication in the work of Immanuel Kant, which brings to light a previously unexamined dynamic between imagination, intoxication, and the aesthetic. (shrink)

Investigo la relación filosófica entre Avenarius y Husserl en los años del curso Problemas fundamentales de la fenomenología en relación especial con el concepto natural de mundo. Primero, expongo brevemente los temas fenomenológicos fundamentales: el concepto natural de mundo, la reducción fenomenológica y la unidad del yo. En segundo lugar, sintetizo las ideas básicas de la obra Der menschliche Weltbegriff de Avenarius. En tercer lugar, discuto la coincidencia entre Avenarius y Husserl, poniendo énfasis en la reducción primordial, y planteo las (...) críticas de Husserl a Avenarius, destacando la postura unívoca de Avenarius en contraste con la postura fenomenológica de Husserl. I study the philosophical relationship between Avenarius and Husserl during the years where the later held the lectures The Basic Problems of Phenomenology, taking especially into account the natural concept of the world. First, I expound briefly the basic phenomenological topics of the lectures: the natural concept of the world, the phenomenological reduction and the ego's unity. Second, I tackle the basic ideas of Avenarius' Der menschliche Weltbegriff . Third, I discuss the coincidence between Avenarius and Husserl, paying special attention to the primordial reduction, and also the objections that Husserl made to Avenarius, making a contrast between Avenarius' univocal approach to being and Husserl's phenomenological account. (shrink)