Antimicrobial resistance is one of the greatest public health crises of our time. The natural biological process that causes microbes to become resistant to antimicrobial drugs presents a complex social challenge requiring more effective and sustainable management of the global antimicrobial commons—the common pool of effective antimicrobials. This special issue of Health Care Analysis explores the potential of two legal approaches—one long-term and one short-term—for managing the antimicrobial commons. The first article explores the lessons for antimicrobial resistance that can be (...) learned from recent climate change agreements, and the second article explores how existing international laws can be adapted to better support global action in the short-term. (shrink)

We argue that understanding of autism can be strengthened by increasing involvement of autistic individuals as researchers and by exploring cascading impacts of early sensory, perceptual, attentional, and motor atypicalities on social and communicative developmental trajectories. Participatory action research that includes diverse participants or researchers may help combat stigma while expanding research foci to better address autistic people's needs.

Background While it is generally acknowledged that self-prescribing among physicians poses some risk, research finds such behaviour to be common and in certain cases accepted by the medical community. Largely absent from the literature is knowledge about other activities doctors perform for their own medical care or for the informal treatment of family and friends. This study examined the variety, frequency and association of behaviours doctors report providing informally. Informal care included prescriptions, as well as any other type of personal (...) medical treatment (eg, monitoring chronic or serious conditions). Method A survey was sent to 2500 randomly-selected physicians in Colorado, 600 individuals returned questionnaires with usable data. The authors hypothesised: (1) physicians would prescribe the same types of treatment at home as they prescribed professionally; and (2) physicians who informally prescribed addictive medications would be more likely to engage in other types of informal medical care. Results Physicians who wrote prescriptions for antibiotics, psychotropics and opioids at work were more likely to prescribe these medications at home. Those prescribing addictive drugs outside of the office treated more serious illnesses in emergency situations, more chronic conditions and more major medical/surgical conditions informally than did those not routinely prescribing addictive medications. Physicians reported a variety of informal care behaviour and high frequency of informal care to family and friends. Discussion The frequency and variety of informal care reported in this study strongly argues for profession-wide discussion about ethical and guideline considerations for such behaviour. These areas are discussed in the paper. (shrink)

Merleau-Ponty and Buddhism explores a new mode of philosophizing through a comparative study of Maurice Merleau-Ponty's phenomenology and philosophies of major Buddhist thinkers including Nagarjuna, Chinul, Dogen, Shinran, and Nishida Kitaro. The book offers an intercultural philosophy in which opposites intermingle in a chiasmic relationship, and which brings new understanding regarding the self and the self's relation with others in a globalized and multicultural world.

There is limited consensus about what constitutes humanly sensitive care, or how it can be sustained in care settings. A new humanised care assessment tool may point to caring practices that are up to the task of meeting persons as humans within busy healthcare environments. This paper describes qualitative development of a tool that is conceptually sensitive to human dimensions of care informed by a life‐world philosophical orientation. Items were generated to reflect eight theoretical dimensions that constitute what makes care (...) feel humanly focused. An action research group process in 2014–2015 with researchers, service users, healthcare professionals in two diverse clinical settings (stroke rehabilitation and dermatology) was used. Feedback on conceptual content, transparency of meaning and readability was then gained from a panel in Sweden and third‐year student nurses in the UK. The tool can be applied to attune staff to human dimensions of care, offering items which point to concrete examples of humanising and dehumanising features of practice in ways that have not yet been fully captured in the caring literature. Based on theoretically led experiential items, with dedicated focus on what makes people feel more, or less than human, it may offer improvement on available assessments of care. (shrink)

_A rediscovery of patriotism as a virtue in line with the core values of democracy in an extremist age__ “Like you perhaps, I still regard myself as an extremely patriotic person. Which is why I so admired [this book].... __It explained my emotion to me, as it might yours to you." —David Brooks, _New York Times___ “Smith superbly illuminates the distinctiveness of the American idea of patriotism and reminds us of how important patriotism is, and how essential to making (...) America better.”—Leslie Lenkowsky, _Wall Street Journal__ The concept of patriotism has fallen on hard times. What was once a value that united Americans has become so politicized by both the left and the right that it threatens to rip apart the social fabric. On the right, patriotism has become synonymous with nationalism and an “us versus them” worldview, while on the left it is seen as an impediment to acknowledging important ethnic, religious, or racial identities and a threat to cosmopolitan globalism. Steven B. Smith reclaims patriotism from these extremist positions and advocates for a patriotism that is broad enough to balance loyalty to country with other loyalties. Describing how it is a matter of both the head and the heart, Smith shows how patriotism can bring the country together around the highest ideals of equality and is a central and ennobling disposition that democratic societies cannot afford to do without. (shrink)

This is Volume 9 of Oxford Studies in Political Philosophy. It contains papers on democracy, the law, political liberalism, voting, social experimentation, state neutrality, equality and incentives, self-ownership, drugs and prostitution, and Lincoln. Chapters include: “Challenging Democratic Commitments: On Liberal Arguments for Instrumentalism About Democracy” (Daniel Viehoff); “Emotional Abuse and the Law” (Elizabeth Brake); “Practical Political Liberalism” (Caleb Perl); “Beyond the Voting Debate” (Brookes Brown); “Social Experimentation in an Unjust World” (Jacob Barrett and Allen Buchanan); “State Neutrality and the Dismantling (...) of the Gendered Division of Labour” (Anca Gheaus); “If It’s Not Your Talent, How Come You’re Getting an Incentive?” (Peter Dietsch); “(Owning) our Bodies, (Owning) our Selves?” (Sean Aas); “Self-Sovereignty, Drugs, and Prostitution” (Peter de Marneffe); “Lincoln as Political Philosopher” (William A. Edmundson). (shrink)

This book is a series of essays by distinguished scholars concerned with the improvement of primary, secondary, and tertiary studies, most especially in arts but also in mathematics and science. It is concerned with past ideas about education in Australia, most particularly with the traditions that have yielded an education that has proven most beneficial to Australia in terms of comparison with other countries; and it advocates and emphasises how this tradition can be maintained and improved in specific ways. Essays (...) focus on primary and secondary education in music, and art, mathematics, history and the classics, on the improvement of memory and vocabulary, but more particularly on university education, discussing the purpose of education, learning in general, the use of the seminar, the necessity of freedom of debate, the inadequacies and contradictions of French and Anglo-post modernism, the teaching of history, of philosophy, and its branch aesthetics, mathematics, equality in education, teaching at university and funding of the whole enterprise. The authors are all well known in their disciplines and some are experts, internationally recognised in their fields. This book features essays by: David Daintree, Karl Schmude, Simon Haines, Kevin Donnelly, Matthew Lesh, Chris Berg & Bella d'Abrera, David Furse-Roberts, Greg Melleuish, Steven Schwartz, Blaise Joseph, James Franklin, Christopher Allen, Richard Gill, Jeremy Bell, Barry Spurr, David Brooks, Natalie Kennedy, Sarah Williams, Sarah Lawrence, Ivan Francis Head. (shrink)

The jeep was one of the most important pieces of equipment used by the US American army in the Second World War and was heroized accordingly during and after the war. At the same time, the post-war use of hundreds of thousands of jeeps was unclear. Repurposing them as agricultural equipment proved to be difficult. Instead, Jeeps were often put to new uses in different geographical contexts and represented a form of late and post-colonial infrastructure, especially in parts of the (...) world with little access to transportation and road networks. However, jeeps were far more than simple transportation devices. They enabled access to remote regions and villages, with the aim of allowing them to participate in a seemingly global information society. At the same time, the Jeep began its rise as a status symbol of the upper American middle class. Design played a decisive role in bringing the Jeep together with the changing mental maps of the post-war period. Brooks Stevens and Henry Kaiser in particular played an important role in giving the former military vehicle a completely different use, although in many respects it remained part of the modernizing mission of the Postwar period. This essay understands these two uses of the Jeep not as coincidental parallel developments, but reads them as two sides of the same coin. (shrink)

Table of contents : 1. The beginnings of phenomenology: Husserl and his predecessors Richard Cobb-Stevens, Boston College 2. Philosophy of existence 1: Heidegger Jacques Taminiaux, University of Louvain, Belgium 3. Philosophy of existence 2: Sartre Thomas Flynn, Emory University 4. Philosophy of existence 3: Merleau-Ponty Bernard Cullen, Queen's University, Belfast 5. Philosophies of religion: Jaspers, Marcel, Levinas William Desmond, Loyola College 6. Philosophies of science: Mach, Duhem, Bachelard Babette Babich, Fordham University 7. Philosophies of Marxism: Gramsci, Lukacs, Benjamin, Althusser (...) Michael Kelly, University of Southampton 8. Critical theory: from Adorno to Habermas David Rasmussen, Boston College 9. Hermeneutics: Gadamer, Ricoeur Gary Madison, McMaster University 10. Italian idealism and after: Croce, Gentile, Vattimo Giacomo Rinaldi, University of Urbino, Italy 11. French structuralism and after: Barthes, Lacan, Lévi-Strauss, Foucault Hugh Silverman, State University of New York at Stony Brook 12. French feminism and after: de Beauvoir, Kristeva, Irigaray, Cixious Alison Ainley, Oxford Brookes University 13. Deconstruction Simon Critchley, Essex University 14. Derrida Timothy Mooney, Essex University 15. Postmodernist theory: Lyotard, Baudrillard Thomas Docherty, Trinity College, Dublin. (shrink)

Where is my mind?: locating the mind metaphysically in Hobbes / Amy M. Schmitter -- The Cambridge Platonists: material and immaterial substance / Jasper Reid -- Descartes' philosophy of mind and its early critics / Antonia LoLordo -- Consciousness and reflection: the later Cartesians / Steven Nadler -- Malebranche on mind / Julie Walsh -- Cavendish and Conway on the individual human mind / Karen Detlefsen -- Locke and metaphysics of "state of sensibility" / Vili Lähteenmäki -- Spinoza on thinking (...) substance and the non-substantial mind / Beth Lord -- Two theories of mind as an immaterial substance: Descartes and Leibniz / Martha Brandt Bolton -- Leibniz on perception, sensation, apperception, and conscientia / Christian Barth -- Leibniz on appetitions and desires / Julia Jorati -- The Clarke Collins correspondence / William Uzgalis -- Mental substance and mental activity / Margaret Atherton -- Thomas Reid's common sense philosophy of mind / Todd Buras -- Persons and passions in Hume's philosophy of mind / Angela Coventry -- Kant on the mind / Andrew Brook. (shrink)

Organ transplantation remains one of modern medicine's remarkable achievements. It saves lives, improves quality of life, diminishes healthcare expenditures in end-stage renal patients, and enjoys high success rates. Yet the promise of transplantation is substantially compromised by the scarcity of organs. The gap between the number of patients on waiting lists and the number of available organs continues to grow. As of January 2006, the combined waiting list for all organs in the United States was 90,284. Unfortunately, thousands of potential (...) organs are lost each year, primarily due to lack of consent to donation from the deceased before death, or from the family thereafter. Only fifty percent of potential donors – the “conversion” rate – become actual donors. The costs attributed to organ shortage are substantial – Medicare paid over $15.5 billion in 2002 for treating patients with end-stage renal-disease, who predominate on organ waiting lists. (shrink)

Children have a spontaneous interest in the world around them - the workings of the earth, sun, and stars, the nature of number, time and space, or the functioning of the body. Yet what is there in children's minds that is the key to their knowledge? This book examines what children can and do know, based on extensive studies from a range of cultures.

In addressing the creation and regulation of biobanks in different countries, a short descriptive introduction to the social and cultural backgrounds of each country is mandatory. The State of Israel is relatively young, and can be characterized as a multi-religious, multi-ethnic, multi-cultural society, somewhat similar to the American melting pot. The current population is 8.3 million, a sharp rise resulting from a 1.2 million influx of immigrants from the former Soviet Union in the 1990s. Seventyfive percent are Jewish, 20% Arabs, (...) and several other minorities. The birth rate is 3.8 per family, the highest in the Organization for Economic Cooperation and Development. (shrink)

In this study, we examined the extent to which young children can be influenced by the perceived blessed status of an actor in their evaluations of behavior as a lie or mistake. Children aged 4 and 5 years attending Catholic schools in an urban center in Northern Italy were provided with a situation in which two girls in church were blessed with holy water or shook the priest's hand. The girls were then placed in a setting in which each told (...) a third girl that contaminated juice was good to drink: one deliberately lied and the other had no knowledge of the contaminant and made a mistake. Significantly more children judged both girls to have made a mistake in the blessed condition than in the not blessed condition. Their accuracy in distinguishing mistakes from lies in the not blessed condition resembled that reported in previous research in which traits such as blessedness were not assigned to the perpetrators. Thus children often perceived lying as uncharacteristic of the blessed whereas they applied the definition of lying as involving intentional falsehood for the not blessed. The results are discussed in terms of an early cultural cognition that involves beliefs about processes of purification and positive contagion. (shrink)

The thesis of discontinuity between humans and nonhumans requires evidence from formal reasoning tasks that rules out solutions based on associative strategies. However, insightful problem solving can be often credited through talking to humans, but not to nonhumans. We note the paradox of assuming that reasoning is orthogonal to language and enculturation while employing the criterion of using language to compare what humans and nonhumans know.

In an explicit attempt to reduce physician paternalism and encourage patient participation in making health care decisions, the informed consent doctrine has become a foundational precept in medical ethics and health law. The underlying ethical principle on which informed consent rests — autonomy — embodies the idea that as rational moral agents, patients should be in command of decisions that relate to their bodies and lives. The corollary obligation of physicians to respect and facilitate patient autonomy is reflected in the (...) rules that have been created to implement consent procedures, especially those requiring disclosure of relevant information.However, there are many practical impediments to patient self-determination in health care decisionmaking. Well-meaning physicians often lack the time to live up to the ideal of facilitating genuine, informed deliberation with and by their patients, and many lack the motivation or skill to do so successfully. (shrink)

Although Carpendale & Lewis (C&L) correctly emphasize the importance of conversation in children's social understanding, they neglect several complex issues. Contrary to their assertion, the focus on mental state processing has not been misplaced, and there is a need to recognize that different aspects of social understanding are liable to undergo distinctive developmental changes that vary in relation to social interaction.

This paper summarizes the results of 11 separate studies of deaf children’s performance on standard tests of false belief understanding, the results of which combine to show that deaf children from hearing families are likely to be delayed in acquiring a theory of mind. Indeed, these children generally perform no better than autistic individuals of similar mental age. Conversational and neurological explanations for deficits in mental state understanding are considered in relation to recent evidence from studies of deaf, autistic, and (...) normally developing children with varied levels of access to talk about mental states at home with family members during the preschool years. (shrink)

Neal Wood, Reflections on Political Theory: A Voice of Reason from the Past , x + 178 pp., ?35.00, ISBN 0 333 96880 8. Reviewed by Christopher Brooke. James Connelly, Metaphysics, Method and Politics: The Political Philosophy of R.G. Collingwood , ix + 336 pp., ?25.00/$40.00, ISBN 0 907845 312. Reviewed by Andrew Lockyer. Ekbert Faas, The Genealogy of Aesthetics , xiv + 439 pp., ?47.50, ISBN 0 521 81182 1. Reviewed by John Hope Mason. Christopher Kelly, Rousseau as Author: (...) Consecrating One’s Life to the Truth , ix + 209 pp., ?13.50/$19.00, ISBN 0 226 43024 3 . Reviewed by Timothy O’Hagan. Douglas R. Howland, Translating the West: Language and Political Reason in Nineteenth- Century Japan , xvi + 292 pp., $27.95, ISBN 0 8248 2462 8. Reviewed by Michael Mosher. Articulating America: Fashioning a National Political Culture in Early America, Essays in Honor of J.R. Pole, ed. Rebecca Starr , xi + 276 pp., ?31.00/$40.00, ISBN 0 7425 2076 5. Reviewed by Paul Carrese. Alberto Spektorowski, The Origins of Argentina’s Revolution of the Right , x + 269 pp., $30.00, ISBN 0 268 02011 6. Reviewed by David Rock. Joan Cocks, Passion and Paradox: Intellectuals Confront the National Question , xi + 220 pp., $16.95, ISBN 0 691 07468 2. Reviewed by David Miller. Samuel Pufendorf, Eris Scandica und andere polemische Schriften über das Naturrecht, ed. Fiammetta Palladini, Vol. 5 of Gesammelte Werke, ed. Wilhelm Schmidt-Biggemann , xxi + 489 pp., 14 illustrations, –158.00, ISBN 3 05 003605 2. Reviewed by Michael J. Seidler. Ivan Strenski, Contesting Sacrifice: Religion, Nationalism, and Social Thought in France , ix + 228 pp., $37.50/?26.50, ISBN 0 226 77736 7. Reviewed by Steven C. Hause. (shrink)

Biologists frequently draw on ideas and terminology from engineering. Evolutionary systems biology—with its circuits, switches, and signal processing—is no exception. In parallel with the frequent links drawn between biology and engineering, there is ongoing criticism against this cross-fertilization, using the argument that over-simplistic metaphors from engineering are likely to mislead us as engineering is fundamentally different from biology. In this article, we clarify and reconfigure the link between biology and engineering, presenting it in a more favorable light. We do so (...) by, first, arguing that critics operate with a narrow and incorrect notion of how engineering actually works, and of what the reliance on ideas from engineering entails. Second, we diagnose and diffuse one significant source of concern about appeals to engineering, namely that they are inherently and problematically metaphorical. We suggest that there is plenty of fertile ground left for a continued, healthy relationship between engineering and biology. (shrink)

Because the number of organs available for transplantation does not meet the needs of potential recipients, some have proposed that a potentially effective way to increase registration is to offer a self‐benefit incentive that grants a 'preferred status' or some degree of prioritization to those who register as potential donors, in case they might need organs. This proposal has elicited an ethical debate on the appropriateness of such a benefit in the context of a life‐saving medical procedure. In this paper (...) we review arguments and ethical concerns raised by scholars, and studies of views of members of the public regarding the prioritization incentive system. We also report on our study of the views of those involved in organ transplant and of other medical professionals in Israel, as over half a decade ago Israel implemented a prioritization incentive system. Bioethicists propose that key stakeholders' views can provide additional arguments and perspectives on controversial issues. Proponents justify the prioritization incentive drawing mainly on arguments related to its potential effectiveness, reciprocity and fairness. Opponents point to the fact that registering is not binding and not an actual donation, and raise concerns regarding equity, autonomy and gaming the system. Ethical concerns raised by the practitioners in the study were examined in light of scholars' arguments and actual registration and donation data. Practitioners involved in transplantation raised ethical concerns corresponding to those raised by scholars as well as additional concerns. They also challenged proponents' assumptions regarding the utility of the incentive system from their own experience and argued that proponents obscure the meaning of reciprocity. (shrink)

In three experiments involving 104 children and 86 adults we investigated the extent to which harm brought about by physical contact is judged to be worse than harm caused by impersonal, no-contact actions. In Experiment 1, Italian monolingual children aged 4 to 6 were asked to indicate whether they would prioritize saving five persons through contact over saving three persons without contact with both courses of action involving harm to a single victim. A preference for saving more persons did not (...) emerge until the age of 6 years. By contrast, in Experiment 2, children with a Slovenian-Italian linguistic and cultural background judged that to save five with contact was preferable even at the age of 4 and 5 years. In Experiment 3, Slovenian-Italian adults were also significantly more likely than Italian-only speakers to advocate using contact, although in a direct comparison, both groups prioritized saving five over three persons, regardless of the means. Moral diversity is discussed in terms of cultural and linguistic constraints that may serve to mediate the use of considerations of contact in an intuitive moral psychology. (shrink)

We have found that moral considerations interact with belief ascription in determining intentionality judgment. We attribute this finding to a differential availability of plausible counterfactual alternatives that undo the negative side-effect of an action. We conclude that Knobe's thesis does not account for processes by which counterfactuals are generated and how these processes affect moral evaluations.

We examine Carruthers’ proposal that sentences in logical form serve to create flexibility within central system modularity, enabling the combination of information from different modalities. We discuss evidence from aphasia and the neurobiology of input-output systems. This work suggests that there exists considerable capacity for interdomain cognitive processing without language mediation. Other challenges for a logical form account are noted.

Bloom's book underscores the importance of specifying the role of words and grammar in cognition. We propose that the cognitive power of language lies in the lexicon rather than grammar. We suggest ways in which studies involving children and patients with aphasia can provide insights into the basis of abstract cognition in the domain of number and mathematics.