Population-based research is enhanced by biological measures, but biological sampling raises complex ethical issues. The third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) will estimate the population prevalence of five sexually transmitted infections (STIs) (Chlamydia trachomatis, Neisseria gonorrhoeae, human papillomavirus (HPV), HIV and Mycoplasma genitalium) in a probability sample aged 16–44 years. The present work describes the development of an ethical approach to urine testing for STIs, including the process of reaching consensus on whether to return results. The (...) following issues were considered: (1) testing for some STIs that are treatable and for which appropriate settings to obtain free testing and advice are widely available (Natsal-3 provides all respondents with STI and healthcare access information), (2) limits on test accuracy and timeliness imposed by survey conditions and sample type, (3) testing for some STIs with unknown clinical and public health implications, (4) how a uniform approach is easier to explain and understand, (5) practical difficulties in returning results and cost efficiency, such as enabling wider STI testing by not returning results. The agreed approach, to perform voluntary anonymous testing with specific consent for five STIs without returning results, was approved by stakeholders and a research ethics committee. Overall, this was acceptable to respondents in developmental piloting; 61% (68 of 111) of respondents agreed to provide a sample. The experiences reported here may inform the ethical decision making of researchers, research ethics committees and funders considering population-based biological sampling. (shrink)

Mainstream philosophy has seen a recent flowering in discussions of intellectualism which revisits Gilbert Ryle’s famous distinction between ‘knowing how’ and ‘knowing that’, and challenges his argument that the former cannot be reduced to the latter. These debates so far appear not to have engaged with pragmatist philosophy in any substantial way, which is curious as the relation between theory and practice is one of pragmatism’s main themes. Accordingly, this paper examines the contemporary debate in the light of Charles Peirce’s (...) habit-based epistemology. We argue both that knowing-that can be understood as a particularly sophisticated form of knowing-how, and that all bodily competencies—if sufficiently deliberately developed—can be analysed as instantiating propositional structure broadly conceived. In this way, intellectualism and anti-intellectualism are seen to be not opposed, and both true, although Peirce’s original naturalistic account of propositional structure does lead him to reject what we shall call ‘linguistic intellectualism’. (shrink)

In this chapter, it is described and assessed how political scientists use rational choice theories to offer causal explanations. We observe that the ways in which rational choice theories are considered to be successful in political science differs, depending on the explanandum in question. Political scientists use empirical variants of rational choice theories to explain the political behavior of individual agents and analytical variants to explain the behavior of collective actors. Both variants are used for distinct explananda, which ask for (...) different modes of explanation that raise in turn different explanatory demands toward rational choice theories. We argue that when political scientists discuss the explanatory usefulness of rational choice theories, they should assess them in light of the demands they are supposed to meet. This would enable a more nuanced and problem-oriented appraisal of rational choice theories in political science. (shrink)

Le projet à l’origine de ce dossier thématique est celui d’une étude comparative de l’expérimentation telle qu’elle apparaît dans les sciences de la nature et dans les sciences humaines et sociales. Il illustre et prolonge les réflexions d’un séminaire de recherche sur le même sujet, organisé par Catherine Allamel-Raffin, qui s’est tenu pendant deux ans (2017-2018) à l’université de Strasbourg grâce à un financement de la Misha (Maison Interuniversitaire des Sciences de l’Homme – Alsace). Les...

Imaginative and creative capacities seem to be at the heart of both games of make-believe and figurative uses of language. But how exactly might cases of metaphor or idiom involve make-believe? In this paper, I argue against the pretense-based accounts of Walton (1990, 1993), Hills (1997), and Egan (this journal, 2008) that pretense plays no role in the interpretation of metaphor or idiom; instead, more general capacities for manipulating concepts (which are also called on within the use of pretense) do (...) the real explanatory work. This result has consequences for both our understanding of metaphor and idiom as well as for the use of figurative language by fictionalists in ontology. (shrink)

The pattern of impairments exhibited by some individuals on the autism spectrum appears to challenge the relevance-theoretic account of metaphor ( Carston, 1996, 2002 ; Sperber and Wilson, 2002 ; Sperber and Wilson, 2008 ). A subset of people on the autism spectrum have near-normal syntactic, phonological, and semantic abilities while having severe difficulties with the interpretation of metaphor, irony, conversational implicature, and other pragmatic phenomena. However, Relevance Theory treats metaphor as importantly unlike phenomena such as conversational implicature or irony (...) and like instances of ordinary literal speech. In this paper, I show how Relevance Theory can account for the prima facie incongruity between its treatment of metaphor and the case of individuals with autism. (shrink)

Poststructuralism changes the way we understand the relations between human beings, their culture, and the world. Following a brief account of the historical relationship between structuralism and poststructuralism, this Very Short Introduction traces the key arguments that have led poststructuralists to challenge traditional theories of language and culture. Whilst the author discusses such well-known figures as Barthes, Foucault, Derrida, and Lacan, she also draws pertinent examples from literature, art, film, and popular culture, unfolding the poststructuralist account of what it means (...) to be a human being. (shrink)

Reversing centuries of methodological caution and skepticism, philosophers have begun to explore the possibility that experience in some form is widely distributed in the universe. It has been proposed that consciousness may pertain to machines, rocks, elementary particles, and perhaps the universe itself. This paper shows why philosophers have good reason to suppose that experiences are widely distributed in living nature, including worms and insects, but why panpsychism extending to non-living nature is an implausible doctrine.

Analyse le lien entre le discours du philosophe E. Levinas et l'idée de Dieu qui sous-tend sa pensée. Parmi les thèmes abordés : la création, la prophétie, le temps, la sainteté.

In the United States, the decision of whether to withdraw or continue to provide artificial nutrition and hydration (ANH) for patients in a permanent vegetative state (PVS) is placed largely in the hands of surrogate decision-makers, such as spouses and immediate family members. This practice would seem to be consistent with a strong national emphasis on autonomy and patient-centered healthcare. When there is ambiguity as to the patient's advanced wishes, the presumption has been that decisions should weigh in favor of (...) maintaining life, and therefore, that it is the withdrawal rather than the continuation of ANH that requires particular justification. I will argue that this default position should be reversed. Instead, I will argue that the burden of justification lies with those who would continue artificial nutrition and hydration (ANH), and in the absence of knowledge as to the patient's advanced wishes, it is better to discontinue ANH. In particular, I will argue that among patients in PVS, there is not a compelling interest in being kept alive; that in general, we commit a worse violation of autonomy by continuing ANH when the patient's wishes are unknown; and that more likely than not, the maintenance of ANH as a bridge to a theoretical future time of recovery goes against the best interests of the patient. (shrink)

A collection of essays covering a range of topics related to Leibniz. The monads and the pre-established harmony make numerous appearances, and so do Leibniz's discussions of causality, relations, individuation, nature, freedom, consciousness, and divinity. In addition to sections on Leibniz's physics and his theory of substance, a number of papers are included on his philosophy of mind that draw heavily on the New Essays, along with several articles on metaphysical and theological issues, and a section on Leibniz's relationships with (...) his contemporaries and predecessors. (shrink)

ABSTRACTHume was not a philosopher famed for what are sometimes called ‘ontological commitments'. Nevertheless, few contemporary scholars doubt that Hume was an atheist, and the present essay tenders the view that Hume was favourably disposed to the 'vital materialism' of post-Newtonian natural philosophers in England, Scotland and France. Both internalist arguments, collating passages from a range of Hume's works, and externalist arguments, reviewing the likely sources of his knowledge of ancient materialism and his association with his materialistic contemporaries are employed.

Commentators on Machiavelli's Discourses have disagreed about whether he seeks to establish a new, more democratic form of republic, revive an imperial republic like Rome, or educate a new political elite, because they have not seen the logic that connects the three books. Machiavelli first argues that the internal liberty of Rome depended on arming her people. He then shows how a modern republic can avoid the destructive effects of Roman imperialism. Finally, he teaches his readers how to preserve a (...) republic better than the Romans. (shrink)

Severe staffing shortages have emerged as a prominent threat to maintaining usual standards of care during the COVID-2019 pandemic. In dire settings of crisis capacity, healthcare systems assume the ethical duty to maximise aggregate population-level benefit of existing resources. To this end, existing plans for rationing mechanical ventilators and intensive care unit beds in crisis capacity focus on selecting individual patients who are most likely to survive and prioritising these patients to receive scarce resources. However, staffing capacity is conceptually different (...) from availability of these types of discrete resources, and the existing strategy of identifying and prioritising patients with the best prognosis cannot be readily adapted to fit this real-world scenario. We propose that two alternative approaches to staffing resource allocation offer a better conceptual fit: (1)prioritise the worst off: restrict access to acute care services and hospital admission for patients at relatively low clinical risk and (2)prioritise staff interventions with high near-term value: universally restrict selected interventions and treatments that require substantial staff time and/or energy but offer minimal near-term patient benefit. These strategies—while potentially resulting in care that deviates from usual standards–support the goal of maximising the aggregate benefit of scarce resources in crisis capacity settings triggered by staffing shortages. This ethical framework offers a foundation to support institutional leaders in developing operationalisable crisis capacity policies that promote fairness and support healthcare workers. (shrink)

This book examines the conception of the person at work in John Rawls's writings from Theory of Justice to Justice as Fairness: A Restatement. The book aims to show that objections to Rawls's political conception of the person fail and that a Rawlsian conception of political identity is defensible. The book shows that the debate between liberals and communitarians is relevant to the current debate regarding perfectionism and neutrality in politics, and clarifies the debate between Rawls and communitarians in a (...) way that will promote fruitful discussion on the issue of political identity. It does this by providing a clearer account of a conception of personal identity according to which persons are socially constituted, including the intuitions and assumptions underlying the communitarians' conception of persons as "socially constituted." It examines the communitarian objections to liberal political theory and to the liberal conception of persons, the "unencumbered self." The book differentiates between two types of objection to the liberal conception of persons: the metaphysical and normative. It explains Rawls's political conception of persons, and the metaphysical and normative commitments Rawls incurs-and does not incur-in virtue of that conception. It shows that both kind of objection to Rawls's political conception of the person fail. Finally, modifying Rawls's political conception of the person, a Rawlsian conception of political identity is explained and defended. (shrink)

Since the establishment of the modern prison system in the early nineteenth century, prisons and prisoners have been construed as sites of moral, social, and biological contagion. Historic and contemporary studies show that most prisoners experience severe health inequalities, higher rates of addiction and mental health issues, and lower life expectancy than the rest of the population. They also come from deprived social strata. Yet, these aspects of Irish penal history have been largely neglected in academia and popular histories. Our (...) article discusses two public history projects—an art installation, _The Trial_, and a museum exhibition, _Living Inside_—that engaged different publics with the long history of health and welfare in Irish prisons. Developed by the research team on the Wellcome Trust Investigator Award “Prisoners, Medical Care and Entitlement to Health in England and Ireland, 1850-2000,” based at University College Dublin, the projects adopted different methodologies to engage their audiences and explore the experience and management of health and welfare in nineteenth- and twentieth-century Irish prisons. We further examine the different methodological approaches of each project, their varied aims and audiences, and the impacts reported by audiences and participants. The article also considers some of the challenges of doing this kind of public history, both in terms of working with marginalized communities and presenting research about difficult subjects to various audiences. (shrink)

L'oeuvre de Pierre Bourdieu a exercé une influence profonde sur la recherche scientifique, bien au-delà de la sociologie. Du fait de sa formation de philosophe, de ses incursions en anthropologie et en linguistique, de son souci constant d'analyser la dimension historique des faits sociaux, de son regard critique sur la science politique et le droit, de ses emprunts au vocabulaire économique, ainsi que de son intérêt marqué pour l'art et la littérature, Bourdieu n'a cessé de dialoguer mais aussi parfois de (...) "ferrailler" avec différentes disciplines des sciences sociales. Cet ouvrage collectif rend compte de manière inédite de l'étendue des réceptions et appropriations des travaux de Pierre Bourdieu dans les diverses sciences sociales. Il propose un éclairage original sur les usages du travail de Bourdieu en sociologie, anthropologie, histoire, philosophie, science politique, économie, droit, études littéraires et sciences de l'information et de la communication. Il permet ainsi d'entrer dans le laboratoire des sciences sociales qui font usage de Bourdieu et donne à voir la manière dont ses concepts et ses méthodes peuvent être déplacés et employés au-delà de l'univers disciplinaire dans lequel ils ont été forgés ; les luttes autour des frontières disciplinaires ; les obstacles à la réception de Bourdieu ou au contraire les conditions qui la favorisent. Fenêtre ouverte sur le renouvellement des études bourdieusiennes, I'ouvrage fait également dialoguer plusieurs générations de chercheurs, au-delà du premier cercle des "héritiers". Il permet ainsi de mieux connaître ou de découvrir des recherches contemporaines qui, dans le sillage de celles de Pierre Bourdieu, contribuent à la construction d'une connaissance décloisonnée, réflexive et critique du monde social. (shrink)

The Metaphysical Society was founded in 1869 at the instigation of James Knowles (editor of the Contemporary Review and then of the Nineteenth Century) with a view to 'collect, arrange, and diffuse Knowledge (whether objective or subjective) of mental and moral phenomena' (first resolution of the society in April 1869). The Society was a private dining and debate club that gathered together a latter-day clerisy. Building on the tradition of the Cambridge Apostles, they elected talented members from across the Victorian (...) intellectual spectrum: Bishops, one Cardinal, philosophers, men of science, literary figures, and politicians. The Society included in its 62 members prominent figures such as T. H. Huxley, William Gladstone, Walter Bagehot, Henry Edward Manning, John Ruskin, and Alfred Lord Tennyson. (shrink)

Moral emotions shape the effectiveness of culturally diverse teams. However, these emotions, which are integral to determining ethically responsive patient care and team relationships, typically go unrecognised. The contribution of emotions to moral deliberation is subjugated within the technorational environment of healthcare decision‐making. Contemporary healthcare organisations rely on a multicultural workforce charged with the ethical care of vulnerable people. Limited extant literature examines the role of moral emotions in ethical decision‐making among culturally diverse healthcare teams. Moral emotions are evident in (...) ethnocentric moral perspectives that construct some colleagues' practices as ‘other’. This article examines how moral emotions are evoked when cultural dissonance influences nurses' moral perceptions. We use a qualitative investigation of teamwork within culturally diverse healthcare organisations. We use Haidt's () account of moral emotions to examine practice‐based accounts of 36 internationally educated and 17 New Zealand educated nurses practising in New Zealand. The study provides evidence that moral emotions are frequently elicited by communication and care practices considered ‘foreign’. The main implication is that although safe practice in healthcare organisations is reliant on highly functioning teams, collaboration is challenged by interprofessional power relations of contested culturally shaped values. We address practice‐based strategies that enable engagement with moral emotions to enhance effective teamwork. (shrink)

The collective Tiqqun’s 2001 tract, Raw Materials for a Theory of the YoungGirl, in which they stress the way modern girl culture represents the triumph of capitalism, has recently drawn fresh attention. Here I consider the argument about girls made in this text and its perhaps surprising relevance to contemporary feminist accounts of girlhood and girl culture.

Yet many, though not all, moral claims are susceptible of confirmation to the extent that they command the agreement of well-informed inquirers." "With this foundation in place, Wilson turns to a defence of egalitarianism intended to address the objection that the importance of our nonmoral projects, our natural acquisitiveness and partiality, and our meritocratic commitments render social equality a mere abstract ideal. Employing the basic notion of a symmetrical division of the co-operative surplus, she argues that social justice with respect (...) to global disparities in well-being and in the condition of women relative to men depends on the relinquishment of natural and acquired advantage that is central to the concept of morality."--BOOK JACKET. (shrink)

Background: There is an international trend for frail older adults to move to residential care homes, rather than ageing at home. Residential facilities typically espouse a person-centred philosophy, yet evidence points to restrictive policies and surveillance resulting in increased loneliness and diminished opportunities for intimacy and sexual expression. Residents may experience what has been termed social death, rather than perceive they are related to by others as socially alive. Aim: To consider how the loss of intimacy and sexuality in residents’ (...) lives contributes to iatrogenic loneliness experienced in residential care, and the importance of considering these issues together. Research design: The study utilised a constructionist methodology, investigating the meanings associated with intimacy, loneliness, and ageing. Participants and research context: Qualitative data used in this study are drawn from a larger dataset of a mixed-methods study. Interviews were completed as follows: staff, 21 individual interviews, and two groups with a total of 13 additional people; residents, 26 interviews with 28 people; and family members, 12 interviews with 13 people. Findings: Five key themes were identified in the data analysis: loneliness and relational identity, loneliness and functional relationships, loneliness and disrupted intimacy, loneliness and liminality, and loneliness and the built environment. Ethical considerations: The study was approved by a University Human Ethics Committee. Participation was voluntary. Consent was gained and confidentiality upheld. Discussion: Residents’ expression of intimacy and sexuality can be compromised through paternalism, ageism, restrictive policies, care-rationing and functional care, alienating residents from sustaining and developing significant relationships. Attitudes and cultural beliefs of staff and family members about ageing and intimacy, compounded by architectural design, may intensify loneliness. Conclusions: Nurses have a pivotal role in ensuring policies and practice enhance social citizenship. (shrink)