In this study, Canadian healthcare ethics consultants describe their use of ethics decision-making frameworks. Our research finds that ethics consultants in Canada use multi-purpose ethics decision-making frameworks, as well as targeted frameworks that focus on reaching an ethical resolution to a particular healthcare issue, such as adverse event reporting, or difficult triage scenarios. Several interviewees mention the influence that the accreditation process in Canadian healthcare organizations has on the adoption and use of such frameworks. Some of the ethics consultants we (...) interviewed also report on their reluctance to use these tools. Limited empirical work has been done previously on the use of ethics decision-making frameworks. This study begins to fill this gap in our understanding of the work of healthcare ethics consultants. (shrink)

This article describes a qualitative study of models of ethics consultation used by ethics consultants in Canada. We found four different models used by Canadian ethics consultants whom we interviewed, and one sub-variant. We describe the lone ethics consultant model, the hub-and-spokes sub-variant of this model; the ethics committee model; the capacity-building model; and the facilitated model. Previous empirical studies of ethics consultation describe only two or three of these models.

A useful guide to best practice including reviews of the latest and most helpful tests available. In Part One, contributors discuss the theory of reading assessment including issues such as screening, legal aspects, memory and visual problems, computer based assessment and the dyslexias. Part Two contains the review section where experts give comprehensive reviews of named tests.

COVID-19 is unique in that it is the first global pandemic occurring amidst a crowded information environment that has facilitated the proliferation of misinformation on social media. Dangerous misleading narratives have the potential to disrupt ‘official’ information sharing at major government announcements. Using an interrupted time-series design, we test the impact of the announcement of the first UK lockdown on short-term trends of misinformation on Twitter. We utilise a novel dataset of all COVID-19-related social media posts on Twitter from the (...) UK 48 hours before and 48 hours after the announcement. We find that while the number of tweets increased immediately post announcement, there was no evidence of an increase in misinformation-related tweets. We found an increase in COVID-19-related bot activity post-announcement. Topic modelling of misinformation tweets revealed four distinct clusters: ‘government and policy’, ‘symptoms’, ‘pushing back against misinformation’ and ‘cures and treatments’. (shrink)

In Parts of Classes and "Mathematics is Megethology" David Lewis shows how the ideology of set membership can be dispensed with in favor of parthood and plural quantification. Lewis's theory has it that singletons are mereologically simple and leaves the relationship between a thing and its singleton unexplained. We show how, by exploiting Kit Fine's mereology, we can resolve Lewis's mysteries about the singleton relation and vindicate the claim that a thing is a part of its singleton.

In this paper, we examine critically the notion of “Triple Bottom Line” accounting. We begin by asking just what it is that supporters of the Triple Bottom Line idea advocate, and attempt to distil specific, assessable claims from the vague, diverse, and sometimescontradictory uses of the Triple Bottom Line rhetoric. We then use these claims as a basis upon which to argue (a) that what issound about the idea of a Triple Bottom Line is not novel, and (b) that what (...) is novel about the idea is not sound. We argue on bothconceptual and practical grounds that the Triple Bottom Line is an unhelpful addition to current discussions of corporate social responsibility. Finally, we argue that the Triple Bottom Line paradigm cannot be rescued simply by attenuating its claims: the rhetoric isbadly misleading, and may in fact provide a smokescreen behind which firms can avoid truly effective social and environmental reporting and performance. (shrink)

The purpose of this paper is to present a new argument against so-called fitting attitude analyses of intrinsic value, according to which, roughly, for something to be intrinsically good is for there to be reasons to want it for its own sake. The argument is indirect. First, I submit that advocates of a fitting-attitude analysis of value should, for the sake of theoretical unity, also endorse a fitting-attitude analysis of a closely related but distinct concept: the concept of intrinsic value (...) for a person, i.e., the concept of welfare. Then I argue directly against fitting-attitude analyses of welfare. This argument, which is the focus of the paper, is based on the idea that whereas whether an event is good or bad for a person doesn’t change over time, the attitudes there is reason to have towards such an event can change over time. Therefore, one cannot explain the former in terms of the latter, as fitting-attitude analyses of welfare attempt to do. (shrink)

Patients with delusions of control are abnormally aware of the sensory consequences of their actions and have difficulty with on-line corrections of movement. As a result they do not feel in control of their movements. At the same time they are strongly aware of the action being intentional. This leads them to believe that their actions are being controlled by an external agent. In contrast, the normal mark of the self in action is that we have very little experience of (...) it. Most of the time we are not aware of the sensory consequences of our actions or of the various subtle corrections that we make during the course of goal-directed actions. We know that we are agents and that we are successfully causing the world to change. But as actors we move through the world like shadows glimpsed only occasional from the corner of an eye. (shrink)

The article assesses Chad Hansen's arguments that both early and later Moist texts apply only pragmatic, not semantic, terms of evaluation and treat “appropriate word or language usage,” not semantic truth. I argue that the early Moist “three standards” are indeed criteria of a general notion of correct dao 道 , not specifically of truth. However, as I explain, their application may include questions of truth. I show in detail how later Moist texts employ terms with the same expressive role (...) as “ is true.” Thus, contra Hansen, the Moists can justifiably be said to have a concept of semantic truth. (shrink)

Over the last 20 years the comparator model for delusions of control has received considerable support in terms of empirical studies. However, the original version clearly needs to be replaced by a model with a much greater degree of sophistication and specificity. Future developments are likely to involve the specification of the role of dopamine in the model and a generalisation of its explanatory power to the whole range of positive symptoms. However, we will still need to explain why symptoms (...) can be so variable and we still do not understand the origin of the most mysterious symptom of all: thought insertion. (shrink)

The complex systems approach (CSA) to characterizing cognitive function is purported to underlie a conceptual and methodological revolution by its proponents. I examine one central claim from each of the contributed papers and argue that the provided examples do not justify calls for radical change in how we do cognitive science. Instead, I note how currently available approaches in ‘‘standard’’ cognitive science are adequate (or even more appropriate) for understanding the CSA provided examples.

The purpose of this article is to explore a fundamental ethical approach to nursing and to suggest some proposals, based on this approach, for nursing ethics education. The major point is that the kind of nursing ethics education that is given reflects the theory that is held of nursing. Three components of a fundamental ethical view on nursing are analysed more deeply: (1) nursing considered as moral practice; (2) the intersubjective character of nursing; and (3) moral perception. It is argued (...) that the fundamental ethical view on nursing goes together with a virtue ethics approach. Suggestions are made for the ethics education of nurses. In particular, three implications are considered: (1) an attitude versus action-orientated ethics education; (2) an integral versus rationalistic ethics education; and (3) a contextual model of ethics education. It will also be shown that the European philosophical background offers some original ideas for this endeavour. (shrink)

Recent neo-Humean theories of laws of nature have placed substantial emphasis on the characteristic epistemic roles played by laws in scientific practice. In particular, these theories seek to understand laws in terms of their optimal predictive utility to creatures in our epistemic situation. In contrast to other approaches, this view has the distinct advantage that it is able to account for a number of pervasive features possessed by putative actual laws of nature. However, it also faces some unique challenges. First, (...) since the view tries to characterize the laws in terms of their predictive utility, any respects in which putative actual laws are sub-optimally predictively useful are inherently problematic. Such "predictive infelicities" can easily be found among our best physical theories. Second, in tying the laws to our epistemic situation, neo-Humeanism raises the possibility that by changing our epistemic situation, we can change the laws themselves, though it is hard to believe that we have such influence over the laws. This paper aims to address both of these challenges, first by presenting a variety of strategies for explaining away predictive infelicities, and then by developing a version of Lewis's "rigidification" strategy to preclude the possibility of our changing the laws. (shrink)

Over the past twenty-five years, or so, considerable advances have been made in understanding how learning occurs in the brain, though much of this research is still to make its way into education. One contribution it should be making is to furnish the philosophical critique of past and current theory with supporting empirical evidence. For example, motivation theory and its cognate expectancy-value theory continue to be taught in teacher education, even though their rational cognitivist foundations are philosophically shaky, and their (...) shared representational notion of the mind is incompatible with what is now known about the learning brain. Furthermore, the central claim of motivation theory that children need to be motivated in order to learn is educationally problematic, not least because it incorporates a deficit model of the child as learner. This paper provides a philosophical and educational critique of motivation and expectancy-value theories and begins to sketch out an alternative dynamic systems approach, which argues that value is deeply embedded in the learning process, not only in the value students may or may not attach to their learning, but also neurobiologically. In opposition to motivation and its notion of the learner this paper argues that every student is equipped with a brain that is value-orientated towards learning and will learn, when nested in suitably affordant learning environments. In place of expectancy-value, we argue for value-embedded learning, which provides a non-reductive and biologically plausible account of how value and emotional salience are dynamically interwoven in the learning process. (shrink)

This article presents a review of the literature, summarizes current initiatives, and provides a heuristic for assessing the effectiveness of a range of institutional review board collaborative strategies that can reduce the regulatory burden of ethics review while ensuring protection of human subjects, with a particular focus on international research. Broad adoption of IRB collaborative strategies will reduce regulatory burdens posed by overlapping oversight mechanisms and has the potential to enhance human subjects protections.

In this paper, I explore briefly the "secular priesthood" metaphor often applied to bioethicists. I next ask: if, despite our discomfort with the metaphor, we were to embrace the best aspects of the priesthood(s) ? which I identify as the missionaries' willingness to work among sinners and lepers, at their own peril ? would we be able to live up to that standard of bravery? I then draw a parallel with the fears of contagion currently be voiced (by Carl Elliott (...) and others), with regard to bioethicists working in or near corporate settings. I argue that such fears may themselves have a number of deleterious effects, and I suggest several possible positive steps in response to that fear. (shrink)

Yoga is hugely popular around the world today, yet until now little has been known of its roots. This book collects, for the first time, core teachings of yoga in their original form, translated and edited by two of the world's foremost scholars of the subject. It includes a wide range of texts from different schools of yoga, languages and eras: among others, key passages from the early Upanisads and the Mahabharata, and from the Tantric, Buddhist and Jaina traditions, with (...) many pieces in scholarly translation for the first time. Covering yoga's varying definitions across systems, models of the esoteric and physical bodies, and its most important practices, such as posture, breath control, sensory withdrawal and meditation, Roots of Yoga is a unique and essential source of knowledge. (shrink)

In “Imaging or Imagining? A Neuroethics Challenge In- The assumption at issue here is the assumption that the formed by Genetics,” Judy Illes and Eric Racine (see this ismind literally is the brain (i.e., is numerically identical to sue) argue that “traditional bioethics analysis” (TBA), as de-.

Taking full measure of Rorty's influence and legacy demands encountering his reception outside North America. One such case, Eastern Europe, where Rorty spent considerable time and enjoys a committed following, is especially interesting, given the post-1989 resonance of his claims about the priority of democracy to philosophy.Polish philosopher Krzysztof Skowroński's attention to the underappreciated normative dimension of Rorty's pragmatism opens a window into this reception. This wide-ranging book advances a core – and, in my view, essential – insight: there is (...) a "profoundly axiological character" to Rorty's philosophy. Even though Rorty consciously eschewed a theory of values or a system of axiology, for... (shrink)

Much of Stephen Jay Gould’s legacy is dominated by his views on the contingency of evolutionary history expressed in his classic Wonderful Life. However, Gould also campaigned relentlessly for a “nomothetic” paleontology. How do these commitments hang together? I argue that Gould’s conception of science and natural law combined with his commitment to contingency to produce an evolutionary science centered around the formulation of higher-level evolutionary laws.

... and the baby has a large VSD. Otherwise appears well, gaining weight, smiling. No apnea, never been on ventilator. Local cardiac surgeon refused to operate, saying that surgery would be inappropriate. Have reached out to other centers, and some state that they never perform what they said was “futile” heart surgery on children with Trisomy 18, while other sites say they have and will continue to perform these operations. Can someone explain to me what is going on? In the (...) realm of medical care—given enough patients, clinicians, and time—conflict is inevitable. Someone will want to do something, such as give a drug or start a new form of technologic support, and someone else will think that this is a... (shrink)

In this essay, I inquire into the attitudes and conduct toward other agents that go hand in hand with the admirable individual life, as depicted in the Zhuāngzǐ. How do agents adept in a Zhuangist approach to dào handle interpersonal relations? I suggest that on a broadly Zhuangist understanding, interpersonal ethics is simply a special case of competence or adroitness in applying dé (power, agency) and following dào (ways). The general ideal of exemplary activity is to employ our dé to (...) find a fitting, free-flowing dào by which to navigate through contingent, changing circumstances. Interpersonal ethics is an application of this ideal to cases in which other agents and our relations with them are prominent features of our circumstances. The ethics of interacting with others is thus not a distinct subject area in Zhuangist discourse but one application of more general views about dào, dé, and exemplary activity. Instead of wandering the way on our own, interactions with others present us with situations in which we must find our way together. An important consequence of the Zhuangist approach is that discussions of our conduct toward others are not framed in terms of doing what is morally right or permissible. Instead, judgments as to whether some course of action is morally right or wrong are supplanted by judgments about the quality of our activity as a performance of dào—whether it is adept or clumsy, free-flowing or obstructed, in accordance with the situation or at odds with it. This signal feature of Zhuangist ethical discourse makes it challenging to situate it with respect to more familiar ethical views. Although I will suggest the Zhuangist approach overlaps in certain respects with recent moral particularism, I argue that most likely it is distinct from, and amounts to a rejection of, nearly all familiar normative ethical theories, including consequentialism, deontology, virtue ethics, and contractualism. (shrink)

Overgeneralizations by psychologists of the research evidence on memory and eyewitness testimony, such as “memory decays with time” or “memories are fluid and malleable,” are beginning to appear in legal judgements and guidance documents, accompanied by unwarranted disparagement of lay beliefs about memory. These overgeneralizations could have significant adverse consequences for the conduct of civil and criminal law.

First, we consider an argument due to Popper for maximal strength in choice of logic. We dispute this argument, taking a lead from some remarks by Susan Haack; but we defend a set of contrary considerations for minimal strength in logic. Finally, we consider the objection that Popper presupposes the distinctness of logic from science. We conclude from this that all claims to logical truth may be in equal epistemological trouble.

Previous writers have examined how topic and disagreement in assessments are managed within everyday conversation. This work, however, has focused on two-party interaction and little research has examined these issues in the context of multi-party discussion. In this article we examine these issues in the context of discussion by the admissions group of an arts and crafts guild. Analysis of the group’s discussions shows that on occasion group members find themselves in outright disagreement in assessment which leads to what is (...) here described as ‘gainsaying’. However, a number of other instances reveal that the group is able to avoid problematic conversational structures of this sort by deploying a variety of topic control devices: insertion of collusive laughter, conversation restart and topic flow manoeuvres. The article concludes by drawing out some analytic distinctions between two-party and multi-party interactions. (shrink)

What are ethics? -- News : towards a definition -- Morality of reporting -- The good journalist -- Truth, accuracy, objectivity and trust -- Privacy and intrusion -- Reputation -- Gathering the news -- Reporting the vulnerable -- Deciding what to publish -- Taste and decency : harm and offence -- Professional practice -- Regulation -- History of print regulation -- History of broadcast regulation -- Codes of conduct as a regulatory system -- Press regulation systems in the UK and (...) Ireland -- Broadcast regulation systems in the UK and Ireland -- The experience abroad. (shrink)

This paper proposes a framework for formalising intuitions about the behaviour of imperative commands. It seeks to capture notions of satisfaction and coherence. Rules are proposed to express key aspects of the general logical behaviour of imperative constructions. A key objective is for the framework to allow patterns of behaviour to be described while avoiding making any commitments about how commands, and their satisfaction criteria, are to be interpreted. We consider the status of some conundrums of imperative logic in the (...) context of this proposal. (shrink)

Cochrane has developed a linked data infrastructure to make the evidence and data from its rich repositories more discoverable to facilitate evidence-based health decision-making. These annotated resources can enhance the study and understanding of biomarkers and surrogate endpoints.

This article offers the first critical edition of the most important version of Francis of Marchia's famous question 1 of his commentary on Book IV of the Sentences, in which the Franciscan theologian puts forth his virtus derelicta theory of projectile motion. The introduction attempts to place Marchia's theory in its proper context. The theory might seem to us an obvious improvement on Aristotle, but rather than an immediate and complete break with tradition that all scholastics quickly adopted, Marchia's virtus (...) derelicta was more a stage in a gradual process that had begun many decades before and did not find universal acceptance among his first successors. Moreover, Marchia himself did not take the theory to what might seem the obvious conclusion that Jean Buridan would draw, because Marchia employed the virtus derelicta to explain more phenomena than just projectile motion. (shrink)

The public/private dichotomy has long been the object of considerable attention for feminists. We argue that, by focusing their attention on a divide which has declined in importance, feminists may fail to keep up with the current means by which sexual inequalities are perpetuated. Furthermore, by concentrating on this divide feminists risk reproducing such dichotomous thinking in their own work, discursively perpetuating that which they had initially hoped to displace. We begin by surveying feminist critiques of the public/private dichotomy, consider (...) recent moves to go beyond critique, yet suggest that the dichotomy continues to be a framing concern within feminist work. We then survey the way in which space has been understood within geography, and consider the implications of adopting a relational conception of space for analysis of public and private in political theory. We offer a broader framework for examining the ways in which sexual inequalities are reproduced in contemporary society. We therefore open up the possibility that over time inequalities may be mediated to a greater or lesser degree by spatial divisions. This places a further pressure on the assumption that the public/private divide, or some variation thereof, must be at the heart of feminist theorizing. (shrink)

In a series of four experiments, we examine the hypothesis that selective attention is crucial for the generation of conscious knowledge of contingency information. We investigated this question using a spatial priming task in which participants were required to localize a target letter in a probe display. In Experiment 1, participants kept track of the frequency with which the predictive letter in the prime appeared in various locations. This manipulation had a negligible impact on contingency awareness. Subsequent experiments requiring participants (...) to attend to features of the predictive letter increased contingency awareness somewhat, but there remained a large proportion of individuals who remained unaware of the strong contingency. Together the results of our experiments suggest that the construct of attention does not fully capture the processes that lead to contingency awareness, and suggest a critical role for bottom-up feature integration in explicit contingency learning. (shrink)

Müller's review of the neuroscientific evidence undermines nativist claims for autonomous syntax and the argument from the poverty of the stimulus. Generativists will appeal to data from language acquisition, but here too there is growing evidence against the nativist position. Epigenetic naturalism, the developmental alternative to nativism, can be extended to epigenetic socionaturalism, acknowledging the importance of sociocultural processes in language and cognitive development.