Effective communication and interpersonal skills have long been recognized as fundamental to the delivery of quality health care. However, there is mounting evidence that the pressures of communication in high stress work areas such as hospital emergency departments present particular challenges to the delivery of quality care. A recent report on incident management in the Australian health care system cites the main cause of critical incidents, as being poor and inadequate communication between clinicians and patients. This article presents research that (...) describes and analyses spoken interactions between health care practitioners and patients in one ED of a large, public teaching hospital in Sydney, Australia. The research aimed to address the challenges and critical incidents caused by breakdowns in communication that occur between health practitioners and patients and by refining and extending knowledge of discourse structures, to identify ways in which health care practitioners can enhance their communicative practices thereby improving the quality of the patient journey through the ED. The research used a qualitative ethnographic approach combined with discourse analysis of audio-recorded interactions. Some key findings from the analysis of data are outlined including how the absence of information about processes, the pressure of time within the ED, divergent goals of clinicians and patients, the delivery of diagnoses and professional roles impact on patient experiences. Finally, the article presents an in-depth linguistic analysis on interpersonal and experiential patterns in the discursive practices of patients, nurses and doctors. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Shaping Public Theology: Selections from the Writings of Max L. Stackhouse ed. by Scott R. Paeth, E. Harold Breitenberg Jr., and Hak Joon LeeKara N. SladeShaping Public Theology: Selections from the Writings of Max L. Stackhouse Edited by Scott R. Paeth, E. Harold Breitenberg Jr., and Hak Joon Lee grand rapids, mi: eerdmans, 2014. 392 pp. $40.00Shaping Public Theology is the second major collection of essays focused on (...) the work of Max Stackhouse to appear since his retirement from Princeton Theological Seminary, where he served as the Rimmer and Ruth de Vries Professor of Reformed Theology and Public Life. The first, Public Theology for a Global Society, was a Festschrift composed of short pieces by his former students and colleagues, edited by Deirdre King Hainsworth and Scott R. Paeth. Shaping Public Theology, which is also edited by Paeth along with E. Harold Breitenberg Jr. and Hak Joon Lee, is a helpfully representative compilation of Stack-house’s own writing across the span of his long and prolific career. As such, it demonstrates both the generous aspirations and the significant limitations of “public theology” as Stackhouse envisioned it, as a theologically informed discourse that should be equally accessible to Christians, people of other faiths, and people of no faith or religious background. [End Page 213]The first of the book’s three sections, “Interpreting the Tradition of Public Theology,” places Stackhouse in conversation with other figures in Christian theology and ethics, both past and present. These essays locate him firmly within the strand of Christian thought inhabited by Ernst Troeltsch, Walter Rauschenbusch, and Paul Tillich, and they also reflect his significant and ongoing disagreements with some of his contemporaries, including Alasdair MacIntyre and Stanley Hauerwas. The second section, “Developing a Method for Public Theology,” provides a useful summary of Stackhouse’s distinctive theological method, defining public theology and its relationship to individuals, communities, institutions, and states. The third and final section, “Constructing a Global Public Theology,” turns to one of the major focal points of Stackhouse’s work, examining the role of public theology in the context of globalization. The text concludes with a brief summary contributed by the editors, a response from Stackhouse describing both how his thought has changed over the years and the gaps that he perceives in his work, and a comprehensive bibliography.As a collection, Shaping Public Theology provides the reader with a broad overview of the predominant themes in Stackhouse’s work. The essays demonstrate his abiding concern for an apologetic and universal framework for Christian ethics as well as his emphasis on the covenantal basis for that framework. Stackhouse’s affinity for both the Reformed tradition and the ideals of the Social Gospel movement are also evident throughout the text. In addition many of the essays reflect his ongoing engagement with the theme of “the global” and with globalization not only as a locus of critique but also as the vehicle for “the prospect of a world-comprehending culture, with a new recognition of certain common moral standards” (162).Whether these ideas are theologically helpful, however, is a matter of long-standing disagreement that will not be resolved in the limited space of this review. By treating the covenant between the Triune God and Israel as merely one instance of a “universal moral law,” and by moving from that particular to the universal through the doctrine of the Trinity, Stackhouse participates in a significant—and significantly problematic—strain of thought within the Christian imaginary (67). While he may reject the particularity espoused by George Lindbeck, Hauerwas, et al., he remains grounded within his own particularity with its own decidedly fraught history: that of the modern, progressive, Western civilizing project. As a work of moral theology, this text does have significant limitations. However, as a document of the history of Christian ethics of the twentieth century, Shaping Public Theology is a useful addition to the literature, both for research and for teaching purposes. [End Page 214]Kara N. SladeDuke UniversityCopyright © 2015 Society of Christian Ethics... (shrink)

Søren Kierkegaard and Dietrich Bonhoeffer provide provocatively individualistic, liturgical, Jesus-centered perspectives on anthropology that accentuate the neo-Hegelian, amoral, collectivist perspectives of geneticist Francis Collins, social psychologist Jonathan Haidt, and entomologist/political philosopher E. O. Wilson. In the mix of the vagaries of scientific developments, the offense of Jesus Christ does not change, and it seems vital for Christians to testify explicitly against any worldview (economic and/or scientific) that presents human lives (whether self-given sacrificially or taken involuntarily) as the dross of a (...) refined future. It is through the repetitive practice of Holy Communion that Christians consume the gift to see the world as gift, not for our own winning or saving. (shrink)

Few studies have considered in detail the ethical issues surrounding research in which investigators ask community members to engage in research subject recruitment within their own communities. Peer-driven recruitment and its variants are useful for accessing and including certain populations in research, but also have the potential to undermine the ethical and scientific integrity of community-based research. This paper examines the ethical implications of utilizing community members as recruiters of human subjects in the context of PDR, as well as the (...) authors' experience with a variant of PDR in a research project in South Africa. The importance of situating PDR in a comprehensive community engagement process that is responsive to the constraints of science and local needs and interests is emphasized. The paper will have relevance to bioethicists, health researchers, and research regulators concerned about the appropriate use of peer-driven recruitment strategies in health research. (shrink)

This article assesses John Rawls's case against the welfare state as a means for implementing socio-economic justice, and for a ‘property-owning democracy’, from both a normative and a methodological point of view. It points out several flaws of Rawls's critique of the welfare state, through a focus on an existing variety of it — a Swedish-style universal welfare state — which can be said to be relatively successful, both in terms of normative merits and in terms of institutional stability and (...) capacity for self-perpetuation. On this basis, the article argues that a universal welfare state should constitute the institutional bedrock of Rawlsian social justice, even though it cannot completely fulfil all its requirements. It also develops some reasons to think that, in order to adequately and stably implement those requirements of Rawlsian justice that cannot be fulfilled even by a universal welfare state, the latter should be supplemented by democratic socialism, not by a ‘property-owning democracy’. (shrink)

Consider the hypothesis H that a defendant is guilty, and the evidence E that a majority of h out of n independent jurors have voted for H and a minority of k:=n-h against H. How likely is the majority verdict to be correct? By a formula of Condorcet, the probability that H is true given E depends only on each juror's competence and on the absolute margin between the majority and the minority h-k, but neither on the number n, nor (...) on the proportion h/n. This paper reassesses that result and explores its implications. First, using the classical Condorcet jury model, I derive a more general version of Condorcet's formula, confirming the significance of the absolute margin, but showing that the probability that H is true given E depends also on an additional parameter: the prior probability that H is true. Second, I show that a related result holds when we consider not the degree of belief we attach to H given E, but the degree of support E gives to H. Third, I address the implications for the definition of special majority voting, a procedure used to capture the asymmetry between false positive and false negative decisions. I argue that the standard definition of special majority voting in terms of a required proportion of the jury is epistemically questionable, and that the classical Condorcet jury model leads to an alternative definition in terms of a required absolute margin between the majority and the minority. Finally, I show that the results on the significance of the absolute margin can be resisted if the so-called assumption of symmetrical juror competence is relaxed. (shrink)

This article examines the methodology of a core branch of contemporary political theory or philosophy: “analytic” political theory. After distinguishing political theory from related fields, such as political science, moral philosophy, and legal theory, the article discusses the analysis of political concepts. It then turns to the notions of principles and theories, as distinct from concepts, and reviews the methods of assessing such principles and theories, for the purpose of justifying or criticizing them. Finally, it looks at a recent debate (...) on how abstract and idealized political theory should be, and assesses the significance of disagreement in political theory. The discussion is carried out from an angle inspired by the philosophy of science. (shrink)

Jennifer Nado has recently argued that conceptual engineers should focus on (re-)designing representations and may safely ignore issues of implementation. I make a general case for the methodological importance of implementation to conceptual engineering. Using the Social Norms Account as a foil, I argue for three claims. (1) Inquiring into methods of implementation is a theoretically challenging and philosophically worthwhile project in and of itself. (2) A sound theoretical understanding of implementation is imperative for theorists of conceptual engineering. It proves (...) vital for their assessment of the prospects for engineering interventions and the political risks inherent in them. (3) A sound theoretical understanding of implementation is imperative for practitioners of conceptual engineering. The usefulness of their representational (re-)designs depends on respecting broadly cognitive and social constraints on the part of the target population. I conclude that conceptual engineers have very good reasons to seriously engage with issues of implementation. (shrink)

This paper focuses on Olivi’s theory of representation and aims at showing that his theory does not endorse epistemological representationalism . Moreover, there is no representation without self-representation for Olivi. Therefore, his account of self-representation or inner experience resembles modern higher-order theories of consciousness. But unlike most modern authors, Olivi seems to combine a higher-order thought theory with a higher-order perception one.

The aim of the paper is to illuminate some core aspects of Leibniz’s conception of judgement and its place in his conception of the mind. In particular, the paper argues for three claims: First, the act of judgement is at the centre of Leibniz’s conception of the mind in that minds strive at actualising innate knowledge concerning derivative truths, where the actualising involves an act of judgement. Second, Leibniz does not hold a judgement account of predication, but a two-component account (...) that distinguishes between predication and alethic evaluation. Third, Leibniz understands the act of affirmative judgement in terms of establishing active dispositions, i.e. strivings, to make reasons available for future reasoning that aims at answering whether-questions. Correspondingly, he understands the act of negative judgement in terms of establishing dispositions to ban propositions from future reasoning that aims at answering whether-questions. In the final analysis, the acts of affirmative as well as of negative judgement turn out to be acts of changing memory dispositions. (shrink)

This paper analyses the early history of David Bohm’s mechanics from the perspective of Ludwik Fleck’s thought-collectives and shows how the thought-style of the scientific community limits the possible modes of thinking and what new possibilities for the construction of a new theory arise if these limits are removed.

This essay assesses the morality of Ukraine's use of drones to attack targets inside Russia. Following its invasion by Russian forces, Ukraine has had a just cause to wage a war of self-defense. However, its efforts to achieve that cause remain subject to moral limits. Even a state that has been unjustly attacked may not, for example, respond by deliberately targeting the attacking state's civilian population. To do so would violate the jus in bello principle of discrimination. The essay first (...) describes how drone technology has frequently enabled long-range strikes against Russian military assets as well as other targets inside cities. It then explains why it would be morally wrong for Ukraine to attack its enemy's population centers. First, Russian civilians are not liable to attack, and this nonliability is undiminished by the injustice of Russia's invasion or by any in bello wrongs committed by the Russian military. Second, attacking Russian cities with drones would arguably achieve little or no self-defensive benefit for Ukraine, and it could even be counterproductive. (shrink)

Hegel’s Philosophy of Law deals in theLaw section of the categories: person, property and contract. Research critically reconstructs this theory from a Marxist perspective. In the concept of person, first of all, the singular will is reduced to a solipsist will unrelated to intersubjectivity. Then, the concept of Hegelian property bases the private appropriation of property as the externalization of the singular will. This legal property guarantees the maintenance and reproduction of private property, that is, it will guarantee the private (...) accumulation of capital, Marx will say. Anyway, the theory of the contract would link the autonomy of the contracting wills, however, it is a mere appearance, because, in fact, the owners’ wills are under the domination of the capitalist market, as it is explained in Marx’s Capital. The theoretical deficit of Hegel’s Philosophy of Law in general is that the legal concepts of person and property correspond to the abstract will. Hegel describes the juridical description of the legal system of the modern state as the development of free will that legitimizes the asymmetry of civil society in its socioeconomic inequalities. (shrink)

Book synopsis: The five volumes contain the main papers and lectures of invited speakers that were presented at the X. International Kant Congress in Sao Paolo in 2005.

Reinforcement learning approaches to cognitive modeling represent task acquisition as learning to choose the sequence of steps that accomplishes the task while maximizing a reward. However, an apparently unrecognized problem for modelers is choosing when, what, and how much to reward; that is, when (the moment: end of trial, subtask, or some other interval of task performance), what (the objective function: e.g., performance time or performance accuracy), and how much (the magnitude: with binary, categorical, or continuous values). In this article, (...) we explore the problem space of these three parameters in the context of a task whose completion entails some combination of 36 state–action pairs, where all intermediate states (i.e., after the initial state and prior to the end state) represent progressive but partial completion of the task. Different choices produce profoundly different learning paths and outcomes, with the strongest effect for moment. Unfortunately, there is little discussion in the literature of the effect of such choices. This absence is disappointing, as the choice of when, what, and how much needs to be made by a modeler for every learning model. (shrink)

How can a present or future event causally influence one in the past? Even though the case of such a relationship is often quickly dismissed as impossible, this paper suggests that this reaction is hasty and omits interesting as well as substantive arguments and considerations. In an introductory synopsis of the metaphysics of causality, we first present and discuss arguments for and against the possibility of backwards causation. On the other hand, we suggest that a probabilistic notion of causality according (...) to Suppes need not exclude that causes occur temporally after their effects. (shrink)

The welfare of farmed fish is often regarded with less concern than the welfare of other husbandry animals, as fish are not universally classified as sentient beings. In Norway, farmed fish and other husbandry animals are legally protected under the same laws. Additionally, the legislature has defined a number of aquaculture-specific amendments, including mandatory welfare courses for fish farmers who have a key role in securing animal welfare, also with regards to noting welfare challenges in the production process. This article (...) uses fish welfare courses as a site from which to inquire about the common-sense understanding of fish welfare in Norwegian fish farming. The focus is specifically on fish farm employees, their experiences of welfare-related issues and contradictions in their daily work, and the struggle to act responsibly in aquaculture settings. Through participant observation at welfare courses, as well as interviews and conversations with fish farm workers, the article details how challenges are experienced ‘on the ground’, and suggests how fish farm workers’ own experiential knowledge might be mobilized to improve the general welfare of farmed fish. (shrink)

L’aramaico antico: Storia, grammatica, testi commentati. By Frederick Mario Fales and Giulia Francesca Grassi. Udine: Forum, 2016. Pp. 315, illus. €35.

With the emergence of participative social media, the ways in which stakeholders may interact with companies are changing. Social media and Web 2.0 technologies change gatekeeping mechanisms and the distribution of information. In consequence, organizations must realize that they are structurally embedded in online networks of interconnected and equitable actors. In this paper, we analyze how this change in today’s information and communication technologies may affect Corporate Social Responsibility action. We utilize social network analysis to investigate the CSR blogs of (...) three IT firms: Google, Hewlett-Packard, and Intel. The analysis reveals that their Internet-enabled social networks exhibit patterns of power law distribution and an uneven distribution of structural social capital among the actors involved, especially on the corporate side, which fails to fully engage with the network. We conclude by indicating the research implications of shifting social capital dynamics and by deriving implications for management and practice. (shrink)

The philosopher, writer and technology critic Günther Anders, né Stern (1902–1992), occasionally referred to his own thinking as “occasional philosophy”. In order to reconstruct this mode of thought, which is also an essential key to understanding Anders, I will refer to a previously unpublished typescript of the same name from his literary estate. This reconstruction will be based on three theses: From the outset, Anders’ work is characterised by a preoccupation with questions of method. Secondly, the tools of occasional philosophy (...) can be found not only in his philosophical writings, but above all in his reflections on art, literature and photomontage. Thirdly, the prima vista eclectic and anti-systematic method is a logical reaction to the fundamentally changed conditions of philosophising in a (post-)modern, technologised society. (shrink)

Owen Flanagan's The Bodhisattva's Brain represents an ambitious foray into cross-cultural neurophilosophy, making a compelling, though not entirely unproblematic, case for naturalizing Buddhist philosophy. While the naturalist account of mental causation challenges certain Buddhist views about the mind, the Buddhist analysis of mind and mental phenomena is far more complex than the book suggests. Flanagan is right to criticize the Buddhist claim that there could be mental states that are not reducible to their neural correlates; however, when the mental states (...) in question reflect the embodied patterns of moral conduct that characterize the Buddhist way of being-in-the-world, an account of their intentional and normative status becomes indispensable. It is precisely this synthesis of normativity and causal explanation that makes Buddhism special, and opens new avenues for enhancing, refining, and expanding the range of arguments and possibilities that comparative neurophilosophy can entertain. (shrink)

This paper argues that Tugendhat's critique of Heidegger's existential conception of truth as disclosedness is usually misunderstood. The main claim of this paper is that Tugendhat insists against Heidegger on certain conventional features of truth such as conformity of the law of non-contradiction, not because he adheres to an ideal of truth as correctness; rather, he proposes an alternative existential conception of truth in terms of an active, critical or self-critical, engagement with untruth. Various recent objections to Tugendhat's critique of (...) Heidegger are discussed against the background of his alternative and are rejected. The paper concludes by outlining several challenges to Tugendhat's alternative existential conception of truth. (shrink)

ABSTRACT This article argues that the data presented in Philosophy Within Its Proper Bounds are of greater interest to psychologists than to philosophers, and cautions experimental philosophers against some experimental shortcomings in the use of self-report and vignettes.

Theodor W. Adorno asked in 1968: What is the fundamental question of the present structure of society? Do we live in late capitalism or an industrial society? In today’s society, we can reformulate this question: What is the fundamental question of the present structure of society? Do we live in capitalism or an information society? This article deals with these questions. A typology of information society theories is presented. Radical discontinuous information society theories, sceptical views and continuous information society theories (...) are distinguished. Second, an alternative concept that is grounded in Hegelian philosophy and Marxist political economy is presented. The basic argument is that the emergence of transnational informational capitalism is a transformational sublation, but not a radical one, and that informational capitalism is just one of the forms of capitalism that co-exist today. There is a unity of diversity of capitalism(s). (shrink)

Cognitive Science, Volume 45, Issue 8, August 2021.

Abstract That current ideals of cognition impoverish experience is a classical observation, and complaint, of the early Frankfurt School. Adorno reacts to this phenomenon in several ways, among them his conception of metaphysical experiences. Metaphysical experiences are conventionally understood as promissory notes, as metaphors for rich experiences. This article takes a different view of metaphysical experiences. It discusses them in light of Adorno's notion that objects have priority in experience and of his further remark that metaphysical experiences are constituted by (...) error. It argues that rather than promissory notes or metaphors for rich experiences, metaphysical experiences are attempts at taking things literally. (shrink)

We survey various aspects of the problem of automatic continuity of homomorphisms between Polish groups.

The majority of contemporary models of wisdom define it in terms of a cognitive ability that is located in an agent’s mind. Even those models that include emotions, affective states, gut feelings etc. hardly recognise the relation between those non-cognitive dimensions, agents’ bodies and how they shape the content of experiences and how social practices of wisdom enfold. This paper will address this gap by providing a phenomenological account that depicts wisdom not as generated by wise individuals but as being (...) produced by and within embodied practices of agents relating to other people, artefacts, concepts, and ways of using others and things. It is argued that management should aim at building facilitative contexts that afford people to make use of and exploit the embodied dimension of wise practices. Exemplary strategies and tools that establish such sites, where embodied social practices of wisdom happen, are described. (shrink)

The ArgumentThis essay describes the emergence and stabilization in French and English experimental accounts, in second half of the seventeenth century, of the narrative sequence: X did (some process in the laboratory) and X saw (something happen), where X stands for a pronoun, I or we in English,je, nousoronin French. Focussing on the French case, it shows how the use of the collective pronounonin the experimental accounts registered in the files of the Académie des Sciences is directly related to the (...) will of this newly created institution to assert a collective authority on the production and legitimization of experimental matters-of-fact produced in the laboratory. It is argued, through the case of the discovery of the blind spot in the eye by Mariotte, that this new narrative form imbeds a construal of the experiment as a public spectacle, and of the proof as a witnessing event, which eludes the Academy's attempts to monopolize the process of fact validation and favors the diffusion and display of experiments in front of larger audiences. The question of whether a privileged witness such as the King of France who patronized the Academy could not have constituted by himself a suitable audience to ensure a full legitimization of experimental matters-of-fact while remaning within the bounds of academic practices is addressed. It is answered in the negative by providing evidence for the lack of interest of the absolute monarch in experiments. On the other hand, the outdoor practices of observation and measurement are shown to interfere in a constructive manner with the absolutist power and to capture the attention of the absolutist monarch, where laboratory experiments had failed. It is proposed that natural philosophers in the early modern period bear the burden of proof in buying credibility for the phenomena they try, by paying a tribute to the standing of the patrician elites that witness their experiments. This makes sense in a straightforward manner of the lack of interest of the King of France in a practice which exalts the power of the very group he is trying hard to control through the absolutist structure of power. (shrink)

A central problem of democracy is the aggregation of divergent individual inputs into overall collective decisions. Social-choice-theoretic impossibility results famously demonstrate the intractability of a large class of such aggregation problems. This paper develops a taxonomy of two concepts of agreement, agreement at a substantive level and agreement at a meta-level, and discusses the escape-routes these concepts open up from the impossibility problems of social choice. Specifically, two contexts of democratic aggregation are addressed: first, the familiar context of preferences, and (...) second, the largely unexplored context of sets of judgments over multiple interconnected propositions. Drawing on some recent developments in social choice theory and democratic theory, I will defend the view that, when agreement is conceptualized in democratic theory and when it is sought in democratic practice, more emphasis should be placed on agreement at a meta-level than is commonly done. Finally, I will address the more general question to what extent it is acceptable for the stability of institutions for democratic aggregation to be dependent on specific empirical contingencies. (shrink)

This article argues that we should not abandon the noun ‘organization’ in favour of the verb ‘organizing’ in order to capture processes of change, flow and movement, but instead explore how such processes reveal themselves when the concept of organization diverges from the objects it is supposed to encapsulate. Here I make use of Adorno’s critique of identity thinking in order to show how the experience of organizational phenomena remains trapped within a contradiction: concepts are needed to describe objects even (...) though concepts can never fully exhaust the objects they describe. However, I maintain that it is precisely this discrepancy between concepts and objects that provides us the opportunity to experience the elusive state of organizations and their processual nature. Consequently, this article shows how organizational phenomena are always more complex, temporal and dynamic than what the concept of organization permits us to grasp. (shrink)

This is an invited target article commenting on a paper by Blackie and Jayawickreme on post-traumatic growth.

We consider the implications for the ethical evaluation of research programs of two fundamental changes in the revised research ethical guideline of the Council for International Organizations of Medical Sciences. The first is the extension of scope that follows from exchanging “biomedical” for “health‐related” research, and the second is the new evaluative basis of “social value,” which implies new ethical requirements of research. We use the example of antibiotic resistance interventions to explore the need to consider the instances of what (...) we term the pragmatic risks of such interventions to evaluate the social value of certain kinds of health‐related research. These (pragmatic) risks severely threaten the social value of interventions in every area where human and social responses significantly impact on their effectiveness. Thus, the social value of health‐related research needed to demonstrate its effectiveness depends on the extent and successful management of such risks. Research designed to take into account the management of pragmatic risks also gives rise to similar types of risks, and the potential for social value in light of those risks needs to be considered in ethical reviews based on the new guidelines. We argue that, to handle this new expanded task, the international system of research ethical review addressed by the guidelines needs institutional development. (shrink)

Journal Name: Semiotica - Journal of the International Association for Semiotic Studies / Revue de l'Association Internationale de Sémiotique Volume: 2013 Issue: 195 Pages: 127-167.