Active white ignorance is accompanied by an epistemic and affective insensitivity that allows American white people to avoid the negative affect that might typically accompany harmdoing. Resisting active ignorance about racism and white supremacy, therefore, often gives rise to shame. Yet, thinkers have debated the value of shame for white people’s antiracism. This article asserts that shame is an appropriate response for white people recognizing our culpability for and complicity in racist injustices and violence. However, the article exposes problems with (...) philosophical accounts of white shame, and draws on recent psychological research to show that contextual factors actually determine whether shame can support white antiracism. The article proposes a role for shame in what José Medina calls an “ethics and epistemology of discomfort,” arguing that there are conditions under which shame may encourage the sustained self-interrogation, sensitivity, and humility required if white people are to contribute meaningfully to antiracist action. (shrink)

Apology is arguably the central act of the reparative work required after wrongdoing. The analysis by Claudia Card of complicity in collectively perpetrated evils moves one to ask whether apology ought to be requested of persons culpably complicit in institutional evils. To better appreciate the benefits of and barriers to apologies offered by culpably complicit wrongdoers, this article examines doctors’ complicity in a practice that meets Card's definition of an evil, namely, the non-medically necessary, nonconsensual “normalizing” interventions performed on babies (...) born with intersex anatomies. It argues that in this instance the complicity of doctors is culpable on Card's terms, and that their culpable complicity grounds rightful demands for them to apologize. (shrink)

An advocate of radical democracy and individual responsibility, Rosa Luxemburg remains the most eminent representative of the libertarian socialist tradition. A reevaluation and renewal within the Left has allowed the ideas of Luxemburg to assume greater vitality and relevance today than ever before. This volume provides an essential representative sampling of Luxemburg's writings that have generally not been among those commonly anthologized. That she had a powerful impact on every generation of the 20th century is documented in (...) the accompanying essays, which include scholarly reflections, comradely arguments, and even a loving reminiscence. Paul Le Blanc, who has been active in labor and social movements for many years, explains that the socialism that animated Luxemburg as a thinker and revolutionary activist involved a vision of society in which our economic resources would be socially owned, democratically controlled, and utilized for the benefit of all people. Luxemburg was convinced this goal could only be realized through the struggles of the working-class majority. The goals Luxemburg sought-popular sovereignty, rule by the people, democracy-were lost in the decades following her 1919 martyrdom. Among the selections from Luxemburg are "Martinique," "The Problem of the Nationality Question and Autonomy," "Rebuilding the International," "The Accumulation of Capital," "Letters from Prison," and "What Are the Leaders Doing?" Included are essays by Lelio Basso, Claire Cohen, Raya Dunayevskaya, Luise Kautsky, and Andrea Nye. (shrink)

ObjectiveTo increase knowledge of how doctors perceive futile treatments and scarcity of resources at the end of life. In particular, their perceptions about whether and how resource limitations influence end-of-life decision making. This study builds on previous work that found some doctors include resource limitations in their understanding of the concept of futility.SettingThree tertiary hospitals in metropolitan Brisbane, Australia.DesignQualitative study using in-depth, semistructured, face-to-face interviews. Ninety-six doctors were interviewed in 11 medical specialties. Transcripts of the interviews were analysed using thematic (...) analysis.ResultsDoctors’ perceptions of whether resource limitations were relevant to their practice varied, and doctors were more comfortable with explicit rather than implicit rationing. Several doctors incorporated resource limitations into their definition of futility. For some, availability of resources was one factor of many in assessing futility, secondary to patient considerations, but a few doctors indicated that the concept of futility concealed rationing. Doctors experienced moral distress due to the resource implications of providing futile treatment and the lack of administrative supports for bedside rationing.ConclusionsDoctors’ ability to distinguish between futility and rationing would be enhanced through regulatory support for explicit rationing and strategies to support doctors’ role in rationing at the bedside. Medical policies should address the distinction between resource limitations and futility to promote legitimacy in end-of-life decision making. (shrink)

Although it has been shown that immersive virtual reality can be used to induce illusions of ownership over a virtual body , information on whether this changes implicit interpersonal attitudes is meager. Here we demonstrate that embodiment of light-skinned participants in a dark-skinned VB significantly reduced implicit racial bias against dark-skinned people, in contrast to embodiment in light-skinned, purple-skinned or with no VB. 60 females participated in this between-groups experiment, with a VB substituting their own, with full-body visuomotor synchrony, reflected (...) also in a virtual mirror. A racial Implicit Association Test was administered at least three days prior to the experiment, and immediately after the IVR exposure. The change from pre- to post-experience IAT scores suggests that the dark-skinned embodied condition decreased implicit racial bias more than the other conditions. Thus, embodiment may change negative interpersonal attitudes and thus represent a powerful tool for exploring such fundamental psychological and societal phenomena. (shrink)

Background Victoria was the first Australian state to legalize voluntary assisted dying (elsewhere known as physician-assisted suicide and euthanasia). Some institutions indicated they would not participate in voluntary assisted dying. The Victorian government issued policy approaches for institutions to consider Objective To describe and analyse publicly available policy documents articulating an institutional objection to voluntary assisted dying in Victoria. Methods Policies were identified using a range of strategies, and those disclosing and discussing the nature of an institutional objection were thematically (...) analysed using the framework method. Results The study identified fifteen policies from nine policymakers and developed four themes: (1) extent of refusal to participate in VAD, (2) justification for refusal to provide VAD, (3) responding to requests for VAD, and (4) appeals to state-sanctioned regulatory mechanisms. While institutional objections were stated clearly, there was very little practical detail in most documents to enable patients to effectively navigate objections in practice. Conclusion This study demonstrates that despite having clear governance pathways developed by centralized bodies (namely, the Victorian government and Catholic Health Australia), many institutions’ public-facing policies do not reflect this guidance. Since VAD is contentious, laws governing institutional objection could provide greater clarity and regulatory force than policies alone to better balance the interests of patients and non-participating institutions. (shrink)

Amongst intellectuals and activists, neoliberalism has become a potent signifier for the kind of free-market thinking that has dominated politics for the past three decades. Forever associated with the conviction politics of Ronald Reagan and Margaret Thatcher, the free-market project has since become synonymous with the 'Washington consensus' on international development policy and the phenomenon of corporate globalization, where it has come to mean privatization, deregulation, and the opening up of new markets. But beyond its utility as a protest slogan (...) or buzzword as shorthand for the political-economic Zeitgeist, what do we know about where neoliberalism came from and how it spread? Who are the neoliberals, and why do they studiously avoid the label? Constructions of Neoliberal Reason presents a radical critique of the free-market project, from its origins in the first half of the 20th Century through to the recent global economic crisis, from the utopian dreams of Friedrich von Hayek through the dogmatic theories of the Chicago School to the hope and hubris of Obamanomics. The book traces how neoliberalism went from crank science to common sense in the period between the Great Depression and the age of Obama. Constructions of Neoliberal Reason dramatizes the rise of neoliberalism and its uneven spread as an intellectual, political, and cultural project, combining genealogical analysis with situated case studies of formative moments throughout the world, like New York City's bankruptcy, Hurricane Katrina, and the Wall Street crisis of 2008. The book names and tracks some of neoliberalism's key protagonists, as well as some of the less visible bit-part players. It explores how this adaptive regime of market rule was produced and reproduced, its logics and limits, its faults and its fate. (shrink)

In typical development, word learning goes from slow and laborious to fast and seemingly effortless. Typically developing 2-year-olds seem to intuit the whole range of things in a category from hearing a single instance named—they have word-learning biases. This is not the case for children with relatively small vocabularies. We present a computational model that accounts for the emergence of word-learning biases in children at both ends of the vocabulary spectrum based solely on vocabulary structure. The results of Experiment 1 (...) show that late-talkers' and early-talkers' noun vocabularies have different structures and that neural networks trained on the vocabularies of individual late talkers acquire different word-learning biases than those trained on early-talker vocabularies. These models make novel predictions about the word-learning biases in these two populations. Experiment 2 tests these predictions on late- and early-talking toddlers in a novel noun generalization task. (shrink)

"Peck's approach is less to document the land than to experience herself as part of its living systems. Her exquisite photographs are the artist's attempt to share that process." --Tim McNulty.

The former part of this paper attempted to show— 1. That in Anaxagoras' scheme of physics the following substances were elements: The animal substances ; The vegetable substances ; The so-called Opposites ; and 2. That there is no evidence that Anaxagoras asserted any substances to be homoeomerous, and that, even if he had done so, the word ‘homoeomerous’ does not bear the meanings often attached to it by those theories which assume he made the assertion. The meaning of is, (...) μοιομερς is, not ‘simple in substance,’ i.e. ‘elementary,’ but ‘simple in formation.’. (shrink)

Os heróis japoneses estão cada vez mais presentes no cotidiano brasileiro, influenciando o público infanto-juvenil e pré-adolescente. O animê ganhou força na década de 60 através de Osamu Tezuka. Os personagens são orientais, mas a narrativa é construída a partir da cultura pop. Hoje a preocupação se volta para Bey Blade -desenho atuante no inconsciente, colocando a razão em último plano, prevalecendo a alienação e a exclusão social.

As Heraclitus, Cioran conceives man as a being that possesses lógos and is ruled in his life by it in its multiple aspects. Man not only makes use of word; this word also shapes him and traverses him entirely. Word is the necessary and intrinsic expression of every human being, and, as a result, he cannot elude it. In many of his works, Cioran warns us about the dangers that lógos has for man: not to find his genuine expression in (...) the midst of so many words, and to fall into totalizing fictions that lead us to deception and indoctrination. For this reason, in the midst of this misfortune, Cioran even considers silence as the only possible way out. However, if man denies the mark of language by avoiding all forms of expression, the anguish that his own existence entails will end up destroying him. Paradoxically, Cioran finds that the expression of lógos is the only possible salvation for man from the clutches of death, and that is, why by expressing oneself through lógos, one's own unhappiness becomes a necessary condition of life. (shrink)

En las últimas décadas, se ha consolidado un campo de estudios alrededor de la expertise que articula enfoques y programas de investigación heterogéneos, según los modos de conceptualizar la relación entre ciencia y política, saber y poder, de fijar sus conexiones y de determinar el nivel del análisis para su abordaje. El corpus foucaulteano contiene herramientas analíticas fructíferas para el tratamiento sustantivo de la politicidad inherente a los saberes, al cuestionar las lecturas instrumentales de aquella relación e inscribir la actividad (...) especializada en estrategias de gobierno y en formas de resistencia hacia ellas. Sin embargo, las conceptualizaciones del saber experto desde una matriz foucaulteana registran cierta dispersión y, pese al avance de los estudios sobre gubernamentalidad en este aspecto, la ausencia de una reflexión sobre la categoría de expertise introduce el riesgo de que en estos análisis se establezca una cuestionable relación de coherencia y correspondencia entre saberes y racionalidades de gobierno. En este artículo, nos proponemos revisar el corpus foucaulteano y sistematizar otras claves de lectura sobre los saberes y su condición política, a fin de aportar con ello al campo de estudios sobre expertise. Examinamos la “hipótesis de la guerra”, mostramos su pulso en el ejercicio de saber y ponemos en juego estas coordenadas analíticas en un pequeño trabajo de archivo sobre una serie documental de textos de Hayek, a propósito de la articulación de la racionalidad neoliberal de gobierno. La conformación del corpus y el análisis de los textos se valieron, metodológicamente, de una traducción instrumental de tales coordenadas mediada por una perspectiva materialista del discurso. (shrink)

Aristocrats and Archaeologists: An Edwardian Journey on the Nile. By Toby Wilkinson and Julian Platt. Cairo: the American University in Cairo Press. 2017, Pp. xv + 144, illus., maps. $29.95. [Distributed by Oxford University Press].

Nursing and nurses rely upon qualitative research to understand the intricacies of the human condition. Acknowledging the subjective nature of reality and commonly founded in a constructivist epistemology, qualitative approaches offer opportunities for uncovering insights from the perspective of the individual participants, the insider's view, and the construction of representations that maintain an intimacy with the subject's realities. Debate continues, however, about what is needed for a qualitative construction to be considered an authentic understanding of a subject's realities. Authenticity in (...) the context of qualitative research has been described as entailing consideration of a number of well‐trodden dimensions: fairness, ontological, educative, catalytic and tactical. Taking these dimensional requirements as key, this paper argues that authenticity may not always be as well‐developed through some of the standard practices in qualitative research as perhaps expected. In particular, qualitative understandings of authenticity stress that participants should not be merely reported on but instead should be dynamically involved in and changed by the constructions and interpretations of data developed throughout the research process. As this paper illustrates, such engagements appear problematic for qualitative research approaches that are beholden to designative commitments in the context of language and meaning‐making and which tend to prioritise commonality and generality at the expense of individual authenticity. An alternative qualitative approach, Hermeneutic Constructivism, is proposed as better able to achieve the requirements of the dimensions of authenticity. As outlined, this approach is well‐placed to present an understanding of human experience through a genuinely expressivist approach and transcends the stress upon the common or the general that can be pervasive and problematic. (shrink)

We review three possible theoretical mechanisms for the placebo effect: conditioning, expectancy and endogenous opiates and consider the implications of the first two for clinical research and practice in the area of pain management. Methodological issues in the use of placebos as controls are discussed and include subtractive versus additive expectancy effects, no treatment controls, active placebo controls, the balanced placebo design, between- versus within-group designs, triple blind methodology and the double expectancy design. Therapeutically, the possibility of shaping negative placebo (...) responses through placebo sag, overservicing and the use of placebos on their own are explored. Suggestions for using conditioned placebos strategically in conjunction with nonplacebos are made and ways of maximizing the placebo component of nonplacebo treatments are examined. Finally, the importance of investigating the placebo effect in its own right is advocated in order to better understand the long-neglected psychological aspects of the therapeutic transaction. (shrink)

Este artigo é um recorte do projeto de pesquisa “Leitura de imagens no ensino de História: um estudo sobre mudanças e permanências nas prescrições, livro didático e representações culturais”. Ele apresenta uma análise, dentre as muitas possíveis, da condição leitora na obra Cuore, escrita por Edmondo De Amicis, traduzida para o português brasileiro com o título Coração. Centenário, o livro teve sua primeira edição publicada no ano de 1886, na Itália, e tornou-se um grande sucesso editorial, principalmente por ter sido (...) adotado nas escolas. Nesta investigação, foram analisados quatro exemplares publicados na metade do século XX no Brasil, com enfoque na materialidade da obra. Buscou-se identificar as relações entre as características de apresentação do livro, identificadas nas capas, nas ilustrações e na escolha da linguagem, com a prática de leitura. Esta investigação baseia-se nas considerações de Chartier sobre o livro escolar como objeto de circulação. Outros estudos fundamentais, que tratam da análise do projeto gráfico, da função da ilustração e da leitura enquanto prática social, são aqui apresentados e discutidos, respectivamente, a partir de Collaro, Camargo e Kleiman. Como método de análise, optou-se pelo estudo bibliográfico, pela busca e análise de diálogos informais sobre a experiência leitora da obra, e por pesquisa de campo em bibliotecas e hemerotecas. Em relação aos resultados, a presente investigação permitiu concluir que: o livro Coração circulou no Brasil, sobretudo na região nordeste do Estado do Rio Grande do Sul; a padronização dos exemplares no formato bolso do livro possibilitou acessar mais facilmente os seus destinatários, inclusive pelo valor de venda, possível graças ao investimento em altas tiragens para distribuição e circulação interna na Itália e também no exterior; o projeto editorial, no decorrer do tempo, reuniu aspectos visuais que dinamizam e promovem o estímulo à leitura; a prática de leitura do livro em voz alta, usada pelos professores na escola, foi força persuasiva à leitura e contribuiu à sensibilização dos alunos aos conteúdos dos contos presentes na obra. (shrink)

The cornerstone of contemporary nursing practice is the provision of individualised nursing care. Sustaining and nourishing the stream of research frameworks that inform individualised care are the findings from qualitative research. At the centre of much qualitative research practice, however, is an assumption that experiential understanding can be delivered through a thematisation of meaning which, it will be argued, can lead the researcher to make unsustainable assumptions about the relations of language and meaning‐making to experience. We will show that an (...) uncritical subscription to such assumptions can undermine the researcher's capacity to represent experience at the high level of abstraction consistent with experience itself and to thus inform genuinely individualised care. Instead, using qualia as a touchstone for the possibilities of understanding and representing experience, we trace the ‘designative’ and ‘expressive’ distinction to language in order to raise critical questions concerning both these assumptions and common practices within qualitative research. Following the ‘expressive’ account of language, we foreground in particular the hermeneutic work of Gadamer through which we explore the possibilities for a qualitative research approach that would better seek the mot juste of individual experience and illuminate qualia in order to better inform genuinely individualised care. (shrink)

The great number of contradictory statements which confront us when we examine the various explanations of Anaxagoras' philosophy make it more than usually important to decide what is to be admitted as first-hand evidence and what is not. I purpose, then, to begin by accepting the barest minimum of data, and I shall try to exclude any direct comments upon Anaxagoras' work by later writers. Sufficient justification for such a course may be found in the bewildering masses of confusion which (...) have gathered around his teaching. (shrink)

Aristotelians traditionally motivate the doctrine of first (“prime”) matter by claiming that substantial change requires a subject. Without gainsaying that motivation, I propose another: first matter is a necessary postulate for the sort of unity proper to a substance. This motivation arises if one examines a claim that Patrick Toner and Robert Koons share: (TM′) the possession of emergent causal powers is necessary for substancehood. I first explain how TM′ represents the application of “Merricks’s Dictum” (“For a macrophysical object to (...) exist is to have causal powers”) to an Aristotelian framework. Next, I argue that, as Toner’s and Koons’s respective theories use TM′, it is incompatible with the denial that substances have substances as proper parts. In Toner’s hylomorphism, TM′ entails that an entity’s matter and form are independent substances. As part of Koons’s theory, TM′ implies that an entity’s elementary parts are substances. Happily, a hylomorphist need not accept TM′. For example, Aquinas rejects TM′ as incompatible with the doctrine of first matter. An ontology like Aquinas’s that includes first matter navigates the dialectical straight between the dualism and atomism. If she commits to first matter, the hylomorphist can deny that substances have substances as proper parts. (shrink)

ExcerptTo the Columbia Community:Over the past six months, many have spoken in our name. Some are wellmeaning alumni or non-affiliates who show up to wave the Israeli flag outside Columbia’s gates. Some are politicians looking to use our experiences to foment America’s culture war. Most notably, some are our Jewish peers who tokenize themselves1 by claiming to represent “real Jewish values,” and attempt to delegitimize our lived experiences of antisemitism. We are here, writing to you as Jewish students at Columbia (...) University, who are connected to our community and deeply engaged with our culture and history. We would like to speak in our name. (shrink)

Computer simulation has become important in ecological modeling, but there have been few assessments on how complex simulation models differ from more traditional analytic models. In Part I of this paper, I review the challenges faced in complex ecological modeling and how models have been used to gain theoretical purchase for understanding natural systems. I compare the use of traditional analytic simulation models and point how that the two methods require different kinds of practical engagement. I examine a case study (...) of three models from the insect resistance literature in transgenic crops to illustrate and explore differences in analytic and computer simulation models. I argue that analyzing simulation models has been often inappropriately managed with expectations derived from handling analytic models. In Part II, I look at simulation as a hermeneutic practice. I argue that simulation models are a practice or techné. I the explore five aspects of philosophical hermeneutics that may be useful in complex ecological simulation: (1) an openness to multiple perspectives allowing multiple levels of scientific pluralism, (2) the hermeneutic circle, a back and forth in active communication among both modelers and ecologists; (3) the recognition of human factors and the nature of human practices as such, including recognizing the role of judgments and choices in the modeling enterprise; (4) the importance of play in modeling; (5) the non-closed nature of hermeneutic engagement, continued dialogue, and recognizing the situatedness, incompleteness, and tentative nature of simulation models. (shrink)

Background In June 2016, Canada legalized medical assistance in dying (MAiD). From the outset, some healthcare institutions (including faith-based and non-faith-based hospitals, hospices, and residential aged care facilities) have refused to allow aspects of MAiD onsite, resulting in patient transfers for MAiD assessments and provision. There have been media reports highlighting the negative consequences of these “institutional objections”, however, very little research has examined their nature and impact. Methods This study reports on findings from 48 semi-structured qualitative interviews conducted with (...) MAiD assessors and providers, MAiD team members (working to coordinate care and lead MAiD programs in institutions and health authorities), and family caregivers on their experiences with institutional objection. Participants were recruited from the Canadian provinces of British Columbia, Ontario, and Nova Scotia. Data were analyzed using inductive thematic analysis. Results Themes identified were: (1) basis for institutional objection (with objections commonly rooted in religious values and a particular philosophy of palliative care); (2) scope of objection (demonstrating a wide range of practices objected to); (3) lack of transparency regarding institutional position; (4) impacts on patients; (5) impacts on health practitioners; and (6) catalysts for change. Participants reported that many institutions’ objections had softened over time, lessening barriers to MAiD access and adverse impacts on patients and health practitioners. Participants attributed this positive change to a range of catalysts including advocacy by health practitioners and family members, policymaking by local health authorities, education, and relationship building. Nevertheless, some institutions, particularly faith-based ones, retained strong objections to MAiD, resulting in forced transfers and negative emotional and psychological impacts on patients, family members, and health practitioners. Conclusions This paper adds to the limited evidence base about the impacts of institutional objection and can inform practical and regulatory solutions in Canada and abroad. Reform is needed to minimize the negative impacts on patients, their caregivers, and health practitioners involved in MAiD practice. (shrink)

El texto presenta un adelanto de un profundo “trayecto” de trabajo colectivo en curso impulsado por un grupo de jóvenes investigadores y docentes que integran el Programa “Problemáticas comunicacionales barriales, organizacionales y políticas. Experiencias de lucha y resistencia a comienzos de siglo XXI en la provincia de Córdoba” (Argentina), desde el año 2011. La sistematización de las distintas experiencias, que presenta el libro, permite poner en común las peculiaridades de los contradictorios escenarios de conflicto y resistencia analizados, organizada en tres (...) capítulos que repasan con cuidadosa “vigilancia epistemológica” los procesos realizados con los actores sociales que integran los proyectos a saber: habitantes de las ciudades-barrio, trabajadores de la economía solidaria y vecinos e instituciones que forman parte de instancias participativas en los gobiernos locales. (shrink)

Medications of choice, necessary supplies, and evidence-based health care now seem like luxuries. The contrast between my experience at a well-funded health unit and the Lev El Lev (“heart to heart”) African Refugee Clinic in Tel Aviv, Israel, is staggering. The complex personal, social, health, psychological, educational, and economic difficulties create a unique ethical environment for the health care provider.

The article is an approach to the work of Colombian writer Manuel Mejía Vallejo having as starting point the recognition of the importance of memory for literary creation, especially the remembrance of childhood. It is evident in the work of Mejía Vallejo the intention of leaving proof of the time and space in which he lived, as well as a concern to work out the role of memory in the life of the human being. It is argued in the article (...) that the literary style of the author might be understood as a narrative of memory, where memory reaches the category of poetic. (shrink)

This case study is a sociocultural analysis of how Kareem, a young Black man, both constructed a historical narrative and rearticulated two of his racialized identities. Kareem carried out two mediated actions. In the first, he incorporated cultural tools from the classroom—the schematic narrative template of racial progress and the specific narrative of the Movement—to support his thesis that NBA legend Bill Russell advanced the Civil Rights Movement. In the second, he positioned Bill Russell as a model Black man, drawing (...) on cultural tools forged from his self-identification, his awareness of the racialization of Black men, and his desire to articulate a positive image of them. Data include field notes, audio-recorded conversation, written work, and an interview. The paper concludes with implications of this study for K-12 educators, teacher educators, and researchers: (1) that students’ racialized identities and experiences are cultural tools that can intersect with disciplinary learning; (2) that racialization includes non-racial identities and practices; and (3) that history/social studies curriculum and instruction can facilitate students’ analyses of how narratives function in the learning of the past. (shrink)

Understanding the psychological computations underlying motivation can shed light onto motivational constructs as emergent phenomena. According to Murayama and Jach, reward-learning is a key candidate mechanism. However, there's no such thing as a free lunch: Not only benefits (like reward), but also costs inherent to motivated behaviors (like effort, or uncertainty) are an essential part of the picture.