Honesty is essential for the care of seriously ill and dying patients. The current study aimed to describe how nurses experience honesty in their work with patients receiving palliative care at home. The interviews in this phenomenological study were conducted with 16 nurses working with children and adults in palliative home-based care. Three categories emerged from analyses of the interviews: the meaning of honesty, the reason for being honest and, finally, moral conflict when dealing with honesty. The essence of these (...) descriptions was that honesty is seen as a virtue, a good quality that a nurse should have. The nurses’ ethical standpoint was shown in the moral character they show in their work and in their intention to do good. This study could help nurses to identify different ways of looking at honesty to promote more consciousness and openness in ethical discussions between colleagues and other staff members. (shrink)

De senere år har pleie- og omsorgstjenesten i mange norske kommuner startet med ulike former for etikkarbeid, oftest initiert av KS’ prosjekt “Samarbeid om etisk kompetanseheving”. Hensikten med vår studie var å evaluere innsatsen i de kommunene som deltok i prosjektet fra starten av, med vekt på hvilke tiltak som var iverksatt, hvilke virksomheter dette omfattet, og om tiltakene har fortsatt utover prosjektperioden. Studien har et kvalitativt design. Materialet er hovedsakelig basert på telefonintervjuer med kontaktpersoner for etikksatsingen i 34 kommuner. (...) Det transkriberte materialet er analysert ved kvalitativ innholdsanalyse. Med unntak av fem kommuner som aldri kom i gang med etikkarbeidet, hadde de fleste startet etikkrefleksjon innenfor flere tjenester, oftest i sykehjem og hjemmetjenester. Noen kommuner hadde imidlertid ikke klart å videreføre etikkarbeidet utover en prosjektperiode. Det var stor variasjon både i etikkarbeidets forankring i kommunen, omfang, hyppighet og metoder. Et gjennomgående funn er vektlegging av behovet for etikkkompetanse og oppfølging av dem som skal lede etikkarbeidet. Flertallet av kommunene som fortsatt gjennomfører etikkrefleksjon, tar utgangspunkt i egen praksis, men et mindretall anvender strukturerte metoder. Dersom etikkarbeidet i kommunen skal være levedyktig over tid, bør arbeidet forankres på flere nivåer i organisasjonen, og de som skal lede dette arbeidet, bør få styrket sin kompetanse i etikk og etikkrefleksjon.Nøkkelord: etikk, evaluering, kommunehelsetjenestenEnglish summary: Building ethical competence in Norwegian municipalities: What has been done and what has been sustainable?“Cooperation for building ethics competence” is a national project aimed to stimulate moral reflection and build competence in ethics in community health services in Norway. This article is based on an evaluation of the activities implemented by the first 34 participating municipalities, exploring which measures were implemented, which services and employees were involved, and if the measures are sustainable. The study has a qualitative design, and the data mainly consists of telephone interviews with “key” persons in 34 municipalities. With the exception of five municipalities that never really started ethics work, the majority had implemented ethical reflection in several areas, most often in nursing homes and home care services. There was great variation with regard to the implementation. Many had tried a variety of reflection models, and only a minority of the municipalities were using a structured method of ethical reflection. A consistent finding is the need for more competence; many of those who run ethical reflection are reported to need more competence both in ethics and methods for systematic reflection. There were also great variations in how well the ethics projects were anchored within the municipality. To make ethical interventions sustainable, this study indicates the importance of strong anchoring within the municipality, the need for ethical competence, as well as good methods for structuring ethical reflection. (shrink)

I discuss two types of evidential problems with the most widely touted experiments in evolutionary psychology, those performed by Leda Cosmides and interpreted by Cosmides and John Tooby. First, and despite Cosmides and Tooby's claims to the contrary, these experiments don't fulfil the standards of evidence of evolutionary biology. Second Cosmides and Tooby claim to have performed a crucial experiment, and to have eliminated rival approaches. Though they claim that their results are consistent with their theory but contradictory to the (...) leading non-evolutionary alternative, Pragmatic Reasoning Schemas theory, I argue that this claim is unsupported. In addition, some of Cosmides and Tooby's interpretations arise from misguided and simplistic understandings of evolutionary biology. While I endorse the incorporation of evolutionary approaches into psychology, I reject the claims of Cosmides and Tooby that a modular approach is the only one supported by evolutionary biology. Lewontin's critical examinations of the applications of adaptationist thinking provide a background of evidentiary standards against which to view the currently fashionable claims of evolutionary psychology. (shrink)

climate scientists have been engaged in a decades-long debate over the standing of satellite measurements of the temperature trends of the atmosphere above the surface of the earth. This is especially significant because skeptics of global warming and the greenhouse effect have utilized this debate to spread doubt about global climate models used to predict future states of climate. I use this case from an under-studied science to illustrate two distinct philosophical approaches to the relation among data, scientists, measurement, models, (...) and theory. I argue that distinguishing between 'direct' empiricist and 'complex' empiricist approaches helps us understand and analyze this important scientific episode. I also introduce a complex empiricist account of testing and evaluation, and contrast it with the basic Hypothetico-Deductive approach to the climate models used by the direct empiricists. This more developed complex empiricist apporach will serve philosophy of science well, as computational models become more wide-spread in the sciences. (shrink)

According to T. M. Scanlon's 'buck-passing' analysis of value, x is good means that x has properties that provide reasons to take up positive attitudes vis-à-vis x. Some authors have claimed that this idea can be traced back to Franz Brentano, who said in 1889 that the judgement that x is good is the judgement that a positive attitude to x is correct ('richtig'). The most discussed problem in the recent literature on buckpassing is known as the 'wrong kind of (...) reason' problem (the WKR problem): it seems quite possible that there is sometimes reason to favour an object although that object is not good and possibly very evil. The problem is to delineate exactly what distinguishes reasons of the right kind from reasons of the wrong kind. In this paper we offer a Brentano-style solution. We also note that one version of the WKR problem was put forward by G. E. Moore in his review of the English translation of Brentano's Vom Ursprung sittlicher Erkenntnis. Before getting to how our Brentano-style approach might offer a way out for Brentano and the buck-passers, we briefly consider and reject an interesting attempt to solve the WKR problem recently proposed by John Skorupski. (shrink)

In recent years, the integration of philosophical with scientific theorizing has started to yield new insights. This chapter surveys some recent philosophical and empirical work on the nature and structure of action, on conscious agency, and on our knowledge of actions.

The purpose of this paper is to explore the question whether and in what sense emotions might be said to provide reasons for actions or to rationalize them. This requires that one have a picture of the causal structure of actions that is sufficiently detailed for one to see how emotions can impinge on the proc-ess of action production. I present a two-tiered model of action explanation and try to exploit this model in a tentative account of the modes of (...) in-volvement of emotions in the explanation of action. In particular, I examine in what sense emotions can be said not just to explain actions, but also to rationalize them. (shrink)

The aim of this study was to describe Tanzanian nurses' meaning of and experiences with ethical dilemmas and workplace distress in different care settings. An open question guide was used and the study focused on the answers that 29 registered nurses supplied. The theme, `Tanzanian registered nurses' invisible and visible expressions about existential conditions in care', emerged from several subthemes as: suffering from (1) workplace distress; (2) ethical dilemmas; (3) trying to maintaining good quality nursing care; (4) lack of respect, (...) appreciation and influence; and (5) a heavy workload that did not prevent registered nurses from struggling for better care for their patients. The analysis shows that, on a daily basis, nurses find themselves working on the edge of life and death, while they have few opportunities for doing anything about this situation. Nurses need professional guidance to gain insight and be able to reflect on their situations, so that they do not become overloaded with ethical dilemmas and workplace distress. (shrink)

In many Western countries, studies have demonstrated extensive use of coercion in nursing homes, especially towards patients suffering from dementia. This article examines what kinds of strategies or alternative interventions nursing staff in Norway used when patients resist care and treatment and what conditions the staff considered as necessary to succeed in avoiding the use of coercion. The data are based on interdisciplinary focus group interviews with nursing home staff. The study revealed that the nursing home staff usually spent a (...) lot of time trying a wide range of approaches to avoid the use of coercion. The most common strategies were deflecting and persuasive strategies, limiting choices by conscious use of language, different kinds of flexibility and one-to-one care. According to the staff, their opportunities to use alternative strategies effectively are greatly affected by the nursing home’s resources, by the organization of care and by the staff’s competence. (shrink)

Universities around the world are undergoing a marketisation process in order to respond to consumer-oriented demands. Despite priority shifts, universities have remained traditionally hierarchical and elitist. Moreover, a new and growing generation of academic researchers has found it increasingly difficult to integrate in academia. Systems and patterns of behaviour breeding cultural narcissism, intended as a value and cultural system characterised by an investment in false self-projections backed by Machiavellian attainment, exist and appear to thrive in academic institutions. This organizational adaptation (...) for survival is now embedded in higher education and interlinked with mobbing, workplace bullying and academic misconduct. The problematics we are witnessing today in many academic settings (high rates of mental health issues, widespread research misconduct scandals and loss of credibility of academic research) are a by-product of an organizational narcissistic culture. Amidst economic shifts, it might seem reasonable to adopt measures aimed at increasing assets, invest in highly entrepreneurial academics who attract financial resources to universities and use any means to salvage the reputations of educational institutions. Yet these strategies might be promoting and perpetuating value systems that are undermining academic integrity, and therefore contributing to the scientific credibility crisis and failure of these institutions. (shrink)

Readings in Health Care Ethics provides a wide-ranging selection of important and engaging contributions to the field of health care ethics. The second edition adds a chapter on health care in Canada, and the introduction has been expanded to include discussion of a new direction in feminist naturalized ethics. The book presupposes no prior knowledge, only an interest in the bioethical issues that are shaping our world.

A specific form of research question, for instance, “What is the probability of a certain class of weather events, given global climate change, relative to a world without?” could be answered with the use of FAR or RR (Fraction of Attributable Risk or Risk Ratio) as the most common approaches to discover and ascribe extreme weather events. Kevin Trenberth et al. (2015) and Theodore Shepherd (2016) have expressed doubts in their latest works whether it is the most appropriate explanatory tool (...) or the way of public outreach concerning climate events and extremes. As an alternative, these researchers focus on complementary questions, for example, “How much did climate change affect the severity of a given storm?” advocating a “storyline” approach. New methods and new research questions are neither foreign, nor controversial from the standpoint of history and philosophy of science, especially those, related to public interest. Nevertheless, the new proposal has got a tepid reception from the majority of professionals of the given field. They argued that this approach can cause weakening of standards and neglecting of scientific method. The following paper attempts to find the roots of the supposed controversy. We claim inefficiency of uncompromising approach to D&A in absolute sense and assert that errors of a particular type may have a different level of concern in society, depending on the variety of contexts. Therefore, context defines the risk of over-estimation vs. under-estimation of harm. (shrink)

Many of the commentators—let’s ignore their sex for the moment—suggested including women in the Feyerabend conference. Then the question was raised, “but are they of the right quality, status, rank?” That is, do they bring down the average quality of the conference in virtue of their being of inferior status, or, in Vincenzo Politi’s words, not “someone whose work is both relevant to the topic of the conference and also as widely recognized as the work of the invited speakers” (HOPOS-L (...) archive, “CFP: Feyerabend Conference,” Tuesday, July 17, 2012, 14:57:20)? It is extremely important that such a discussion of quality, status, and rank recognize the scourge of evaluation bias and its long-term and pervasive consequences. One well-designed study this past year, published by the National Academy of Sciences, established prominent evaluation bias among both male and female science faculty in their evaluations of a student applying for a managerial job, who was randomly assigned either a male or a female name (Moss-Racusin et al. 2012). These professors examined the qualifications of the students and decided whether to hire them, what salary to give them, and whether to mentor themand howmuch to do so.The resultswere that both male and female scientists hired more men, gave them higher salaries, and offered more mentoring to them, even though themale applications were identical to the female applications. When probed about their reasons for not hiring or mentoring the female applicants, the professors explained that they based their decisions on the inferior competence of the applicant: the female applicants were perceived as less competent by all professors (with identical applications between males and females). This is what “evaluation bias” looks like, and it has been established in many, many contexts since the 1970s—this is only the most recent. (shrink)

Why concern oneself with Otto Neurath’s economic thought in its historical context? Could anything be more out of fashion than a theory proposing a centrally managed planned economy? Than the views of a theorist whose ideas on in-kind economic planning drove the notion of economic planning to its utmost extreme ? Indeed, Neurath’s ideas appeared too radical and utopian even for the social democrats of the 1920s. So why give even a second thought to them today? Would it not be (...) better to follow the advice a colleague gave me in the 1980s and to pass over Neurath’s “youthful sins” silently so as not to tarnish the reputation that – finally, after a lengthy delay – has been accredited to Neurath for his impressive philosophical achievements within the framework of logical empiricism?In the years since the 1980s, however, Neurath’s economic writings have attracted much more interest than anyone would previously have suspected. Today we are aware of the fact that Neurath formulated ideas at an unexpectedly early stage that are currently relevant in ecological economy, social choice theory and developmental economy. And that his reflections vis-à-vis “associational socialism” could provide interesting impulses for a new theory of socialism. Viewed from this perspective, Neurath’s status is secure as a precursor of theoretical developments and debates that are in full swing today. But is that enough? After all, if the role of the precursor is an endearing one, isn’t it also quite thankless? For even in the areas in which Neurath can be regarded as a precursor, the relevant questions are posed today with far greater precision and with reference to current facts – so why should anyone concern oneself with a precursor whose fundamental assumptions differ so greatly from those of the overwhelming majority of economists working today? (shrink)

ArgumentThis paper contributes to inquiries into scientific personae by employing a rhetorical approach. It analyzes the persuasive strategies of Judith Rich Harris in The Nurture Assumption: Why Children Turn Out the Way They Do. Rhetorical analysis of Harris' self-fashioning in this remarkable best-seller and the reactions of the press to her persona demonstrates the resilience of specific archaic cultural repertoires for constructing scientific identities. While historical studies investigate how repertoires for scientific self-fashioning evolve through time, rhetoric reveals how identity models (...) from an earlier age may be appropriated in the present. (shrink)

Cet article examine un problème particulier posé par une approche naturaliste et représentationnaliste de la perception: lui est-il ou non possible de rendre compte d'une caractéristique que Husserl considérait comme constitutive de la perception, à savoir le fait que l'objet dans la perception est comme donné en personne (leibhaftig). La première section donne un bref aperçu des motivations qui sont à l'origine de l'intérêt actuellement suscité dans les sciences cognitives par l'intentionnalité perceptive. La deuxième section aborde le problème de la (...) Leibhaftigkeit de l'objet dans la perception et examine les raisons pour lesquelles celle-ci peut paraître constituer une difficulté pour une approche représentationnelle de la perception. La dernière section examine les moyens dont une telle approche dispose pour résoudre ce problème. This paper examines the problem whether a naturalistic and representational approach to perception can account for a feature that Husserl considers as a fundamental caracteristic of perception, namely the fact that the object in perception appears as if given in person (leibhaftig). The first section briefly sketches the reasons why perceptual intentionality is presently the focus of a lot of attention in cognitive science. The second section is concerned with the problem of the Leibhaftigkeit of the object in perception and with the reasons why this may constitute a difficulty for a representational approach to perception.The last section considers the moves available to such an approach in order to solve the problem. (shrink)

Readings in Health Care Ethics provides a wide-ranging selection of important and engaging contributions to the field of health care ethics. The second edition adds a chapter on health care in Canada, and the introduction has been expanded to include discussion of a new direction in feminist naturalized ethics. The book presupposes no prior knowledge, only an interest in the bioethical issues that are shaping our world.