Explainable AI (xAI) methods are important for establishing trust in using black-box models. However, recent criticism has mounted against current xAI methods that they disagree, are necessarily false, and can be manipulated, which has started to undermine the deployment of black-box models. Rudin (2019) goes so far as to say that we should stop using black-box models altogether in high-stakes cases because xAI explanations ‘must be wrong’. However, strict fidelity to the truth is historically not a desideratum in science. Idealizations (...) – the intentional distortions introduced to scientific theories and models – are commonplace in the natural sciences and are seen as a successful scientific tool. Thus, it is not falsehood qua falsehood that is the issue. In this paper, I outline the need for xAI research to engage in idealization evaluation. Drawing on the use of idealizations in the natural sciences and philosophy of science, I introduce a novel framework for evaluating whether xAI methods engage in successful idealizations or deceptive explanations (SIDEs). SIDEs evaluates whether the limitations of xAI methods, and the distortions that they introduce, can be part of a successful idealization or are indeed deceptive distortions as critics suggest. I discuss the role that existing research can play in idealization evaluation and where innovation is necessary. Through a qualitative analysis we find that leading feature importance methods and counterfactual explanations are subject to idealization failure and suggest remedies for ameliorating idealization failure. (shrink)

Given a rich environment, how do we decide on what information to use? A view of a single entity (e.g., a group of birds) affords many distinct interpretations, including their number, average size, and spatial extent. An enduring challenge for cognition, therefore, is to focus resources on the most relevant evidence for any particular decision. In the present study, subjects completed three tasks—number discrimination, surface area discrimination, and convex hull discrimination—with the same stimulus set, where these three features were orthogonalized. (...) Therefore, only the relevant feature provided consistent evidence for decisions in each task. This allowed us to determine how well humans discriminate each feature dimension and what evidence they relied on to do so. We introduce a novel computational approach that fits both feature precision and feature use. We found that the most relevant feature for each decision is extracted and relied on, with minor contributions from competing features. These results suggest that multiple feature dimensions are separately represented for each attended ensemble of many items and that cognition is efficient at selecting the appropriate evidence for a decision. (shrink)

Experiments are commonly thought to have epistemic privilege over simulations. Two ideas underpin this belief: first, experiments generate greater inferential power than simulations, and second, simulations cannot surprise us the way experiments can. In this article I argue that neither of these claims is true of experiments versus simulations in general. We should give up the common practice of resting in-principle judgments about the epistemic value of cases of scientific inquiry on whether we classify those cases as experiments or simulations, (...) per se. To the extent that either methodology puts researchers in a privileged epistemic position, this is context sensitive. (shrink)

Abstract‘The Future of Legal Gender’ project has assessed the potential implications for feminist legal scholarship and activism of decertifying sex/gender. Decertification refers to the state moving away from officially determining or registering sex/gender. This article explores the potential impact of such moves on equal pay law and gender pay gap reporting. Equal pay and gender pay gap reporting laws provide an important focus for the project because they aim to address structural dynamics associated with persistent pay inequality that women experience (...) across occupations in the United Kingdom. These legal measures illuminate gendering as a large-scale social problem widely understood to operate structurally and systemically. What effect, then, could decertifying sex/gender have on the law and conceptual power of equal pay? Might decertification undermine the structure of equal pay law, with all hard-won gains it has brought for women? Or is it possible to imagine that decertification could accompany a more inclusive and effective legal architecture for equal pay? (shrink)

Halley and colleagues highlight important aspects of advocacy and justice in rare disease and provide recommendations for stakeholders to encourage progress toward equity and justice. In the rare d...

Deception sometimes results in nonconsensual sex. A recent body of literature diagnoses such violations as invalidating consent: the agreement is not morally transformative, which is why the sexual contact is a rights violation. We pursue a different explanation for the wrongs in question: there is valid consent, but it is not consent to the sex act that happened. Semantic conventions play a key role in distinguishing deceptions that result in nonconsensual sex (like stealth condom removal) from those that don’t (like (...) white lies). Our framework is also applicable to more controversial cases, like those implicated in so-called “gender fraud” complaints. (shrink)

In this article, I offer an analysis of what it is to take offense and what doing so is like, on which a more nuanced and positive appraisal of this emotion becomes possible as compared to its popular reputation. First, I survey the shortfalls of the limited discussion of offense by philosophers, before proposing an alternative analysis. Second, I distinguish offense from nearby emotions, like anger, disgust, and pride. Third, I examine the implications not only for how we conceptualize offense (...) but also how we regard those who take it. On my account, offense tends to be a smaller-scale, more everyday emotion than those making claims about its threats to society suppose, and one ripe for a moral reassessment. While offense sometimes appears excessive, that is likely only in limited cases: namely, those requiring symbolic withdrawal or proxy forms of estrangement. Even there, the appearance of excess may be illusory, with the grander gestures of offense appropriate given the distance between the offended and offending parties. Furthermore, on my account, to take offense is to resist affronts to one's standing, rather than merely a reflection of hurt feelings. Concluding, I sketch a defense of this resistance as a sometimes valuable response to injustice. (shrink)

Some people oppose abortion on the grounds that fetuses have full moral status and thus a right to not be killed. We argue that special obligations that hold between mother and fetus also hold between parents and their children. We argue that if these special obligations necessitate the sacrifice of bodily autonomy in the case of abortion, then they also necessitate the sacrifice of bodily autonomy in the case of organ donation. If we accept the argument that it is obligatory (...) to override a woman’s bodily autonomy for the sake of an unborn child’s survival, we must continue to override the bodily autonomy of parents to ensure the survival of their living children, until the parent no longer has a special obligation to their child to the same degree as their special obligation to the fetus. And if the life of a child is truly more important than the bodily autonomy of its parents, as must be the case to force women to carry unwanted pregnancies to term, this should remain true until such a time that their children are no longer considered their responsibility. Thus, parity of reasoning suggests that policies compelling the gestation of a fetus should be accompanied by policies compelling organ donation. (shrink)

When payment is offered for controlled human infection model research, ethical concerns may be heightened due to unfamiliarity with this study design as well as perceptions—and misperceptions—regarding risk. Against this backdrop, we commend Grimwade et al 1 for their careful handling of the relevant issues, coupling empirical and conceptual approaches. We agree with foundational elements of the authors’ analysis, including the acceptability of payment for research risk.1 However, in our view, it is preferable to treat payment for risk as a (...) discretionary incentive to achieve adequate recruitment and retention, rather than compensation owed as a matter of fairness. Grimwade et al 1 note that although their ‘Payment for Risk Model’ was ‘created specifically in the context of CHIM research, it has the potential to inform payment in other areas of medical research.’ We agree and would go further: we do not need a special payment framework for CHIMs because there is nothing so novel about them compared with other types of research as to demand a distinct approach. Any successful payment framework must address the following ethical issues: preserving informed consent ; treating participants fairly ; encouraging adequate recruitment and retention; avoiding deception by participants; and preserving public trust.2 Some of these issues may have particular salience in the context of CHIMs, but this study design does not demand consideration of entirely distinct ethical factors when evaluating offers of payment.2 We also agree with Grimwade et al 1 about several other key points.2 Given the burdens involved and …. (shrink)

Canada’s Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans mandates that all research involving human subjects be reviewed and approved by a research ethics board . We have little evidence on how researchers are dealing with this requirement in multisite studies, which involve more than one REB. We retrospectively examined 22 REB submissions for two minimal-risk, multisite studies in leading Canadian institutions. Most REBs granted expedited review to the studies, while one declared the application to be exempt from review. (...) Time between submission and approval ranged greatly, from four to 546 days. We received a total of 155 REB queries for changes and clarifications, most of which asked for further information, clarification, or additional documents. Less than a third of the REB queries were requests for specific changes, and a vast majority had a very limited impact on the research projects. Institutions also varied broadly in their description of what was required of local principal investigators. We conclude that the organizational and practical challenges these results imply could deter researchers from embarking on multisite research projects, and that recently proposed changes to the TCPS will not solve these problems. (shrink)

Despite frequent calls by players, managers and fans, FIFA's resistance to the implementation of goal-line technology (GLT) has been well documented in national print and online media as well as FIFA's own website. In 2010, FIFA president Sepp Blatter outlined eight reasons why GLT should not be used in football. The reasons given by FIFA can be broadly separated into three categories; those dealing with the nature and value of the game of football, those related to issues of justice, and (...) those concerned with the practical implementation of GLT. This paper intends to evaluate these eight reasons in order to assess whether there are, indeed, any good arguments against GLT in football. (shrink)

In this article, I focus on the way in which grief can alter temporal experience, to the extent that it is possible for the mourner to find themselves held out into the timeless time of the dead. My interpretation is informed by a close reading of poet Denise Riley’s remarkable work Time Lived, without Its Flow, which I bring into dialogue with the shifting conceptions of time put forward by Maurice Merleau-Ponty. In so doing, I situate Riley’s account of the (...) limits of temporal experience in grief at the juncture of Merleau-Ponty’s turn away from the horizontal time of Phenomenology of Perception, and towards the vertical time of The Visible and the Invisible. By conceptualising Riley’s own interpretation of time in terms of Merleau-Ponty’s turn to a thicker, ontological interpretation of time, I suggest we are able to think through the limits of temporal experience in grief and see what is lit up about time, meaning, subjectivity and inter-subjectivity, and life and death as a result. (shrink)

Where ethical or regulatory questions arise about an individual’s interests in accessing bioinformation about herself, the value of this information has traditionally been construed in terms of its clinical utility. It is increasingly argued, however, that the “personal utility” of findings should also be taken into account. This article characterizes one particular aspect of personal utility: that derived from the role of personal bioinformation in identity construction. The suggestion that some kinds of information are relevant to identity is not in (...) itself new. However, the account outlined here seeks to advance the debate by proposing a conception of the relationship between bioinformation and identity that does not depend on essentialist assumptions and applies beyond the narrow genetic contexts in which identity is customarily invoked. The proposal is that the identity-value of personal bioinformation may be understood in terms of its instrumental role in the construction of our narrative identities, specifically that its value lies in helping us to develop self-narratives that support us in navigating our embodied existences. I argue that this narrative conception provides useful insights that are pertinent to the ethical governance of personal bioinformation. It illuminates a wider range of ethical considerations in relation to information access; it accounts for variations in the utility of different kinds of information; and it highlights that the context in which information is conveyed can be as important as whether it is disclosed at all. These arguments are illustrated using an example drawn from psychiatric neuroimaging research. (shrink)

*The views expressed are the author's own and should not be construed as representing the policies and opinions of the American Medical Association.

In lieu of an abstract, here is a brief excerpt of the content:Feeling IgnorantA Phenomenology of Ignorance1Emily McRaeWhat does it feel like to be confused? What does it feel like to ignore something? These questions, although not prioritized in Western epistemologies, nevertheless matter in our lives. We often use our feelings as feedback on our epistemic states. Feeling ignorant is a reason to think we are ignorant and can motivate us to do something about it. Such feelings are fallible, of (...) course—we can feel like we know something we do not in fact know—but they provide rough, practical guidance to tracking our own epistemic states and motivations. In fact, feelings of ignorance may be central to the activity of learning. It is doubtful that we could learn effectively without them.But the affective profile and phenomenology of ignorance are rarely theorized in Western accounts, in large part, I suspect, because of the pervasive dichotomy of "thinking and feeling" that historically has dominated Western philosophical approaches to the mind. This dichotomy encourages us to sort phenomena according to their boundaries, and, if we must choose, ignorance seems to be more of an epistemic event than an affective one. Luckily, though, we do not have to choose. Buddhist psychological taxonomies, as I will show, are drawn along different lines. This positions Buddhist moral psychology to be a productive framework to investigate ignorance, since it allows us to attend to its epistemic, affective, and somatic contours.This paper focuses on the affective component of ignorance: what ignorance feels like, when and why these feelings arise (and when and why [End Page 26] they do not), and what feeling ignorant, particularly in moral contexts, can do for us. Drawing on the fourth-century Indian Buddhist philosopher Vasubandhu, I examine the phenomenology of ignorance and argue that how ignorance feels depends on our epistemic access to our ignorance (whether and to what extent we know that we are ignorant) and the object of ignorance (what our ignorance is about). I argue that ignorance has a complex affective profile: it can feel a lot of different ways, ranging from unpleasant fogginess to clueless confidence. This complex affective profile makes ignorance difficult to spot, especially in ourselves, and marks a difference between ignorance and other problematic mental states, such as hatred or resentment, that have a more straightforward phenomenology. Understanding the connection between the object of ignorance, the epistemology of ignorance, and its affective phenomenology allows us to take on the project, essential in the Buddhist philosophical traditions, of locating and addressing our ignorance. Without careful attention to these three components, it is possible, and likely, to simply ignore our ignorance. I conclude with the suggestion that the ability to attend to our ignorance requires the cultivation of equanimity.This investigation into the affective side of ignorance requires the introduction of a core Buddhist philosophical and psychological category: the dysfunctional states (kleśa; nyon mongs). This is not only because the category of kleśa is a productive framework for understanding the phenomenology and epistemology of ignorance, as I will argue in the next section, but also because traditional Western categories of reason and emotion, or thinking and feeling, are not up to the task of investigating the affective aspects of ignorance. This dichotomy makes a division exactly at the place where my inquiry in this paper begins, for ignorance—as an affective, epistemic, and somatic experience—straddles the divide between thinking and feeling. The category of kleśa includes ignorance, along with other states that Western taxonomies would classify as emotions, such as hatred or envy. This allows for an investigation into features that ignorance may share with emotions without the commitment to the cumbersome claim that ignorance is (or is not) an emotion in the Western sense.The KleśasThe kleśas are dysfunctional states that cause wrong actions and suffering. They are typically divided into primary and secondary kleśas, where the primary kleśas are the root dysfunctional states and the secondary kleśas arise from the primary ones. Different texts and traditions include different kleśas as primary and secondary, but all agree that ignorance, desire, and hatred are among the primary kleśas... (shrink)

ABSTRACTTo date, there has been little philosophical consideration of the concept of shame in sport, yet sport seems to be an environment conducive to the experience of shame due to its public and...

Bioethics, Volume 36, Issue 3, Page 298-304, March 2022.

Increased awareness of neurodiverse conditions has necessitated reexamination of neurodiversity in relation to societal norms and material conditions. ‘Neuro-neutrality’, as proposed by de Vries (2...

Objectives: Habitually instigated exercise is thought to increase health behavior maintenance. Previous research has explored several aspects of habit formation. However, there is a lack of longitudinal research investigating affective determinants, especially post-exercise affective states. Therefore, the present study aimed to investigate a) if behavior frequency will enhance automaticity, b) if positive affect will enhance automaticity, and c) if positive affect will moderate the relationship between behavior frequency and automaticity. Methods: 226 participants (64% females, mean age 24 years) who attended (...) weekly sports and gym classes at two universities were followed for 13 weeks. Class attendance was documented on a weekly basis (behavior frequency) during the semester. Before, during and immediately after each class, participants filled in the Feeling Scale (affective valence). Furthermore, at the beginning of each class, they answered a question about their automaticity in arriving at the decision to attend the class (instigation habit). We used a two-level modeling approach to predict subsequent automaticity by the different constructs at the previous attendance. Results: The cumulative frequency of prior class attendance did not significantly enhance the automaticity of the decision to re-attend the class. There were significant effects of valence on automaticity on the between-subject level, i.e., a one-point higher mean valence score was associated with a 0.62 point increase in automaticity (p=.001). No moderation effects of affect on the association between behavior frequency and automaticity were observed. Conclusions: Behavior repetition, albeit not significant, and positive affective states at the end of an exercise class may be beneficial in building exercise instigation habits. Practitioners and researchers alike may thus want to emphasize the importance of behavior repetition and affective response for health behavior maintenance. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:IntroductionSpatial, Environmental, and Ecocritical Approaches to Holocaust MemoryEmily-Rose Baker (bio), Michael Holden (bio), Diane Otosaka (bio), Sue Vice (bio), and Dominic Williams (bio)The successful implementation of genocide during the Holocaust depended on the spatial organisation of mass murder. From the concentrated ghettos and camps delimited by walls and barbed wire to the open fields and camouflaged forests where victims were shot en masse, Anne Kelly Knowles et al. argue, (...) specific locations, patterns of migration, deportation and evacuation, and other spatial elements such as scale, were all central to the Nazi regime's creation of a "comprehensive geography of oppression."1 This is hardly surprising given the biopolitical logics and colonial fantasies underpinning Lebensraum ('living space'), the territorial concept guiding the genocidal aims of the Third Reich, which designated zones of life as well as the inverse on the European continent. The Holocaust was also experienced spatially by its victims, who were forced to navigate new (and at times familiar) sites and landscapes as those of genocide, and whose testimonies in the aftermath of the event conjured these very places in detail.In recent years, the spaces of the Holocaust have been variously revisited, reconstructed, and reimagined within Holocaust studies scholarship. As a broader part of the 'spatial turn' in the humanities, Holocaust scholars have increasingly employed spatial perspectives of the event to deepen our understanding of the environments in which the Holocaust took place and the transformation of these spaces over time—particularly in the fields of history and social science.2 While drawing on diverse modes of spatialisation from interdisciplinary perspectives, contributions from these fields have tended to privilege methods we might describe as variously 'forensic,' including mapping, model-making, and investigations of material traces of the past.3 This work has resulted in many significant insights, not only into the [End Page 1] contexts and structures of Nazi genocide and the perpetrator imaginings of space, but also the experiences of victims and survivors.4Another significant body of work has attended to space and culture within Holocaust contexts. From early on in the postwar period, particular locations and buildings became identified with the Holocaust, such as the notorious entrance guard house at Auschwitz-Birkenau, which appears on countless book covers as well as within films and artworks. Engaging with spatial insights and methodologies from the perspective of cultural and memory studies, scholars have attested to the production and mnemonic significance of these and less well-known sites, as well as the symbolic spatial worlds and experiences to which they give rise. These include Paul Jaskot and Gavriel Rosenfeld, who have turned respectively to Holocaust and post-Holocaust architectures as commonly overlooked sites of history and memory. Drawing attention to the construction of Holocaust space, Jaskot shows how reading architecture 'as process' rather than static structures laden with symbolic meaning reveals unique histories of forced labor in which "the goals of the SS intersected with victims' experience."5 Rosenfeld demonstrates the ways in which spaces built in response to Nazi genocide after 1945 have been variously "imbued with Jewish significance" by their users and creators, resulting in the rise to prominence of Jewish-identified architects.6 Along similar lines, Michael Meng's work has explored the ways in which Jews and gentiles interact with ruined synagogues, cemeteries and Jewish districts as important remnants of pre-war Jewish life in the post-war period in German and Polish cities.7Studies such as those noted above have tended to focus on cities and public buildings, as well as state and civic policy. But as the spatial histories and geographies of the Holocaust have helped to show, extermination often took place in rural settings (mostly located in Central and Eastern Europe), such as the killing fields where Jews were shot en masse; the forests where victims hid and were hunted by Germans and local collaborators; or the open spaces of the dissolving Reich through which former concentration camp inmates were forced to march during the final year of the war—sites in which, owing to less contained spatial dynamics, violence played out differently.8These kinds of sites, which are sparsely documented and often simply thought of... (shrink)

This paper puts forward a new interpretation of the argument at Philebus 36c–40d that pleasures can be false. Protarchus raises an objection at 37e–38a, and in response Socrates presents the elaborate painter-scribe analogy. Most previous interpretations do not explain how the analogy answers Protarchus’ objection. On my account, Protarchus’ objection relies on the plausible intuition that pleasure is simply not in the business of assessing the world, and so it cannot be charged with doing so incorrectly. Socrates responds by demonstrating (...) that pleasure can be mistaken about the world, despite not making an independent assessment of it. The painter-scribe analogy demonstrates how pleasure comes to be mistaken about the world by reproducing the mistake of a judgment. Socrates persuades Protarchus that pleasure can be mistaken in part by preserving his intuition that pleasure itself is not the source of the mistake. (shrink)

The COVID-19 pandemic has been devastating for people living with dementia (PLWD) and their caregivers. While prior research has documented these effects, it has not delved into their specific causes or how they are modified by contextual variation in caregiving circumstances.

This chapter treats the reception and assessment of the two English translations of Simone de Beauvoir's Le deuxième sexe, the first by Howard M. Parshley in 1953 and the second by Constance Borde and Sheila Malovany‐Chevallier in 2009. We examine both the criticisms and the appreciations, concluding that the second is superior in many ways to the first. On that basis, we propose a digital edition of the original book and its earlier drafts en face the 2009 English translation, which (...) would also allow as hypertext the addition of curated scholarly notes and textual exegesis, alongside crowd‐sourced discussion. This would both make the book more accessible worldwide, and add the scholarly dimension for which many Beauvoir scholars have long been waiting. (shrink)

In 1765, Joseph Priestley created what may be the world's first modern timeline, A Chart of Biography. This paper offers the first study of the philosophy underlying Priestley's timeline. It argues that Priestley was pushed towards representing times as lines by his views on abstract ideas and time, and there is no reason to believe that Newtonian absolutism grounds his uniform depiction of time. Further, the Chart confirms, and even advances, Priestley's views on human progress. Finally, this study shows that (...) Priestley's conception of time as a line comprises a landmark contribution to the history of space-time parallelism. (shrink)

This essay considers Shaul Magid's book on Meir Kahane and American Jewish politics through a discussion of the idea of modern Jewish “civility.” I argue that Magid's book enacts an argument that contemporary liberal Zionist politics are not as foreign to Kahanism as they might appear.

Madison Kilbride recently argued that insurance ) should cover in vitro fertilisation with preimplantation genetic testing services for couples at high risk of having a child affected with a genetic condition. She argues that IVF-PGT meets CMS’s definition of ‘medically necessary care’, where such care includes ‘services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms’. Kilbride argues that IVF-PGT satisfies this definition in two ways: as a diagnostic tool and as a treatment. Contradicting (...) Kilbride, however, I argue that IVF-PGT provides neither diagnosis nor treatment under CMS’s definition. Thus, as long as we accept CMS’s definition of medically necessary care—which Kilbride does, explicitly—it follows that IVF-PGT does not count as medically necessary care. Still, there may be other reasons to conclude that IVF-Preimplantation genetic testing should be covered, and so, it would be a mistake to reject Kilbride’s conclusion altogether. The problem is simply that Kilbride’s argument—that the procedure should be covered because it is medically necessary per CMS’s definition—is not sound. I conclude by discussing a number of other genetic services that are not currently being covered despite the fact that they do seem to satisfy CMS’s definition of ‘medically necessary diagnosis or treatment’. These services, I argue, should be provided under CMS before we consider expanding coverage to include elective procedures such as IVF-PGT. (shrink)

Only somewhat recently has a specific literature emerged focused on the ethics of engaging patient and community stakeholders in health research. This literature is informed by a broad range of disciplinary frameworks and norms. It also overlaps with – and diverges from – traditional research ethics scholarship in interesting and important ways. This volume is an effort to bring together, in one place, important perspectives on the ethics of stakeholder engagement in health research. Here, ethics, patient and community stakeholders, and (...) health-related research are all conceptualized broadly. (shrink)

Climate change is a wicked problem with causes and consequences overlapping with other wicked problems and no single solution (Hulme 2015). For example, the frequent droughts associated with climate change exacerbate another major problem facing humanity as we enter the Anthropocene: how to produce adequate food to feed a growing population without increasing pollution or “more food with low pollution (MoFoLoPo)” (Davidson et al. 2015). Soils represent an intersection of these two wicked problems, because they are integral to food production (...) through agriculture and also are an important component of global climate models. Recent focus in the field of soil carbon cycling has facilitated a transformation in our understanding of the processes that control this important resource. This understanding is critical to responding to both wicked problems. (shrink)

Palliative care and medical-legal partnership are complementary disciplines dedicated to integrating care to treat the whole patient and intervening before a legal or medical issue is at a crisis point. In this paper, we discuss the founding and operations of the Yale Palliative Medical Legal Partnership, give examples of typical cases, explain special considerations in this area of law, and propose areas for further research.

We compared study characteristics of randomized controlled trials funded by industry (N=697) to those not funded by industry (N=835). RCTs published in high-impact journals are more likely to be blinded, more likely to include a placebo, and more likely to post trial results on ClinicalTrials.gov. Our findings emphasize the importance of evaluating the quality of an RCT based on its methodological rigor, not its funder type.

Short-term humanitarian medical volunteerism has grown significantly among both clinicians and trainees over the past several years. Increasingly, both volunteers and their respective institutions have faced important challenges in regard to medical ethics and professional codes that should not be overlooked. We explore these potential concerns and their risk factors in three categories: ethical responsibilities in patient care, professional responsibility to communities and populations, and institutional responsibilities towards trainees. We discuss factors increasing the risk of harm to patients and communities, (...) including inadequate preparation, the use of advanced technology and the translation of Western medicine, issues with clinical epidemiology and test utility, difficulties with the principles of justice and clinical justice, the lack of population-based medicine, sociopolitical effects of foreign aid, volunteer stress management, and need for sufficient trainee supervision. We review existing resources and offer suggestions for future skill-based training, organisational responsibilities, and ethical preparation. (shrink)

Christians have traditionally conceived of the moral life as an imitation of Christ, whereby followers enter into fellowship with God. The American Transcendentalists can be understood as extending rather than dispensing with this legacy. For Emerson, a person cultivates virtues by imitating those she loves and admires. Ultimately, however, the virtues enable her to innovate on received models, to excel by pressing beyond exemplars. Emerson's famous line, “imitation is suicide,” is not a contradiction but a fulfillment of the imitation of (...) Christ, understood in his terms. In his own time, John Brown was the public figure who, for Emerson, most nearly exemplified this innovative imitation of Christ. An examination of exemplarity, of this artful union of imitation and innovation in moral and spiritual formation, sheds light on how modern agents can cultivate the virtues needed to be at home in the modern world. (shrink)