Population-level biomedical research offers new opportunities to improve population health, but also raises new challenges to traditional systems of research governance and ethical oversight. Partly in response to these challenges, various models of public involvement in research are being introduced. Yet, the ways in which public involvement should meet governance challenges are not well understood. We conducted a qualitative study with 36 experts and stakeholders using the World Café method to identify key governance challenges and explore how public involvement can (...) meet these challenges. This brief report discusses four cross-cutting themes from the study: the need to move beyond individual consent; issues in benefit and data sharing; the challenge of delineating and understanding publics; and the goal of clarifying justifications for public involvement. The report aims to provide a starting point for making sense of the relationship between public involvement and the governance of population-level biomedical research, showing connections, potential solutions and issues arising at their intersection. We suggest that, in population-level biomedical research, there is a pressing need for a shift away from conventional governance frameworks focused on the individual and towards a focus on collectives, as well as to foreground ethical issues around social justice and develop ways to address cultural diversity, value pluralism and competing stakeholder interests. There are many unresolved questions around how this shift could be realised, but these unresolved questions should form the basis for developing justificatory accounts and frameworks for suitable collective models of public involvement in population-level biomedical research governance. (shrink)

This volume consists of fourteen essays in honor of Daniel Devereux on the themes of love, friendship, and wisdom in Plato, Aristotle, and the Epicureans. Philia (friendship) and eros (love) are topics of major philosophical interest in ancient Greek philosophy. They are also topics of growing interest and importance in contemporary philosophy, much of which is inspired by ancient discussions. Philosophy is itself, of course, a special sort of love, viz. the love of wisdom. Loving in the right (...) way is very closely connected to doing philosophy, cultivating wisdom, and living well. The first nine essays run the gamut of Plato's philosophical career. They include discussions of Plato's Alcibiades, Euthydemus, Gorgias, Phaedo, Phaedrus, and Symposium; and Aristotle's Nicomachean Ethics, Politics, Protrepticus and Magna Moralia. It ends with a discussion of Epicurean friendship. (shrink)

The thesis of this article is that engagement and suffering are essential aspects of responsible caregiving. The sense of medical responsibility engendered by engaged caregiving is referred to herein as clinical phronesis, i.e. practical wisdom in health care, or, simply, practical health care wisdom. The idea of clinical phronesis calls to mind a relational or communicative sense of medical responsibility which can best be understood as a kind of virtue ethics, yet one that is informed by the exigencies (...) of moral discourse and dialogue, as well as by the technical rigors of formal reasoning. The ideal of clinical phronesis is not (necessarily) contrary to the more common understandings of medical responsibility as either beneficence or patient autonomy — except, of course, when these notions are taken in their disengaged form (reflecting the malaise of modern medicine). Clinical phronesis, which gives rise to a deeper, broader, and richer, yet also to a more complex, sense than these other notions connote, holds the promise both of expanding, correcting, and perhaps completing what it currently means to be a fully responsible health care provider. In engaged caregiving, providers appropriately suffer with the patient, that is, they suffer the exigencies of the patient's affliction (though not his or her actual loss) by consenting to its inescapability. In disengaged caregiving — that ruse Katz has described as the silent world of doctor and patient — provides may deny or refuse any given connection with the patient, especially the inevitability of the patient's affliction and suffering (and, by parody of reasoning, the inevitability of their own. When, however, responsibility is construed qualitatively as an evaluative feature of medical rationality, rather than quantitatively as a form of calculative reasoning only, responsibility can be viewed more broadly as not only a matter of science and will, but of language and communication as well — in particular, as the task of responsibly narrating and interpreting the patient's story of illness. In summary, the question is not whether phronesis can save the life of medical ethics — only responsible humans can do that! Instead, the question should be whether phronesis, as an ethical requirement of health care delivery, can prevent the death of medical ethics. (shrink)

This article is intended to serve as a reminder of the themes that have been present in Christian spiritual formation through the centuries. In a WISDOM orientation we ground our approach to CSF in Scripture, in theology, and in “best practices,” yet we also seek to thoughtfully locate CSF within specific contexts. The WISDOM acronym reminds us that formation must involve: Wise planning, where the leaders prayerfully seek to implement what is needed in a specific situation; Intentionality, calling (...) people to commit to walk differently from the ways of the world; Scripture, salvation, and Spirit, where the Salvation message and the Spirit-led mission of the whole of Scripture provides the framework for CSF; Discipleship, where the end of CSF is the imitation of Jesus Christ; Optimism, where we pursue our formation in an atmosphere of hope and expectation of change; and Means. (shrink)

This article argues that Platonism provides a plausible account of wisdom, one that is especially attractive for Christians. Christian Platonism sees wisdom as conceptual understanding; it is a “knowledge of the Forms.” To be convincing this view requires us to see understanding as including an appreciation of the relations between concepts as well as the value of the possible ways of being that concepts disclose. If the Forms are Divine Ideas, then we can see why God is both (...) supremely wise and the source of all human wisdom. The account of wisdom provided helps explain the relation between wisdom and knowledge, the connection between wisdom and emotion, and much about how wisdom is acquired. The view also helps explain why someone who lacks extensive propositional knowledge can still be wise, and it helps us see why an understanding of the Biblical narrative and participation in the life of the Church can be important aids in the development of wisdom. (shrink)

At the beginning of the 20th century, the shorter Greek version of the book of Tobit, GI, which is included in the Catholic Bible, was thought to be the oldest version. It was defined as ‘a lesson on almsgiving and its redeeming powers’. As the discoveries of the Semitic copies of Tobit at Qumran, GI is recognised to be a reworking of the longer version GII, most probably originally written in Aramaic, between 225 and 175 BCE. In all versions of (...) Tobit, the theme of almsgiving is introduced as specifically directed to Jewish kinsmen, but towards the end, is to be directed to all poor, suggesting that it may have been written by a Hellenistic Jew. Although the surface context of the narrative of Tobit is the Jewish tradition of proper observation of mitzvot and sacrifice and eventual reward, the various versions contain varying degrees of ancient Near Eastern wisdom, and an ironic, subversive reflection of hypocritical righteousness. This article questioned why the endings differ markedly in different versions. To try to find answers, a semantic comparison was made between GI and the most complete Aramaic version 4Q196. Contribution: This article considered the implications of source criticism in the reception of the various versions of Tobit. The possibility was examined that the pre-Christian, Aramaic version 4Q196Tobit does not confirm the excessive focus on almsgiving as righteousness apparent in the GI version of LXX Tobit. (shrink)

"Reason is not passion's slave." Rather, the author argues, reason appraises the cultural appropriateness of passion, thus directing our attitudinal behaviour. He refutes those theories of value which correspond philosophically to societies described by Jean-Jacques Rousseau: societies of "honour without virtue, reason without wisdom, pleasure without happiness." His argument, which takes into account traditional philosophic positions, is divided into five parts: Attitudes, Evaluation, Characterization, Culture, Morality.

Plato's Theaetetus discusses and ultimately rejects Protagoras's famous claim that "man is the measure of all things." The most famous of Plato's arguments is the Self-Refutation Argument. But he offers a number of other arguments as well, including one that I call the 'Future Argument.' This argument, which appears at Theaetetus 178a−179b, is quite different from the earlier Self-Refutation Argument. I argue that it is directed mainly at a part of the Protagorean view not addressed before , namely, that all (...) beliefs concerning one's own future sensible qualities are true. This part of the view is found to be inconsistent with Protagoras's own conception of wisdom as expertise and with his own pretenses at expertise in teaching. (shrink)

That process philosophy can be the foundation of the theory and practice of educating human beings is the main argument of this book. The process philosophy of Alfred North Whitehead (1861-1947) is the particular thinking on which this book is based. Readers are shown that Whitehead's process philosophy provides a frame, a conceptual matrix, that addresses their concerns about education and offers direction for their educative acts. Whitehead theorized that all living entities are connected in some way. Relatedness, connectedness, and (...) holism are recurring themes in this exploration of Whitehead's implied philosophy of education. Whitehead never wrote a philosophy of education, but his writings over a period of nearly thirty years reveal a persistent interest and concern with education. His work, ranging from Introduction to Mathematics (1911) to Adventures of Ideas (1938), is drawn on here to construct, not Whitehead's philosophy of education, but, a Whiteheadian philosophy of education. Whitehead and Philosophy of Education brings to scholars and students of education an understanding of Whitehead as an important figure in philosophy, particularly philosophy of education; an acquaintance with process philosophy; a brief treatment of Whitehead's life and an account of events and experiences that influenced his philosophizing; and an exploration of the educationally salient concepts found in Whitehead's formal and informal philosophy with special attention to Whitehead's ideas about creativity, process, rhythm, wisdom, and knowledge. Whitehead writes of phases of the rhythm of education - romance, precision, and generalization. The book is organized with attention to these three phases. Part One-Romance introduces readers to Whitehead the person, and the change of context for educating from a mechanistic world-view to an organismic one. Part Two-Precision examines Whitehead's writings, as they relate to process philosophy and to educating. Part Three-Generalization is an application of the explorations of Parts One and Two, yielding a construction of a Whiteheadian philosophy of education and suggestions for educational practice. (shrink)

General introduction.--The supreme path of discipleship: the precepts of the gurus.--The nirvānic path: the yoga of the great symbol.--The path of knowledge: the yoga of the six doctrines.--The path of transference: the yoga of consciousness-trnsference.--The path of the mystic sacrifice: the yoga of subduing the lower self.--The path of the five wisdoms: the yoga of the long hūm.--The path of the transcendental wisdom: the yoga of the voidness.

It is now conventional wisdom that conscious experience — or in Nagel’s canonical characterization, “what it is like to be” for an organism — is what makes the mind-body problem so intractable. By the same token, our current conceptions of the mind-body relation are inadequate and some conceptual development is urgently needed. Our overall aim in this paper is to make some progress towards that conceptual development. We first examine a currently neglected, yet fundamental aspect of consciousness. This aspect (...) is the spontaneity of consciousness, by which we mean its inner plasticity and inner purposiveness. We then sketch a “neurophenomenological” framework for thinking about the relationship between the spontaneity of consciousness and dynamic patterns of brain activity as studied in cognitive neuroscience. We conclude by proposing that the conscious mentality of sentient organisms or animals is active and dynamic, and that this “enactive” conception of consciousness can help us to move beyond the classical dichotomy between materialism and dualism. (shrink)

Deals with the dark side of the medieval theory of knowledge, the pursuit of knowldge in 'wrong' ways, 'common knowledge' and departures from it, wisdom and folly, incomplete knowledge, truth and lies.

For Ian Ramsey, talk about God raises many philosophical problems: ‘If we are not to use anthropomorphic concepts like love, power, wisdom, we cannot talk about God; but if we do use them, how do we manage to talk of God and not man?’ ‘Believers wish on the one hand to claim that he is indescribable and ineffable, and yet on the other hand to talk a great deal about him. Nay more, when they speak of God they say (...) that he is transcendent and immanent, im passible yet loving, and so on. But if we speak like this, are we talking significantly at all? Here is the Falsification Problem: What kind of talk can this talk about God be, if it permits us to use such conflicting descriptions of God and to continue to use these descriptions in the face of any and all empirical phenomena?’. (shrink)

The volume is dedicated to Berthold of Moosburg’s commentary on Proclus’ _Elements of Theology_. This overlooked work from the 14th century proposed, as an alternative to the prevailing Aristotelian metaphysics, a superior wisdom of the Good articulated within the Platonic tradition, both pagan and Christian.

It is now conventional wisdom that conscious experience — or in Nagel’s canonical characterization, “what it is like to be” for an organism — is what makes the mind-body problem so intractable. By the same token, our current conceptions of the mind-body relation are inadequate and some conceptual development is urgently needed. Our overall aim in this paper is to make some progress towards that conceptual development. We first examine a currently neglected, yet fundamental aspect of consciousness. This aspect (...) is the spontaneity of consciousness, by which we mean its inner plasticity and inner purposiveness. We then sketch a “neurophenomenological” framework for thinking about the relationship between the spontaneity of consciousness and dynamic patterns of brain activity as studied in cognitive neuroscience. We conclude by proposing that the conscious mentality of sentient organisms or animals is active and dynamic, and that this “enactive” conception of consciousness can help us to move beyond the classical dichotomy between materialism and dualism. (shrink)

Scholars of classical philosophy have long disputed whether Aristotle was a dialectical thinker. Most agree that Aristotle contrasts dialectical reasoning with demonstrative reasoning, where the former reasons from generally accepted opinions and the latter reasons from the true and primary. Starting with a grasp on truth, demonstration never relinquishes it. Starting with opinion, how could dialectical reasoning ever reach truth, much less the truth about first principles? Is dialectic then an exercise that reiterates the prejudices of one's times and at (...) best allows one to persuade others by appealing to these prejudices, or is it the royal road to first principles and philosophical wisdom? In From Puzzles to Principles? May Sim gathers experts to argue both these positions and offer a variety of interpretive possibilities. The contributors' thoughtful reflections on the nature and limits of dialectic should play a crucial role in Aristotelian scholarship. (shrink)

In this paper, I argue for an account of wisdom according to which wisdom is a disposition to take appropriate risks. I show why this account should be attractive generally, and also why it should be especially attractive for someone from within the Christian Aristotelian tradition. Finally, I show why the account has certain advantages over an account of wisdom from within the Christian Platonist tradition defended recently by C. Stephen Evans.

The question has long confounded philosophers and scientists, and it is this so-called explanatory gap between biological life and consciousness that Evan ...

The world contains objective causal relations and universals, both of which are intimately connected. If these claims are true, they must have far-reaching consequences, breathing new life into the theory of empirical knowledge and reinforcing epistemological realism. Without causes and universals, Professor Fales argues, realism is defeated, and idealism or scepticism wins. Fales begins with a detailed analysis of David Hume's argument that we have no direct experience of necessary connections between events, concluding that Hume was mistaken on this fundamental (...) point. Then, adopting the view of Armstrong and others that causation is grounded in a second-order relation between universals, he explores a range of topics for which the resulting analysis of causation has systematic implications. In particular, causal identity conditions for physical universals are proposed, which generate a new argument for Platonism. The nature of space and time is discussed, with arguments against backward causation and for the view that space and time can exist independently of matter or causal process. Many of Professor Fales's conclusions seem to run counter to received opinion among contemporary empiricists. Yet his method is classically empiricist in spirit, and a chief motive for these metaphysical explorations is epistemological. The final chapters investigate the perennial question of whether an empiricist, internalist and foundational epistemology can support scientific realism. (shrink)

It has been nearly a decade and a half since Fred Dretske, David Armstrong and Michael Tooley, having each rejected the Regularity theory, independently proposed that natural laws are grounded in a second-order relation that somehow binds together universals.' (l shall call this the ‘DTA theory’). In this way they sought to overcome the major - and notorious — shortcomings of every version of the Regularity theory: how to provide truth conditions for laws that lack instances; how to distinguish laws (...) from accidental generalizations; how to provide truth conditions for the counterfactuals and disposition statements that laws apparently ‘support’; how to justify inductive inferences from past events to laws and future events. For each of these puzzles, an apparently key element in the solution seems to be missing from Regularity theories. That missing element is a genuine connection, a relation with more than merely spatial and/or temporal content, linking the antecedent of a law to its consequent. Once such an additional objective element - however understood — is admitted to be essential to the analysis of laws, one is forced to give up the idea that the logical form of laws can be given in terms of quantifiers ranging over events or states of alfairs, and truth-functions. (shrink)

‘Virtue signaling’ is the practice of using moral talk in order to enhance one’s moral reputation. Many find this kind of behavior irritating. However, some philosophers have gone further, arguing that virtue signaling actively undermines the proper functioning of public moral discourse and impedes moral progress. Against this view, I argue that widespread virtue signaling is not a social ill, and that it can actually serve as an invaluable instrument for moral change, especially in cases where moral argument alone does (...) not suffice. Specifically, virtue signaling can change the broader public’s social expectations, which can in turn motivate the adoption of new, positive social norms. I also argue that the reputation-seeking motives underlying virtue signaling impose important constraints on virtue signalers’ behavior, which serve to keep the worst excesses of virtue signaling in check. (shrink)

How is human social intelligence engaged in the course of ordinary conversation? Standard models of conversation hold that language production and comprehension are guided by constant, rapid inferences about what other agents have in mind. However, the idea that mindreading is a pervasive feature of conversation is challenged by a large body of evidence suggesting that mental state attribution is slow and taxing, at least when it deals with propositional attitudes such as beliefs. Belief attributions involve contents that are decoupled (...) from our own primary representation of reality; handling these contents has come to be seen as the signature of full-blown human mindreading. However, mindreading in cooperative communication does not necessarily demand decoupling. We argue for a theoretical and empirical turn towards “factive” forms of mentalizing here. In factive mentalizing, we monitor what others do or do not know, without generating decoupled representations. We propose a model of the representational, cognitive, and interactive components of factive mentalizing, a model that aims to explain efficient real-time monitoring of epistemic states in conversation. After laying out this account, we articulate a more limited set of conversational functions for nonfactive forms of mentalizing, including contexts of meta-linguistic repair, deception, and argumentation. We conclude with suggestions for further research into the roles played by factive versus nonfactive forms of mentalizing in conversation. (shrink)

Henry Wellman and colleagues have provided evidence of a robust developmental progression in theory-of-mind (or as we will say, “mindreading”) abilities, using verbal tasks. Understanding diverse desires is said to be easier than understanding diverse beliefs, which is easier than understanding that lack of perceptual access issues in ignorance, which is easier than understanding false belief, which is easier than understanding that people can hide their true emotions. These findings present a challenge to nativists about mindreading, and are said to (...) support a social-constructivist account of mindreading development instead. This article takes up the challenge on behalf of nativism. Our goal is to show that the mindreading-scale findings fail to support constructivism because well-motivated alternative hypotheses have not yet been controlled for and ruled out. These have to do with the pragmatic demands of verbal tasks. (shrink)

This cogently argued and richly illustrated book rejects the dichotomy between the God of Abraham and the God of the philosophers to argue that the two are one. In God of Abraham, one of our leading philosophers of religion shows how human values can illuminate our idea of God and how the monotheistic idea of God in turn illuminates our moral, social, cultural, aesthetic, and even ritual understanding. Throughout Goodman draws on a wealth of traditional, philosophical, historical, and anthropological materials, (...) and particularly on a wide range of Jewish sources. He demonstrates how an adequate understanding of the interplay of values with monotheism dissolves many of the longstanding problems of natural theology and ethics and guides us toward a genuinely humanistic moral and social philosophy. (shrink)

Kant’s late essay ‘The End of All Things’ (1794) establishes a distinctly modern field of inquiry that has fittingly been called ‘philosophical eschatology’ by asking, ‘why do human beings expect an end of the world at all?’ (AA 8:330) Interpretation of the essay’s purpose and argument have usually taken one of two routes: Kant is either understood as writing an esoteric political critique under the guise of the philosophy of religion, or as being focused largely on problems related to the (...) immortality of the soul as a postulate of pure practical reason. In contrast, I argue that the essay presents the end of all things as a cosmological idea of reason. In this essay I trace Kant’s idea of an end as its preconditions are established through the three Critiques, and finally made explicit in his late work. (shrink)

In Absolute Music: The History of an Idea, author Mark Evan Bonds examines how writers have struggled to isolate the essence of music in ways that account for its profound effects on the human spirit. By carefully tracing the evolution of absolute music from Ancient Greece through the Middle Ages to twentieth-century America, Bonds provides the first comprehensive history of this pivotal concept, and provokes new thoughts on the essence of music and how this essence explains music's effect. A (...) long awaited book from one of the most respected senior scholars in the field. (shrink)

In this paper we will be concerned with the interpretability logic of PA and in particular with the fact that this logic, which is denoted by ILM, does not have the interpolation property. An example for this fact seems to emerge from the fact that ILM cannot express Σ₁-ness. This suggests a way to extend the expressive power of interpretability logic, namely, by an additional operator for Σ₁-ness, which might give us a logic with the interpolation property. We will formulate (...) this extension, give an axiomatization which is modally complete and arithmetically complete (although for proofs of these theorems we refer to an earlier paper), and investigate interpolation. We show that this logic still does not have the interpolation property. (shrink)

Why was the South African state so much more successful than the Brazilian state in its attempts to collect income taxes during the twentieth century? Nationally distinctive tax policies and patterns of administration can be explained by examining the impact of contrasting definitions of National Political Community, specified in critical constitutions written around the turn of the century. The ways in which racial and spatial cleavages were addressed in the 1891 Brazilian constitution and the 1909 South Africa Act influenced the (...) development of interclass and intraclass relations, which in turn affected the willingness of upper-income groups to accept state demands for income tax payments. Varied patterns of state development were largely predicated on contested notions of “us” and “them.”. (shrink)

Social norms are commonly understood as rules that dictate which behaviors are appropriate, permissible, or obligatory in different situations for members of a given community. Many researchers have sought to explain the ubiquity of social norms in human life in terms of the psychological mechanisms underlying their acquisition, conformity, and enforcement. Existing theories of the psychology of social norms appeal to a variety of constructs, from prediction-error minimization, to reinforcement learning, to shared intentionality, to domain-specific adaptations for norm acquisition. In (...) this paper, we propose a novel methodological and conceptual framework for the cognitive science of social norms that we call normative pluralism. We begin with an analysis of the explanatory aims of the cognitive science of social norms. From this analysis, we derive a recommendation for a reformed conception of its explanandum: a minimally psychological construct that we call normative regularities. Our central empirical proposal is that the psychological underpinnings of social norms are most likely realized by a heterogeneous set of cognitive, motivational, and ecological mechanisms that vary between norms and between individuals, rather than by a single type of process or distinctive norm system. This pluralistic approach, we suggest, offers a methodologically sound point of departure for a fruitful and rigorous science of social norms. (shrink)

Let us give voice to this new demand: we need a critique of moral values, the value of these values should itself, for once, be examined. - Friedrich NietzscheAnyone who, stimulated by education, has come to feel the force of the various obligations in life, at some time or other comes to feel the irksomeness of carrying them out, and to recognize the sacrifice of interest involved; and, if thoughtful, he inevitably puts to himself the question: “Is there really a (...) reason why I should act in the ways in which hitherto I have thought I ought to act? … Should I not really be justified in simply trying to have a good time?” - H.A. Prichard. (shrink)

Character-trait attribution is an important component of everyday social cognition that has until recently received insufficient attention in traditional accounts of folk psychology. In this paper, I consider how the case of character-trait attribution fits into the debate between mindreading-based and broadly ‘pluralistic’ approaches to folk psychology. Contrary to the arguments of some pluralists, I argue that the evidence on trait understanding does not show that it is a distinct, non-mentalistic mode of folk-psychological reasoning, but rather suggests that traits are (...) ordinarily understood as mentalistic dispositions. I also examine several ways in which trait attribution might also serve regulative, ‘mindshaping’ functions by promoting predictable norm-governed behavior, and argue that mindreading plays several important roles in these cases as well. I conclude that an appreciation of the relationship between trait attribution and mindreading is crucial to understanding the role it plays in our folk psychology. (shrink)

This paper explores some of the differences between the enactive approach in cognitive science and the extended mind thesis. We review the key enactive concepts of autonomy and sense-making . We then focus on the following issues: (1) the debate between internalism and externalism about cognitive processes; (2) the relation between cognition and emotion; (3) the status of the body; and (4) the difference between ‘incorporation’ and mere ‘extension’ in the body-mind-environment relation.

Arid Waters is a photographic response to the growing crisis of water scarcity, which exists because our culture thinks of water as a commodity, or an abstract legal right, rather than the most basic physical source of life. The Water in the West Project began as a collaborative effort designed to present an artistic response to water as a social issue. Photography historian Ellen Manchester and the photographers - Mark Klett, Terry Evans, Laurie Brown, Peter Goin, Robert Dawson, Martin (...) Stupich, Gregory Conniff, and Wanda Hammerbeck - address the question: How can photography contribute to the urgent public debate over water use and allocation? Project members prepared an exhibition of their work, defining it as a laboratory and emphasizing the process of working through ideas. Contact prints and numerous work prints were displayed on the walls of the Sheppard Fine Art Gallery at the University of Nevada, Reno, and simultaneously the Nevada Humanities Committee sponsored a conference entitled "Water in the Arid West." Participants included historians, writers, ranchers, politicians, lawyers, students, and community members. Arid Waters documents the evolution of the Water in the West Project from its inception as a group collaboration to the foundation of an archive. Ellen Manchester, codirector of the Water in the West Project, has written an informative introduction that provides a historical perspective for the collaboration. Including 59 photographs from the eight photographers, Arid Waters is a testimony to the role photography has played in western history. (shrink)

Evan Thompson’s paper has four parts. First, he says more about what he means when he asks, “what is living?” Second, he presents his way of answering this question, which is that living is sense-making in precarious conditions. Third, he responds to Welton’s considerations about what he calls the “affective entrainment” of the living being by the environment. Finally, he addresses Protevi’s remarks about panpsychism.

Excellence in the care of hospital patients, particularly those in an intensive care unit, reflects esprit de corps among the care team. Esprit de corps depends on a delicate balance; each clinician must preserve a sense of personal responsibility for “my” patient and yet participate in the collaborative work essential to the care of “our” patient. A harmful imbalance occurs when a physician demands total control of the decision-making process, especially concerning end-of-life treatment options. Although emotional factors may push a (...) physician to claim decision-making exclusivity, compounded by a legal framework that overemphasizes individual responsibility, esprit de corps can be preserved through timely communication among clinicians and a recognition that optimal care for “my” patient requires effective team practice. (shrink)

Let us give voice to this new demand: we need a critique of moral values, the value of these values should itself, for once, be examined. -Friedrich NietzscheAnyone who, stimulated by education, has come to feel the force of the various obligations in life, at some time or other comes to feel the irksomeness of carrying them out, and to recognize the sacrifice of interest involved; and, if thoughtful, he inevitably puts to himself the question: “Is there really a reason (...) why I should act in the ways in which hitherto I have thought I ought to act? … Should I not really be justified in simply trying to have a good time?” -H.A. Prichard. (shrink)

The central idea of Waking, Dreaming, Being is that the self is a process, not a thing or an entity.1 The self isn’t something outside experience, hidden either in the brain or in some immaterial realm. It is an experiential process that is subject to constant change. We enact a self in the process of awareness, and this self comes and goes depending on how we are aware.When we’re awake and occupied with some manual task, we enact a bodily self (...) geared to our immediate environment. Yet this bodily self recedes from our experience if our task becomes an absorbing mental one. If our mind wanders, the mentally imagined self of the past or future overtakes the self of the present moment.As we start to fall asleep, the... (shrink)