An acute hospital environment is a confusing place for many patients requiring admission, especially when they are presenting as acutely unwell. This can be particularly difficult for people living with dementia. As cognition changes it is not uncommon for people living with dementia to have difficulties with their ability to orientate to time, place and person. These disorientating moments can lead to personal distress, and at times behavioural changes. As well as being distressing for the person living with dementia, it (...) can also be emotionally and ethically challenging for acute hospital staff, including nurses. One area found to be particularly challenging is the concept of whether actively engaging with a person living with dementia's living truth is deceitful. This raises further questions of what forms of nurse responses to temporal disorientation might be constituted as lying, colluding, or alternatively validating. This article uses autoethnography as a research methodology with which to explore a mental health nurse's lived experience of the challenges of responding truthfully to disorientation and distress in an acute hospital. This article is not attempting to offer conclusive answers to these challenging ethical questions. It is instead re‐opening and re‐visiting the discourse of what is truth in dementia from a personal and professional nurse perspective through a lived narrative. The conclusion to the concept of truth in dementia is complex, nuanced and individualized. However, it is essential that a nurse's response to disorientation and distress is always person and living present focused, and not lie focused. (shrink)

Made-Up Minds addresses fundamental questions of learning and concept invention by means of an innovative computer program that is based on the cognitive ...

In this paper I discuss two kinds of attempts to qualify incompatibilist and compatibilist conceptions of freedom to avoid what have been thought to be incredible commitments of these rival accounts. One attempt -- which I call soft libertarianism -- is represented by Robert Kane''s work. It hopes to defend an incompatibilist conception of freedom without the apparently difficult metaphysical costs traditionally incurred by these views. On the other hand, in response to what I call the robot objection (that if (...) compatibilism is true, human beings could be the products of design), some compatibilists are tempted to soften their position by placing restrictions on the origins of agency. I argue that both of these attempts are misguided. Hard libertarianism and hard compatibilism are the only theoretical options. (shrink)

In his early writings on logic Collingwood offered a powerful critique of contemporary theories, including subjective idealism and realism to which he continued to be opposed throughout his career. Simultaneously these same early writings present a sustained attack on dichotomous forms of thought, which are also carried through to his later writings. Throughout Collingwood maintains a critical respect for Hegel. Subjectivity and objectivity are not to be severed from each other, nor are identities to be excluded from one another. Continuity (...) is not to be understood apart from discontinuity. Collingwood's early critiques inspire a variety of later doctrines such as the scale of forms, the logic of question and answer, metaphysics as a science of absolute presuppositions, and his conception of the relation between mind and civilisation. The later theories are to be understood as continuous with the earlier doctrines, but not deducible from, nor reducible to them. (shrink)

Public health emergencies invariably entail difficult decisions among medical and emergency first responders about how to allocate essential, scarce resources. To the extent that these critical choices can profoundly impact community and individual health outcomes, achieving consistency in how these decisions are executed is valuable. Since the terrorist attacks on September 11, 2001, however, public and private sector allocation plans and decisions have followed uncertain paths. Lacking empirical evidence and national input, various entities and actors have proffered multifarious approaches on (...) how best to allocate scarce resources to protect the public's health. Though beneficial in some jurisdictions, these approaches fail to clarify how the type and amount of care delivered in major emergencies might be curtailed. This is due, in part, to a lack of meaningful guidance on shifting standards of care in major emergencies. (shrink)

My subject is the idea of naturalism in liberal theology, an idea that Robert Corrington has taken far beyond liberal Christianity and religion in his many brilliant books on aesthetic naturalism. I am going to tell this story in a way that leads to Corrington without saying that liberal theology itself leads to Corrington. Liberal theology, liberation theology, religious naturalism, and progressive Christian social ethics are precious to me, and these things are taught almost exclusively in liberal theological seminaries.The entire (...) tradition of liberal theology is naturalistic in the sense of accommodating naturalistic explanation. Some traditions of liberal theology are not historicist or pragmatic; some... (shrink)

This article examines nanotechnology within the context of the public interest. It notes that though nanotechnology research and development investment totalled US$9.6 billion in 2005, the public presently understands neither the implications nor how it might be best governed. The article maps a range of nanotechnology dialogue activities under way within the United Kingdom, the United States, Germany, and Australia. It explores the various approaches to articulating public interest matters and notes a shift in the way in which these governments, (...) on the whole, appear to be attempting to manage nanotechnology “risks.” It argues that open and transparent policy deliberations and extensive public discourse will be pivotal to protecting the public interest, gaining public trust and acceptance of nanotechnologies. The article concludes that though governing emerging technologies in the public interest is not a new concept, nanotechnology does present additional challenges that must be addressed by the guardians of the public interest. (shrink)

The professions of nursing and nurse education are currently experiencing a crisis of confidence, particularly in the UK, where the Francis Report and other recent reviews have highlighted a number of cases of nurses who no longer appear willing or able to ‘care’. The popular press, along with some elements of the nursing profession, has placed the blame for these failures firmly on the academy and particularly on the relatively recent move to all‐graduate status in England for pre‐registration student nurses. (...) This has come to be known in the UK as the ‘too‐posh‐to‐wash’ argument, that there is an incommensurability between being educated to degree level and performing basic nursing tasks. I will argue in this paper that the diagnosis of the problem is substantively correct, but the formulation and the prescription are misguided and dangerous. I will suggest that the growing emphasis on research‐based and evidence‐based practice is the logical conclusion of an inappropriate scientific paradigm for nursing which is underpinned by the social sciences, by technical rationality, and by a focus on people. In contrast, I will suggest that a more fruitful way of thinking about and practising nursing and nurse education is to consider it as a human science with a focus on persons in which evidence for practice derives largely from practice itself. The history of the idea of a human science is traced from its roots in nineteenth century hermeneutics to the work of Gadamer and R.D. Laing in the 1960s, and I attempt to imagine a paradigm for nursing practice, scholarship, and education based on Laing's ‘existential–phenomenological’ approach with a focus on the endeavour to understand and relate to individual persons rather than to make broad prescriptions for practice based on statistical and other generalizations. (shrink)

In this major new work, Gary Genosko, the world's leading English interpreter of Guattari, offers critical methodological reflections and applications that bring to life Guattari’s thought in contemporary social contexts. The volume explores his collaborations with Deleuze and Negri, and brings into focus his friendship with Franco Bifo Berardi.

In previous work I argued that skepticism about the compatibility ofanti-individualism with self-knowledge is incoherent. Anthony Brueckner isnot convinced by my argument, for reasons he has recently explained inprint. One premise in Brueckner's reasoning is that a person'sself-knowledge is confined to what she can derive solely from herfirst-person experiences of using her sentences. I argue that Brueckner'sacceptance of this premise undermines another part of his reasoning – hisattempt to justify his claims about what thoughts our sincere utterances ofcertain sentences would (...) express in various possible worlds. I describe aweird possible world in which a person who uses Brueckner's reasoning endsup with false beliefs about what thoughts her sincere utterances of certainsentences would express in various possible worlds. I recommend that wereject Brueckner's problematic conception of self-knowledge, and adopt onethat better fits the way we actually ascribe self-knowledge. (shrink)

This article examines some of the interactions between law, science, and society taking place during a trial. By focusing on a restricted set of scientific and nonscientific actors engaged in negotiating the meaning, relevance, and reliability of scientific evidence, the article illustrates how the categories—law, science, and society—are inextricably interrelated in the legal negotiations and outcome. The introduction of scientific evidence into adversarial legal settings produces strategies, opinions, and claims that are not shaped solely by scientists, lawyers, or legal processes. (...) The situated law-science negotiations provide a site where social order and scientific knowledges are mutually constituted. The outcome of specific law-science interactions will be open to a range of readings and constraints that are not reducible to some putatively correct scientific understanding nor adequately described as the distortion of scientific evidence by the legal system. (shrink)

An important part of the debate over physician-assisted suicide concerns moral duties that are specific to physicians. It is sometimes argued that physicians, by virtue of special commitments rooted in the nature of their profession, may never intentionally kill a patient, and that therefore, whether or not assisted suicide may be justifiable, it can never be right for a physician to take part in such an act. I examine four types of argument that have been offered in support of this (...) conclusion, and find that none succeeds. Each attempts to show why the duty to conserve life must be unconditional for physicians, yet a consideration of the ways in which contemporary medicine has evolved shows that such a duty is now no more fundamental to the profession than a duty to relieve suffering, which may in some cases override it. (shrink)

Rethinking R.G. Collingwood reviews Collingwood's thought via his own rethinking of Hegel. It establishes the revisionary character of Collingwood's defence of liberal civilization in theory and practice. Collingwood is seen as avoiding the pitfalls of Hegel's teleological historicism by developing an open and contestable reading of the rationality of liberal civilization, which neither reduces practice to theory nor philosophy to history. The contemporary relevance of Collingwood's standpoint is demonstrated by comparing it with those of recent defenders and critics of liberalism (...) Rawls, Lyotard and MacIntyre. (shrink)

A series of denialist state laws thwart efficacious public health emergency response efforts despite escalating impacts of the spread of the Delta variant during the COVID-19 pandemic.

The fight for public health primacy in U.S. emergency preparedness and response to COVID-19 centers on which level of government — federal or state — should “call the shots” to quell national emergencies?

The past decade has seen the gradual emergence of what might be called a postmodern perspective on nursing research. However, the development of a coherent postmodern critique of the modernist position has been hampered by some misunderstandings and misrepresentations of postmodern epistemology by a number of writers, leading to a fractured and distorted view of postmodern nursing research. This paper seeks to distinguish between judgemental relativist and epistemic relativist or ironist positions, and regards the latter as offering the most coherent (...) critique of modernist/(post)positivist nursing research. The writings of poststructuralist philosophers, including Barthes, Lyotard, Derrida, Foucault and Rorty are examined, and a number of criteria for a postmodern ironist concept of research validity or trustworthiness are suggested. Whilst these writers reject the idea of Method as a guarantee of valid research, they nevertheless believe that value judgements can and must be made, and turn to notions of ironism, différance, and the differend. Ultimately, the postmodern ironist reader of the research report must make a judgement without criteria, based on her own practical wisdom or ‘prudence’. (shrink)

The academy is in a mess. The cultural theorist Bill Readings claimed that it is in ruins, while the political scientist Michael Oakeshott suggested that it has all but ceased to exist. At the very least, we might argue that the current financial squeeze has distorted the University into a shape that would be all but unrecognizable to Oakeshott and others writing in the 1950s and 1960s. I will begin this paper by tracing the development of the modern Enlightenment University (...) over the past 200 years from its roots in late 18th century Berlin to its current predicament. I will then turn my attention to the introduction during the 1990s of nursing education into the University, and examine the particular difficulties and tensions encountered at the interface between a professional practice and an academic discipline. Finally, I will propose philosophy as a way of dwelling in the ruins of the Enlightenment University and of reconciling the corporate demands of the University with the obligations of the nursing profession. (shrink)

Those standard historiographic themes of "evolution" and "revolution" need replacing. They perpetuate mid-Victorian scientists' history of science. Historians' history of science does well to take in the long run from the Greek and Hebrew heritages on, and to work at avoiding misleading anachronism and teleology. As an alternative to the usual "evo-revo" themes, a historiography of origins and species, of cosmologies and ontologies, is developed here. The advantages of such a historiography are illustrated by looking briefly at a number of (...) transitions: the transition from Greek and Hebrew doctrines to their integrations by medieval authors; the transition from the Platonist, Aristotelian, Christian Aquinas to the Newtonian Buffon and to the no less Newtonian Lamarck; the departures the early Darwin made away from Lamarck's and from Lyell's views. Issues concerning historical thinking about nature, concerning essentialism and concerning classification are addressed in an attempt to challenge customary stereotypes. Questions about originality and influence are raised, especially concerning Darwin's "tree of life" scheme. The broader historiography of Darwinian science as a social ideology, and as a "worldview," is examined and the scope for revisions emphasised. Throughout, graduate students are encouraged to see this topic area not as worked out, but as full of opportunities for fresh contributions. (shrink)

Special design criteria are largely unable to discriminate between claims that specific competencies in judgements under uncertainty are a result of an adaptation for representing naturally sampled frequencies, or due only to inherent properties of such a format. Because divisions between these perspectives are thin, evidence via additional criteria are persuasive only in combination, using inference to the best available explanation.

Oakeshott sets out philosophical and historical views of the state. They are distinct, and their distinctiveness harmonizes with his notion of the exclusivity of philosophical and historical perspectives. The modal distinctness of philosophy, history, and practice is established in Experience and Its Modes and is then rehearsed in subsequent publications, notably in essays in Rationalism and Politics. History is a way of seeing the past that is at odds with practical thought and philosophy. It is the sign of ideology, and (...) its misperceptions of the relations between philosophy and practice that ideologists such as Lenin and Thatcher invoke abstractions of communism and the market to frame practical political decision-making. However, in considering art in the essay “The Voice of Poetry in the Conversation of Mankind,” Oakeshott imagines art to be independent of other activities and yet to maintain a conversational relationship between the modes of experience. What is meant by a conversation? For Oakeshott, a conversation does not preclude the independence of modes of experience from one another. The closeness between philosophy, practice, and history is also assumed and yet underplayed by the argument of On Human Conduct, which imagines theory to be separate from history and practice. In this paper, it is argued that the connections between practical, historical, and philosophical modes of understanding the state in Oakeshott’s work are closer than is suggested by the metaphor of conversation and at odds with the separation that is maintained in Experience and its Modes. (shrink)

Examines a range of issues related to the experience of close interpersonal friendship, including the nature of friendship and links between friendship and spirituality, ethics, and politics. Combines philosophical, religious, and social-scientific perspectives.

Nevertheless, when we cannot specify how a statement may actually be false it has a special methodological status for us, according to Putnam—it is contextually a priori . In these circumstances, he suggests, it is epistemically reasonable for us to accept the statement without evidence and hold it immune from disconfirmation.

My central goal in this paper is to interpret what Quine says in his Kant lectures about the norms of epistemology and the doctrinal and conceptual tasks of epistemology—the tasks, respectively, of constructing good theories and of clarifying meanings—in light of what he says about these topics in several of his earlier and later works. I argue that despite one puzzling passage in the Kant lectures that misleadingly suggests otherwise, the norms of Quine’s epistemology are exclusively doctrinal, not conceptual.