BackgroundPeople with upper extremity amputations report receiving insufficient information about treatment options. Furthermore, patients commonly report not knowing what questions to ask providers. A question prompt sheet, or list of questions, can support patient-centered care by empowering patients to ask questions important to them, promoting patient-provider communication, and increasing patient knowledge. This study assessed information needs among people with UE amputations about UE vascularized composite allotransplantation and developed a UE VCA-QPS.MethodsThis multi-site, cross-sectional, mixed-methods study involved in-depth and semi-structured interviews with (...) people with UE amputations to assess information needs and develop a UE VCA-QPS. Qualitative data were analyzed by thematic analysis; quantitative data were analyzed by descriptive statistics. The initial UE VCA-QPS included 130 items across 18 topics.ResultsEighty-nine people with UE amputations participated. Most were male, had a mean age of 46 years, and had a unilateral and below-elbow amputation. Participants desired information about UE VCA eligibility, evaluation process, surgery, risks, rehabilitation, and functional outcomes. After refinement, the final UE VCA-QPS included 35 items, across 9 topics. All items were written at a ≤ 6th grade reading level. Most semi-structured interview participants reported being ‘completely’ or ‘very’ likely to use a UE VCA-QPS.ConclusionPeople with UE amputations have extensive information needs about UE VCA. The UE VCA-QPS aims to address patients’ information needs and foster patient-centered care. Future research should assess whether the UE VCA-QPS facilitates patient-provider discussion and informed decision-making for UE VCA. (shrink)

Jerry Walls has attempted to make the case that no orthodox Christian should embrace compatibilism. We responded to his arguments, challenging four key premises. In his most recent response, Walls argues that none of our rebuttals to these premises succeed. Here we clarify aspects of our previous arguments and show that Walls has not in fact undermined our defense of Christian compatibilism.

Jerry Walls has recently argued that no Christian theist should be a compatibilist because, on compatibilism, it is “all but impossible to maintain... the perfect goodness of God.” More specifically, he contends that Christian compatibilism involves God in manipulation that undermines human moral responsibility, that such manipulation makes God morally culpable for evil human actions, that Christian compatibilism exacerbates the problem of evil in a way that Christian libertarianism does not, and that Christian compatibilism entails universalism. In this paper, we (...) argue that Walls is mistaken on all counts. (shrink)

The sun is in fact the same thing as the brightest object in the sky, but it would seem that the sun and the brightest object might have been different. Socrates may now be the same thing as the seated thing (because Socrates is now seated), but it would seem that Socrates and the seated thing will later be different (once Socrates rises). Now Aristotle’s usual way of describing such situations is to say that such pairs of entities are accidentally (...) the same or accidentally one,Aristotle writes both of sameness and of unity, and, though it is not clear that the terms can be used interchangeably, the accounts of each are too similar to ignore and so I shall move freely between the two notions. the idea being that the sun and the brightest objectIt is worth pointing out that a correlate of ‘object’ or ‘thing’ does not standardly appear in Aristotle’s Greek descriptions of such cases. Greek allows the nominalization of any adjective merely by prefixing a definite article to it. Thus Aristo .. (shrink)

Studies of patient decision‐making use many different measures to evaluate the quality of decisions and the decision‐making process, partly to determine whether the ethical goals of informed consent, patient autonomy, and shared decision‐making have been achieved. We describe these measures, grouped under three main approaches, and review their limitations, leading to three conclusions. First, no measure or combination of measures can provide a complete assessment of decision quality. Second, the quality of a decision is best characterized vaguely, for instance as (...) “good,” “satisfactory,” or “poor,” and these categorizations depend on qualitative judgments that go beyond quantitative measures. Third, bioethicists should focus on identifying and addressing poor or problematic decisions, rather than trying to incrementally increase decision quality, quantified by a measure. Decision‐quality measures can be useful in research and in advancing important goals of bioethics, as long as the challenges of defining and measuring decision quality are recognized. (shrink)

Although there is a growing recognition that older adults and those with extensive comorbid conditions undergo cancer screening too frequently, there is little information about patients’ perceptions regarding cessation of cancer screening. Information on older adults’ views of screening cessation would be helpful both for clinicians and for those designing interventions to reduce overscreening.

Climate change is an ethical and moral challenge of a global scale due to its potentially catastrophic implications for human welfare. Understanding forces that drive corporate adaptation to climate change is an important research topic in business ethics. In this paper, we propose that shareholder climate-related proposals could be a catalyst for corporate innovations in technologies mitigating climate change. Our results, based on the analysis of US firms, indicate that corporations respond positively to these proposals by producing more climate-related patents (...) and citations. We also uncover potential casual channels of influence. Further, we find that corporate governance moderates the documented effects. These proposals lead to a more efficient and valuable innovation output, but lower firm performance in the short term. The real effect that shareholder proposals have on innovation gains clarity in the context of climate change, contributing to the discussion of investor “voice.”. (shrink)

Michael A. Petersa and Fazal Rizvib aBeijing Normal University, Beijing, PR China; bMelbourne University, Melbourne, Australia Our minds are still racing back and forth, longing for a return to ‘no...

Evaluative processes have their roots in early evolutionary history, as survival is dependent on an organism’s ability to identify and respond appropriately to positive, rewarding or otherwise salubrious stimuli as well as to negative, noxious, or injurious stimuli. Consequently, evaluative processes are ubiquitous in the animal kingdom and are represented at multiple levels of the nervous system, including the lowest levels of the neuraxis. While evolution has sculpted higher level evaluative systems into complex and sophisticated information-processing networks, they do not (...) come to replace, but rather to interact with more primitive lower level representations. Indeed, there are basic features of the underlying neuroarchitectural plan for evaluative processes that are common across levels of organization—including that of evaluative bivalence. (shrink)

In his classic 1936 essay "On the Concept of Logical Consequence", Alfred Tarski used the notion of satisfaction to give a semantic characterization of the logical properties. Tarski is generally credited with introducing the model-theoretic characterization of the logical properties familiar to us today. However, in his book, The Concept of Logical Consequence, Etchemendy argues that Tarski's account is inadequate for quite a number of reasons, and is actually incompatible with the standard model-theoretic account. Many of his criticisms are meant (...) to apply to the model-theoretic account as well. In this paper, I discuss the following four critical charges that Etchemendy makes against Tarski and his account of the logical properties: (1) (a) Tarski's account of logical consequence diverges from the standard model-theoretic account at points where the latter account gets it right. (b) Tarski's account cannot be brought into line with the model-theoretic account, because the two are fundamentally incompatible. (2) There are simple counterexamples (enumerated by Etchemendy) which show that Tarski's account is wrong. (3) Tarski committed a modal fallacy when arguing that his account captures our pre-theoretical concept of logical consequence, and so obscured an essential weakness of the account. (4) Tarski's account depends on there being a distinction between the "logical terms" and the "non-logical terms" of a language, but (according to Etchemendy) there are very simple (even first-order) languages for which no such distinction can be made. Etchemendy's critique raises historical and philosophical questions about important foundational work. However, Etchemendy is mistaken about each of these central criticisms. In the course of justifying that claim, I give a sustained explication and defense of Tarski's account. Moreover, since I will argue that Tarski's account and the model theoretic account really do come to the same thing, my subsequent defense of Tarski's account against Etchemendy's other attacks doubles as a defense against criticisms that would apply equally to the familiar model-theoretic account of the logical properties. (shrink)

It is argued that the English bare plural (an NP with plural head that lacks a determiner), in spite of its apparently diverse possibilities of interpretation, is optimally represented in the grammar as a unified phenomenon. The chief distinction to be dealt with is that between the generic use of the bare plural (as in Dogs bark) and its existential or indefinite plural use (as in He threw oranges at Alice). The difference between these uses is not to be accounted (...) for by an ambiguity in the NP itself, but rather by explicating how the context of the sentence acts on the bare plural to give rise to this distinction. A brief analysis is sketched in which bare plurals are treated in all instances as proper names of kinds of things. A subsidiary argument is that the null determiner is not to be regarded as the plural of the indefinite article a. (shrink)

Alvin Plantinga proposes that mathematical objects and propositions are divine thoughts. This position, which I call divine psychologism, resonates with some remarks by contemporary thinkers. Plantinga claims several advantages for his position, and I add another: it helps to explain the glory of mathematics. But my main purpose is to issue a challenge to divine psychologism. I argue that it has an implausible consequence: it identifies an entity with God’s relation to that entity. I consider and rebut several ways in (...) which a divine psychologist might argue that this is not really a consequence, or that the identification is plausible. (shrink)

Technological progress may eventually produce sophisticated robots with human-like traits that result in humans forming meaningful relationships with them. Such relationships would likely lead to a demand for human–artificial intelligence matrimony. U.S. Supreme Court decisions that expanded the definition of marriage to include interracial and same-sex couples, as well as those that have not extended marriage to polygamous relationships, provide guidance regarding the criteria that human–AI would have to meet to successfully assert a right to marry. Ultimately, robots will have (...) to possess certain characteristics of personhood to marry, including the capacity to contract and to engage in an intimate relationship. Alternatively, if AIs can simulate these abilities sufficiently, we may believe that they have these capacities. Even if AIs genuinely possess the capabilities necessary to enter into a marriage, it is social acceptance of intelligent non-humans as life partners that will likely influence legal development is this realm rather than personhood criteria. However, AIs are likely to face bias due to their “artificial” rather than biological nature. Yet, Peter Singer’s influential argument regarding speciesism in the context of animal rights implies that AIs with specific human-like qualities cannot be justifiably denied certain rights. (shrink)

This article analyzes the impact of the rights-oriented business ethics course on student's ethical orientation. This approach, which is predominant in business schools, excludes the care-oriented approach used by a majority of women as well as some men and minorities. The results of this study showed that although students did not shift significantly in their ethical orientation, a majority of the men and an even greater majority of the women were care-oriented before and after a course in business ethics. If (...) business schools are to address society's increasing diversity then the perspective of women and others who are care-oriented must be assimilated into the curriculum. This can only be done by rethinking how the business ethics course (and the entire business curriculum) are taught to include a care-oriented approach. (shrink)

We respond to Stephen T. Davis’ criticism of our earlier essay, “Assessing the Resurrection Hypothesis.” We argue that the Standard Model of physics is relevant and decisive in establishing the implausibility and low explanatory power of the Resurrection hypothesis. We also argue that the laws of physics have entailments regarding God and the supernatural and, against Alvin Plantinga, that these same laws lack the proviso “no agent supernaturally interferes.” Finally, we offer Bayesian arguments for the Legend hypothesis and against the (...) Resurrection hypothesis. (shrink)

The stock market crash of 1987 had a profound effect on corporate Australia and the Australian community in general. The fall-out revealed that some of our most respected business figures had not been as ethical, or even as lawful, as we would have hoped. This impropriety produced in Australia an awakening to business ethics. Whilst many companies endeavoured to introduce ethical practices into their corporations, they perceived ethics as a way of minimising damage to the corporation and in some cases (...) as a means of competitive advantage. What was lost was the reason that one should embark on business ethics; and that is to make the society and corporate Australia a more ethical place in which to exist.This paper proposes a model based on 2 factors: commitment and partnerships, as a means of enabling corporate Australia to refocus attention on the main purpose of being inherently ethical in all that we do. This ethical model requires a commitment to partnerships with all stakeholders both internal and external in an attempt to enhance the level of ethical business practices that are contemplated and pursued within corporate Australia. Whilst the research agenda and the information collected is Australian-based, it is hoped that the ideas contained within this paper will have a wider appeal to corporations in similar cultural settings. (shrink)

Developments in Non-Invasive Prenatal Testing (NIPT) and cell-free fetal DNA analysis raise the possibility that antenatal services may soon be able to support couples in non-invasively testing for, and diagnosing, an unprecedented range of genetic disorders and traits coded within their unborn child’s genome. Inevitably, this has prompted debate within the bioethics literature about what screening options should be offered to couples for the purpose of reproductive choice. In relation to this problem, the European Society of Human Genetics (ESHG) and (...) American Society of Human Genetics (ASHG) tentatively recommend that any expansion of this type of screening, as facilitated by NIPT, should be limited to serious congenital and childhood disorders. In support of this recommendation, the ESHG and ASHG cite considerations of distribution justice. Notably, however, an account of justice in the organization and provision of this type of screening which might substantiate this recommendation has yet to be developed. This paper attempts to redress this oversight through an investigation of Norman Daniels’ theory of Just health: meeting health needs fairly. In line with this aim, the paper examines what special moral importance (for Just health) screening for the purpose of reproductive choice might have where concerning serious congenital and childhood disorders in particular. The paper concludes that screening for reproductive choice where concerning serious congenital and childhood disorders may be important for providing women with fair opportunity to protect their health (by either having or not having an affected child). (shrink)

The principle of indifference (hereafter ‘Poi’) says that if one has no more reason to believe A than B (and vice versa ), then one ought not to believe A more than B (nor vice versa ). Many think it’s demonstrably false despite its intuitive plausibility, because of a particular style of thought experiment that generates counterexamples. Roger White ( 2008 ) defends Poi by arguing that its antecedent is false in these thought experiments. Like White I believe Poi, but (...) I find his defense unsatisfactory for two reasons: it appeals to false premises, and it saves Poi only at the expense of something that Poi’s believers likely find just as important. So in this essay I defend Poi by arguing that its antecedent does hold in the relevant thought experiments, and that the further propositions needed to reject Poi are false. I play only defense in this essay; I don’t argue that Poi is true (even though I think it is), but rather that one popular refutation is faulty. In showing this, I also note something that has to my knowledge gone unnoticed: given some innocuous-looking assumptions the denial of Poi is equivalent to a version of epistemic permissivism , and Poi itself is equivalent to a version of epistemic uniqueness. (shrink)

This paper examines the contents of the codes of ethics of 83 of the top 500 companies operating in the private sector in Australia in an attempt to discover whether there are national characteristics that differentiate the codes used by companies operating in Australia from codes used by companies operating in the American and Canadian systems. The studies that were used as a comparison were Mathews (1987) for the United States of America and Lefebvre and Singh (1992) for Canada. The (...) major conclusion is that, whilst Australian codes do have some characteristics that differentiate them from the other two groups, it appears that companies in all three cultures are driven by the same motives to develop codes. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Rationalist Empiricism: A Theory of Speculative Critique by Nathan BrownGreg EllermannBrown, Nathan. Rationalist Empiricism: A Theory of Speculative Critique. Fordham University Press, 2021. 318pp.Nathan Brown's Rationalist Empiricism is, above all, a book about philosophical method. It is also a highly significant study of the conceptual architecture of Marxism, developed by way of a critical return to the lesson of Althusser. Drawing on a range of disparate materials–from the (...) works of Descartes, Hume, Hegel, Marx, Heidegger, and Meillassoux to contemporary experiments in digital photography and metrology–Brown demonstrates the necessity of "a mutual interruption of reason and experience" (31) for any theoretical or political practice that would avoid falling into ideological complacency.The book opens with an appraisal of "the speculative turn" (1) in 21st-century thought, a turn Brown characterizes as an intellectual dead-end. He remarks that the various new materialisms and object-oriented ontologies of the last decades were united by an inattention to method. Unconcerned to establish the necessity of their claims or with the relation between reasoning and reality, these philosophies made assertions instead of arguments; they mistook dogmatism for speculation.For Brown, it is the dialectic–specifically, the dialectic of reason and experience–that promises to renew the possibility of speculative thinking. Such renewal will entail refusing "the severance of speculation from critique" (2). It also requires thinking through a more basic problem: the relation between rationalism and empiricism. While rationalism "explore[s] what has to be thought according to the internal order and consistency of ideas," empiricism, as Brown has it, "claim[s] the genesis of ideas in experience" (3). Since Kant's first Critique, this binary and the effort to overcome it have set the terms of philosophical debate. Brown's striking contention is that the search for a synthesis or a hidden ground uniting these two positions (as, for instance, in Deleuze or Michel Henry) invariably leads us back to the transcendental–an improvement on the dogmatism of contemporary theory but a reduction of knowledge to "conditions of experience" [End Page 128] nonetheless (47). Brown therefore proposes another path: "a relational disjunction of rationalism and empiricism" animated by "the critical power of the tension between [them] to check one another's claims and to propel those claims further" (3). In other words, he develops a methodological dialectic whose two poles-the rationalist and the empiricist-alternately take on speculative and critical functions. There is no static alignment of the key categories in Brown's book. "Speculation and critique cannot be parceled out," he writes, "according to the division of reason and experience. Metaphysics, science, politics: each of these fields relies integrally upon the conflict and complementarity of reason and experience, their 'epistemological polarity'" (250). In Bachelard's terms, pivotal for the overall argument, reason and experience must be allowed to "transmute," "propel," and "say 'no' to one another" (8). It is their ungrounded dialectical relation that sustains true speculative thought.This methodological position has profound ontological implications. Looking to Althusser, Brown finds the beginnings of a theory of rationalist empiricism in the structural Marxist notion of the "concrete-in-thought" (15-16): the self-critical and experimentally verified knowledge of a science. Crucially, for Althusser there can be no concrete-in-thought without a "concrete-real," external to theory itself (15). Developing to the fullest this underappreciated point, Brown shows that rationalist empiricism must be a realism. Thus, the book's second, third, and fourth chapters elaborate a continuous argument concerning "the primacy of being over thought" (59), and the relationship between speculative and scientific knowledge. The central question is how speculation might extend or "extrapolate from the exteriorizing force of science, without being reducible to its forms of experience" (261). Refracting Hegel's Logic through the thought of Heidegger and Meillassoux, Brown ultimately offers a new account of the ontological difference–between being and beings, between speculative truth and "ontic," scientific knowledge–that privileges neither side and insists on their coordination. Once again, he declines to seek a synthesis, arguing that "true critique" (as Hegel characterized his speculative method) depends on "the ontological primacy of becoming" (91), on an absolute time bound up with... (shrink)

As if anticipating the thesis that we live at the end of history, Martin Luther King, Jr., argued that we live in perpetual struggle against evil and injustice. In his last monograph, King outlined six challenges facing black Americans seeking justice. These six challenges may be generalized into a nonviolent theory of social struggle applicable to various contexts. King's six challenges are reviewed: somebodyness, group identity, existing freedoms, powerful action programs, continuing organization, and a revolution of values. In this framework, (...) we see how King understood civil rights activism in a complex context of liberation, not confined to "protest.". (shrink)

Karl Popper defines an ad hoc hypothesis as one that is introduced to immunize a theory from some (or all) refutation but which cannot be tested independently. He has also attempted to explicate ad hocness in terms of certain other allegedly undesirable properties of hypotheses or of the explanations they would provide, but his account is confused and mistaken. The first such property is circularity, which is undesirable; the second such property is reduction in empirical content, which need not be. (...) In the former case, I argue that non-circularity is in any event preferable to non-ad hocness as a necessary condition for a satisfactory explanation or an explanans, as the case may be, and I try to sort out various persistent errors surrounding this comparison. In the latter case, I suggest that Popper is barking up the wrong tree, that important scientific progress sometimes does consist in just such reductions in empirical content as he proscribes. This provides a further reason for not taking ad hoc hypotheses as Popper conceives them to pose the danger for science he believes they do. (shrink)

By the late 1830s, John Henry Newman and Edward Bouverie Pusey were discussing the re-introduction of monastic/religious life into the Church of England. Though Newman did not remain in the Church of England long enough to see the full flowering of this effort, his writings as an Anglican theologian reveal that he viewed the monastic/religious life as a central way in which a person could grow in holiness and also a means of fostering the holiness of the Church as a (...) whole. (shrink)

Michael A. PetersBeijing Normal University, Beijing, PR China;There is an ecology of bad ideas, just as there is an ecology of weeds– Gregory Bateson (1972, p. 492)While there are classical anteced...

[Translator's]: The flight of Voyager 1 past Saturn in 1981 provides an occasion for a semiotic comparison of reports in French newspapers, a popular science article, and specialized scientific articles in Nature. The texts differ in the distance supposed between reader and writer, in the treatment of human and nonhuman actors, in characterization of the event and assumptions about readers' interest in it, and in their narrative structure. The analysis shows that popular izations and specialized scientific articles are not related (...) in a simple dichotomy or scale and cannot be explained by a notion of the "general public"; rather, the various types of texts must be considered in terms of more complex relations between what are called in semiotic terms the enunciator and the enunciatee. (shrink)

This dissertation is a critical examination of dialetheism, the view that there are true contradictions. Dialetheism's proponents argue that adopting the view will allow us to solve hitherto unsolved problems, including the well-known logical paradoxes. ;Dialetheism faces three kinds of challenge. Challenges of the first kind put in doubt the intrinsic coherence of dialetheism. It can be claimed, for example, that it is incoherent for a claim to be both true and false; that claims known to be false cannot be (...) accepted; that claims known to be false cannot be rationally accepted; and that dialetheism entails the falsity of some of its own theoretical claims. The second kind of challenge concerns the use of paraconsistent logics, which dialetheists must adopt on pain of accepting the truth of every proposition. I examine a number of paraconsistent logics, and conclude that either they come at an unacceptably high price or they do not support the dialetheist project. ;I devote most attention to the third kind of challenge, according to which dialetheism fails to provide the promised solutions to the paradoxes and other previously intractable problems, and so we lose the major motivation for the theory. Proponents claim that dialetheism allows for the solution of numerous problems, particularly in metaphysics, law, and logic. In the case of metaphysics, it is claimed that dialetheism allows us to deal with puzzles involving change, vagueness, and motion. However, I argue that the proposed solution does not eliminate the old metaphysical problems, and in fact gives rise to new ones. In the case of law, it is claimed that dialetheism can allow us to deal with legal contradiction. I argue there are more plausible means of solving such conflicts. The strongest case for dialetheism is that it allows us to solve logical and semantic paradoxes of self-reference, some of which have endured for well over two thousand years. I construct a paradox that the dialetheist cannot accommodate, and which shows that dialetheism never provided a solution to the paradoxes at all, even in their more familiar forms. (shrink)

In the presence of large cardinals, or sufficient determinacy, every equivalence relation in L(R) either admits a wellordered separating family or continuously reduces E 0.

The hypothesis that God supernaturally raised Jesus from the dead is argued by William Lane Craig to be the best explanation for the empty tomb and postmortem appearances of Jesus because it satisfies seven criteria of adequacy better than rival naturalistic hypotheses. We identify problems with Craig’s criteria-based approach and show, most significantly, that the Resurrection hypothesis fails to fulfill any but the first of his criteria—especially explanatory scope and plausibility.