Effective treatment of disorders of agency presents a clinical conundrum. Many of the core symptoms or maintaining factors are actions and omissions that cause harm to self and others. Encouraging service users to take responsibility for this behavior is central to treatment. Blame, in contrast, is detrimental. How is it possible to hold service users responsible for actions and omissions that cause harm without blaming them? A solution to this problem is part conceptual, part practical. This chapter offers a conceptual (...) framework that clearly distinguishes between ideas of responsibility, blameworthiness, and "detached" and "affective" blame. It argues that affective blame is detrimental to effective treatment. And it suggests that affective blame can be avoided by attention to service users' past history, which directly evokes compassion and empathy. Finally, the chapter briefly considers whether the clinical stance of responsibility without blame should be adopted in non-clinical interpersonal and social contexts. (shrink)

Despite being considered the proverbial backbone of our healthcare systems, nursing still seems to struggle to scientifically demonstrate its contribution to care experiences and patient outcomes. This leads to erosive tendencies that threaten the development of the profession and its progress as an academic discipline. With this paper, we want to contribute to the theoretical discourse concerning the nature of nursing and the research into its effectiveness. We begin by outlining a set of prevailing paradoxes and their consequences relating to (...) nursing and nursing research: the issue of demonstrating its unique contribution despite a clear societal mandate; a discrepancy between subjectively experienced effectiveness and objectively ascertainable effectiveness; and a mismatch between theoretical premises of nursing and task‐oriented cultures in practice environments. Using an example of a seemingly simple nursing intervention, we intend to demonstrate the qualities and complexities of nursing. We further illustrate this by drawing on several of our research projects using theory‐based evaluation methodologies. From these illustrative examples, we distil two insights relating to nursing interventions that we consider fundamental: the nurse, as a person, is central to its unique effectiveness; and there is always an interplay between context, intervention and its intended effect. We summarise our considerations and argue the case for conceiving research designs in alignment with theoretical premises of nursing. (shrink)

The commitment not to engage in tax avoidance – to refrain from using aggressive tax planning techniques – has not become part of the corporate social responsibility agenda in Poland. The purpose of this paper is to examine justificatory and explanatory reasons of that significant absence. The analysis unfolds in the following way. After setting out the necessary terminological background, I present main results of the limited empirical study of selected CSR documents, in order to substantiate the claim that tax (...) avoidance is a theme absent from the CSR programs in Poland. Then I put forward the contention that this commitment should be included in such programs, as prima facie justified, and address a selection of objections that can be raised to defeat this contention. Finally, in the last section of the paper, I briefly comment on possible reasons of this absence and show how they elucidate the nature of CSR. (shrink)

The present study aimed at investigating the relationship between environmental and individual factors and Stress of Conscience among nursing staff in psychiatric in-patient care. A questionnaire involving six different instruments measuring Stress of Conscience, the ward atmosphere, the psychosocial work environment, Perceived Stress, Moral Sensitivity, and Mastery was answered by 93 nursing staff at 12 psychiatric in-patient wards in Sweden. The findings showed that Sense of Moral Burden, Mastery, Control at Work and Angry and Aggressive Behavior were related to Stress (...) of Conscience. We conclude that Mastery and Control at Work seemed to work as protective factors, while Sense of Moral Burden and perceptions of Angry and Aggressive Behavior made the nursing staff more vulnerable to Stress of Conscience. Future research should investigate whether measures to increase the level of perceived control and being part of decision making will decrease the level of Stress of Conscience among the staff. (shrink)

This paper deals with the nature of trust in science. Understanding what appropriate trust in science is and why it can reasonably break down is important for improving scientists’ trustworthiness. There are two different ways in which philosophers of science think about trust in science: as based on objectivity or as based on shared values. Some authors argue that objectivity actually grounds mere reliance, not genuine trust. They draw on a distinction that philosophers of trust following Annette Baier have made (...) with respect to interpersonal trust, where genuine trust has some normative element to it that is missing in cases of mere reliance. However, I will show that there are plural forms of trust in science: Both objectivity and shared values ground trust in science in a normative sense. I will link the trust in science debate to the literature on interpersonal trust. This is significant in that, beyond references to Baier, there is little connection between both areas of philosophy. In a pluralist reading, different trust accounts help to identify the normative elements involved in different kinds of trust in science. (shrink)

I clarify some ambiguities in blame-talk and argue that blame's potential for irrationality and propensity to sting vitiates accounts of blame that identify it with consciously accessible, personal-level judgements or beliefs. Drawing on the cognitive psychology of emotion and appraisal theory, I develop an account of blame that accommodates these features. I suggest that blame consists in a range of hostile, negative first-order emotions, towards which the blamer has a specific, accompanying second-order attitude, namely, a feeling of entitlement—a feeling that (...) these hostile, negative first-order emotions are what the blamed object deserves. (shrink)

ABSTRACTDespite advances in the conceptualisation of facial mimicry, its role in the processing of social information is a matter of debate. In the present study, we investigated the relationship b...

When philosophers want an example of a person who lacks the ability to do otherwise, they turn to psychopathology. Addicts, agoraphobics, kleptomaniacs, neurotics, obsessives, and even psychopathic serial murderers, are all purportedly subject to irresistible desires that compel the person to act: no alternative possibility is supposed to exist. I argue that this conception of psychopathology is false and offer an empirically and clinically informed understanding of disorders of agency which preserves the ability to do otherwise. First, I appeal to (...) standard clinical treatment for disorders of agency and argue that it undermines this conception of psychopathology. Second, I offer a detailed discussion of addiction, where our knowledge of the neurobiological mechanisms underpinning the disorder is relatively advanced. I argue that neurobiology notwithstanding, addiction is not a form of compulsion and I explain how addiction can impair behavioural control without extinguishing it. Third, I step back from addiction, and briefly sketch what the philosophical landscape more generally looks like without psychopathological compulsion: we lose our standard purported real-world example of psychologically determined action. I conclude by reflecting on the centrality of choice and free will to our concept of action, and their potency within clinical treatment for disorders of agency. (shrink)

В статті розкривається спосіб тлумачення віджняни в ранній йогачарі і пояснюються рівні віджняни та шлях їх очищення – пробудження. Буддисти переосмислили присутнє у філософській культурі Індії поняття віджняна, витлумачивши його дгармічним (миттєвим, унікальним, безсутнісним). Йогачарини ж, в прагненні з’ясувати причини оманливої позапотоковості віджнян, доповнили шість традиційних рівнів усвідомлення, алаєю-віджняною та кліштамано-віджняною. Вони ж впровадили поняття біджі, які накопичує алая-віджняна. Через васані відбувається забруднення усвідомлення, яке породжує дукгу. Очищення віджняни – звільнення від впливу накопичених біджів. Біджі – відбиток попередніх дгарм, який (...) продукує жагу відтворення миттєвої, а отже, неминуче зниклої реальності. (shrink)

The problem of addiction is one of the major challenges and controversies confronting medicine and society. It also poses important and complex philosophical and scientific problems. What is addiction? Why does it occur? And how should we respond to it, as individuals and as a society? The Routledge Handbook of Philosophy and Science of Addiction is an outstanding reference source to the key topics, problems and debates in this exciting subject. It spans several disciplines and is the first collection of (...) its kind. Organised into three clear parts, forty-five chapters by a team of international contributors examine key areas, including: the meaning of addiction to individuals conceptions of addiction varieties and taxonomies of addiction methods and models of addiction evolution and addiction history, sociology and anthropology population distribution and epidemiology developmental processes vulnerabilities and resilience psychological and neural mechanisms prevention, treatment and spontaneous recovery public health and the ethics of care social justice, law and policy. Essential reading for students and researchers in addiction research and in philosophy, particularly philosophy of mind and psychology and ethics, The Routledge Handbook of Philosophy and Science of Addiction will also be of great interest to those in related fields, such as medicine, mental health, social work, and social policy. (shrink)

Drug use and drug addiction are severely stigmatised around the world. Marc Lewis does not frame his learning model of addiction as a choice model out of concern that to do so further encourages stigma and blame. Yet the evidence in support of a choice model is increasingly strong as well as consonant with core elements of his learning model. I offer a responsibility without blame framework that derives from reflection on forms of clinical practice that support change and recovery (...) in patients who cause harm to themselves and others. This framework can be used to interrogate our own attitudes and responses, so that we can better see how to acknowledge the truth about choice and agency in addiction, while avoiding stigma and blame, and instead maintaining care and compassion alongside a commitment to working for social justice and good. (shrink)

I argue that addiction is not a chronic, relapsing, neurobiological disease characterized by compulsive use of drugs or alcohol. Large-scale national survey data demonstrate that rates of substance dependence peak in adolescence and early adulthood and then decline steeply; addicts tend to “mature out” in their late twenties or early thirties. The exceptions are addicts who suffer from additional psychiatric disorders. I hypothesize that this difference in patterns of use and relapse between the general and psychiatric populations can be explained (...) by the purpose served by drugs and alcohol for patients. Drugs and alcohol alleviate the severe psychological distress typically experienced by patients with comorbid psychiatric disorders and associated problems. On this hypothesis, consumption is a chosen means to ends that are rational to desire: Use is not compulsive. The upshot of this explanation is that the orthodox view of addiction as a chronic, relapsing neurobiological disease is misguided. I delineate five folk psychological factors that together explain addiction as purposive action: strong and habitual desire; willpower; motivation; functional role; and decision and resolve. I conclude by drawing lessons for research and effective treatment. (shrink)

Hanna Pitkin argues that Wittgenstein's later philosophy offers a revolutionary new conception of language, and hence a new and deeper understanding of ourselves and the world of human institutions and action.

The trick, of course, is to pick your targets carefully: they should be central to the mainstream of contemporary philosophy, not marginal. Watkins has certainly done that. The target he has chosen is the problem of causation. His three-part aim is, first, to embed Kant’s theory of causation in its 18th century pre-Critical and especially Leibnizian setting; second, to argue that Kant’s Critical theory of causation is not in fact a reply to Hume, and that Kant’s metaphysics of causation depends (...) as much on the Third Analogy of Experience and the Third Antinomy of Pure Reason as it does on the Second Analogy; and third, that reconsidering Kant’s Critical metaphysics of causation from a pre-Critical and rationalist point of view can contribute to a serious reconsideration of the theory of agent causation in the contemporary debate about free will. (shrink)

Background: Today’s healthcare environment is often characterized by an ethically demanding work situation, and nursing students need to prepare to meet ethical challenges in their future role. Moral sensitivity is an important aspect of the ethical decision-making process, but little is known regarding nursing students’ moral sensitivity and its possible development during nursing education. Objectives: The aims of this study were to investigate moral sensitivity among nursing students, differences in moral sensitivity according to sample sub-group, and the relation between demographic (...) characteristics of nursing students and moral sensitivity. Research design: A convenience sample of 299 nursing students from one university completed a questionnaire comprising questions about demographic information and the revised Moral Sensitivity Questionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models, were used to investigate the relationship between demographic characteristics and moral sensitivity. Ethical considerations: The study followed the regulations according to the Swedish Ethical Review Act and was reviewed by the Ethics Committee of South-East Sweden. Findings: The findings showed that mean scores of nursing students’ moral sensitivity were found in the middle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio = 3.32), age (odds ratio = 2.09; 1.73), and parental status (odds ratio = 0.31) were of relevance to nursing students’ moral sensitivity. Academic year was found to be unrelated to moral sensitivity. Discussion and conclusion: These demographic aspects should be considered when designing ethics education for nursing students. Future studies should continue to investigate moral sensitivity in nursing students, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity in nursing students. (shrink)

Journal Name: SATS Issue: Ahead of print.

This book is thus a battle of wits. . . . [A] vivid sketch of the conflict between two basic outlooks."—Library Journal "[O]ne leaves this book feeling enriched and challenged.

The article deals with the public debt security in accordance with the realities of fiscal policy in Ukraine. There were identified the main disadvantages of the Ukrainian public debt risk assessment system. There was investigated world experience the debt security estimation indicators. Recently the debt security estimation in the conditions of financial and economic stagnation shows the rapid growth of debt burden, its indicators exceeded the maximum allowable parameters, primarily, due to externalities under the influence of budgetary and currency risksexacerbation. (...) There were offered the main direction of improving the debtmanagement in Ukraine, in particular, to extend and legislate debt security indicators; to develop a unified methodology for assessing debt risk by systematizing a list of debt risk indicators for weighting coefficients, a ball scale, such as a "temperature matrix"; to use indicators of elasticity in calculating the level of debt security, debt risks; to develop а unified methodology for evaluating and implementing a medium- and long-term risk strategy for managing sovereign debt with the targeting of financial and debt sustainability determinants and the possible to use the model of "financial suppression". (shrink)

The article explores the long-term consequences of permissive constitutional arrangements, drawing on a comparative study of Israel, India and Sri Lanka. In all three countries, constitutional drafters at the foundational stage adopted permissive arrangements that avoided controversial decisions on conflicted identity-related issues. In all three cases, three to six decades after independence, the permissive constitutional approach was replaced by more decisive formal constitutional principles. Such unpermissive constitution making was meant to limit the range of options available for future legislation or (...) constitutional interpretation by courts, and preferred nationalist, religious and ethnocentric identity. This article seeks to investigate why such developments occurred in the three countries, and what can be learned from them about the durability and normative advantages of permissive constitutional arrangements. Empirical analysis of the long-term consequences of permissive arrangements illustrates the limited durability that appeared to characterize some of these arrangements. The present assessment also reveals how in some cases, the main ideational conflict at the heart of the constitutional debates has shifted over the years. Nevertheless, the central argument put forth by this article is that, despite ongoing challenges, permissive constitutional arrangements should still be regarded as a valuable constitutional tool for advancing political compromise and facilitating stable democratic institutions. The analysis demonstrates the crucial role permissive constitutions may have as a political tool designed to circumvent violent conflicts and as an analytical tool, thereby offering insight into current constitutional conflicts over ideational issues. (shrink)

Johan van der Walt’s book The Concept of Liberal Democratic Law is an insightful reflection on, as its title promises, the concept of liberal democratic law. It proposes a clear articulation of wha...

W obliczu katastrofalnych skutków antropopresji widoczna staje się konieczność współpracy pomiędzy humanistyką a przyrodoznawstwem. Te dwie sztucznie rozłączone dziedziny nauki, zdążyły w toku historii zbudować swoje metodologie i swoje języki. Obie jednak badają to samo: świat, w którym żyje człowiek. W kontekście narastającej potrzeby troskliwych działań w kierunku przyrody, potrzebne są zintegrowane podejścia. Jest to tym bardziej zasadne, że przecież człowiek jest elementem biologicznego środowiska. Koncepcje posthumanistyczne znoszą podział między kulturą a naturą, proponują zrezygnować z antropocentryzmu i lokują człowieka na (...) powrót w świecie przyrody. Tym bardziej więc powrotne połączenie humanistyki i przyrodoznawstwa jest zasadne. Co więcej, jest ono też konieczne dla efektywnej refleksji na rzecz ochrony środowiska przyrodniczego. (shrink)

This article outlines the means of adaptation by the Polish intelligentsia to the conditions of a free-market system. The ethos of the Polish intelligentsia is at a fundamental level in conflict with the ethos of the middle class. Research conducted in the 1990s into social stratification in Poland clearly showed that it was the intelligentsia that was claiming the best new employment positions that “opened up” along with the market and democracy. Nonetheless, sociologists consider changes in consciousness to be phenomena (...) belonging to the so-called longue durée. For this reason, it has been useful to show how the beneficiaries of the new system are handling the order of norms and values that, while subject to reconstruction, has clear consequences at the level of lifestyle, way of thinking, and means of constructing one’s own biography. (shrink)

This paper attempts to show how the Rhesus poet uses references to the Iliad to draw the character of Hector. Its underlying assumption is that the play was written for two audiences: ordinary Athenians, for whom the play would stand on its own, and well-educated ones, who would have been able to identify the play’s many borrowings from and allusions to Homer and to compare - and chiefly to contrast - the play’s version of events and the Homeric rendition. It (...) focuses on four episodes (Hector and the Chorus, Aeneas, Dolon, and Rhesus), in each of which the playwright uses Homeric material to show up or critique both Hector’s limitations as a military commander and the limitations of the men on whom he must rely. The analysis suggests that Homer, for all his greatness, presented an unrealistic ideal that real people could not emulate. It shows war not as an arena for great and courageous men to prove their aretē, as it is in the Iliad, but as a confused and sordid plane of brutality with little if any redeeming value. (shrink)

The article is devoted to revealing the essence of good and evil in the situation of dialogue between God and man according to M.Buber's philosophical worldview. It is noted that the measurement of the world from the position of dualism has found its way in the philosophy of M.Buber through the correlation of communication in the prism of the subject-object contradiction «I – You», «I – It», where I – is an attempt to stick out a man himself a permanent (...) subject over the objects, and the violation of dialogue with God leads to thinking about God from theodicea to atheism. This article uses primary source research directly the works of the philosopher, as well as achievements of other researchers, such as T.Lyncea, A.Outn, A.Ogurtsov, I.Bergolak. The main directions of the article are: analysis of the dialogue structure of the world according to the philosophy of M.Buber; definition of the role of Faith in the system of dialogue between God and man; development of the ontology model of good and evil in the philosophy of M.Buber. In the philosophy of M.Buber distinguishes three types of dialogue, which are passed through the concept of» should «and the concept of» is», that is, a person conducts a dialogue from the position of his own self-acceptance, respectively, as he believes it is worth entering into a dialogue with what is understood as what is relevant to the dialogue. Dialogue with God, man leads from a position of determining who God is in this dialogue, and consequently makes certain claims regarding the rules of communication. In such a dialogue, faith is lost as trust and faith as faith of unsubstantiated. The article States that the ontological model of the world from a position of Christian theodicy is not a dialogue, built by combining two faiths. M.Buber compares two models of communication with God – early Christians and Jews and determines that it was not necessary for early Jews to justify God regarding the creation of evil. This means that God is the Creator and the original source of both good and evil, but only through man evil is separated from good, and acquires its own essence. (shrink)

The UN's Sustainable Development Goals saw the global community agree to end hunger and malnutrition in all its forms by 2030. However, the number of chronically undernourished people is increasing continuously. Ongoing climate change and the action needed to adapt to it are very likely to aggravate this situation by limiting agricultural land and water resources and changing environmental conditions for food production. Climate change and the actions it requires raise questions of justice, especially regarding food security. 0These key concerns (...) of ethics and justice for food security due to climate change challenges are the focus of this book, which brings together work by scholars from a wide range of disciplines and a multitude of perspectives. These experts discuss the challenges to food security posed by mitigation, geoengineering, and adaptation measures that tackle the impacts of climate change. Others address the consequences of a changing climate for agriculture and food production and how the Covid-19 pandemic has affected food security and animal welfare.0. (shrink)

In this conversation with one of the witnesses from Auschwitz, deported when she was sixteen and become a Muselmann in the concentration camp, we can realize the discredit and even the contempt that surrounded the victims when they came back to the “planet of the living”, as well as the tardy interest for their stories that followed the trial against Eichmann. But how to witness? How to find the words to make other people understand what hunger or coldness are, when (...) their experience dates back so far in time? «There is no answer to the question: how did it happen? Knowing, not abstractly but through the images that one brings within oneself, that humans are capable of this, is really hard to stand with». (shrink)

Robert Hanna presents a fresh view of the Kantian and analytic traditions that have dominated continental European and Anglo-American philosophy over the last two centuries, and of the connections between them. But this is not just a study in the history of philosophy, for out of this emerges Hanna's original approach to two much-contested theories that remain at the heart of contemporary philosophy. Hanna puts forward a new 'cognitive-semantic' interpretation of transcendental idealism, and a vigorous defense of (...) Kant's theory of analytic and synthetic necessary truth, making this compelling reading for all who are interested in these fundamental philosophical issues. (shrink)

This paper investigates the value of trust and the proper attitude lay people ought to have towards scientific experts. Trust in expertise is usually considered to be valuable, while distrust is often analyzed in cases where it is harmful. I will draw on accounts from political philosophy and argue that it is not only public trust that is valuable when it comes to scientific expertise – but also public vigilance. Expertise may be distorted in different ways, which cannot be remedied (...) by internal control mechanisms alone. This reveals the importance of some forms of democratic oversight. The proper attitude is vigilant trust in expertise. However, vigilant trust seems to be a contradictory notion: How can one be trusting and watchful at the same time? I will show that it is not, and that trust and vigilance can be compatible to a certain extent. I will do so by distinguishing between different levels of both trust and vigilance. Interestingly, this argument requires acknowledging the value of some forms of distrust in scientific expertise, even if that distrust targets trustworthy experts. (shrink)

Addiction is standardly characterized as a neurobiological disease of compulsion. Against this characterization, I argue that many cases of addiction cannot be explained without recognizing the value of drugs to those who are addicted; and I explore in detail an insufficiently recognized source of value, namely, a sense of self and social identity as an addict. For people who lack a genuine alternative sense of self and social identity, recovery represents an existential threat. Given that an addict identification carries expectations (...) of continued consumption despite negative consequences, there is therefore a parsimonious explanation of why people who identify as addicts continue to use drugs despite these consequences: they self‐identify as addicts and that is what addicts are supposed to do. I conclude by considering how it is nonetheless possible to overcome addiction despite this identity, in part by imagining and enacting a new one. Importantly, this possibility requires the availability of social support and material resources that are all too frequently absent in the lives of those who struggle with addiction. (shrink)

Over the past decade, Hungary has become a noteworthy example of democratic backsliding, marked by a pronounced shift towards conservative values and traditional gender roles within government policies. This trend, centred around Christian principles, has manifested in political campaigns actively opposing LGBTQ+ rights and the challenging of normative family structure. The resultant media campaigns and policy implementations have ignited extensive public discourse on gender and sexuality, prominently visible on social media platforms. This study conducts a qualitative analysis of the online (...) discussion surrounding the LGBTQ+ children’s book, Fairyland Is for Everyone, to explore the contemporary gender discourse in Hungary. By examining social media comments under Hungarian online news articles, the research identifies three prevailing discursive lenses—heteronormative familism, neocolonialism, and diversity and inclusion—illustrating both the concurrent rise of anti-gender movements and the fortification of LGBTQ+ allyship in Hungary, while also considering broader transnational trends in LGBTQ+ rights and visibility. (shrink)

Robert Hanna argues for the importance of Kant's theories of the epistemological, metaphysical, and practical foundations of the "exact sciences"--relegated to the dustbin of the history of philosophy for most of the 20th century. In doing so he makes a valuable contribution to one of the most active and fruitful areas in contemporary scholarship on Kant.