Background: Current practice frequently fails to provide care consistent with the preferences of decisionally-incapacitated patients. It also imposes significant emotional burden on their surrogates. Algorithmic-based patient preference predictors (PPPs) have been proposed as a possible way to address these two concerns. While previous research found that patients strongly support the use of PPPs, the views of surrogates are unknown. The present study thus assessed the views of experienced surrogates regarding the possible use of PPPs as a means to help make (...) treatment decisions for decisionally-incapacitated patients. -/- Methods: This qualitative study used semi-structured interviews to determine the views of experienced surrogates [n=26] who were identified from two academic medical centers and two community hospitals. The primary outcomes were respondents’ overall level of support for the idea of using PPPs and the themes related to their views on how a PPP should be used, if at all, in practice. -/- Results: Overall, 21 participants supported the idea of using PPPs. The remaining five indicated that they would not use a PPP because they made decisions based on the patient’s best interests, not based on substituted judgment. Major themes which emerged were that surrogates, not the patient’s preferences, should determine how treatment decisions are made, and concern that PPPs might be used to deny expensive care or be biased against minority groups. -/- Conclusions: Surrogates, like patients, strongly support the idea of using PPPs to help make treatment decisions for decisionally-incapacitated patients. These findings provide support for developing a PPP and assessing it in practice. At the same time, patients and surrogates disagree over whose preferences should determine how treatment decisions are made, including whether to use a PPP. These findings reveal a fundamental disagreement regarding the guiding principles for surrogate decision-making. Future research is needed to assess this disagreement and consider ways to address it. (shrink)

In previous research Libet discovered that a critical time period for neural activation is necessary in order for a stimulus to become conscious. This necessary time period varies from subject to subject. In this current study, six subjects for whom the time for neural activation of consciousness had been previously determined were administered a battery of psychological tests on the basis of which ratings were made of degree of repressiveness. As hypothesized, repressive subjects had a longer critical time period for (...) neural activation of consciousness, suggesting the possibility that this neurophysiological time factor is a necessary condition for the development of repression. (shrink)

Angelaki, Volume 16, Issue 1, Page 1-3, 01Mar2011.

Recent scholarship in intellectual humility (IH) has attempted to provide deeper understanding of the virtue as personality trait and its impact on an individual's thoughts, beliefs, and actions. A limitations-owning perspective of IH focuses on a proper recognition of the impact of intellectual limitations and a motivation to overcome them, placing it as the mean between intellectual arrogance and intellectual servility. We developed the Limitations-Owning Intellectual Humility Scale to assess this conception of IH with related personality constructs. In Studies 1 (...) (n= 386) and 2 (n = 296), principal factor and confirmatory factor analyses revealed a three-factor model – owning one's intellectual limitations, appropriate discomfort with intellectual limitations, and love of learning. Study 3 (n = 322) demonstrated strong test-retest reliability of the measure over 5 months, while Study 4 (n = 612) revealed limitations-owning IH correlated negatively with dogmatism, closed-mindedness, and hubristic pride and positively with openness, assertiveness, authentic pride. It also predicted openness and closed-mindedness over and above education, social desirability, and other measures of IH. The limitations-owning understanding of IH and scale allow for a more nuanced, spectrum interpretation and measurement of the virtue, which directs future study inside and outside of psychology. (shrink)

In this major reinterpretation, Howard Caygill argues that all of Benjamin's work is characterized by its focus on a concept of experience derived from Kant but applied by Benjamin to objects as diverse as urban experience, visual art, literature and philosophy. The book analyzes the development of Benjamin's concept of experience in his early writings showing that it emerges from an engagement with visual experience, and in particular the experience of colour. By representing Benjamin as (...) primarily a thinker of the visual field, Caygill is able to bring forward previously neglected texts on inscription and the visual field and to cast many of his more familiar texts, for instance the Work of Art in an Age of Mechanical Reproduction in a new light. (shrink)

An analysis of Walter Benjamin's response to contemporary cosmology focusing on his reading of Eddington.

Walter Benjamin was a philosopher but perhaps more importantly he was an experienced critic of such passion, erudation and virtuosity.

Among the more prominent nineteenth-century types populating Benjamin's Arcades Project—collector, flâneur, gambler, prostitute, worker, revolutionary—the figure of the flâneur is exemplary for the way he perceives the landscape of the modern city. Distracted to the point of intoxication by the spectacle of the streets, which he views for the most part en passant, he is nonetheless intimately, micrologically involved with some of the most familiar and therefore often most inconspicuous aspects of urban existence. Benjamin underlines this function of (...) “excavating” the everyday; in his presentation, flânerie is a mode of experience that in each case incorporates a certain historical remembrance.…. (shrink)

In his article “The Real Problem of Equipoise,” Chiong (2006) advances arguments that culminate in an assertion that the equipoise requirement “must be given uP′ if international clinical research...

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Virtue Ethics for the Real World: Improving Character without Idealization by Howard J. CurzerBenjamin HoleCURZER, Howard J. Virtue Ethics for the Real World: Improving Character without Idealization. New York: Routledge, 2023. 272 pp. Cloth, $160.00The development of virtue ethics has been in a lull. This book is a welcome treatise in theory-building, developing a novel Aristotelian approach to virtue ethics that, first, avoids idealization and, second, (...) provides a method for character improvement. It is divided into two parts reflecting these themes.The front matter before the title page brandishes a "No Don Quixotes" sign, warning the reader the following pages are no place for a misguided idealist. Part 1, "Against Idealization," contains six chapters. Chapter 2 argues that idealization is not a useful guide, but an impediment to virtue, since ideals can be misleading, psychologically damaging, and used for nefarious purposes. Chapters 3 through 7 construct a virtue ethical theory without idealization. Idealization may seem central to a virtue-oriented approach to ethics. For example, Rosalind Hursthouse's famous biconditional claims that an act is right if and only if it is what the virtuous person would characteristically do in the same circumstances. By contrast, chapter 3 provides counterexamples separating virtuous action from what the virtuous person would characteristically do, and separating virtuous action from right action. Sacrificing Hursthouse's biconditional is a fundamental change to the way many conceive of Aristotelian virtue ethics, demanding revisions to the rest of the theory. For instance, to address moral dilemmas, chapter 4 defends two psychological mechanisms under which there are virtuous, morally wrong acts that are admirably immoral, and vicious, morally right acts that leave the agent with dirty hands.Chapter 5 provides the grounding for contemporary Aristotelian virtue ethics without idealization, by answering what makes character traits [End Page 541] virtues and what makes acts virtuous. Two-level eudaimonism involves a thin theory, where virtue consists in responding well to different spheres of human activity, and a thick theory, where responding well contributes to the agent's eudaimonia. Since virtuous people may characteristically perform nonvirtuous actions, virtuous actions are not necessarily what virtuous people characteristically do but actions that are endorsed by virtuous people from the perspective of virtue. The "Perspectives Doctrine" claims that virtuous people decide how to respond from the perspective of different virtues, and those perspectives offer incomplete and sometimes incompatible ways of responding. For instance, a temperate person endorsing an action as temperate from the perspective of temperance makes it temperate, but would not make it courageous, and an endorsement from the perspective of courage would not make her action temperate. Agents determine what is virtuous by asking virtuous people to consider, from the perspective of virtue, what should be done; when virtuous people are unavailable, agents can consult philosophers and social scientists who research the responses of virtuous people. Chapter 6 rejects the "Reciprocity of the Virtue Doctrine," which claims possessing one virtue entails possessing the rest, in favor of the "Unevenly Virtuous People Doctrine," on which people can have some but not all of the virtues; character typically improves at different paces in different areas of life. Chapter 7 rejects Philippa Foot's "Corrective Doctrine" of virtue as implausible idealization in favor of a traditionally Aristotelian "Doctrine of the Mean," and argues that the virtues of integrity, forgiveness, tolerance, open-mindedness, and civility are governed by that doctrine.Although character improvement seems to depend on idealization, by striving to achieve some end, part 2's five chapters paint an alternative picture. Chapter 8 defends a medical analogy over competing models philosophers typically employ to understand character improvement, including skill (Aristotle and Julia Annas), stage or path (Aristotle and Wouter Sanderse), self-cultivation (Mengzi), and self-construction (Xunzi) analogies. To improve character, one must look to a fine-grained list of possible character flaws, diagnose deficits in character, and then heal character flaws by employing targeted strategies, including "inculcation strategies, rehabilitation strategies, and strategies to improve society's ethical climate." Character improvement is complex and becomes more so when considering all of the ways one might err. Chapter 9 introduces an Aristotelian model for moral decision-making within each... (shrink)

Origin of the German Trauerspiel was Walter Benjamin's first full, historically oriented analysis of modernity. Readers of English know it as "The Origin of German Tragic Drama," but in fact the subject is something else--the play of mourning. Howard Eiland's completely new English translation, the first since 1977, is closer to the German text and more consistent with Benjamin's philosophical idiom. Focusing on the extravagant seventeenth-century theatrical genre of the trauerspiel, precursor of the opera, Benjamin identifies (...) allegory as the constitutive trope of the Baroque and of modernity itself. Allegorical perception bespeaks a world of mutability and equivocation, a melancholy sense of eternal transience without access to the transcendentals of the medieval mystery plays--though no less haunted and bedeviled. History as trauerspiel is the condition as well as subject of modern allegory in its inscription of the abyssal. Benjamin's investigation of the trauerspiel includes German texts and late Renaissance European drama such as Hamlet and Calderón's Life Is a Dream. The prologue is one of his most important and difficult pieces of writing. It lays out his method of indirection and his idea of the "constellation" as a key means of grasping the world, making dynamic unities out of the myriad bits of daily life. Thoroughly annotated with a philological and historical introduction and other explanatory and supplementary material, this rigorous and elegant new translation brings fresh understanding to a cardinal work by one of the twentieth century's greatest literary critics.--. (shrink)

This essay explores the idea of experience and its epistemological and practical role in maintaining the health of a household among early modern English Royalists. A number of prominent royalists during the mid-seventeenth century British Civil Wars expended quite some effort in the collection of medical recipes, including Queen Henrietta Maria herself, as well as William and Margaret Cavendish, and the Talbot sisters—Elizabeth Grey and Alethea Howard. This essay looks at these Royalists and four of their collections: three published (...) (Henrietta Maria, Grey, Howard), and one manuscript (the Caven­dishes), in order to determine how they conceptualized experience and its role in medical practice. The claim that such recipe collections represent a new, anti-Aristotelian idea of experience as a specific, particular event is disputed through a quantitative and qualitative analysis of these collections. Instead, it is argued that there a number of related conceptions of experience found in these Royalist recipe collections, but the basic idea is one where experience indicates long experience or expertise, an idea that can traced back at least to humanist medicine of the Renaissance, and likely back to Galen. (shrink)

This essay explores the idea of experience and its epistemological and practical role in maintaining the health of a household among early modern English Royalists. A number of prominent royalists during the mid-seventeenth century British Civil Wars expended quite some effort in the collection of medical recipes, including Queen Henrietta Maria herself, as well as William and Margaret Cavendish, and the Talbot sisters—Elizabeth Grey and Alethea Howard. This essay looks at these Royalists and four of their collections: three published (...) (Henrietta Maria, Grey, Howard), and one manuscript (the Caven­dishes), in order to determine how they conceptualized experience and its role in medical practice. The claim that such recipe collections represent a new, anti-Aristotelian idea of experience as a specific, particular event is disputed through a quantitative and qualitative analysis of these collections. Instead, it is argued that there a number of related conceptions of experience found in these Royalist recipe collections, but the basic idea is one where experience indicates long experience or expertise, an idea that can traced back at least to humanist medicine of the Renaissance, and likely back to Galen. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Diacritics 30.4 (2000) 3-13 [Access article in PDF] Benjamin's Arcades Project and the Postcolonial City Rajeev S. Patke [Tables]Walter Benjamin. The Arcades Project. Trans. Howard Eiland and Kevin McLaughlin. Cambridge, MA: Harvard UP, 1999. [AP] Post-this, post-that, post-the-other, yet in the endNot past a thing. —Seamus Heaney, "On His Work in the English Tongue" Preamble Among the several Benjamins to be conjured from The Arcades Project (...) is the one who invites a speculative discourse on the idea of the postcolonial city. We can imagine him first conceding, and then qualifying, three propositions about himself: he mitigates the force of the first—that he was Eurocentric—with the counterproposition that the cities he wrote about were formative of a discourse that can be transposed to other cities whose patterns of urban development were shaped by forces analogous to those he studied in the period of their inception. He then concedes that his work on the city remains problematic in several ways related to an uncertain temperament and method, but urges the recognition that his method came to resemble his object of study; the fortuitous correspondence reinforces the self-reflexive relation between modern cities and the discourse they generate. His third concession—that his use of Marxian ideas mixes them with elements of bourgeois thought—is marginalized by the recognition that he always took his Marx with such a difference that to confine him within such a debate would be to take him in the wrong spirit. He then proceeds to reiterate in the specific instance of the postcolonial a more familiar general claim made by many contemporary readers of the metropolitan experience, that the set of approaches he uncovered continue to remain valid wherever the project of modernity is at work. They help us address "[t]he split image of modernity, modernity's promises for social and individual emancipation, as well as modernity's failures" [Paetzold 216a]. Modern Benjamin would begin by reminding us that his "modern" and "modernity" refer primarily to the industrial transformation of society by technology, as part of the Enlightenment project of progress through the application of reason to nature and society. He would [End Page 3] qualify his sense of the project of "modernity" through the image of "[t]he world dominated by its phantasmagorias" [AP 26]. He would then shrug off the cloak of the Eurocentric by turning, for illustration, to the many Asian manifestations of the postcolonial. Here, he would make the twofold claim that the postcolonial experience brings out the disillusionment latent in the myth of progress, just as the postmodern brings out the phantasmal that is incipient in the myth of an evenly distributed access to capital and goods in the era of globalization. He would argue that the cities of contemporary Asia are the sites for a partial and uneven overlap between the postmodern and the postcolonial. This overlap, he would say, invites us to treat the idea of the city in a generic mode, without discounting the fact that the diversity separating the metropolitan centers in Asia makes little sense of an Asian city except as banal literalism. He would note that colonialism did not affect all of Asia, nor did it follow quite the same course from colony to colony, though the term retains some usefulness in accounting for the general factors that link different cities in Asia to what happened after colonialism. He would treat the postcolonial and the postmodern as three-tiered phenomena: each is a historical phase of world history, a predicament affecting collectivities, and an attitude or state of mind. The aptness of the notion of the postcolonial city, he points out, increases in direct proportion to the degree to which a city has acquired a distinctive identity through colonial administration or commerce, and decreases in direct proportion to the degree of discontinuity between the colonial and postcolonial phases of its history. He would add the corollary that any contemporary city in the developing world approximates to the postcolonial condition when its role in the network of power relations negotiates... (shrink)

In 1637 a Frenchman named Noël Duret published a book in Paris that referred to the heliocentric Copernican system. In 1660 an Ottoman scholar named Ibrahim Efendi al-Zigetvari Tezkireci translated the book into Arabic. For more than three centuries this manuscript was buried in an Ottoman archive in Istanbul until it resurfaced at the beginning of the 1990s. The discovery of the Arabic text has necessitated a re-evaluation of the history of early modern Arabic natural philosophy, one that takes into (...) account the intellectual context of Ibrahim Efendi and the overarching trends in the world of Sufi mysticism. These trends were reflected in art, literature, philosophy and natural philosophy. Using philological and cultural clues, as well as Ibrahim Efendi's own words, we can attempt deductions about why, how and for what purposes Ibrahim Efendi chose Duret's book for his project. (shrink)

The revival of interest in Walter Benjamin's writings, many of which are now appearing in English for the first time, has generated a fairly large body of scholarship devoted to the question: How does Benjamin stand with respect to philosophy? Since Benjamin rarely engages in anything resembling traditional philosophical argumentation, this question has received a bewildering variety of responses, many of which have reflected the principal concerns of the commentators as much as Benjamin's own. This is (...) particularly true of the response given by Theodor Adorno, who made the first attempt to develop something like a philosophical position from Benjamin's writings. Adorno criticized some of Benjamin's later work for its lack of mediation, which, in essence, meant its failure to come to terms with Hegelian dialectics as Adorno conceived it. Howard Caygill rarely mentions Adorno in his recent book, but the overall trajectory of his interpretation of Benjamin's converges with that of Adorno: in both cases Benjamin's antipathy to Hegel serves as a defining feature of his thought. (shrink)

The black social gospel leaders that came of age in the 1920s and '30s were long on graduate degrees, simmering anger, racial justice ambition, and lecture circuit eloquence. Most of them already assumed the social gospel when they began their careers. They came through the doors of educational achievement and ecumenical conferences, and a few became prominent by compelling the respect of audiences on both sides of the color line. Mordecai Johnson, building a black intellectual powerhouse at Howard University, (...) epitomized the black social gospel. Benjamin E. Mays, teaching under Johnson at Howard, was very much in Johnson's mold. Howard Thurman, also teaching under Johnson at Howard, for a time worked the social... (shrink)

This paper uses tools of philosophical analysis critically to examine accounts of the nature of racism that have recently been offered by writers including existentialist philosopher Lewis Gordon, conservative theorist Dinesh D'Souza, and sociologists Michael Omi and Howard Winant. These approaches, which conceive of racism either as a bad-faith choice to believe, a doctrine, or as a type of 'social formation', are found wanting for a variety of reasons, especially that they cannot comprehend some forms of racism. I propose (...) an account that conceives racism chiefly as a motivational/volitional matter, in short, as a form of moral viciousness. I show how this approach offers a unified account that comprises inter alia individual and institutional racism, expressed and unexpressed racism. I point out advantages that my view has over Thomas Schmid's somewhat similar suggestion, and use the account to examine a number of claims made about racism by H. L. Gates, Jr, Elizabeth Young-Bruehl, Gertrude Ezorsky, and others. Finally, I defend this approach from the general criticism that Benjamin DeMott has levelled against any effort so to understand racism. Key Words: Benjamin DeMott • Dinesh D'Souza • existentialism • Lewis Gordon • moral concepts • Michael Omi • racism • social formation • Howard Winant. (shrink)

Azaransky's work highlights the theological contributions of Howard Thurman, Benjamin Mays, William Stuart Nelson, Pauli Murray and Bayard Rustin. She makes a compelling case that each of these thinker-activists needs to be better appreciated for their cutting-edge theological insights based on their thought and life experience with Mohandas Gandhi and his spiritual activism. Each reinterprets their own Christian views based on this larger worldwide experience that they have gained through study and/or travel. In this way they prefigure or (...) lay the groundwork for more recent approaches to spirituality such as those held by the Black Lives Matter movement's leaders, which draws upon multiple religious traditions to find the spiritual guidance and sustenance needed to confront our world's current injustices. (shrink)

The loss of the federally protected constitutional right to an abortion is a threat to the already tenuous autonomy of pregnant people, and may augur future challenges to their right to refuse unwanted obstetric interventions. Even before Roe’s demise, pregnancy led to constraints on autonomy evidenced by clinician-led legal incursions against patients who refused obstetric interventions. In Dobbs v. Jackson Women’s Health Organization, the Supreme Court found that the right to liberty espoused in the Constitution does not extend to a (...) pregnant person’s right to an abortion. With Roe’s demise, the right to request specific types of care has been vitiated. The same argument underpinning that holding may now become ballast for attacks on the traditionally more robust right, the right to refuse. Here we discuss how the elevation of fetal and embryonic rights may lead to a cascade of medical intrusions and deprivations of liberty against pregnant persons, and offer an argument opposing these improprieties. (shrink)

A distinction is developed between two uses of definite descriptions, the "attributive" and the "referential." the distinction exists even in the same sentence. several criteria are given for making the distinction. it is suggested that both russell's and strawson's theories fail to deal with this distinction, although some of the things russell says about genuine proper names can be said about the referential use of definite descriptions. it is argued that the presupposition or implication that something fits the description, present (...) in both uses, has a different genesis depending upon whether the description is used referentially or attributively. this distinction in use seems not to depend upon any syntactic or semantic ambiguity. it is also suggested that there is a distinction between what is here called "referring" and what russell defines as denoting. definite descriptions may denote something, according to his definition, whether used attributively or referentially. (shrink)

This paper presents a naturalistic response to the challenge of epistemic relativism. The case of the Azande poison oracle is employed as an example of an alternative epistemic norm which may be used to justify beliefs about everyday occurrences. While a distinction is made between scepticism and relativism, an argument in support of epistemic relativism is presented that is based on the sceptical problem of the criterion. A response to the resulting relativistic position is then provided on the basis of (...) a particularist response to scepticism combined with a naturalistic approach to the warrant of epistemic norms. It is argued that it is possible to comparatively assess the ability of epistemic norms to lead to epistemic aims. As against the epistemic relativist, it is possible to provide an objective basis for the choice between alternative epistemic norms. (shrink)

more on the history of the Vienna Circle and its allies, see Coffa 1991; Friedman 1983; Hailer 1982, 1985; Kraft 1950; and Proust 1986, 1989). Without question, however, the crucial, formative, early intellectual experience of at least Schlick, Reichenbach, and Carnap, the experience that did most to give form and content to their emergent philosophies of science, was their engagement with relativity theory. Thus, after a few early writings on more general philosophical themes, Schlick first caught the attention of a (...) broader philosophical public with his 1915 essay, "Die philosophische Bedeutung des.. (shrink)

— Niels Bohr, 19231 “There must be quite definite and clear grounds, why you repeatedly declare that one must interpret observations classically, which lie absolute ly in thei r essenc e. . . . It must belong to your deepest conviction—and I cannot understand on what you base it.”.

Throughout his career, Derek Parfit made the bold suggestion, at various times under the heading of the "Normativity Objection," that anyone in possession of normative concepts is in a position to know, on the basis of their competence with such concepts alone, that reductive realism in ethics is not even possible. Despite the prominent role that the Normativity Objection plays in Parfit's non-reductive account of the nature of normativity, when the objection hasn't been ignored, it's been criticized and even derided. (...) We argue that the exclusively negative attention that the objection has received has been a mistake. On our reading, Parfit's Normativity Objection poses a serious threat to reductivism, as it exposes the uneasy relationship between our a priori knowledge of a range of distinctly normative truths and the typical package of semantic commitments that reductivists have embraced since the Kripkean revolution. (shrink)