Providing individuals with the information necessary to make informed decisions is now considered an ethical standard for health systems and general practitioners.

My analysis of the constitutional foundations of judicial review has been criticized by Paul Craig; but his objections confuse the ‘constructive’ account of legislative intent I defend with the ‘literal’ conception (reflecting the views of individual legislators) I expressly repudiate. He thinks we must choose between legislative intent, literally conceived, and common law principle. This mistake exemplifies the peculiar character of Craig's ‘common law model’ of judicial review, in which the requirements of the rule of law, on one hand, (...) and the relevant statute, on the other, exist in separate mental worlds. That model is conceptually confused, rejecting the doctrine of ultra vires that (unqualified) legislative supremacy entails, and ultimately grounded in a wholly implausible view of the relationship between common law and statute. It subordinates both statutory text and purpose to common law doctrine, treated as largely self-contained and impervious to context. It ignores the interdependence of legislative and judicial power, impeding a genuine integration of statutory command and common law principle. (shrink)

We develop a theoretical model, explore the relationship between temptation (both reflective and formative) and unethical intentions by treating monetary intelligence (MI) as a mediator, and examine the direct (temptation to unethical intentions) and indirect (temptation to MI to unethical intentions) paths simultaneously based on multiple-wave panel data collected from 340 part-time employees and university (business) students. The positive indirect path suggested that yielding to temptation (e.g., high cognitive impairment and lack of self-control) led to poor MI (low stewardship behavior, (...) but high cognitive meaning) that, in turn, led to high unethical intentions (theft, corruption, and deception). Our counterintuitive negative direct path revealed that those who controlled their temptation had high unethical intentions. Due to the multiple faces of temptation (the suppression effect), maliciously controlled temptation (low cognitive impairment and high self control) led to deviant intentions. Subsequent multi-group analysis across gender (a moderator) reformulated the mystery of temptation: a negative direct path for males, but a positive indirect path for females. For males, the negative direct path generated a dark impact on unethical intentions; for females, the positive indirect path did not, but offered great implications for consumer behavior. Both falling “and” not falling into temptation led to unethical intentions which varied across gender. Our counterintuitive, novel, and original theoretical, empirical, and practical contributions may spark curiosity and add new vocabulary to the conversation regarding temptation, money attitudes, consumer psychology, and business ethics. (shrink)

Estimating the effect of a randomized treatment and the effect that is transmitted through a mediator is often complicated by treatment noncompliance. In literature, an instrumental variable (IV)-based method has been developed to study causal mediation effects in the presence of treatment noncompliance. Existing studies based on the IV-based method focus on identifying the mediated portion of the intention-to-treat effect, which relies on several identification assumptions. However, little attention has been given to assessing the sensitivity of the identification (...) assumptions or mitigating the impact of violating these assumptions. This study proposes a two-stage joint modeling method for conducting causal mediation analysis in the presence of treatment noncompliance, in which modeling assumptions can be employed to decrease the sensitivity to violation of some identification assumptions. The use of a joint modeling method is also conducive to conducting sensitivity analyses to the violation of identification assumptions. We demonstrate our approach using the Jobs II data, in which the effect of job training on job seekers’ mental health is examined. (shrink)

Anthropologists have tended to treat dreams as private fantasies arising from restless libidos struggling with reality. In this view, the dreamer is a victim of what she or he does not want, the intentions of the dreamer, and dreamed of, are often confused or illusory, and what happens in the dream is subj ect to a more primary, more objective, waking reality.The Barok people of New Ireland, Papua New Guinea, define dreams as both sleeping and waking experiences. Their dreams (...) are expressions of spiritually powerful persons who deal with a spiritual reality.In waking and real, but substantially dreamlike experiences such as one I describe in this paper, the desires and intents of all involved were perceived as wild possibilities. In the three sleeping dreams that I describe, the desires and intents of the dreamers were true, clearly expressed, and effective in creating or foretelling reality.Describing such subjective and willful experiences entails personal and professional risk. But toward understanding what happened, I undertake this in personally revealing terms, and I recommend Barok and other Native perspectives for the light they shed on dreams and reality.Social science has, for the most part, left dream analysis to the psychologists, and dreaming experiences to "the natives.” People educated in modern European traditions, and especially in academe, learn to not talk plainly or too much about their more subjective experiences or awarenesses, e.g, sex, emotions, and dreams. This applies not only to our lives as fieldworkers, but to our private lives in Western culture.Even recent publications1 still define dreams as a softer and more subjective, or even false, too private, in contrast to the harder and more objective, true reality of waking life (see Tedlock 1987). From this perspective, the accepted truth of there being an objective, socially defined, wakeful reality is not seriously called into question.Fieldwork experiences have shown me different distinctions between dreaming and not‐dreaming realities. I have learned to both expect and get more from dreams. I did not seek nor intentionally precipitate these experiences. They were a congruent part of my learning during four different periods of fieldwork.These experiences suggest a link between the ambiguity of intent in western style, non‐Native2 dreamers, and a lack of creative power. This contrasts with the clarity in the intent of Native style dreamers, and a real creative power.This link short‐circuits conventional academic distinctions between dreaming and waking experiences. For this reason, people like myself have not paid attention to these kinds of field experiences, much less written them up. We fear being disbelieved and discredited. Treating dreams on a comparable footing with objective reality is tantamount to "going native.”3 As Katherine Ewing has stated it, the problem is how to believe the Native meaning of dreams in defiance of the taboo against anthropologists' accepting the "temptation to believe" that "the subjects of one's research actually know something about the human condition and an encompassing 'reality'"(Ewing 1994:572).The field experiences I describe here have made me a believer of both the Native version of what happened, and the truth of there being an encompassing (Native) reality.4 They also convinced me of the necessity of trying to deal openly with what I know of the internal, private, libidinous, and willful stuff that is a part of these dreaming experiences. I reveal my own intent, desires, and needs, in both personal and professional terms, in order to lay some of the cards on the table, in order to look at them from both Native and non‐Native perspectives on what happened.I have learned that the difference between dreams and reality is not what it has been made out to be. On the one hand, the conventional definition of reality too strongly limits my ability to talk about my subjective experiences of it. On the other hand, the conventional definition of dreams does not make enough sense of my real experiences.By describing the real, non‐dreaming experience in which my subjective feelings are centered, the problematic issues of my own wakeful intent as a person and as an anthropologist are centered. This allows comparison of what is supposedly the nature of waking reality with what I experienced in the three sleeping dreams (hereafter "sleepdreams") which follow.The first three sleepdreams were experienced when I was living among Barok people at New Ireland, PNG, between 1979 and 1985. The fourth occured at Taumako, Solomon Islands, in 1993. (shrink)

Ethical dilemmas are common in the neonatal intensive care setting. The aim of the present study was to investigate the opinions of Swedish physicians and the general public on treatment decisions regarding a newborn with severe brain damage. We used a vignette-based questionnaire which was sent to a random sample of physicians (n = 628) and the general population (n = 585). Respondents were asked to provide answers as to whether it is acceptable to discontinue ventilator treatment, and when it (...) actually is discontinued whether or not it was acceptable to use drugs which hasten death unintentionally or intentionally. The response rate was 67 % of physicians and 46 % of the general population. A majority of both physicians [56 % (CI 50–62)] and the general population [53 % (CI 49–58)] supported arguments for withdrawing ventilator treatment. A large majority in both groups supported arguments for alleviating the patient’s symptoms even if the treatment hastened death, but the two groups display significantly different views on whether or not to provide drugs with the additional intention of hastening death, although the difference disappeared when we compared subgroups of those who were for or against euthanasia-like actions. The study indicated that physicians and the general population have similar opinions regarding discontinuing life-sustaining treatment and providing effective drugs which might unintentionally hasten death but seem to have different views on intentions. The results might be helpful to physicians wanting to examine their own intentions when providing adequate treatment at the end of life. (shrink)

The intentional stance is the strategy of prediction and explanation that attributes beliefs, desires, and other states to systems and predicts future behavior from what it would be rational for an agent to do, given those beliefs and desires. Any system whose performance can be thus predicted and explained is an intentional system, whatever its innards. The strategy of treating parts of the world as intentional systems is the foundation of but is also exploited in artificial intelligence and cognitive science (...) more generally, as well as in evolutionary theory. An analysis of the role of the intentional stance and its presuppositions supports a naturalistic theory of mental states and events, their content or intentionality, and the relation between levels of explanation and neurophysiological or mechanistic levels of explanation. As such, the analysis of the intentional stance grounds a theory of the mind and its relation to the body. (shrink)

Background: Patients prescribed with medication that treats mental health conditions benefit the most compared to those prescribed with other types of medication. However, they are also the most difficult to adhere. The development of mobile health (mHealth) applications (‘apps’) to help patients monitor their adherence is fast growing but with limited evidence on their efficacy. There is no evidence on the content of these apps for patients taking psychotropic medication. The aim of this study is to identify and evaluate the (...) aims and functioning of available apps that are aiming to help and educate patients to adhere to medication that treats mental health conditions. Method: Three platform descriptions (Apple, Google and Microsoft) were searched between October 2015 and February 2016. Included apps need to focus on adherence to medication that treats mental health conditions and use at least a reinforcement strategy. Descriptive information was extracted and apps evaluated on a number of assessment criteria using content analysis. Results: Sixteen apps were identified. All apps included self-monitoring properties like reminders and psycho-educational properties like mood logs. It was unclear how the latter were used or how adherence was measured. Major barriers to medication adherence like patients’ illness and medication beliefs and attitudes were not considered nor where information to patients about mediation side effects. Very few apps were tailored and none was developed based on established theories explaining the processes for successful medication adherence like cognitions and beliefs. Reported information on app development and validation was poor. Discussion: A variety of apps with different properties that tackle both intentional and unintentional non-adherence from a different perspective are identified. An evidence-based approach and co-creation with patients is needed. This will ensure that the apps increase the possibility to impact on non-adherence. Theories like social cognition models can be useful in ensuring that patients’ education, motivation, skills, beliefs and type of adherence are taken into consideration when developing the apps. Findings from this study can help clinicians and patients make informed choices and pursue policy-makers to integrate evidence when developing future apps. Quality-assurance tools are needed to ensure the apps are systematically evaluated. (shrink)

Abstract Following Hubert Dreyfus, this paper takes up the debate over the limits on what can be articulated by means of intentional analysis. Section 1 reviews the contrast between Husserl's position and Heidegger's position. Husserl's is an ?inexhaustibility theory? of the inarticulable, according to which, although it is in principle impossible to articulate everything, there is not anything that it is in principle impossible to articulate. Heidegger's is a genuine ?inarticulability?in?principle theory? of the inarticulable, according to which it is, (...) in principle, impossible to articulate the whole of what makes human understanding possible. On this view, it is, in principle, impossible to articulate the background of skills and practices presupposed by and taken for granted in all our everyday human activities. Whereas Dreyfus has been largely interested in this debate for the sake of its parallels to developments in cognitive science, this paper aims, in Section 2, to consider the political importance of this debate. It is argued that the debate between the inexhaustibility theorist and the inarticulability theorist is misdirected. The two sides in this debate share a pair of questionable assumptions, which lead them to treat the problem of the inarticulable as though the participants in the practices that constitute the ?taken?for?granted background of everyday understanding? are all situated in equivalent positions in those practices. But the everyday phenomena of ostracism and marginalization show that there are political and social concerns that must be addressed as part of the study of constituting practices. ?Who gets to articulate what, and to whom?? is a question that should be asked before ?Is there anything that cannot be articulated?? (shrink)

This dissertation challenges the claim that reference is determined by intentions to refer by using a 'divide and conquer' strategy. The claim that reference is determined by intentions to refer is divided into two claims: one is a claim about how reference is disambiguated; the other is about how expressions in a language get their reference potential. By dividing the claims in this way, we can see in what contexts, and to what extent, reference is determined by intentions. ;The first (...) claim, that reference is disambiguated by what a speaker intends to refer to, is the more plausible one. Part I of the dissertation clarifies and defends this claim. It rules out non-intentionalist accounts, which try to explain disambiguation in terms of non-intentional contextual factors alone, because the features of the context to which these accounts appeal are themselves ambiguous. Nonetheless, it argues that contextual features are important non-linguistic determinants of reference. Part I concludes that the speaker's intentions do play a role in determining reference, but it also concludes that when linguistic as well as non-linguistic determinants of reference are taken into account, the role that speakers' intentions play in determining reference turns out to be quite small. ;Part II of the dissertation refutes the claim that the set of possible referents for an expression in a language is determined by what some group of people intend to refer to with that expression. Part II argues that such accounts are either circular--they explain semantic reference in terms of speaker's reference, while basing speaker's reference on semantic reference, or they presuppose an untenable view of the way minds are related to the world. (shrink)

Background: In this study, we aimed to investigate the effects of a mindfulness program including Mindfulness-Based Stress Reduction on the mental health of student teachers when offered at their educational institution in a real-life context.Methods: A parallel randomized controlled trial was conducted among self-selected student teachers at a Danish undergraduate program for teacher education in the autumns of 2019 and 2020. Participation was not recommended in case of clinical depression or a diagnosis of psychosis or schizophrenia, abuse of alcohol, drugs, (...) and/or medicine. Randomization was performed by a Statistician who was blinded to the identity of the students. Data was collected using self-reported questionnaires. The primary outcome was a change in perceived stress 3 months from baseline. Secondary outcome measures were symptoms of anxiety and depression, well-being, resilience, mindfulness, and thoughts and feelings during rest. The effects were analyzed according to the intention-to-treat principle using mixed-effect linear regression models. Mediating effects of mindfulness skills on the mental health outcomes were explored using structural equation modeling.Results: The study group included 67 student teachers with 34 allocated to the intervention group ; and 33 students allocated to a waiting list control group. At baseline, mean Perceived Stress Scale scores were 18.88 in the intervention group and 17.91 in the waiting list control group. A total of 56 students completed the questionnaire at a 3-month follow-up. Statistically significant effects of the intervention were found on perceived stress, symptoms of anxiety and depression, well-being, and on three of seven resting-state dimensions. No effects were found on resilience or mindfulness. Statistically significant mediated effects via resting-state dimensions were found.Conclusion The findings suggested that offering a mindfulness program at an undergraduate program for teacher education could significantly improve the mental health among self-selected students within 3 months. Results of mediation analysis supported the hypothesis that some of the effects might be explained by reduced distracting thoughts.Clinical Trial Registration: [www.ClinicalTrials.gov], identifier [NCT04558099]. (shrink)

In biomedicine, practitioners often treat risk of disease as an illness in itself—suitable for monitoring and intervention. In some cases, increased diagnostics improve health outcomes by detecting problems early. Recently, however, science and technology studies scholars and medical practitioners have noted that the treatment of risk can also lead to unnecessary intervention and possible harm. Despite these findings, it is often hard to see changes in practice. Childbirth serves as an illuminating case because two models of health risk operate (...) simultaneously—in addition to the model valuing frequent intervention, there is another that seeks to mitigate risk by refusing medical surveillance. Based on interviews with birth providers and an analysis of professional documents, this article uses the case of fetal heart rate monitoring in American childbirth to demonstrate how some health providers are framing “intentional non-knowing” as a moral imperative to reduce medical risk. Studying the success and limitations of this “risk counterculture” illuminates how risk societies are changing in response to data suggesting that more information can have hurtful effects. This case integrates well-developed theories of knowledge production with less-developed theories of knowledge nonproduction, leading to a more fruitful discussion of the boundaries of responsible knowledge in risk management. (shrink)

"My argument is as follows. In the first section, I sketch briefly the ways in which intentionalism might provide a solution to the problem of vagueness. The second section describes the different areas in which counterfactuals must be invoked by intentionalism. In the third section I point out that on a classic analysis of counterfactuals - that of David Lewis and Robert Stalnaker - the truth conditions of counterfactuals depend on relations of similarity among possible worlds. Since similarity is (...) vague, so are counterfactuals. Finally, I show that there is no unique solution to the problem of vagueness for the specific types of counterfactuals required by intentionalists - those referring to authors' or legislators' mental states, and those attempting to transport historical authors into the present. Although some counterfactuals are relatively 'insensitive' - in Lewis's sense -- those required in intentionalist interpretation are at least moderately sensitive. This means taht different contexts will resolve the vagueness in different ways. The choice among contexts must be made by the interpreter and is not determined by author's intentions. Hence the vagueness due to counterfactual reasoning about author's intention leads to indeterminacies that cannot be resolved by intentionalism itself. Intentionalism is a solution neither to the problem of vagueness nor to the problem of indeterminacy." Distinguishes between strict intentionalism and moderate intentionalism. Both are often seen as a means for reducing vagueness in legal language. However, counterfactual intentions are needed to resolve certain problems. First, in combining actual intentions, e.g. in a legislature, where different combinations may result in different legislation. Second, it is needed to resolve conflicts between intentions, particularly between different levels of abstraction. Third, reducing vagueness, which will be necessary even with enactment intentions. Fourth, there may be no determinate intention that would even, in principle, resolve a borderline case - e.g. when intentions are conflated. [For discussion of application and enactment intentions, see Goldsworthy, "Originalism in Constitutional Interpretation," Federal Law Review 25: 1.] Lastly, counterfactuals may be necessary to distinguish between application and enactment intentions. Lewis on counterfactuals: "For Lewis and Stalnaker, the key idea in the explication of truth conditions of counterfactuals is that of 'comparative overall similarity' of possible worlds. A counterfactual is true if and only if in the closest, most similar world to the actual in which the antecedent of the conditional is true, the consequent of the conditional is also true." Thus, there may be a determinate relevant world for some cases - i.e. there may be a counterfactual that determines the answer to a counterfactual question. This, however, will not always be the case. For example, counterfactuals concerning Caesar being the leader of N. Korea. Here, for Lewis, where there are ties of closeness of counterfactuals, all tied CFs will be false. When considering counterfactual intentions for the sake of interpretation, some may be determinate or insensitive. Normally, however, this will not be the case. "For intentionalism to resolve the matter of whether the regulation prohibiting vehicles prohibits toy cars as well, one of these counterfactuals must be true and the other false. Imagine a possible world in which the oncsideration of the borderline case is added to the authors' mental states. It is likely that connected belief will be affected as well. For example consideration of the aim of the regulation will occur as a consequence of the consideration of whether the regulation applies to the borderline case: Is ensuring peace and quiet in the park overriding, or are there exceptions to accommodate children's games? When there are changes in a constellation of men tal states, we will have to imagine a situation in whichh the legislators' beleifs are very different from what they in fact were. This creates at least a profound epistemological problem, because, as Dworkin puts it: "[it] has the effect of sharply reducing the amount of historical evidence that is relevant to answering the counterfactual." More important, however, in some worlds in which the legislators consider the case of a child's toy car, they will treat the peace and quiet purpose as overriding, whereas in others they will treat the children's play purpose as overriding. This means that different worlds will resolve the truth-value of the counterfactuals differently." "If I am right that counterfactual reasoning is ubiquitous in intentionalism, intentionalism suffers from an extra dimension of vagueness and is therefore at a disadvantage when measured against theories that do not rely on counterfactuals.". (shrink)

Most punishment theories acknowledge neither the full extent of the harms which punishment risks, nor the caring practices which punishment entails. Consequently, I shall argue, punishment in most of its current conceptualizations is inconsistent with treating offenders as equals qua persons. The nature of criminal punishment, and of our interactions with offenders in punishment decision-making and delivery, risks causing harm to offenders. Harm is normalized when central to definitions of punishment, desensitizing us to unintended harms and obscuring caring practices. Offenders (...) may be partially silenced and excluded by mainstream criminal justice practices which limit interaction between offenders and practitioners. When we ignore significant harms, or silence and exclude, we treat others as passive non-subjects. This partially objectifies offenders, and is inconsistent with treatment as equals. Penal theories employing harm-centred and harm-normalizing definitions of punishment can provide few resources to help practitioners either avoid, or recognize and respond to, harms. Care ethics, by contrast, motivates the avoidance of harm, ongoing inclusive engagement, and respectful interaction with others. I argue that defining punishment without presupposing harm facilitates the identification of morally problematic harms, and recognition of caring practices. I offer a principled argument, and political and pragmatic supplementary arguments, for responding to offenders without intentional harm and with care. Principles drawn from care ethics can help to strengthen mainstream criminal practices by structuring decision-making and action. Bottom-up alternative criminal justice practices share some values with these proposed guiding principles, allowing a partial test of the principles. I consider examples of restorative justice practices, therapeutic jurisprudence, community justice and other problem-solving court practices, in addition to considering how well mainstream punishment practices measure up to these principles. My analysis illuminates the strengths and weaknesses of the principles, and how they might contribute to securing treatment as equals for offenders in mainstream practices. (shrink)

I shall attempt in this article to identify the spectrum of major theoretical schools relating to the nature of technological development. These, I shall argue, range from the tech-deterministic on the one end to the socio-deterministic school of thought on the opposite end of the spectrum. The purpose of this article is also to place human subjects into the arena of technology development by way of the hypothesis that interests and elites are involved in the formulation of public IT policy. (...) Such elites, I maintain, are in turn guided by their occupationally-related problem-solution mindsets in addition to their interests. As a consequence, we shall come to perceive a world of limited power and resources where people, if even a select few (an elite), compete to successfully create processes, structures and objects which serve their mutually agreed purposes. I shall conclude the article by presenting a short critique of the existing body of theory on technological development as concerns the suitability of such theories for the concrete and systematic analysis of public technology policy and shall offer a brief description of a systematic approach to the analysis and further development of public information technology policy. (shrink)

In response to concern over the numeracy skills deficit displayed by student nurses, an online computer programme, ?Authentic World??, which aims to simulate a real-life clinical environment and improve the medication dosage calculation skills of users, was developed (Founded in 2004 Authentic World Ltd is a spin out company of Glarmorgan and Cardiff Universities, Cardiff, Wales UK.). Two randomised controlled trials were conducted, each at a UK University, in order to investigate the impact of Authentic World? on student nurses? general (...) numeracy abilities. All first year nursing students who gave consent were randomised equally into an intervention or control group. The intervention group were given access to Authentic World?. The primary outcome measure was the students? scores on a general numeracy test. The Intention to Treat (ITT) analysis in both trials revealed a small negative effect of Authentic World? on general numeracy, which was statistically significant in one trial. However, compliance with the intervention was very low in both trials, with only 24 and 12% of students allocated to the intervention groups spending more than 15 minutes using the programme. Providing nursing students with access to Authentic World? is not an effective use of resources since use of the programme appears to be very low. (shrink)

PurposeDrawing upon the stimulus-organism-response model, this paper aims to investigate the effects of stores’ environmental components on Chinese consumers’ emotions and intentions to purchase luxury brands.Design/Methodology/ApproachData were collected from Chinese consumers who have purchased luxury brands from retail stores. Partial least squares-structural equation modeling and fuzzy-set qualitative comparative analysis were employed for data analysis.FindingsThe results of PLS-SEM indicated that three dimensions of the store environment directly and significantly influenced Chinese consumers’ emotions. However, fsQCA revealed greater heterogeneity among respondents (...) by highlighting stores’ environmental components and Chinese consumers’ emotions.Originality/ValueThis study makes significant contributions to the marketing literature by examining the S-O-R model alongside fsQCA approach to conditionally predict outcomes in a luxury brand context. The present study may be one of the first to examine the effects of stores’ environmental components on Chinese consumers’ emotions and purchase intentions, applying both symmetrical test and asymmetrical test approaches to determine significant components of the store environment as well as component combinations that predict Chinese consumers’ emotions and purchase intentions. (shrink)

Through extensive textual analysis, this book concludes that the prevailing opinion about the nature of modern and contemporary philosophy is wrong. It maintains that almost all modern and contemporary philosophy is deconstructed, secularized, Augustinian theology, not philosophy. The work is divided into eight chapters, a guest Foreword by Herbert I. London notes, bibliography, and an index. Chapter 1 considers Cartesian thought, Hobbes, and Newton. Chapter 2 examines Locke, Berkeley, and Hume. Chapter 3 investigates Lessing and Rousseau. Chapters 4 and (...) 5 treat Kant. Chapters 6 and 7 deal with Hegel. Chapter 8 concludes that a lack of philosophical and historical experience coupled with a widespread inability to read philosophical texts according to the intention of the author causes us to mistake secularized theology for philosophy and is a main cause for the decline of contemporary universities. (shrink)

In this paper, I explore a debate between some Indian Buddhist schools regarding the nature of the underlying tendencies or anusaya-s. I focus here primarily on the ninth chapter of Kathāvatthu’s representation of a dispute about whether an anusaya can be said to have intentional object. I also briefly treat of Vasubandhu’s defense of the Sautrāntika view of anuśaya in the opening section of the fifth chapter his Abhidharmakośabhāṣyam. Following Vasubandhu, I argue against the Thervādin Abhidharmikas that the underlying (...) tendencies (anusaya-s) can be identified with their active manifestations (pariyuṭṭhāna). Etymologically, the notion of anusaya denotes a kind of latency, dormancy or otherwise ‘below the surface’ propensity. It can literally be translated as ‘that which lies or dwells beneath or alongside’. I will translate the term as ‘underlying tendency’, but philosophically speaking, it is most important to understand that the notion of anusaya refers to dispositions that condition current experience in a tacit way. The task of a philosophical account of the anusaya-s is to explain how their implicit conditioning influence shapes occurrent mental activity. The Indian Buddhist philosophers exercised an enormous amount of energy in attempting to explain this relation. A thorough examination of this dialectic has two important fruits to bear. The first is that the Buddhists can help us explain in precise detail how the mind is affectively layered. That is, they have a plausible account of how the mind is both responsive in real time to the objects it encounters in the world, while at the same time being tacitly conditioned by its own history of affective bias. Indeed, as we will see, the Buddhists were deeply concerned with how processes of affective bias were operating at the deepest levels of the mind and how we ought to conceive of their influence on our ordinary processes of perception and cognition. Second, this local position within the Buddhist milieu is indicative of a wider propensity in Buddhist philosophy to blend analyses of affectively-biased intentions and causation. I submit that this blending could be helpful in a more global for contemporary discussions of the mind in philosophy and science. (shrink)

The Sarbanes–Oxley Act of 2002 requires audit committees of public companies’ boards of directors to install an anonymous reporting channel to assist in deterring and detecting accounting fraud and control weaknesses. While it is generally accepted that the availability of such a reporting channel may reduce the reporting cost of the observer of a questionable act, there is concern that the addition of such a channel may decrease the overall effectiveness compared to a system employing only non-anonymous reporting options. The (...) rationale underlying this concern involves the would-be reporter’s likelihood of reporting, the seriousness with which the organization treats an anonymous report, and the organization’s ability to thoroughly follow-up the report. Thus, we explore the extent to which the availability of an anonymous reporting channel influences intended use of non-anonymous reporting channels. Further, in response to Sarbanes–Oxley and the environment of financial scandals that led to its passage, many firms are strengthening their internal audit departments, and providing them with greater independence from upper management’s direct control. Accordingly, our examination tests whether the intended use of the internal audit department as an internal reporting channel is greater when the internal audit department is of “high” versus “low” quality. Finally, the study investigates intended reporting behavior across three different cases (e.g., settings). Results show that the existence of an anonymous channel does reduce the likelihood of reporting to non-anonymous channels, that generally the internal audit department quality does not affect reporting to non-anonymous channels, and that case-setting affects the type of channel to be used. Implications from the study are discussed. (shrink)

In this paper, I focus on analyzing the manifestation and significance of respect. I first illustrate the two meanings of jing 敬 and their connection in Confucian classical texts, which is helpful to understand the Confucian phenomenology of respect. The two meanings are seriousness as a mind-state and respect as an intentional feeling. After clarifying this point, I undertake a phenomenological analysis of respect, in order to show that respect helps one to achieve moral pursuit. This analysis takes (...) the Kantian notion of respect as a starting point but further is accomplished by the phenomenology of value and feeling. The respect for duties and affairs, the respect for personhood and dignity, and the respect for the worthy with merit motivate one to take moral actions. For example, respect contributes in taking one’s duties seriously, appreciating human beings’ spiritual values and good tendencies even when they have not been actualized, supporting the worthy to play a role, and emulating the worthy to make a contribution and serve others. In Subsequently, I clarify how respect helps one to achieve religious pursuit in one form of Christianity, in light of Max Scheler’s discussion on humility and reverence. Through revering God one respects others; through serving God and participating in God’s humble spirit one serves others. I elucidate the Confucian classics’ discussions on religious experience, in order to show how respect helps one to achieve religious pursuit in one form of Confucianism, and how it is similar and different from Max Scheler’s clarification. The concrete relation between respect and li 禮 in the Confucian tradition will be treated in another work. (shrink)

There is a tendency in decision‐making research to treat uncertainty only as a problem to be overcome. But it is also a feature that can be leveraged, particularly in social interaction. Comparing the behavior of profitable and unprofitable poker players, we reveal a strategic use of information processing that keeps decision makers unpredictable. To win at poker, a player must exploit public signals from others. But using public inputs makes it easier for an observer to reconstruct that player's strategy (...) and predict his or her behavior. How should players trade off between exploiting profitable opportunities and remaining unexploitable themselves? Using a recent multivariate approach to information theoretic data analysis and 1.75 million hands of online two‐player No‐Limit Texas Hold'em, we find that the important difference between winning and losing players is not in the amount of information they process, but how they process it. In particular, winning players are better at integrative information processing—creating new information from the interaction between their cards and their opponents’ signals. We argue that integrative information processing does not just produce better decisions, it makes decision‐making harder for others to reverse engineer, as an expert poker player's cards act like the private key in public‐key cryptography. Poker players encrypt their reasoning with the way they process information. The encryption function of integrative information processing makes it possible for players to exploit others while remaining unexploitable. By recognizing the act of information processing as a strategic behavior in its own right, we offer a detailed account of how experts use endemic uncertainty to conceal their intentions in high‐stakes competitive environments, and we highlight new opportunities between cognitive science, information theory, and game theory. (shrink)

Drawing on the general ethics and social psychology literature, this study presents a model to delineate the major factors likely to affect consumers’ intentions to bring their own shopping bags when visiting a supermarket (called “bring your own bags” or “BYOB” intention). The model is empirically validated using a survey of 250 Chinese consumers. Overall, the findings support the hypothesized direct influence of teleological evaluation and habit on BYOB intention, as well as that of deontological evaluation and teleological (...) evaluation on ethical judgment about the BYOB practice. Teleological evaluation exerts a much stronger influence on ethical judgment than does deontological evaluation. In addition, the findings reveal that consumers who perceive the BYOB practice to be more important are more inclined to rely on their ethical judgment to derive their BYOB intention. Academically, these findings provide some encouraging evidence for the application of general ethics theories to explain green consumption-related practices. Practically, the findings also suggest that a utilitarian approach (i.e., emphasizing the consequences of BYOB) may represent an effective means for the Chinese government to promote BYOB practice among consumers. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:IntroductionWhen I first came across Dieter Hattrup's analysis of the De reductione I noted that the professor from Paderborn was trying, step by step, to trace the authorship back to friars influenced by Roger Bacon – a reductio ad Baconem, if you will. Hattrup's argument that Roger Bacon was indirectly involved in the composition of the De reductione evoked the fleeting memory of a pop culture game created (...) by American college students in the 1990s called the "Six Degrees of Kevin Bacon," whereby the characters in any given film must be linked to a film with the Hollywood actor, Kevin Bacon, by comparing no more than six films. To mention the esteemed theologian in such a fleeting cultural context is not meant to trivialize his argument in any way; rather, the intent is to underscore, admittedly tongue in cheek, the intricacies of his argument against Bonaventurian authorship of the De reductione as outlined in the monograph Ekstatik der Geschichte: Die Entwicklung der christologischen Erkenntnistheorie Bonaventuras and the journal article, "Bonaventura zwischen Mystik und Mystifikation: Wer ist der Autor von De reductione?" While Hattrup hesitates to claim Bacon as the author of De reductione, he does develop a systematic study that eventually leads, step by step, association by association, back to Roger Bacon. This essay examines and disputes Hattrup's claim by analyzing the historical context of his argument, the chronology and sources in question, the theme of the fourfold light and scripture, and the relationship between the sciences and theology. The numerous questions raised will underscore the fragility of his argument. Subsequent essays will treat the contemporary theological implications as well as the literary-theological genre and academic occasion of Bonaventure's De reductione.Historical ContextBefore we examine Hattrup's argument against Bonaventure as the author of the De reductione, let us first evoke the historical situation he suggests as the possible origin of the text. In 1267, Bonaventure warns his Minorite confreres of the dangers inherent in the sciences in the Collations on the Ten Commandments, and then, once again in 1268 in the Collations on Gifts of the Holy Spirit. The brothers in Bacon's circle are concerned because they contend that the sciences must be cultivated and consequently compose the De reductione. Their intent is to demonstrate how the sciences are integral to theology, such that even natural philosophy contains the wisdom of God. Hattrup sees this text stemming from Bacon's circle as a conscious attempt to subvert Bonaventure's understanding of the relationship between faith and reason in favor of the sciences by utilizing some of the General Minister's own language as mirrored in the Journey of the Soul into God and Francis of Assisi's experience of God in the natural world. The resulting text of the De reductione, according to Hattrup, is an intentional mystification of Bonaventure's own mystical or ecstatic methodology.Hattrup suggests that the De reductione came to Bonaventure's attention in 1270, but he is preoccupied with affairs in the early 1270s and only returns later to address the dangers he recognizes in the De reductione in another collation series in May of 1273, the Collations on the Six Days, or Hexaëmeron. The General Minister warns of those who entered religious life as friends of the sciences, the "hospites scientiae." They must place limits on their efforts in these fields of inquiry and not promote them as essential to theological reflection, as posited by the De reductione, if they wish to remain faithful to the ascetical-mystical vision of the Minorite Order. Unable to finish the Hexaëmeron due to ecclesial obligations, Bonaventure died unexpectedly in July of 1274 at the Council of Lyon. The text of the De reductione, found among Bonaventure's other writings, was dutifully copied and included among the Seraphic Doctor's literary corpus since at first glance this kurze Denkschrift appears to be from the deceased General Minister.Hattrup readily admits that.. (shrink)

This research examined factors predicting university students' intentions to enroll in a philosophy of life course. One hundred and ninety subjects participated in two surveys. The first was qualitative, identifying factors students considered in forming intentions, but without ranking the factors. The second study used a quantitative model to predict student intentions from their beliefs about the course, themselves, and other people. The model was based on Ajzen's theory of planned behavior, a theory that successfully predicts many different behaviors. (...) class='Hi'>Analysis was done using partial least squares, a robust structural equation modeling technique. The results show that students focused primarily on personal outcomes from the course. They wanted the course to help them understand life and themselves. To a lesser extent, students' perceptions of other people's views affected their intentions, especially the opinions of parents, friends, and religious people. Some students thought all beliefs are subjective, and discussing them would be pointless. Recommendations are given for designing and promoting philosophy of life courses. (shrink)

Roman Catholic moral theology follows a centuries-old tradition of moral reflection. Contemporary Roman Catholic moral theory applies these traditional arguments to the realm of medical ethics, including the issues of active euthanasia and physician-assisted suicide. Unavoidable moral limits on licit medical intervention sometimes require that the moral duty to treat, cede to the duty to cease treatment when measures become more harmful than beneficial to the patient. This does not reduce the need for the compassionate use of palliative care (...) in response to suffering. However, it does mean that rather than being excessively committed to maintaining mere biological human life, or actively seeking death, that we learn a sober realism about the limits of human life. Catholic moral analysis examines an act objectively, both in its relation to the agent and as a material event in the world. This allows both the virtuous or vicious intentions of the agent and the effects of the action to be included in its moral evaluation. Thus, Catholic moral analysis is both quasi-deontological and quasi-consequentialist. Objectively, active euthanasia and physician-assisted suicide, as acts of deliberate killing, are seen as repugnant, in that they fail to incarnate a benign inner intention or to form an agent in virtue. Catholic moral theology is extremely skeptical that an act of intending death directly can be consonant with a sincere compassion for the dying, suffering person and views it as a direct negation of the precious gift of human life. (shrink)

The aim of the present study was to investigate the effects of communicative intention on action. In Experiment 1 participants were requested to reach towards an object, grasp it, and either simply lift it or lift it with the intent to communicate a meaning to a partner . Movement kinematics were recorded using a three-dimensional motion analysis system. The results indicate that kinematics was sensitive to communicative intention. Although the to-be-grasped object remained the same, movements performed for (...) the ‘communicative’ condition were characterized by a kinematic pattern which differed from those obtained for the ‘individual’ condition. These findings were confirmed in a subsequent experiment in which the communicative condition was compared to a control condition, in which the communicative exchange was prevented. Results are discussed in terms of cognitive pragmatics and current knowledge on how social behavior shapes action kinematics. (shrink)

The magical number three has provided the template for this comparative study of Freudian psycho-analysis and Husserlian phenomenology. "Three" should be considered the number of dialectics; the method in the study to let three distinct thematisations succeed each other should find its legitimation in dialectics. The relationship between psycho-analysis and phenomenology as that between two dialectic theories might well call for a dialectic interpretation. It should be difficult from a straightforward and unambiguous interpretation to give full credit to (...) the rich and equivocal meaning of psycho-analysis and phenomenology. I hope to have shown in the presentation above, that it is possible by accentuating different sides of the two scientific disciplines to reach different conclusions regarding their relationship. For a full account of this relationship these different conclusions should be placed together and viewed in their internal coherence as a dialectical unity. Thus none of the three sections of the text should be considered apart from the others. In the first section of the paper, the first thematisation, I tried to spell out the discrepancies between Freud and Husserl as clearly as possible. The point of departure here was the Freudian notion of the "psychical apparatus," and Husserl's doctrine of "intentional consciousness." The models built around these central notions can be shown to have a paradigmatic meaning for the development of Freud's and Husserl's psychological projects. Conceiving the subject as psychical apparatus, Freud thought it possible to make psychology a natural science. The subject could be treated like a mechanical apparatus, that is a machine admitting the general laws of motion. - In contrast, Husserl thought psychology should depart from natural science in its scientific selfunderstanding, and join the humanities instead. Psychology's departure from natural science, Husserl found legitimized in the subject's essential character of intentional consciousness. According to Husserl, man as a conscious being could not be reduced to a thing in the natural world. On the contrary, the aprioric basis for the world should be found in intentional consciousness, which constitutes the "world" as a meaningful coherence related to the subject. Freud's and Husserl's conceptions of psychology were traced to historical roots in respectively positivism, naturalism and mechanical materialism on the one hand, and rationalism, humanism and idealism on the other. In this first interpretation the relationship between psycho-analysis and phenomenology seemed to be antithetical, the two theoretical projects representing opposite poles with regard to cartesian dualism. Although in some ways caricaturing the theories in this one-sided interpretation, I tried to show, that such interpretation is possible with bases in the texts of Freud and Husserl. The decided one-sidedness of the first thematisation should, however, be balanced by the competing interpretation in the second section of the paper. In the second thematisation, I tried to show, that both psycho-analysis and phenomenology in their concrete psychological projects went beyond their points of departure. Although Freud as a scientist of the 19th century naturally found his theoretical language in the successful natural sciences, from which his scientific career started, he decisively broke with this frame of reference in his descriptions of the pathological problems from his clinical praxis. In contrast to the abstract metapsychology of the psychical apparatus, Freud in his clinical psychology departed from mechanism in his attempts to interpret the meaning of the patient's neurotic symptom. The clinical attitude of Freud might resemble phenomenologists' openness towards the meaning of the phenomena, and the case-histories of Freud often read like clinical analyses stemming from existential- phenomenological psychiatrists. - Correspondingly, although Husserl started from the tradition of German philosophy of consciousness, also he can be seen to go beyond the premises of his wellsprings. Starting with a notion of intentionality as consciousness's active positing meaningful objects, Husserl later was led to consider a deeper level of intentionality, a "functioning intentionality," that would situate the subject in a "world" prior to any thematic perceptual act. With the notion of functional intentionality and its further development in Merleau-Ponty's philosophy of the "body-subject," phenomenology seems to have come close to the Freudian doctrine of the unconscious. From this second interpretation it seemed to follow, that a meeting between psycho-analysis and phenomenology should be possible, by cutting off the mechanistic parts from psychoanalysis and the idealistic parts from phenomenology. The hindrance for such meeting should apparently be found in the divergent theoretical prejudices stemming from the ideological climates in which the theories were hatched. None of these two apparently contradictory interpretations, that of the first and second thematisation, should, however, rule out the other. To the question which interpretation is the right one, we should answer "both... and," or perhaps better "Neither... nor." Freud and Husserl in fact held contradictory views in their explicit scientific self-understanding. On the other hand, much of the controversy was caused by theoretical prejudices not essential to the central enterprise of psycho-analysis and phenomenology. And yet, the theoretical work of Freud and Husserl should be considered in its entirety, not omitting parts that do not fit the interpretative context. Freud's mechanistic theories must be read in connection with his clinical/phenomenological psychology, Husserl's doctrine of transcendental consciousness together with his concrete analyses of the world and the body. Freud sticked to his mechanistic metaphors throughout his life, not just because mechanic materialism was his scientific point of departure, but also because he found the models of the psychical apparatus useful to picture the subject-matter of psycho-analysis, the unconscious as it is discovered by the analytic method. Correspondingly, Husserl found in transcendental idealism a metaphysical horizon apparently suited for his main theoretical project, to un-cover by phenomenological reflexion man in his free and conscious being. In this way Freud's materialism and Husserl's idealism might find their limited justification, not in the absolutistic sense set forth in the first section, but in relation to their weighting different aspects of the subject/object dialectic of man. This point of view I tried to explicate in the third section of this paper. In the subject/object dialectic Freud seems to underline man's existence as object, his being ruled by the mechanic, the irrational, the infantile, the unconscious. In contrast, Husserl underlines man's existence as subject, his free and conscious openness towards the world and the future. This difference I characterized with the notions of Ricoeur as respectively an "archeology" and a "teleology" of the subject. And yet the difference between Freud and Husserl is that of a weighting different sides of the subject/object dialectic, not of an exclusive thematisation of man as either subject or object. Freudian archaeology is supplemented by an implicit teleology, Husserlian teleology by an implicit archeology. On the background of such interpretation the relationship between psycho-analysis and phenomenology should be seen neither as the polarity of the first thematisation, nor as the synthesis of the second. Psycho-analysis and phenomenology both contradict and imply each other in a relationship that should be termed dialectical. With this third interpretation the paper ended. At last I noted that the problems raised by the controversy on the subject/object dialectic of man should not easily be solved. Instead, the question "what is man" should have to be answered continuously in a concrete historical reflextion or dialogue. Yet I think it safe to conclude, that any psychological consideration has to take into consideration, both man's archeological and his teleological features, thus not allowing the one perspective completely to rule out the other. (shrink)

A Critical Introduction to Philosophy of Language is a historically oriented introduction to the central themes in philosophy of language. Its narrative arc covers Locke's 'idea' theory, Mill's empiricist account of math and logic, Frege and Russell's development of modern logic and its subsequent deployment in their pioneering program of 'logical analysis', Ayer and Carnap's logical positivism, Quine's critique of logical positivism and elaboration of a naturalist-behaviorist approach to meaning, and later-Wittgenstein's 'ordinary language philosophy'-inspired rejection of the project of (...) logical analysis. Thus, it historically situates the two central programs in early twentieth-century English-speaking philosophy -- logical analysis and logical positivism -- and discusses the central critiques they face later in the century in the works of Quine and the later-Wittgenstein. Unlike other secondary studies in philosophy of language, A Critical Introduction to Philosophy of Language is not just a 'greatest hits album', i.e., a discontinuous compilation in which classics in the field are presented together with their standard criticisms one after the other. Instead, Fennell develops a particular, historical-thematic narrative in which the figures and ideas he treats are introduced in highly intentional ways. And by cross-referencing them throughout his discussions, he highlights the contributions they make to the narrative they comprise. (shrink)

To begin with, I am deeply grateful to Michael Bratman and Michael Smith for their generosity in responding to my book, for the care with which they have read it, and for the challenge of meeting their objections. I am also grateful for their support and encouragement over the years. It is a pleasure to engage with them here.Because their comments raise many related difficulties, this reply will treat them together, beginning with brief consideration of issues in action theory (...) before turning to Reasons and rationalism. It will also be incomplete: there is much more to say about these problems than can be said in this space.Bratman's discussion poses a structural question: how far does my argument about reason and virtue in Part Two of the book depend on the principle of Belief and the cognitive theory of intention from Part One? His answer is: quite a bit. But this is not straightforward. If we reject Belief, our account of acting for reasons becomes more minimal. This would make it more difficult to derive standards of practical reason from the nature of agency, as the rationalist purports to do. If I am right to argue that rationalism and the virtue theory are exhaustive alternatives, it therefore makes the virtue theory of practical reason easier to defend. My Anscombean assumptions are in fact a concession to some of the ideas that motivate rationalists like Korsgaard and Velleman – though not, as we will see, either Bratman or Smith. Denying them makes more trouble for the ethical views that I oppose than it does for mine. 1What does matter to my argument is that when we act intentionally, or for reasons, we need not do so ‘under the guise of the good’, since the doctrine that we must …. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Zen and the Art of Postmodern Philosophy: Two Paths of Liberation from the Representational Mode of ThinkingRobert MagliolaZen and the Art of Postmodern Philosophy: Two Paths of Liberation from the Representational Mode of Thinking. By Carl Olson. New York: State University of New York Press, 2000. 309 pp.Carl Olson's Zen and the Art of Postmodern Philosophy compares two paths of liberation from the representational mode of thinking, namely, (...) Zen Buddhism and postmodern philosophy. Olson is to be commended for encouraging this dialogue, especially since professors of religious studies usually marginalize Gallic postmodern thought. He is also to be appreciated for the enormous effort that must have been required to describe so much material. Olson treats Bataille, Baudrillard, Deleuze, Derrida, Guattari, Foucault, Kristeva, Lacan, Levinas, and Lyotard on the postmodern side; and Dogen, Hakuin, Nishitani, many Chinese Ch'anists, and some Indian Buddhists on the Buddhist side. His method is to arrange the chapters according to topoi such as "Language, Disruption, and Play," "Ways of Thinking," "The Body," and so on, and to treat the pertaining ideas of the individual Buddhist and postmodern authors insofar as applicable.Because Olson's book assembles between two covers the names, selected works, and—at least in a general sense—the "key" ideas of the postmodern movement and their grosso modo similarities/dissimilarities via-à-vis Zen Buddhism, I think it serves an undergraduate readership well enough. The problem is that the book too often performs like a crib sheet in the CliffsNotes manner, reducing so-called "key" ideas to misleading clichés. The book is at its best when it gives an author some length of attention, as it does with Dogen. Rather than reduce my review to a series of sound bites (print bites?) corresponding to Olson's, I shall resort to what hermeneuts call an Auerbachian decoupage, that is, a close analysis of several passages that can be taken as indicative of an author's mode in general. I'll address three interpretations from Olson's book, one of Derrida, one of a Chinese kung-an (koan), and one of Lacan.Within his comparison of Derrida/language/Buddhism, Olson cites (p. 46) a sentence from Derrida's Writing and Difference: "Speech is stolen: since it is stolen [End Page 295] from language it is, thus, stolen from itself, that is, from the thief who has always already lost speech as property and initiative." Olson glosses as follows: "Derrida claims that a speaking subject, representing an irreducible secondary status, is no longer the person who speaks because his/her origin is elusive in an already established field of speech." Because of glosses like this, Derrida is all too often subjected to the ridicule of nonspecialists, who exclaim, "Derrida denies that a person can use speech instrumentally? Aren't his lectures the instruments of his own ideas?" Actually in the section Olson quotes, Derrida is appropriating Lacanian thought and mutating it for Derridean purposes. For Derrida, all life is stretched out in time and diced-out in space in such a way that phenomenological self-identity is an illusion. Physical writing is the best metaphor for this, in that written words (even Chinese ideograms) cannot, in the scientific sense, be perceived in one absolute moment: it "takes time" and it "takes space" to recognize a word, that is, "build" a word-meaning. Derrida calls life a "text" or "writing" because life is like writing: life on the phenomenological level appears holistic (much as a word-meaning appears self-identical, i.e., arising all at once), but life is actually a time/space "drift."1In the sentence Olson quotes, what Derrida means has the following gist: Speech (spoken words) is stolen from language in that it belongs to language as writing and is really writing; and insofar as it is really writing, it is stolen from itself; speech has "always already" been lost to language in that the instrumentality of speech is always undercut by language's nature as writing. Speech is always undercut by an inevitable drift that subverts intentionality and foils our attempts to make speech our absolute "property." This does not mean most of the intention... (shrink)

Teleology has a complicated history in the biological sciences. Some have argued that Darwin’s theory has allowed biology to purge itself of teleological explanations. Others have been content to retain teleology and to treat it as metaphorical, or have sought to replace it with less problematic notions like teleonomy. And still others have tried to naturalize it in a way that distances it from the vitalism of the nineteenth century, focusing on the role that function plays in teleological explanation. (...) No consensus has seemed possible in this debate. This paper takes a different approach. It argues that teleology is a perfectly acceptable scientific notion, but that the debate took an unfortunate misstep some 2300 years ago, one that has confused things ever since. The misstep comes in the beginning of Aristotle’s Physics when a distinction is made between two types of teleological explanation. One type pertains to artifacts while the other pertains to entities in nature. For Aristotle, artifacts are guided by something external to themselves, human intentions, while natural entities are guided by an internal nature. We aim to show that there is, in fact, only one type of legitimate teleological explanation, what Aristotle would have considered a variant of an artifact model, where entities are guided by external fields. We begin with an analysis of the differences between the two types of explanation. We then examine some evidence in Aristotle’s biological works suggesting that on account of his natural-artifactual distinction, he encountered difficulties in trying to provide teleological accounts of spontaneous generation. And we show that it is possible to resolve these difficulties with a more robust version of an artifact model of teleology, in other words, with an externalist teleology. This is McShea’s model, in which goal-directed entities are guided by a nested series of upper-level fields. To explain teleological behavior, this account invokes only external physical forces rather than mysterious internal natures. We then consider how field theory differs from other efforts to naturalize teleology in biology. And finally, we show how the account enables us to grapple with certain difficult cases – genes and intentions – where, even in biology today, the temptation to posit internal natures remains strong. (shrink)

Intentionality — the orientation of mental states to objects (things, properties, states of things, events) — has been considered a hallmark of the psyche since Brentano’s time. In this article, we consider the problem of intentionality from the second-person approach, or the standpoint of intersubjectivity. Our analysis shows that intentionality is intrinsically projective. The projective nature of intentionality is related to internal objects that play a crucial role in fixing the person’s subjective experience and serve as a fulcrum in (...) the development of the person. The internal object can be treated as a set of properties and tropes. The logic of intentionality proposed by Graham Priest and the theory of primary (that is, belonging to the Freudian system «unconscious») psychological attitudes developed by Linda Brakel created the preconditions for seman- tical analysis of projective intentionality. In the article, we rely on the logic of projective intentionality that reorients the resources of modal logics and semantics of possible worlds to the investigation and formalization of primary thinking. Considering the problem of mental existence within the framework of the second-person approach, we show that Wittgenstein’s reasoning about the «beetle in a box» does not refute the thesis of the privacy of mental meanings. Finally, involving the possible world semantics, we develop a neo-Aristotelian approach to the ontology of mental objects. (shrink)

Werkmeister's new book, The Basis and Structure of Knowledge is the second major attempt in recent years to defend the idealistic theory of knowledge. The first was Blanshard's Nature of Thought; and it is worth noticing that both authors, in undertaking the defense of a position long in the shadows, are well aware of contemporary developments in logic and technical philosophy. Werkmeister freely acknowledges his debt to Blanshard; yet his work differs in scope from the latter's in at least two (...) ways. Firstly, the more recent book is concerned largely with the epistemological analysis of meaning and truth and hardly at all with what an older generation called "philosophical psychology," while philosophical psychology fills all of the first and part of the second volume of Blanshard's work. In my opinion, this is all to the good. (That our generation inverts the error and too often indulges in psychological philosophy is another story!) Secondly, Werkmeister presents us with detailed analyses of scientific method, of the structure of scientific theories, and of mathematics, all three areas to which Blanshard pays virtually no attention. The First Part of Werkmeister's book treats of Language and Meaning; the Second of Truth and the World About Us, the Third of Formal Knowledge, and the Fourth Part deals with Empirical Knowledge. But there is a fundamental thesis that runs through all of this. The analysis of each of these four domains reveals, according to Werkmeister, that only a coherence theory of meaning and truth can adequately reflect the criteria actually used by science and commonsense. It is not my intention to rehearse here the familiar dialectic of the arguments for and against this doctrine; the less so, since Werkmeister himself gives a useful review of both sides of the controversy. Rather, I want to try to fix as precisely as possible, within the context of Werkmeister's discussion, the nature of the difference between coherence theories on the one hand and correspondence theories on the other. This difference has not always been too clearly stated; it even seems that recent developments in linguistic analysis have been the occasion for some new confusions on this very point. For coherence theorists who have recognized that philosophical semantics is a "formal" discipline now insist that "to say what a symbol means is not to relate it to an object, but to give it an interpretation in terms of other symbols," as Ayer2 has recently put it. This seems to contradict the "comparison with fact" feature of the traditional realistic formulations of the correspondence view. A superficial bystander could even believe that the correspondence theorists have given up their original position, since both sides now agree that truth is a matter of a relation between symbols. Such agreement, as I hope to show, is more apparent than real, for what is now at stake is the nature of that "intrasymbolic relation." And on this nature the two parties disagree. There is little doubt that Werkmeister's book appears at a moment more propitious for the advocacy of the coherence theory of truth than did Blanshard's. In the near decade that separates the two works the intellectual climate has become, for better or for worse, considerably more favorable to a reconsideration of, and possibly even a reconciliation with, some of the major tenets of rationalism. This is reflected in the current discussion regarding the contrary-to-fact conditional, the dissatisfaction with material implication, and the correlative concern for a more adequate analysis of the concept of a natural law. It is evident too in the revived enthusiasm for intensional logic and in the related interest in the modalities. As uncompromising an empiricist as C. L. Lewis, with whom, by the way, Werkmeister shares a common Kantian background, has introduced into his latest work a "congruence" theory of truth which, despite the substitution of a so-called "probability" inference for necessary inference, looks very much like the coherance criterion all over again. So Werkmeister's book should be welcome for its clear presentation of the relevant issues; and even those who disagree with him can admire the candor and forthrightness with which he champions what remains, despite vacillations, an essentially unpopular position. (shrink)

St. Thomas Aquinas treats penance as both a sacrament and a virtue. In either form, penance’s principal human act is contrition—a willed sorrow for one’s sins and an intention to avoid future sins. A look at Aquinas’s understanding of penitential contrition reveals a complex interplay of the different objects of love, the gift of fear, and finally friendship with God. This article offers an analysis of Aquinas’s accounts of penance and contrition with respect to these key elements. I (...) argue that contrition performs a fundamental role in countering, restoring, and safeguarding a proper ordering of love and attainment of the ultimate good of union with God. In short, contrition is the act that directly counters the interior disorder wrought by sin and provides an ongoing counter to the threat of additional disorder. Sin’s disorder is the aversion to God and conversion to self, while contrition involves the aversion to self and a conversion to God. (shrink)

Silence has gained a prominent role in the field of psychotherapy because of its potential to facilitate a plethora of therapeutically beneficial processes within patients’ inner dynamics. This study examined the phenomenon from a conversation analytical perspective in order to investigate how silence emerges as an interactional accomplishment and how it attains interactional meaning by the speakers’ adjacent turns. We restricted our attention to one particular sequential context in which a patient’s turn comes to a point of possible completion and (...) receives a continuer by the therapist upon which a substantial silence follows. The data collection consisted of 74 instances of such post-continuer silences. The analysis revealed that silence can retroactively become part of a topic closure sequence, can become shaped as an intra-topic silence, and can be explicitly characterized as an activity in itself that is relevant for the therapy in process. Only in this last case, the absence of talk is actually treated as disruptive to the ongoing talk. Although silence is often seen as a therapeutic instrument that can be implemented intentionally and purposefully, our analysis demonstrated how it is co-constructed by speakers and indexically obtains meaning by adjacent turns of talk. In the ensuing turns, silence indeed shows to facilitate access to the patient’s subjective experience at unconscious levels. (shrink)

The financial crisis of 2007–2008 and the COVID-19 pandemic have caused many enterprises to suffer great losses. Thus, companies have to take measures such as pays cut, furloughs, or layoffs, which caused dissatisfaction among employees and triggered labor disputes. Therefore, this study explores the service-oriented organizational citizenship behavior based on the decomposed theory of planned behavior in order to understand the behavioral intentions of employees through their mental states, job attitudes, subjective norms, and perceived behavioral control. This study conducted questionnaire (...) surveys for employees in different industries, collected 281 valid questionnaires, and applied Structural Equation Model for the analysis. The results show: employees believe organizational justice in the organization is important, and when they feel treated fairly, their job attitudes and beliefs are enhanced. Employees’ job attitudes and beliefs support service-oriented organizational citizenship behavior, in other words, they have positive job attitudes and beliefs and will actively provide better service to customers. When employees are treated reasonably and fairly by the organization and have positive job attitudes and perceived behavior control, their spontaneous service-oriented organizational citizenship behavior is stimulated, thus increasing organizational development. (shrink)

In this paper, I analyse Martha Nussbaum?s view of how we should treat non-human animals, which she links to her capabilities approach. This approach offers a conception of justice or, as Nussbaum puts it, a collection of fundamental rights that specify some of the necessary elements for a just society. In addition to justice for human beings, this approach includes animal rights. The basis for the discussion consists of two elements that justify the claim that every animal deserves to (...) live a life that is characteristic of a member of its species. The first element is dignity, and the second is sympathetic imagination. The intention of Nussbaum?s approach is to represent an improvement on the social contract tradition, by offering a more encompassing theory of justice. In her view, the capabilities approach, contrary to the theories of social contract, has principled resources that allow it to include, among else, non-human-animals in the domain of justice. However, the contribution of my paper consists in showing the problems I observe in Nussbaum?s theory. These problems are related to the insufficient definition of basic concepts and to the fact that in Nussbaum?s theory, non-human animals remain, across various situations, only a means of serving human needs. The consequence is that non-human animals are not included in the domain of justice which, after all, is Nussbaum?s fundamental ambition. (shrink)

BackgroundNormally, physicians understand they have a duty to treat patients, and they perform accordingly consistent with codes of medical practice, standards of care, and inner moral motivation. In the case of COVID-19 pandemic in a developing country such as Bangladesh, however, the fact is that some physicians decline either to report for duty or to treat patients presenting with COVID-19 symptoms. At issue ethically is whether such medical practitioners are to be automatically disciplined for dereliction of duty and (...) gross negligence; or, on the contrary, such physicians may legitimately claim a professional right of autonomous judgment, on the basis of which professional right they may justifiably decline to treat patients.MethodsThis ethical issue is examined with a view to providing some guidance and recommendations, insofar as the conditions of medical practice in an under-resourced country such as Bangladesh are vastly different from medical practice in an industrialized nation such as the USA. The concept of moral dilemma as discussed by philosopher Michael Shaw Perry and philosopher Immanuel Kant’s views on moral appeal to “emergency” are considered pertinent to sorting through the moral conundrum of medical care during pandemic.ResultsOur analysis allows for conditional physician discretion in the decision to treat COVID-19 patients, i.e., in the absence of personal protective equipment (PPE) combined with claim of duty to family. Physicians are nonetheless expected to provide a minimum of initial clinical assessment and stabilization of a patient before initiating transfer of a patient to a “designated” COVID-19 hospital. The latter is to be done in coordination with the national center control room that can assure admission of a patient to a referral hospital prior to ambulance transport.ConclusionsThe presence of a moral dilemma (i.e., conflict of obligations) in the pandemic situation of clinical care requires institutional authorities to exercise tolerance of individual physician moral decision about the duty to care. Hospital or government authority should respond to such decisions without introducing immediate sanction, such as suspension from all clinical duties or termination of licensure, and instead arrange for alternative clinical duties consistent with routine medical care. (shrink)

IntroductionDeep brain stimulation (DBS) is utilized to treat pediatric refractory dystonia and its use in pediatric patients is expected to grow. One important question concerns the impact of hope and unrealistic optimism on decision-making, especially in “last resort” intervention scenarios such as DBS for refractory conditions.ObjectiveThis study examined stakeholder experiences and perspectives on hope and unrealistic optimism in the context of decision-making about DBS for childhood dystonia and provides insights for clinicians seeking to implement effective communication strategies.Materials and MethodsSemi-structured (...) interviews with clinicians (n = 29) and caregivers (n = 44) were conducted, transcribed, and coded.ResultsUsing thematic content analysis, four major themes from clinician interviews and five major themes from caregiver interviews related to hopes and expectations were identified. Clinicians expressed concerns about caregiver false hopes (86%, 25/29) and desperation (68.9%, 20/29) in light of DBS being a last resort. As a result, 68.9% of clinicians (20/29) expressed that they intentionally tried to lower caregiver expectations about DBS outcomes. Clinicians also expressed concern that, on the flip side, unrealistic pessimism drives away some patients who might otherwise benefit from DBS (34.5%, 10/29). Caregivers viewed DBS as the last option that they had to try (61.3%, 27/44), and 73% of caregivers (32/44) viewed themselves as having high hopes but reasonable expectations. Fewer than half (43%, 19/44) expressed that they struggled setting outcome expectations due to the uncertainty of DBS, and 50% of post-DBS caregivers (14/28) expressed some negative feelings post treatment due to unmet expectations. 43% of caregivers (19/44) had experiences with clinicians who tried to set low expectations about the potential benefits of DBS.ConclusionThoughtful clinician-stakeholder discussion is needed to ensure realistic outcome expectations. (shrink)

Background: Psychological abuse of older people is difficult to recognise; specifically, nursing home residents have been documented to be at higher risk of psychological abuse during daily care, such as during feeding. Healthcare professionals adopt positive and negative verbal prompts to maintain residents’ eating independence; however, negative prompts’ purposes and implications have never been discussed to date. Research aims: To critically analyse negative verbal prompts given during mealtimes as forms of abuse of older individuals and violation of ethical principles. Research (...) design: This is a secondary analysis of three cases of negative prompts that emerged in a large descriptive study based upon focus group methodology and involving 13 nursing homes and 54 healthcare professionals. Participants and research context: This study included 3 out of 13 nursing homes caring for residents with moderate/severe functional dependence in self-feeding mainly due to dementia; in these nursing homes, we conducted three focus groups and 13 healthcare professionals participated. Ethical considerations: This study was conducted in accordance with the Human Subject Research Ethics Committee guidelines after being approved by the Review Board of the Trust. Findings: With the intent of maintaining self-feeding independence, negative verbal prompts have been reported as being used by nursing home teams. By critically analysing these negative prompts, it turned out they could trigger intimidation, depression and anxiety and thus could be considered as forms of abuse; moreover, negative prompts can threaten the ethical principles of (1) autonomy using a paternalist approach, (2) beneficence and non-maleficence as with the intent to act in the best interests of residents (to maintain self-feeding independence) they are harmed in their dignity and (3) justice, given that residents who received negative prompts are treated differently from those who received positive prompts. Discussion: Eating should be a pleasant experience with a positive impact on physiological, psychological and social well-being. However, negative prompting can lead to abuse and violation of basic ethical principles, destroying the healthcare professional resident and relative relationships strongly dependent on trust. Conclusion: Negative verbal prompting must be avoided. (shrink)

Excerpt from The Fields and Methods of Sociology His volume is intended to serve as a textbook for advanced T courses in sociology in which the purpose is to survey the various divisions of sociology as this science has developed in the United States in particular, and in all other countries where the subject is taught or studied. It emphasizes especially the sources of materials for investigation, the methods of research, and the processes of generalization in the various fields of (...) sociological science. Present day sociologists are more interested in research than in classification. It is recognized, however, that intelligent research cannot be undertaken to the best advantage without an adequate understanding of the various divisions into which the general science of sociology falls. Consequently, the first part of the volume is devoted to an analysis of the fields and problems of sociology and the second part to sources and methods. While the volume is organized in textbook form, it is expected that it will appeal very largely to the general reader who is searching for a well organized and clear presentation of the subject of sociology in all its aspects. It is believed that the present volume offers the most complete and thoroughgoing analysis and synthesis of sociological content and methodology now available. I wish to emphasize especially the inductive approach of the present treatise. Every chapter is the result of a careful study of the data it treats. Speculative and a priori approaches have been avoided. Consequently each field of sociology has been analyzed realistically as to subject matter, sources and methods and the results are set forth as clearly and as simply and directly as pos sible. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works. (shrink)

The purpose is to identify common and distinctive features of concepts and methodology of the problem of subject within different discourses, implicitly or explicitly relevant to the definition of "clinical" mode of human existence. The research methodology combines techniques of discourse analysis and basic principles of historical and philosophical studies. Scientific novelty of the research lies in definition of the clinical philosophical discourse as a special communicative process, where utterances not only focus on disease syndromes, and reveal phenomenology of (...) inner experience of a pathological self, but also structure a certain type of sociality. Clinical discourse represents the space where the patient is treated not as a subject but as an object of disease. Ontology of clinical discourse prevails over ontology of disease, since its structures determine the notion of disease as such. Categorization of the disease, the idea of disease as a phenomenon subdued to professional authority leads to the idea of the need for patient's isolation from the natural environment and removing him to special social institutions. A great while authenticity of the individual had been determined through the testimony of others and manifestation of one's connection to others; then authenticity begun to establish trough the discourse, which individual was able or obliged to deliver about himself/herself. The clinicist doctrines share the intention to reduce the patient's self to its bodily dimension, while ignoring social determinants of psychological deviations. Conclusions of the study are summarized in the following positions: the current clinical discourse is based on the positivist-biological trend in humanitarian knowledge and it is the basis for the production and reproduction of medical and pharmaceutical repressive ideology; philosophical clinical discourse opens the possibility of overcoming the dominance of purely clinicist discourse; such a transformation is possible only after a paradigm shift in understanding the category of subject. (shrink)

This study examined the mediating role of core Executive Functions (EF: working memory and inhibitory control) and moderating role of Perceived Academic Intent to Entrepreneurship (PAIE) in relationship between Dark Personality Traits (SDT) and Entrepreneurial Intentions (EI) of university students. A sample of 539 university students enrolled in various undergraduate and postgraduate programs completed the Short Dark Triad-3 (SD3), Adult Executive Functioning Inventory (ADEXI), and measures for assessing Entrepreneurial Intent and Perceived Academic Intent to Entrepreneurship. The results showed that of (...) SDT, only Machiavellianism was significantly associated with EI. Both of the core executive functions and PAIE were also positively correlated with EI. Moreover, findings showed that EF positively mediated the relationship between Machiavellian disposition and entrepreneurial intention, while perceived academic intent to entrepreneurship moderated the relationship between executive functions and EI. A significant moderated mediation index was also reported. Findings offer useful insight to the interplay among above mentioned variables and guide educational and organizational psychologists to employ core cognitive strategies for promoting entrepreneurial thoughts and channelizing the productive energies of students with malevolent tendencies through academic coaching. (shrink)

The very rules of our language games contain mechanisms of disregard. Philosophy of language tends to treat speakers as peers with equal discursive authority, but this is rare in real, lived speech situations. This paper explores the mechanisms of discursive inclusion and exclusion governing our speech practices, with a special focus on the role of gender attribution in undermining women’s authority as speakers. Taking seriously the metaphor of language games, we must ask who gets in the game and whose (...) moves can score. To do this, I develop an eclectic analysis of language games using basic inferential role theory and the concept of a semantic index, and develop the distinction between positional authority and expertise authority, which often conflict for members of oppressed groups. Introducing the concepts of master switches and sub-switches that attach to the index and change scorekeeping practices, I argue that women’s gender status conflicts with our status as authoritative speakers because sex marking in semantics functions as a master switch—“the F-switch”—on the semantic index, which, once thrown, changes the very game. An advantage of using inferentialism for understanding disregard of women’s discursive authority is that it locates the problem in the sanctioned moves, in the deontic structure of norms and practices of scorekeeping, and not primarily in the individual intentions of particular people. (shrink)

Sorabji has written a comprehensive and scholarly volume on the concepts of Time, Creation, and the Continuum and their development from antiquity up until the early middle ages. The major portion of the book, however, focuses on the ancient period from the pre-Socratics through the Neoplatonic period. Sorabji does, however, trace the influence of Hellenistic thought on early medieval theory especially that of the Islamic tradition. Before going into some of the specific areas that are covered it is worth noting (...) that this work is a contribution not only to philosophy but to mathematics, physics, and other disciplines interested in the topic of time. A word of caution. This is a formidable book to digest, not because of any deficiency on the part of the author but because of the subject matter which demands at least an elementary grasp of physics. For those who are willing to apply themselves diligently to the task of accompanying Sorabji in his scrupulous analysis of the texts and trenchant criticism the venture will be rewarded. The scope of Sorabji's project is so extensive that one would anticipate that the material might be treated superficially. This is not the case. He is so conscientious in mining the original texts as well as secondary sources that we cannot but be impressed by his commitment to scholarship and thoroughness. An example of the author's credentials as a scholar is the fact that he includes in the book no less than 476 bibliographical entries categorized under very specific headings. An instance of this is that under the general rubric of Time there are listings under the categories of Time and determinism, Is time real?, Time, change and flow, and Timelessness and changelessness. The chapters are replete with footnotes and cross referencing. To further facilitate the reader there is an extensive index that exhausts every conceivable person and subject discussed in the corpus. This is a decided advantage since the book is of such quality that it deserves to serve as a permanent source book especially for those interested in the concept of time as it develops in the ancient period. What does Sorabji offer in the way of content? In Part I on "The Reality of Time" the question is raised, "Is Time Real?" Subsequently, Chapter 2 offers the solutions from Diodorus to August. Chapter 3 is titled "Iamblichus' Solution: Static and Flowing Time," Chapter 4, "Aristotle on Static and Flowing Time," and Chapter 5, "Solutions by the Last Athenian Neoplatonists." Part II is concerned with "Eternity," Part III, "Time and Creation," Part IV, "Creation and Cause," Part V, "Atoms, Time-Atoms and the Continuum," a total of 26 chapters. While the main intent of Sorabji is to critically examine the texts and give his own exegesis supported by other commentators of note he is not remiss in giving recognition to those of opposing views, such as Norman Kretzmann, A. C. Lloyd, and Myles Burnyeat. If one could trigger in on one or more positive contributions of the book it is the consideration rendered to some less well known or at least less treated philosophers of the ancient period such as Diodorus Cronus, Iamblichus and Damascius, to cite only a few. One of the most stimulating chapters is the one on eternity in which Sorabji raises the question, "Is eternity timeless?" The answer would seem to have recourse to analytic analysis of the concept of eternity that implies opposition to time. But the fact is there are a plethora of interpretations of the concept that do not espouse the timelessness of eternity and Sorabji investigates them all with a commitment to give air to both negative and positive responses to the question although he asserts at the beginning what his own response is. Whatever effort is spent in mining the contents of this book will be remunerated by an in-depth, scholarly, and provocative analysis of some of the theories of time that have come down to us from the Hellenistic period and have since been revived and subjected to scrutiny even in the last decade with the emergence of the quantum theory that proposes an atomic structure of the universe.--Kathleen R. Madden, De Paul University, Chicago. (shrink)

Purpose: According to literature, students' attitudes towards peers with disabilities are crucial for the social inclusion of students with disabilities.Therefore, knowledge about students' behavioral intention to interact with peers with intellectual disability can help improve the social inclusion of students with ID. This study aimed to examine the psychometric properties of the Arabic version of the Behavioral Intention to Interact with Peers with Intellectual Disability Scale.Data were collected from 887 elementary school students (591 female and 296 male) from (...) third to sixth grades in Saudi Arabia.Psychometric properties of the BIS were examined with a confirmatory factor analysis, measurement invariance analysis (across gender), and reliability scales (internal consistency).The results supported the two-dimensional structure of the BIS. The internal consistency of the BIS and each of its subscales was good.Furthermore, no measurement variance was found for male and female students.The Arabic version of the scale showed good psychometric properties and therefore can be recommended to measure students' behavioral intention to interact with peers with intellectual disability. (shrink)

This study aims to unravel the determinants of social entrepreneurial intention (SEI). Using a moderated mediation approach, we examine the direct and indirect effects of prior experience with social problems, proactive personality, and social self-efficacy on SEI via social entrepreneurial passion for founding (SEP) as a mediator. This study is based on data collected from a survey using questionnaires completed by 283 Saudis. To analyze data and test the developed hypotheses, we used exploratory and confirmatory factor analyses followed by (...) structural equation modeling to test the direct and indirect effects of the main variables on SEI. Our findings reveal positive relationships between prior experience with social problems and proactive personality and SEP with SEI. Surprisingly, no significant relationship was found between social self-efficacy and SEI; its effect was indirect through SEP. Finally, gender moderated the relationship between SEP and SEI. Academic contributions and practical implications are then proposed. (shrink)

Growing data on the socioeconomic determinants of health pose a challenge to analysis and application of fairness in health. In Just health: meeting health needs fairly, Norman Daniels argues for a change in the population end of our thinking about just health. What about clinical care? Given our knowledge of the importance of wealth, education or social status to health, is fairness in medicine served better by continuing to avoid considering our patients’ social status in setting clinical priorities, or (...) by attempting to equalise existing health inequalities by giving priority to the socioeconomically disadvantaged at the point of care? In this article, I argue that doctors should not attempt the latter. Granted, giving priority to low status would go some way towards compensating unjust health inequalities and the impression of being left aside in other social spaces. It would represent reverse discrimination, but could still be justified inasmuch as disadvantaged groups could be identifiable, and as long as the intent was compensation rather than retribution. However, under current circumstances such priority would risk being attributed arbitrarily, would represent a form of medical proselytising, risk leaving the worst-off with less by alienating the powerful, and require teaching doctors to act in strongly counter-cultural ways—possibly at great cost. Crucially, however, we protect both equal health and equal regard by treating all alike: priority to low status would promote the first somewhat, but at the expense of sacrificing the second. (shrink)