Ayahuasca is a psychoactive beverage that is mostly used in ritualized settings (Santo Daime rituals, neo-shamanic rituals, and even do-it-yourself-rituals). It is a common practice in the investigated socio-cultural field to call these settings “healing rituals.” For this study, 15 people who underwent ayahuasca (self-)therapy for a particular disease like chronic pain, cancer, asthma, depression, alcohol abuse, or Hepatitis C were interviewed twice about their subjective concepts and beliefs on ayahuasca and healing. Qualitative data analysis revealed a variety of motivational (...) patterns, subjective effects, and user types. Most participants were convinced that ayahuasca had influenced their illness positively or improved their coping with their illness. More importantly, it had enhanced their well being in general. As a result, we concluded that the effects of ayahuasca should not be reduced to a pharmacological model. The substance should be conceptualized as a psychological catalyst that unfolds within different fields of sociocultural ideas. (shrink)

The ‘perfection account’ of atonement is discussed,under which Christ, on the cross,completed the perfection of human nature,establishing the full perfection of loving filial obedience, offering to the Father a perfected humanity, where these features were fundamental to the atonement. A basic perfection account is first set out. Two additional elements of the perfection account are then discussed: first, that Christ established a perfect victory over evil in our humanity; second, that on the cross Christ put to death the pull to (...) the self-life in our humanity. Reparation is then discussed. Finally,some critical questions are addressed. (shrink)

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

A proof is offered that aims to show that there can be no knowledge of God, excluding knowledge based on natural theology, without divine self-testimony. Both special and general revelation, if they occur, would be forms of divine self-testimony. It is argued that this indicates that the best way to model such knowledge of God is on the basis of an analogy with knowledge gained through testimony, rather than perceptual models of knowledge, such as the prominent model defended by Plantinga. (...) Appropriate causal chains and reliable cognitive processes only seem at best to ensure that a belief proposed for acceptance is the belief the testifier wants accepted; they do not ensure that it is rational to accept the belief. This particularly applies where there is much at stake, where it seems rational to seek some form of evidence, if available. Some brief comments are made on Trinitarian self-testimony. Another model of the ‘inner witness’ is briefly sketched out, based on the analogy with conscience. This model may capture some of the features of Plantinga’s approach, but leaves room for a free rejection of divine self-testimony, in a way that the perceptual analogy does not. A point connected to Plantinga’s aims is then made about the link between evidence, value and divine self-testimony, in relation to religious experience. Finally, it is suggested that the earlier proof may apply in a particular sense to all knowledge of God, including that based on natural theology. (shrink)

The deconstructing angel: nursing, reflection and evidence‐based practice This paper explores Jacques Derrida's strategy of deconstruction as a way of understanding and critiquing nursing theory and practice. Deconstruction has its origins in philosophy, but I argue that it is useful and relevant as a way of challenging the dominant paradigm of any discipline, including nursing. Because deconstruction is notoriously difficult to define, I offer a number of examples of deconstruction in action. In particular, I focus on three critiques of reflective (...) practice by the meta‐narrative of evidence‐based practice (EBP) and attempt to show how those critiques can be directed back at EBP itself. I conclude with the observation that EBP is open to many of the criticisms that it directs at other discourses, including problems of a lack of empirical evidence, of distortions due to memory, and of falsification of the ‘facts’. (shrink)

Ascriptions of mental states to oneself and others give rise to many interesting logical and semantic problems. Attitude Problems presents an original account of mental state ascriptions that are made using intensional transitive verbs such as 'want', 'seek', 'imagine', and 'worship'. Forbes offers a theory of how such verbs work that draws on ideas from natural language semantics, philosophy of language, and aesthetics.

In this book, Sarah Rolfe Prodan examines the spiritual poetry of Michelangelo in light of three contexts: the Catholic Reformation movement, Renaissance Augustinianism, and the tradition of Italian religious devotion. Prodan combines a literary, historical, and biographical approach to analyze the mystical constructs and conceits in Michelangelo's poems, thereby deepening our understanding of the artist's spiritual life in the context of Catholic Reform in the mid-sixteenth century. Prodan also demonstrates how Michelangelo's poetry is part of an Augustinian tradition that (...) emphasizes mystical and moral evolution of the self. Examining such elements of early modern devotion as prayer, lauda singing, and the contemplation of religious images, Prodan provides a unique perspective on the subtleties of Michelangelo's approach to life and to art. Throughout, Prodan argues that Michelangelo's art can be more deeply understood when considered together with his poetry, which points to a spirituality that deeply informed all of his production. (shrink)

This paper is about a substitution-failure in attitude ascriptions, but not the one you think. A standard view about the semantic shape of ‘that’-clause attitude ascriptions is that they are fundamentally relational. The attitude verb expresses a binary relation whose extension, if not empty, is a collection of pairs each of which consists in an individual and a proposition, while the ‘that’-clause is a term for a proposition. One interesting problem this view faces is that, within the scope of many (...) attitude verbs, ‘that’-clauses are not interchange able with certain other terms which stand for the same propositions as the clauses are supposed to. For example, (1a) below may be true, but (1c) is probably not: (1) a. Holmes {fears/suspects} that Moriarty has returned. b. That Moriarty has returned is the proposition that Moriarty has re turned. c. Holmes {fears/suspects} the proposition that Moriarty has returned. For only the exceptionally timorous fear propositions, and, excluding contexts in which we speak of a ‘suspect premise’, only the unusually paranoid suspect them. The truth-conditional change eVected by substituting propositional descrip tion for ‘that’- clause illustrated in (1) occurs with a wide range of attitude verbs. If you understand that the window of opportunity is closing, perhaps you should act before it is too late, but if you mere-. (shrink)

Divine revelation is a topical subject, given the many claims to revelation in the modern world. This article looks at recent discussion within the analytic tradition of philosophy which particularly relates to how to evaluate claims about divine revelation. The subjects covered are: defining divine revelation; direct cognition of God; evidence‐based approaches; divine testimony; conversion and faith; competing claims about divine revelation. Brief comments are then made on some related areas.

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

This book develops and empirically tests a social theory of political participation. It overturns prior understandings of why some people vote more often than others. The book shows that the standard demographic variables are not proxies for variation in the individual costs and benefits of participation, but for systematic variation in the patterns of social ties between potential voters. Potential voters who move in larger social circles, particularly those including politicians and other mobilizing actors, have more access to the flurry (...) of electoral activity prodding citizens to vote and increasing political discussion. Treating voting as a socially defined practice instead of as an individual choice over personal payoffs, a social theory of participation is derived from a mathematical model with behavioral foundations that is empirically calibrated and tested using multiple methods and data sources. (shrink)

Background There has been little attention paid to research on the outcomes of clinical ethics support or critical reflection on what constitutes a good CES outcome. Understanding how CES users perceive the importance of CES outcomes can contribute to a better understanding, use of and normative reflection on CES outcomes. Objective To describe the perceptions of Dutch healthcare professionals on important outcomes of moral case deliberation, prior to MCD participation, and to compare results between respondents. Methods This mixed-methods study used (...) both the Euro-MCD instrument and semi-structured interviews. Healthcare professionals who were about to implement MCD were recruited from nursing homes, hospitals, psychiatry and mentally disabled care institutions. Results 331 healthcare professionals completed the Euro-MCD instrument, 13 healthcare professionals were interviewed. The outcomes perceived as most important were ‘more open communication’, ‘better mutual understanding’, ‘concrete actions’, ‘see the situation from different perspectives’, ‘consensus on how to manage the situation’ and ‘find more courses of action’. Interviewees also perceived improving quality of care, professionalism and the organization as important. Women, nurses, managers and professionals in mentally disabled care rated outcomes more highly than other respondents. Conclusions Dutch healthcare professionals perceived the MCD outcomes related to collaboration as most important. The empirical findings can contribute to shared ownership of MCD and a more specific use of MCD in different contexts. They can inform international comparative research on different CES types and contribute to normative discussions concerning CES outcomes. Future studies should reflect upon important MCD outcomes after having experienced MCD. (shrink)

The Growing-Block view of time has some problems with the past. It is committed to the existence of the past, but needs to say something about the difference between the past and present. I argue that we should resist Correia and Rosenkranz’ response to Braddon-Mitchell’s argument that the Growing-Block leads to scepticism about whether we are present. I consider an approach, similar to Peter Forrest, and show it is not so counter-intuitive as Braddon-Mitchell suggests and further show that it requires (...) no ‘semantic and metaphysical gymnastics’, as Chris Heathwood has suggested. In doing these things I make the problem of the past on the Growing-Block view a problem in its history, not its present. (shrink)

Filling the need for an accessible, carefully structured introductory text in symbolic logic, Modern Logic has many features designed to improve students' comprehension of the subject, including a proof system that is the same as the award-winning computer program MacLogic, and a special appendix that shows how to use MacLogic as a teaching aid. There are graded exercises at the end of each chapter--more than 900 in all--with selected answers at the end of the book. Unlike competing texts, Modern Logic (...) gives equal weight to semantics and proof theory and explains their relationship, and develops in detail techniques for symbolizing natural language in first-order logic. After a general introduction featuring the notion of logical form, the book offers sections on classical sentential logic, monadic predicate logic, and full first-order logic with identity. A concluding section deals with extensions of and alternatives to classical logic, including modal logic, intuitionistic logic, and fuzzy logic. For students of philosophy, mathematics, computer science, or linguistics, Modern Logic provides a thorough understanding of basic concepts and a sound basis for more advanced work. (shrink)

Existing research shows consistently high levels of concern among people in the UK over the scale of immigration and its impact on jobs, wages and services. At the same time, that same body of research does not provide much in the way of detail about the nature of these concerns. This is partly because much of the data is from opinion polls which say little about the priorities and perspectives that underlie the aggregate numbers. Moreover, very little research has been (...) carried out on what new immigration policies the British public would like to see once the UK leaves the EU and free movement ends. Our research for this report aims to fill these gaps by providing evidence about how people use and understand information about economic impacts of immigration, and what they might wish to see from new, post-Brexit, policies. (shrink)

In a recent article in Analysis, Graeme Hunter and William Seager (1981) attempt to rescue counterpart theory (CT) from some objections of Hazen 1979. They see these objections as arising from ‘uncritical use of the translation scheme originally proposed by Lewis’, and intend to meet them by refraining from use of that scheme. But they do not offer a new scheme; they say ‘…it is no more necessary to have one to capture the sense of modal idiom than it is (...) to capture the sense of quantificational idiom…Appeal to truth value is the single most important criterion of correct translation’ (Hunter and Seager 1981:72). Thus, where the scheme of Lewis (1968) translates a truth by a falsehood or conversely, Hunter and Seager simply produce a sentence which they claim to be a better translation, without articulating any structural principles they employ to arrive at their candidate. A friend of CT should not be happy with this procedure. Let Lm be first-order modal language and Lc be the language of counterpart theory. Sentences of Lc are intended to interpret or elucidate the meanings of Lm-sentences in the strong sense that they should be the outputs of an adequate theory of meaning, which we can formulate as a model theory, for Lm, written in Lc plus set theory. The interest of CT resides in its potential to provide an alternative approach to the model theory of modal logic, and from the clauses of any such alternative model theory we should be able to read off a translation scheme for Lm into Lc, just as we can in the standard case. If CT’s motivation is sound, which Hunter and Seager do not dispute, yet there is no translation scheme and so no counterpart-theoretic model theory, one might suspect some defect in the original language Lm. And in fact, Hunter and Seager find certain Lm-sentences multiply ambiguous with respect to Lc; but if a counterpart-theoretic model theory is possible, to say.. (shrink)

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

This book deals with a topic that has been largely neglected by philosophers of science to date: the ability to refer and analyze in tandem. On the basis of a set of philosophical case studies involving both problems in number theory and issues concerning time and cosmology from the era of Galileo, Newton and Leibniz up through the present day, the author argues that scientific knowledge is a combination of accurate reference and analytical interpretation. In order to think well, we (...) must be able to refer successfully, so that we can show publicly and clearly what we are talking about. And we must be able to analyze well, that is, to discover productive and explanatory conditions of intelligibility for the things we are thinking about. The book’s central claim is that the kinds of representations that make successful reference possible and those that make successful analysis possible are not the same, so that significant scientific and mathematical work typically proceeds by means of a heterogeneous discourse that juxtaposes and often superimposes a variety of kinds of representation, including formal and natural languages as well as more iconic modes. It demonstrates the virtues and necessity of heterogeneity in historically central reasoning, thus filling an important gap in the literature and fostering a new, timely discussion on the epistemology of science and mathematics. (shrink)

This is a study of Hume's political thought based on a survey of all his writings in their original and revised versions, with very full reference to the works of predecessors and contemporaries, including journalists, pamphleteers and historians. Hume's political thinking is presented in its historical context as a modem, 'philosophical', empirically based system of politics for a new post-revolutionary age, and a political education for parochial, backward-looking party men.

European Journal of Philosophy, EarlyView.

Growing-Block theorists hold that past and present things are real, while future things do not yet exist. This generates a puzzle: how can Growing-Block theorists explain the fact that some sentences about the future appear to be true? Briggs and Forbes develop a modal ersatzist framework, on which the concrete actual world is associated with a branching-time structure of ersatz possible worlds. They then show how this branching structure might be used to determine the truth values of future contingents. (...) They point out three different ways of interpreting the logical connectives, which give rise to three different logics of the open future: one supervaluationist, one corresponding to Lukasiewicz's strong Kleene logic, and one intuitionist. (shrink)

Background: Moral case deliberation is a form of clinical ethics support to help healthcare professionals in dealing with ethically difficult situations. There is a lack of evidence about what outcomes healthcare professionals experience in daily practice after moral case deliberations. The Euro-MCD Instrument was developed to measure outcomes, based on the literature, a Delphi panel, and content validity testing. To examine relevance of items and adequateness of domains, a field study is needed. Aim: To describe experienced outcomes after participating in (...) a series of moral case deliberations, both during sessions and in daily practice, and to explore correlations between items to further validate the Euro-MCD Instrument. Methods: In Sweden, the Netherlands, and Norway, healthcare institutions that planned a series of moral case deliberations were invited. Closed responses were quantitatively analyzed. The factor structure of the instrument was tested using exploratory factor analyses. Ethical considerations: The study was approved in Sweden by a review board. In Norway and the Netherlands, data services and review boards were informed about the study. Results: The Euro-MCD Instrument was completed by 443 and 247 healthcare professionals after four and eight moral case deliberations, respectively. They experienced especially outcomes related to a better collaboration with co-workers and outcomes about individual moral reflexivity and attitude, both during sessions and in daily practice. Outcomes were experienced to a higher extent during sessions than in daily practice. The factor structure revealed four domains of outcomes, which did not confirm the six Euro-MCD domains. Conclusion: Field-testing the Euro-MCD Instrument showed the most frequently experienced outcomes and which outcomes correlated with each other. When revising the instrument, domains should be reconsidered, combined with theory about underlying concepts. In the future, a feasible and valid instrument will be presented to get insight into how moral case deliberation supports and improves healthcare. (shrink)

This paper is about two puzzles, or two versions of a single puzzle, which deserve to be called paradoxes, and develops some apparatus in terms of which the apparently conflicting principles which generate the puzzles can be rendered consistent. However, the apparatus itself is somewhat controversial: the puzzles are modal ones, and the resolution to be advocated requires the adoption of a counterpart theoretic semantics of essentially the kind proposed by David Lewis, which in turn requires qualified rejection of certain (...) modal theses about identity which are valid in S5. (shrink)

Kant (Grounding for the Metaphysics of Morals. Hackett, Indianapolis, 1797) described honesty as ‘a sacred command of reason’ which should be obeyed at all times and at any cost. This study inquires into the practice of dishonesty, deception, and deceit by universities in the UK in the pursuit of quality indicators such as league table positions, Research Excellence Framework (REF) scores, and student satisfaction survey results. Deception occurs when the metrics which inform these tables and surveys are manipulated to suggest (...) an improvement in quality when, in fact, the raised scores are merely the result of clever strategic planning. Deceit occurs when these manipulated scores are deliberately and knowingly presented as real improvements in research and educational quality. It might be argued that, within the context of the artificial ivory tower world of academe, this is a game played by almost every academic in every higher education institution with no real losers and little wider consequence. However, this study suggests that some of the strategies employed by institutions to improve their scores without directly addressing the issue of quality can, in certain practice‐based disciplines such as nursing, result in dire consequences for practitioners and service users. It concludes with a number of suggestions taken from personal experience to resolve the tension between the contractual demands placed on nurse academics by their employers and the moral and practical obligations of their professional body, most notably the use of subversion. The conclusion, contra Kant, is that the most effective strategy against dishonesty and deception is often more dishonesty and deception. (shrink)

A verb is transitive iff it usually occurs with a direct object, and in such occurrences it is said to occur transitively . Thus ‘ate’ occurs transitively in ‘I ate the meat and left the vegetables’, but not in ‘I ate then left’ (perhaps it is not the same verb ‘left’ in these two examples, but it seems to be the same ‘ate’). A verb is intensional if the verb phrase (VP) it forms with its complement is anomalous in at (...) least one of three ways: (i) interchanging expressions in the complement referring to the same entity can change the truth-value of the sentence embedding the VP; (ii) the VP admits of a special “unspecific” reading if it contains a quantifier, or a certain type of quantifier; and (iii) the normal existential commitments of names and existential quantifiers in the complement are suspended even when the embedding sentence is negation-free. (shrink)

In this article I argue that if conscience, working properly, involves some form of ‘moral tug’, then this is incompatible with the state of ‘quiescence’ put forward as a central element of Eleonore Stump’s account of repentance. Quiescence is also a key notion for Stump’s theodicy in Wandering in the Darkness and Stump’s thesis in her book, Atonement. Quiescence is about an inactive, or neutral, or stationary, state of the will prior to turning to the good, or God, through receiving (...) God’s saving grace. But if God exerts a non–coercive pressure on people through their conscience to turn to him, and turn from evil, then this drawing towards the good, or tugging away from evil, can only be yielded to, or resisted. There is no neutral state. I give examples of language such as being ‘bound’ to obey one’s conscience, which seem to reflect such non–coercive pressure. I conclude by commenting on free will. (shrink)