BackgroundFear of cancer recurrence is an important cause of suffering for cancer survivors, and both empirical evidence and theoretical models suggest that prognostic uncertainty plays a causal role in its development. However, the relationship between prognostic uncertainty and FCR is incompletely understood.ObjectiveTo explore the relationship between prognostic uncertainty and FCR among patients with ovarian cancer.DesignA qualitative study was conducted utilizing individual in-depth interviews with a convenience sample of patients with epithelial ovarian cancer who had completed first-line treatment with surgery and/or (...) chemotherapy. Semi-structured interviews explored participants’ understanding of their prognosis; experiences, preferences, and attitudes regarding prognostic information; and strategies for coping with prognostic uncertainty. Inductive qualitative analysis and line-by-line software-assisted coding of interview transcripts was conducted to identify key themes and generate theoretical insights on the relationship between prognostic uncertainty and FCR.ResultsThe study sample consisted of 21 participants, nearly all of whom reported experiencing significant FCR, which they traced to an awareness of the possibility of a bad outcome. Some participants valued and pursued prognostic information as a means of coping with this awareness, suggesting that prognostic uncertainty causes FCR. However, most participants acknowledged fundamental limits to both the certainty and value of prognostic information, and engaged in various strategies aimed not at reducing but constructing and maintaining prognostic uncertainty as a means of sustaining hope in the possibility of a good outcome. Participants’ comments suggested that prognostic uncertainty, fear, and hope are connected by complex, bi-directional causal pathways mediated by processes that allow patients to cope with, construct, and maintain their uncertainty. A provisional dual-process theoretical model was developed to capture these pathways.ConclusionAmong patients with OC, prognostic uncertainty is both a cause and an effect of FCR—a fear-inducing stimulus and a hope-sustaining response constructed and maintained through various strategies. More work is needed to elucidate the relationships between prognostic uncertainty, fear, and hope, to validate and refine our theoretical model, and to develop interventions to help patients with OC and other serious illnesses to achieve an optimal balance between these states. (shrink)

One of the explicit objectives of Darwin's Descent of Man, and Selection in Relation to Sex was to explain cultural differences seen in human beings. Such an explanation, Darwin believed, was to rest upon an understanding of sexual selection. I examine the role that the beautiful plays within the mechanism of sexual selection as it works to differentiate isolated groups. It is suggested that an examination of the relationship between sexual selection and artificial selection — a relationship mediated by the (...) beautiful — will illuminate key issues of the Descent as well as contemporary debates regarding the relationship between evolution and ethics. The beautiful, originally rooted in sexual selection, can become de-coupled from sexual selection and utilized in some selective process which is conscious. (shrink)

From many Aboriginal elders, such as Tjangika Napaltjani, Bob Williams and Djiniyini Gondarra, to painters, such as Arthur Boyd, Pro Hart and John Forrester-Clack, from historians, such as Manning Clark, and poets, such as Maureen Watson, Francis Webb and Henry Lawson, to celebrated novelists, such as Joseph Furphy, Patrick White and Tim Winton, the figure of Jesus has occupied an endearing and idiosyncratic place in the Australian imagination. It is evidence enough that 'Australians have been anticlerical and antichurch, but rarely (...) antiJesus'. But which Jesus? In what follows, I seek to listen to what some Australians make of Jesus, and to consider some theological implications of their contributions for the enduring quest for an Australian Jesus. (shrink)

This article explores the possibility of moving beyond the apparent incapacity of Karl Barth's theological anthropology to accommodate gender equality. Barth's theological anthropology is read by critics and appreciative readers alike as confining the basic form of humanity to a binary opposition from which he then derives a gender‐specific, hierarchical account of man and woman, and finally, of husband and wife as a paradigmatic ethical relationship. I first forward a close reading of Barth's account of I and Thou in order (...) to explicate the nature of the normative form that is basic to his account of human being‐in‐relation. I apply this reading as a lens through which to re‐read and re‐orient his account of Man and Woman/Husband and Wife. I argue that the inequalities that appear intrinsic to Barth's formal ordering of Man and Woman/Husband and Wife owing to the absence of a standard concept of “equal regard” might be re‐oriented, and limitations of his account surpassed, by grasping with greater precision and enunciating the orientational implications of Barth's christologically‐anchored conception of freedom as the “root and crown” of human being‐in‐relation generally, and gendered relationship in particular. (shrink)

In the last 10 years, several authors including Griffiths and Matthen have employed classificatory principles from biology to argue for a radical revision in the way that we individuate psychological traits. Arguing that the fundamental basis for classification of traits in biology is that of ‘homology’ (similarity due to common descent) rather than ‘analogy’, or ‘shared function’, and that psychological traits are a special case of biological traits, they maintain that psychological categories should be individuated primarily by relations of homology (...) rather than in terms of shared function. This poses a direct challenge to the dominant philosophical view of how to define psychological categories, viz., ‘functionalism’. Although the implications of this position extend to all psychological traits, the debate has centered around ‘emotion’ as an example of a psychological category ripe for reinterpretation within this new framework of classification. I address arguments by Griffiths that emotions should be divided into at least two distinct classes, basic emotions and higher cognitive emotions, and that these two classes require radically different theories to explain them. Griffiths argues that while basic emotions in humans are homologous to the corresponding states in other animals, higher cognitive emotions are dependent on mental capacities unique to humans, and are therefore not homologous to basic emotions. Using the example of shame, I argue that (a) many emotions that are commonly classified as being higher cognitive emotions actually correspond to certain basic emotions, and that (b) the “higher cognitive forms” of these emotions are best seen as being homologous to their basic forms. (shrink)

This article investigates the relationship between love, law, and human nature in the thought of McCabe and Aquinas. The article puts McCabe and Aquinas into conversation in order to illuminateMcCabe's estimation of the natural law as an “insufficient ethic” and a feature of ethics that sheds a “great deal of light” on the matter of human morality. The article seeks to articulate the integrity of natural morality as a feature of the Divine Wisdom that ultimately perfects natural morality via the (...) incarnation of the Son. (shrink)

“Parting is such sweet sorrow.” Taste metaphors provide a rich vocabulary for describing emotional experience, potentially serving as an adaptive mechanism for conveying abstract emotional concepts using concrete verbal references to our shared experience. We theorized that the popularity of these expressions results from the close association with hedonic valence shared by these two domains of experience. To explore the possibility that this affective quality underlies the semantic similarity of these domains, we used a behavioral “odd-one-out” task in an online (...) sample of 1059 participants in order to examine the semantic similarity of concepts related to emotion, taste, and color, another rich source of sensory metaphors. We found that the semantic similarity of emotion and taste concepts was greater than that of emotion and color concepts. Importantly, the similarity of taste and emotion concepts was strongly related to their similarity in hedonic valence, a relationship which was also significantly greater than that present between color and emotion. These results suggest that the common core of valence between taste and emotion concepts allows us to bridge the conceptual divide between our shared sensory environment and our internal emotional experience. (shrink)

A certain objection to belief in God is based on the intrinsic incoherence of the concept of Divine Being or God. In particular, it questions the major traditional characteristic, notably omniscience, and its relation to omnipotence, moral unassailability, and absence of embodiment on the part of the Divine Being. In this paper, an attempt is made to counter this objection by an appeal, not to natural theology, but rather to physicalism in its application to human beings, and by extension to (...) the possible consistency of God’s omniscience with the other divine attributes, which philosophers such as Michael Martin have found to be mutually inconsistent and therefore wanting. (shrink)

In this article, we introduce the notion of weakly measurable cardinal, a new large cardinal concept obtained by weakening the familiar concept of a measurable cardinal. Specifically, a cardinal κ is weakly measurable if for any collection equation image containing at most κ+ many subsets of κ, there exists a nonprincipal κ-complete filter on κ measuring all sets in equation image. Every measurable cardinal is weakly measurable, but a weakly measurable cardinal need not be measurable. Moreover, while the GCH cannot (...) fail first at a measurable cardinal, I will show that it can fail first at a weakly measurable cardinal. More generally, if κ is measurable, then we can make its weak measurability indestructible by the forcing Add for any η while forcing the GCH to hold below κ. Nevertheless, I shall prove that weakly measurable cardinals and measurable cardinals are equiconsistent. © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim. (shrink)

Scientists, their allies, and opponents engage in struggles not just over what is true, but who may validate, access, and engage contentious knowledge. Viewed through the metaphor of theater, science is always performed for an audience, and that audience is constructed strategically and with consequence. Insights from theater studies, the public understanding of science, and literature on boundary work and framing contribute to a proposal for a framework to explore the construction of audiences during scientific controversy, consisting of three parameters: (...) history, composition, and role. Applying this framework to the controversy over the presence of genetically modified maize in Mexico demonstrates how multiple and contested audiences form during a scientific controversy. Different scientific ?productions? construct distinct or overlapping audiences; audiences constructed at one time become ?easy recruits? for later stages of the controversy; and the various roles cast for different audiences showcase strategies for building scientific power and reflect assumptions about the capacity for publics to participate in the governance and production of science. (shrink)

Contemporary art can be a powerful pedagogical tool in the health humanities. Students in an undergraduate course in the health humanities explore the subjective experience of illness and develop their empathy by studying three artists in the context of the AIDS epidemic: Keith Haring, Felix Gonzalez-Torres, and Wolfgang Tillmans. Using assignments based in narrative pedagogy, students expand their empathic response to pain and suffering. The role of visual art in health humanities pedagogy is discussed.

This report provides an overview of training individuals in public health law. This report is designed to broadly outline the issues in order to facilitate discussion at the November 2007 PHLA meeting in Washington, D.C. I found that attorneys and public health practitioners have different approaches to training and practice. Materials and programs that seek to train individuals must be designed to fit within the professional culture of the targeted group. The differences between the two professional cultures can be a (...) barrier to training if not acknowledged in the design of training programs and materials.In a selected overview of materials and programs available, I found that there is an unmet need for responsive materials and programs. I also found that networking and conference opportunities can play an important role in training that should be explored. I also discuss joint degree programs. The report concludes with a series of future recommendations to facilitate discussion. (shrink)

This essay aims to morally evaluate psychotherapy as it is currently practiced through the lens of sales/exchange ethics. The main focus of the essay is on psychotherapists’ claims to special expertise at diagnosing and treating mental illness. I review the research evidence relevant to these claims and conclude that these claims are not supported by the available evidence. Psychotherapists do not appear to be any better than actuarial tests at diagnosing mental illnesses, and meta-analyses of psychotherapy outcome studies casts serious (...) doubt on the existence of treatment expertise. Given that the expertise that psychotherapists claim to have is lacking, those seeking psychotherapy are not adequately informed about the quality of the product that they are seeking. Using Holley’s principles of sales ethics as a springboard, I argue that this situation is morally unacceptable; thus the current practice of psychotherapy is morally impermissible. I provide and evaluate some suggestions for rectifying this problem. The most important of these is Dawes’s suggestion that psychotherapists be licensed according to their use of experimentally confirmed diagnostic and treatment methods. (shrink)

In this work, I argue for the overall explanatory superiority of philosophical naturalism to a theistic worldview. Pursuant to that, this piece develops and defends a functionalist theory of explanation, which is then used in addressing several particular topics in the philosophy of religion: the law-governed nature of the world, the intelligibility of the world, alleged "fine-tuning", reports of religious experiences and the occurrence of evils. In each case, I argue that a naturalistic explanation is as good or superior to (...) a theistic worldview in helping us to understand such phenomena. Some original parts of the work include developing out a naturalistic explanation of religious experiences grounded in normal human perceptual and cognitive fallacies, an explanatory critique of several traditional theodicies, and a rebuttal of contemporary fine-tuning arguments on the basis of their reliance on unestablished assumptions that add no explanatory improvement. (shrink)

Ecological validity is key in science and laboratory experiments alone cannot fully explain complex real-world phenomena. Yet the three flaws Cesario proposes do not characterize the field and are not “methodological trickery,” designed to intentionally mislead practitioners. In school discipline alone, these alleged flaws are indeed addressed and laboratory experimentation has contributed to mitigation of a real-world problem.

This essay explores the possibility that religiously motivated intolerance and conflict can be reframed and positively utilized for constructive social-political purposes. After reviewing efforts by political philosophers over the past two decades to accommodate religious voices in political discourse, I scrutinize Charles Taylor’s attempt to improve upon the limits of “accommodationist” approaches to religious intolerance and conflict. I argue that both accommodationist and Taylor’s recognition-based approaches to religiously motivated conflict take the gravity of such conflict with insufficient seriousness. I then (...) explore the potential goods of intentional conflict by examining Chantal Mouffe’s account of agonistic pluralism as a proposal for thinking beyond tolerance as an orienting value for resolving intransigent conflict. While I argue that Mouffe’s account finally suffers from certain of the same misgivings as the accommodationist and recognition-based approaches, I conclude that agonistic pluralism’s aim to conceptually reframe (rather than eliminate) intolerance and conflict moves in an important and promising direction. (shrink)

This paper argues that several communitarian critiques of Rawls' original position miss the mark by attacking a straw man of Rawls' view of the self under political liberalism.

In this paper, I speculate on imitation’s role in language development and, more significantly, on its connection to sexual selection. My analysis is grounded in an interpretation of Darwin’s Descent of Man . In addition to observing imitation’s role in language development according to the argument of the Descent , I explore the ability of human beings that allows for the imitation of both the beautiful and the terrible or repulsive. I suggest that humans, in their appreciation of the beautiful (...) and formidable characters produced by a process of sexual selection, can appropriate these things in order to adorn themselves, thus imitating other non-human animals. This capacity points to a form of polymorphism manifest in human beings that is grounded in a psychological fluidity. Human beings, like birds, also have the power to use song in order to charm and challenge. Song and music provide the means by which imitation as seen in language development and sexual selection are intertwined, thus providing the important connection between the two main foci of my paper. (shrink)

This book provides a detailed analysis of Aristotle's Parts of Animals. It takes its bearings from the detailed natural history observations that inform, and in many ways penetrate, the philosophical argument. This analysis raises the question of how easy it is to clearly disentangle what some might describe as the "merely" biological from the philosophical. This book explores the notion and consequences of describing the activity in which Aristotle is engaged as philosophical biology. Do readers of Aristotle have in mind (...) organisms like sea squirts (ascidians) or sea cucumbers (holuthurians) when trying to understand Aristotle's argument regarding plant-like animals? Do we need the phenomena in front of us to understand the terms of the philosophical argument in a richer way? The discussion of plant-like animals is important to Aristotle because of the apparent continuum between plant and animal life. Where does Aristotle draw the line? Plant-like animals bring this question into focus and demonstrate the indeterminacy of any potential solution to the division. This analysis of the Parts of Animals shows that the study of the nature of the organic world was Aristotle's way into such ontological problems as the relationship between matter and form, the interplay between form and function, and the heterogeneity of the many different kinds of being. (shrink)

Strohminger (2014) criticizes McGinn for his lack of attention to recent scientific findings, and for ignoring common sense. This commentary deepens both of these criticisms via an exploration of McGinn’s account of the evolution of disgust.

An exploration of the connections between law, science, and truth, this paper argues that ‘truth’ is an evolving, rather than fixed, concept. It is a human creation, and the processes, or standards, by which it has been evaluated have changed over time. Currently knowledge production is anchored in the natural sciences but reproduced and validated by philosophical rationalisation. There are two problems with this technique of knowledge verification (or ‘veridiction’). First, the natural sciences are not, in fact, practiced according to (...) their ideal forms; and second, the Queen of Sciences, physics, underwent two fundamental paradigm shifts in the early nineteenth century. General relativity and quantum theory entered the scene, sending ripples throughout science, and the social sciences. These changes too have been slowly absorbed by philosophy, giving rise in part to the postmodernist and deconstructivist movements. I chart this gradual evolution of truth and knowledge production in physics and in law and analyse the resistance it has faced from both classical law and classical physics. Finally I argue that this resistance could be overcome, if legal theory, and especially legal positivism, would embrace a more accurate and up-to-date understanding of the science it purports to examine and emulate. (shrink)

Childhood obesity is in important respects a result of legal policies that influence both dietary intake and physical activity. The law must shift focus away from individual risk factors alone and seek instead to promote situational and environmental influences that create an atmosphere conducive to health. To attain this goal, advocates should embrace a population-wide model of public health, and policymakers must critically examine the fashionable rhetoric of consumer choice.

Amidst the return of military personnel from post-9/11 conflicts, a construct describing the readjustment challenges of some has received increasing attention: moral injury. This term has been variably defined with mental health professionals more recently conceiving of it as a transgression of moral beliefs and expectations that are witnessed, perpetrated, or allowed by the individual. To the extent that morality is a system of conceptualizing right and wrong, individuals’ moral systems are in large measure developmentally and socially derived and interpreted. (...) Thus, in seeking to provide care and aid in reintegration for combat veterans, it is necessary to consider communities that have contributed to an individual’s formation and that might have participated in the interpretation of his/her suffering. This can take many forms, but given that morality is often complexly intertwined with issues of religion, faith, and spirituality for many individuals, and recognizing that much of the current focus on moral injury is emanating out of healthcare contexts, we devote particular attention to how chaplains might be more intentionally engaged in healthcare systems such as the Veterans Health Administration to provide non-judgmental, person-centered, culturally-relevant care rooted in communities of practice to veterans with moral injury. (shrink)

US citizens perceive their society to be one of the most diverse and religiously tolerant in the world today. Yet seemingly intractable religious intolerance and moral conflict abound throughout contemporary US public life - from abortion law battles, same-sex marriage, post-9/11 Islamophobia, public school curriculum controversies, to moral and religious dimensions of the Black Lives Matter and Occupy Wall Street movements, and Tea Party populism. Healthy Conflict in Contemporary American Society develops an approach to democratic discourse and coalition-building across deep (...) moral and religious divisions. Drawing on conflict transformation in peace studies, recent American pragmatist thought, and models of agonistic democracy, Jason Springs argues that, in circumstances riven with conflict between strong religious identities and deep moral and political commitments, productive engagement may depend on thinking creatively about how to constructively utilize conflict and intolerance. The result is an approach oriented by the recognition of conflict as a constituent and life-giving feature of social and political relationships. (shrink)

This article makes a case for the capacity of "social practice" accounts of agency and freedom to criticize, resist, and transform systemic forms of power and domination from within the context of religious and political practices and institutions. I first examine criticisms that Michel Foucault's analysis of systemic power results in normative aimlessness, and then I contrast that account with the description of agency and innovative practice that pragmatist philosopher Robert Brandom identifies as "expressive freedom." I argue that Brandom can (...) provide a normative trajectory for Foucault's diagnoses of power and domination, helping to resolve its apparent lack of ethical direction. I demonstrate that Foucault, in turn, presents Brandom with insights that might overcome the charges of abstraction and conservatism that his pragmatic inferentialism frequently encounters. The result is a vindication of social practice as an analytical lens for social criticism that is at once both immanent and radical. (shrink)

Amid the debates over the meaning and usefulness of the word “culture” during the 1980s and 90s, practice theory emerged as a framework for analysis and criticism in cultural anthropology. While theorists have gradually begun to explore practice-oriented frameworks as promising vistas in cultural anthropology and the study of religion, these remain relatively recent developments that stand to be historically explicated and conceptually refined. This article assesses several ways that practice theory has been articulated by some of its chief expositors (...) and critics, and places these developments in conversation with comparable accounts of “social practices” by recent pragmatist philosophers. My aim in generating such a conversation is to illuminate the ways that Ludwig Wittgenstein’s later work provides important resources for cultural analysis that are already implicit in practice theory, yet either frequently overlooked or dismissed by practice theorists. To demonstrate its relevance for cultural theorists in the study of religion, I show how such a Wittgensteinian understanding of practice theory coheres with, and illuminates, Clifford Geertz’s account of meaning, thick description and religious practices. (shrink)