Background Nonanonymized direct contact between organ recipients and donor families is a topic of international interest in the adult context. However, there is limited discussion about whether direct contact should be extended to pediatric settings due to clinician and researcher concerns of the potential harms to pediatric patients.Methods We interviewed pediatric organ recipients, their families, and donorfamilies in British Columbia, Canada, to determine their views on direct contact. Interviews were conducted in two stages, with those who were further removed from (...) the transplant process informing the approach to interviews with those who more recently went throughthe transplant process.Results Twenty-nine individuals participated in twenty in-depth interviews. The study included participants from three major organ systems: kidney, heart, and liver. Only five participants expressed that direct contact might cause harm or discomfort, while twenty-three indicated they saw significant potential for benefits. Nearly half focused on the harms to others rather than themselves, and nearly two-thirds focused on the benefits for others rather than themselves.Conclusion There appears to be a community desire for direct contact in pediatric organ transplant programs among those living in British Columbia, Canada. These results suggest a need to revisit the medical community’s assumptions around protection and paternalism in our practice as clinicians and researchers. (shrink)

Human communication can be either monosemiotic or polysemiotic, depending on whether it combines ensembles of representations from one or more semiotic systems such as language, gesture and depiction. Each semiotic system has its unique storytelling potentials, which makes intersemiotic translation from one system to another challenging. We investigated the influence of the source semiotic system, realised in speech and a sequence of pictures, respectively, on the way the same story was retold using speech and co-speech gestures. The story was the (...) content of the picture book Frog, Where Are You?. A group of Finnish speakers saw the story in pictures, and another group heard it in matched oral narration. Each participant retold the story to an addressee and all narrations were video-recorded and analysed for both speech and gestures. Given the high degree of iconicity in depiction, we expected more iconic gestures (especially enactments) in the narratives translated from pictures than in those translated from speech. Conversely, we expected greater narrative coherence in the narratives translated from speech. The results showed that more iconic gestures were produced in the narratives translated from speech, but these were primarily not from the enactment subtype. As expected, iconic enactments were more frequent in the narratives translated from the story presented in pictures. The narratives produced by participants who had only heard the story did not have a greater variety of connective devices, yet the type of devices differed slightly between the groups. Together with some additional differences between the groups that had not been anticipated, the results indicate that a story presented in different semiotic systems tends to be translated into different polysemiotic narratives. (shrink)

Recent scholarship has focused on the provocative suggestion that there is a deep unity linking the philosophical projects of Iris Murdoch, Elizabeth Anscombe, Philippa Foot, and Mary Midgley. In addition to providing scholars with the opportunity to consider what these four shared, the unanimity story also offers an occasion to reflect on what is distinctive about each. Whereas Anscombe, Foot, and Midgley each turn to broadly Aristotelian resources for developing an alternative to the dominant non‐cognitivism of their day, Murdoch turns (...) to Platonic ones. The nature of Murdoch's Platonism, however, is not always well understood and has been identified as a “recurring question.” This paper aims to contribute to the ongoing attempt to understand Murdoch's distinctive, Platonic alternative to the ethical non‐cognitivism of her day. I contend that Murdoch's philosophical method, especially its transcendental elements, is an unexplored resource for better understanding the character of her Platonism as a modest one. (shrink)

Scholars who have attempted to explain Iris Murdoch’s moral realism have done so in widely divergent ways, some characterizing her as a classical moral realist, others as a pragmatic moral realist, and still others as a “reflexive realist.”See, e.g., respectively, Fergus Kerr, “Back to Plato with Iris Murdoch,” in Immortal Longings: Versions of Transcending Humanity (London: Society for Promoting Christian Knowledge, 1997), 68–88; Sami Pihlstrom, Pragmatic Moral Realism: A Transcendental Defence (Amsterdam: Rodopi, 2005); and Maria Antonaccio, Picturing the Human: The (...) Moral Thought of Iris Murdoch (Oxford: Oxford University Press, 2000). For the purpose of this article, I follow Maria Antonaccio’s characterization of these realisms. See pages 3–4. None of these attempts, however, capture adequately Murdoch’s distinctive position. In an effort to improve upon these accounts, this article argues that a proper characterization of Murdoch’s view must regard her as developing a version of m. (shrink)

It is widely thought that God must love each and every human to the same depth and degree. This proposition plays a prominent role in influential versionsof the problem of evil, and in theistic attempts to answer the problem of evil. A common reason cited in support of the idea of God’s loving equally every human is that a perfect being would possess every great-making property and loving equally every human would be a great-making property. It is the argument of (...) this essay, however, that a perfect being cannot in principle equally love every human. This argument is erected upon an unnoticed principle of perfect being theology: for all properties F, if F is a deficiency when had by a human, then F cannot be great-making when had by God. (shrink)

I defend a Husserlian account of self-consciousness against representationalist accounts: higher-order representationalism and self-representationalism. Of these, self-representationalism is the harder to refute since, unlike higher-order representationalism, it does not incur a regress of self-conscious acts. However, it incurs a regress of intentional contents. I consider, and reject, five strategies for avoiding this regress of contents. I conclude that the regress is inherent to self-representationalism. I close by showing how this incoherence obtrudes in what must be the self-representationalist’s account of the (...) phenomenology of experience. (shrink)

A topic ignored in mainstream scientific inquiry for decades, wisdom is beginning to return to the place of reverence that it held in ancient schools of intellectual study. A Handbook of Wisdom, first published in 2005, explores wisdom's promise for helping scholars and lay people to understand the apex of human thought and behavior. At a time when poor choices are being made by notably intelligent and powerful individuals, this book presents analysis and review on a form of reasoning and (...) decision-making that is not only productive and prudent, but also serves a beneficial purpose for society. A Handbook of Wisdom is a collection of chapters from some of the most prominent scholars in the field of wisdom research. Written from multiple perspectives, including psychology, philosophy, and religion, this book gives the reader an in-depth understanding of wisdom's past, present, and possible future direction within literature, science, and society. (shrink)

It is the purpose of this note to comment on some important problems which have been already vividly discussed by several authors. Besides the well known former discussions of Schrödinger and J. v. Neumann I should like to mention here especially H. Margenau's article, “Critical Points in Modern Physical Theory,” which strongly influenced my present discussion.

The Democratic Republic of Congo has vast natural resources, many of which are regularly exploited by the electronics industry. Unfortunately, in addition to these resources, there are widespread human rights abuses committed by armed groups entrenched in the eastern part of the Democratic Republic of Congo. These armed groups are using profits from these minerals as a source of funding. Their human rights abuses have led to a growing humanitarian interest in the region and prompted the international community to action. (...) This paper explores the conflicts in the Democratic Republic of Congo, provides an understanding of the link between human rights abuses and conflict minerals, and interprets and critiques the legal actions of the international community. (shrink)

It is often thought that Plato sets himself an important task in the Sophist – that of disentangling different uses, or senses, of the verb einai. Plato is thought to have confused different senses or uses of the verb in his philosophical youth; here he is supposed to correct his mistake, and to mark out a danger area for his successors.1 Plato is also often supposed, by commentators, to have set himself the task of disentangling a second confusion – a (...) confusion between the mē on and the mēdamōs on : on this view, the mē on is revealed as the negation of the on, whereas the mēdamōs on is the opposite of the on. (shrink)

In the paper it is argued that the conceptual resources of Christianity topple the hiddenness argument. According to the author, the variability of the divine love cast doubt on the soundness of Schellenberg’s reasoning. If we understood a perfect love as a maximal and equal concern and identification with all and for all, then a divine love would entail divine impartiality, but because of conflicts of interest between human beings the perfect, divine love cannot be maximal.

Most countries compile evidence from witnesses and victims manually, whereby the interviewer assimilates what the interviewee says during the course of an interview to produce an evidential statement. This exploratory research examined the quality of evidential statements generated in real world investigations. Transcribed witness/victim interviews were compared to the resultant written statements produced by the interviewing officer and signed as an accurate record by the interviewee. A coding protocol was devised to assess the consistency of information between what was said (...) by the interviewee in the verbal interview and what was reported in the written statement. Statements contained numerous errors including omissions, distortions, and the inclusion of information not mentioned in the verbal interview. This exploratory work highlights an important area for future research focus. (shrink)

Ghost variables are variables in program languages that do not correspond to physical entities. This special issue, based on a panel on “Race as a Ghost Variable” at the 2017 Meeting of the Society for Social Studies of Science, traces ideas of “race” in particular niches of science, technology, and medicine where it is submerged and disavowed, yet wields power. Each paper is a case study exploring ghosts that emerge through the resonance among things as heterogeneous as hair patterns, hormone (...) levels, food tastes, drug use, clinic locations, proximity to disaster, job classifications, and social belonging and suspicion, all of which vibrate with meanings accumulated over long racial histories. Together, the papers further elaborate methods and analytic models for identifying the operations of race—the relations and processes that make it, the effects that it has. A chief appeal of the metaphor of the ghost is that it brings the importance of history to the fore. Ghosts are simultaneously history and the present, not just an accretion of earlier experiences, but the palimpsest left when one tries to erase them. Sometimes faint and hard to discern, sometimes rambunctious and disruptive, ghosts refuse our attempts to simply move on. (shrink)

Through 1886 to 1889 understanding of the mechanism of telephone transmission was transformed from an electrostatic and traditional view to an electrodynamic one conforming with Maxwell's scheme. Observed at the level of commercial application this painful adjustment occurred via a sequence of controversies connected with self-induction—on techniques of telephony, on electrical measurement, on lightning conductors and on matters of professional ethics—in which the parts played by evidence, by theory, and by authority were strangely mixed. The well-known confrontation of O. Heaviside (...) and W. H. Preece was at the centre of the debate. An open division between traditionalists and progressives amongst electrical engineers was provoked, and the effectiveness of mathematical theory as against pure pragmatism at the practical level had in the end to be conceded. (shrink)

Terror management theory and research can rectify shortcomings in Atran & Norenzayan's (A&N's) analysis of religion. (1) Religious and secular worldviews are much more similar than the target article supposes; (2) a propensity for embracing supernatural beliefs is likely to have conferred an adaptive advantage over the course of evolution; and (3) the claim that supernatural agent beliefs serve a terror management function independent of worldview bolstering is not empirically supported.

In their recent article, Brummett and Muaygil reject Bishop et al.’s framing of the debate over standardization in clinical ethics consultation (CEC) “as one between pro-credentialing procedural and anti-credentialing phenomenological,” claiming that this framing “amounts to a false dichotomy between two extreme approaches to CEC.” Instead of accepting proceduralism and phenomenology as a binary, Brummett and Muaygil propose that these two views should be seen as the extreme ends of a spectrum upon which CEC should be done. However, as evidenced (...) by several inconsistencies within their article, they have failed to fully appreciate the concern animating Bishop et al.’s proposal. Additionally, because of this failure, they do not seem to realize that credentialing ethicists for CEC will only create different problems in Saudi Arabia even as it possibly solves some of the current problems they identify. In this commentary, we highlight and clarify Brummet and Muaygil’s five misunderstandings of Bishop et al. This leads us to conclude that while they claim to be advocating a middle way between proceduralism and phenomenology, in fact they would like for us to standardize another proceduralism, albeit one that incorporates some of the “qualitative” values of American bioethics. (shrink)

In his Truth and Probability (1926), Frank Ramsey provides foundations for measures of degrees of belief in propositions and preferences for worlds. Nonquantitative conditions on preferences for worlds, and gambles for worlds and certain near-worlds, are formulated which he says insure that a subject's preferences for worlds are represented by numbers, world values. Numbers, for his degrees of belief in propositions, probabilities, are then defined in terms of his world values. Ramsey does not also propose definitions of desirabilities for propositions, (...) though he is in a position to do this. Given his measures for probabilities of propositions and values of worlds, he can frame natural definitions for both evidential and causal desirabilities that would measure respectively the welcomeness of propositions as items of news, and as facts. His theory is neutral with respect to the evidential/causal division. In the present paper, as Ramsey's foundations are explained, several problems and limitations are noted. Their distinctive virtue – their evidential/causal neutrality – is demonstrated. Comparisons are made with other foundational schemes, and a perspective is recommended from which nonquantitative foundations are not the be all for quantitative theories of ideal preferences and credences. (shrink)

Self‐management programmes provide strategies to optimise health while educating and providing resources for living with enduring illnesses. The current paper describes the development of a community‐based programme that combines a transdiagnostic approach to self‐management with mindfulness to enhance psychological coping for older people with long‐term multimorbidity. The six steps of intervention mapping (IM) were used to develop the programme. From a needs assessment, the objectives of the programme were formulated; the theoretical underpinnings then aligned to the objectives, which informed programme (...) design, decisions on implementation, programme adoption and evaluation steps. Bandura's social cognitive theory informed the methods and practical strategies of delivery. Among the features addressed with participants are transdiagnostic dimensions such as fatigue, pain, breathlessness, sleep disturbances. The programme utilises mindfulness to aid coping and ameliorate the psychological distresses associated with chronicity. Findings from an initial feasibility study and subsequent pilot assisted in conceptualising our programme. In conclusion, applying IM gave the planners confidence the programme is robust and evidence‐based with clearly articulated links between the behavioural goals and design elements to obtain the desired outcomes. (shrink)

Very little research has attempted to describe normal human variation in female genitalia, and no studies have compared the visual images that women might use in constructing their ideas of average and acceptable genital morphology to see if there are any systematic differences. The objective of the present work was to determine if visual depictions of the vulva differed according to their source so as to alert medical professionals and their patients to how these depictions might capture variation and thus (...) influence perceptions of ‘normality’. A comparative analysis was conducted by measuring (a) published visual materials from human anatomy textbooks in a university library, (b) feminist publications (print and online) depicting vulval morphology and (c) online pornography, focusing on the most visited and freely accessible sites in the UK. Post hoc tests showed that labial protuberance was significantly less (p<0.001, equivalent to approximately 7 mm) in images from online pornography compared to feminist publications. All five measures taken of vulval features were significantly correlated (p<0.001) in the online pornography sample, indicating a less varied range of differences in organ proportions than the other sources where not all measures were correlated. Women and health professionals should be aware that specific sources of imagery may depict different types of genital morphology and may not accurately reflect true variation in the population, and consultations for genital surgeries should include discussion about the actual and perceived range of variation in female genital morphology. (shrink)

This article contends that social policy faces a crisis over whether a viable collective order can be constructed out of individual choices. The neo-liberal paradigm is now challenged by neo-conservatives, who argue for policies derived from traditional moral, religious and patriotic values. This raises issues about the nature of social bonds, the institutional order and collective life itself. The article argues that it provides an opportunity for social theorists and policy analysts to co-operate in re-examining these questions. However, these debates (...) indicate a need for social theorists to confront their relationship with Enlightenment accounts of how commerce and private property enable liberty and consensual government. In the face of recent evidence of ‘stalled well-being’ within increasing prosperity, the article argues for a new analysis of choice and solidarity. (shrink)

The risk of tort liability for health maintenance organizations and other managed care plans has dramatically increased in recent years. This is due in part to the growing percentage of health care rendered through managed care plans. The cost-containment mechanisms commonly used by managed care plans, such as limiting access to services and/or choice of providers, creates a climate ripe for disputes that may end up in court. As dissatisfied patients and providers seek recourse in the courts, tort doctrines are (...) extended and new legal theories emerge as needed. For example, the concepts of direct and vicarious tort liability developed in the hospital context have been extended by courts to encompass HMOs. vicarious liability claims, based on ostensible agency or respondeat superior doctrines, have been brought against HMOs and managed care plans for negligent treatment by physicians selected to provide care to members. (shrink)

Language for Learning in the Primary School is the long awaited second edition of _Language for Learning_, first published in 2004 and winner of the NASEN/TES Book Award for Teaching and Learning in 2005. This handbook has become an indispensable resource, packed full of practical suggestions on how to support 5-11 year old children with speech, language and communication difficulties. Colour coded throughout for easy referencing, this unique book supports inclusive practice by helping teachers to: Identify children with speech, language (...) and communication needs Understand speech, language and communication skills Consider roles and responsibilities at primary school Plan a differentiated and adapted curriculum Consider the language demands across subjects Adopt a whole school approach Make use of a wide range of positive strategies Empower children to access the curriculum Language for Learning in the Primary School comes complete with a wealth of photocopiable resources, giving teachers and teaching assistants the confidence to help children with SLCN more effectively in mainstream settings. It will also be an extremely useful resource for speech and language therapists, specialist teachers and educational psychologists. (shrink)

Glowacki's account overlooks the role of religion in the regulation of cooperation, tolerance, and peace values. We interrogate three premises of Glowacki's argument and suggest that approaching religion as an adaptive system reveals how religious commitments and practices likely had a more substantial impact on the evolution of peace and conflict than currently presumed.

Although thick ethical concepts have been neglected in Murdochian scholarship, this article argues that they were central to the thought of Iris Murdoch. In the first section, the article provides a sustained account of thick ethical concepts in Murdoch's philosophy, demonstrating how these concepts align with and illuminate familiar aspects of her philosophical essays. The first section also explores the ways in which Murdoch's alternative account of moral concepts was at the heart of her overall attack on the noncognitivism of (...) her day. In the second section, the article provides a reading of The Black Prince and considers the ways that thick ethical concepts offer new insight into Murdoch's literary activity. It concludes by suggesting that studying Murdoch's philosophy and literature in light of thick ethical concepts reveals a deep unity between her two intellectual projects. (shrink)

Drawing on histories of black domesticity, Simone de Beauvoir’s writings about woman’s situation in housework, and Angela Y. Davis’s refutation of the myth of the black matriarch, this article argues that the force of the black domestic is elusive because it cannot be understood through immanence and transcendence. Through an alternative logic based on black female presence that exceeds the confines of the human, the force of black domesticity emerges as a proliferation of objects that endure the test of time.

This interdisciplinary, empirical and theoretical approach to forgiveness and revenge considers the roles of truth, restitution and ritual in the promotion of forgiveness and deterrence of revenge in multiple contexts.

The array seen when saccading across a point light source blinking in the dark is displaced in the direction of the saccade. This displacement reflects an abrupt shift of spatiotopic coordinates that precedes the actual eye movement. The extraretinal signal mediating this discrete shift appears to be an oculomotor reference signal, specifying intended eye orientation, that changes discretely before saccades.

Some individuals devalue positivity previously associated with negativity (Winer & Salem, 2016). Positive emotions (e.g. happiness) may be seen as threatening and result in active avoidance of futu...