This is a volatile time for health insurance policy. Medicare and Medicaid are in turmoil, as is the private health insurance market. Public and private health insurance costs constitute eighty percent of healthcare spending in the United States. Public health professionals depend on the insurance system to behave in ways that are responsive to public health in prevention and crisis management.Seventy-five percent of the American population, excluding the elderly, has coverage through the private health insurance system. Ninety percent of this (...) group receives their insurance through employer-sponsored programs, and the remaining ten percent buy their own coverage. Approximately ten percent of the non-elderly population has insurance through a government program, and fifteen percent of the non-elderly population, almost forty-one million Americans, is uninsured. (shrink)

Recently much has been made of the grounding relation, and of the idea that it is intimately tied to fundamentality. If A grounds B, then A is more fundamental than B (though not vice versa ), and A is ungrounded if and only if it is fundamental full stop—absolutely fundamental. But here is a puzzle: is grounding itself absolutely fundamental?

A variety of relations widely invoked by philosophers—composition, constitution, realization, micro-basing, emergence, and many others—are species of what I call ‘building relations’. I argue that they are conceptually intertwined, articulate what it takes for a relation to count as a building relation, and argue that—contra appearances—it is an open possibility that these relations are all determinates of a common determinable, or even that there is really only one building relation.

Humanoid robots used for sexual purposes are beginning to look increasingly lifelike. It is possible for a user to have a bespoke sexbot created which matches their exact requirements in skin pigmentation, hair and eye colour, body shape, and genital design. This means that it is possible—and increasingly easy—for a sexbot to be created which bears a very high degree of resemblance to a particular person. There is a small but steadily increasing literature exploring some of the ethical issues surrounding (...) sexbots, however sexbots made to look like particular people is something which, as yet, has not been philosophically addressed in the literature. In this essay I argue that creating a lifelike sexbot to represent and resemble someone is an act of sexual objectification which morally requires consent, and that doing so without the person’s consent is intrinsically wrong. I consider two sexbot creators: Roy and Fred. Roy creates a sexbot of Katie with her consent, and Fred creates a sexbot of Jane without her consent. I draw on the work of Alan Goldman, Rae Langton, and Martha Nussbaum in particular to demonstrate that creating a sexbot of a particular person requires consent if it is to be intrinsically permissible. (shrink)

Community-based mental health care providers are increasingly contacted by external researchers for research study recruitment. Unfortunately, many do not possess the resources or personn...

Au fil des volumes inaugurés par Bardadrac, Gérard Genette, livrant des versions différentes de certains biographèmes, « corrige » sa vie d’une façon qu’on propose d’appeler annotation de soi. L’étude de la figure de « Jacqueline » révèle ainsi un usage très personnel de la note auctoriale, telle que Genette l’avait définie dans Seuils, et qui fait tendre l’ensemble des volumes non seulement vers l’autofiction, mais vers une sorte d’« anti-roman » valéryen.

Although for a long time, Dutch academic philosophy was characterized by a pluralism of – imported – philosophical frameworks and paradigms, in more recent decades, a type of ‘normal philosophy’, in the Kuhnian sense, has become dominant which aims to solve ethical and political problems and dilemmas through rational-normative argumentation. Contrary to what is often claimed, the new 'normal philosophy' amounts not to thinking ‘beyond the analytic-continental divide’ in a fruitful synthesis, but to the subsumption of continental philosophical themes and (...) concepts under the analytic tradition. The potentially critical tenor of continental philosophy threatens to be ‘solved’ by this subsumption. ‘Normal philosophy’, with its emphasis on rational-normative argumentation, risks leading to a state philosophy that fits in with existing policy questions, ignoring systemic and structural power inequalities. I argue that the journal Krisis, in keeping with its original principles, should hang on to critical philosophical reflection, which today is needed more than ever, specifically – pace current right-wing and left-wing populist attacks on identity politics – on systemic, multiple forms of deprivation and oppression. (shrink)

Are there sex differences in pain? For experimentally delivered somatic stimuli, females have lower thresholds, greater ability to discriminate, higher pain ratings, and less tolerance of noxious stimuli than males. These differences, however, are small, exist only for certain forms of stimulation and are affected by many situational variables such as presence of disease, experimental setting, and even nutritive status. For endogenous pains, women report more multiple pains in more body regions than men. With no obvious underlying rationale, some painful (...) diseases are more prevalent among females, others among males and, for many diseases, symptoms differ between females and males. Sex differences in attitudes exist that affect not only reporting, coping, and responses to treatment, but also measurement and treatment. So many variables are operative, however, that the most striking feature of sex differences in reported pain experience is the apparent overall lack of them. On the other hand, deduction from known biological sex differences suggests that these are powerful sex differences in the operation of pain mechanisms. First, the vaginal canal provides an additional route in women for internal trauma and invasion by pathological agents that puts them at greater risk for developing hyperalgesia in multiple body regions. Second, sex differences in temporal patterns are likely to give rise to sex differences in how pain is and stimuli are interpreted, a situation that could lead to a greater variability and wider range of pains without obvious peripheral pathology among females. Third, sex differences in the actions of sex hormones suggest pain-relevant differences in the operation of many neuroactive agents, opiate and nonopiate systems, nerve growth factor, and the sympathetic system. Thus, while inductive analysis of existing data demonstrate more similarities than differences in pain experience between females and males, deductive analysis suggests important operational sex differences in its production. (shrink)

This open access edited book provides new thinking on scientific identity formation. It thoroughly interrogates the concepts of community and identity, including both historical and contemporaneous analyses of several scientific fields. Chapters examine whether, and how, today’s scientific identities and communities are subject to fundamental changes, reacting to tangible shifts in research funding as well as more intangible transformations in our society’s understanding and expectations of technoscience. In so doing, this book reinvigorates the concept of scientific community. Readers will discover (...) empirical analyses of newly emerging fields such as synthetic biology, systems biology and nanotechnology, and accounts of the evolution of theoretical conceptions of scientific identity and community. With inspiring examples of technoscientific identity work and community constellations, along with thought-provoking hypotheses and discussion, the work has a broad appeal. Those involved in science governance will benefit particularly from this book, and it has much to offer those in scholarly fields including sociology of science, science studies, philosophy of science and history of science, as well as teachers of science and scientists themselves. (shrink)

Much previous study has been done on the degree spectra of prime models of a complete atomic decidable theory. Here we study the analogous questions for homogeneous models. We say a countable model A has a d-basis if the types realized in A are all computable and the Turing degree d can list $\Delta _{0}^{0}$ -indices for all types realized in A. We say A has a d-decidable copy if there exists a model B ≅ A such that the elementary (...) diagram of B is d-computable. Goncharov, Millar, and Peretyat'kin independently showed there exists a homogeneous A with a 0-basis but no decidable copy. We prove that any homogeneous A with a 0'-basis has a low decidable copy. This implies Csima's analogous result for prime models. In the case where all types of the theory T are computable and A is a homogeneous model with a 0-basis, we show A has copies decidable in every nonzero degree. A degree d is 0-homogeneous bounding if any automorphically nontrivial homogeneous A with a 0-basis has a d-decidable copy. We show that the nonlow₂ $\Delta _{2}^{0}$ degrees are 0-homogeneous bounding. (shrink)

Producing content-related gestures has been found to impact students’ learning, whether such gestures are spontaneously generated by the learner in the course of problem-solving, or participants are instructed to pose based on experimenter instructions during problem-solving and word learning. Few studies, however, have investigated the effect of (a) performing instructed gestures while learning concepts or (b) producing gestures without there being an implied connection between the gestures and the concepts being learned. The two studies reported here investigate the impact of (...) instructed hand movements on students’ subsequent understanding of a concept. Students were asked to watch an instructional video—focused on the concept of statistical model—three times. Two experimental groups were given a secondary task to perform while watching the video, which involved moving their hands to mimic the placement and orientation of red rectangular bars overlaid on the video. Students were told that the focus of the study was multitasking, and that the instructed hand movements were unrelated to the material being learned. In the content-match group the placement of the hands reinforced the concept being explained, and in the content-mismatch group it did not. A control group was not asked to perform a secondary task. In both studies, findings indicate that students in the content-match group performed better on the posttest, and showed less variation in performance, than did students in the content-mismatch group, with control students falling in between. Instructed hand movement—even when presented as an unrelated, secondary task—can affect students’ learning of a complex concept. (shrink)

Karen Frost-Arnold's response to comments Respuesta de Karen Frost-Arnold a los comentarios Karen Frost-Arnold's response to comments.

Here we examine the hypothesis that symbolic understanding across domains is mediated by a fundamental ‘symbolizing’ ability in young children. We tested 30 children aged 2–4 years on symbolic tasks assessing iconic and non-iconic word-referent and picture-referent understanding and administered standardised tests of symbolic play and receptive language. Children showed understanding of the symbol-referent relation earlier for pictures than written words, and performance within domains was correlated and, importantly, predicted by a marker of general symbolic ability. Performance on picture and (...) written word tasks was also unrelated to language comprehension. Thus, symbolic abilities in specific domains are underpinned by a general symbolizing ability which arises early in development. (shrink)

Background Moral distress is reported to be a critical force contributing to intensifying rates of anxiety, depression and burnout experienced by healthcare workers. In this paper, we examine the moral dilemmas and ensuing distress personally and collectively experienced by healthcare workers while caring for patients during the pandemic. Methods Data are drawn from free-text responses from a cross-sectional national online survey of Australian healthcare workers about the patient care challenges they faced. Results Three themes were derived from qualitative content analysis (...) that illuminated the ways in which moral dilemmas and distress were relationally experienced by healthcare workers: (1) the moral ambiguity of how to care well for patients amid a rapidly changing work environment; (2) the distress of witnessing suffering shared _between_ healthcare workers and patients; and (3) the distress of performing new forms of invisible work in the absence of institutional recognition. These findings reveal that moral distress was a strongly shared experience. Conclusions Findings advance understandings of moral distress as a relational experience, collectively felt, constituted, and experienced by healthcare workers. Considering how to harness collective solidarity in effectively responding to moral distress experienced across the frontline healthcare workforce is critical. (shrink)

This innovative critical study reinterprets Ludwig Wittgenstein's philosophy for the study of modernist and contemporary literature and brings Wittgenstein into literary conversations around problems of difficulty, ethical instruction, and the yearning for transformation. Central to Karen Zumhagen-Yekple͹'s book are her critical readings of key modernist texts by Franz Kafka, Virginia Woolf, and James Joyce. Throughout, Zumhagen-Yekplé brings to bear an interpretive framework that she derives from Wittgenstein's gnomic "Tractatus Logico-Philosophicus" (first published in English in 1922, the "annus mirabilis" of (...) modernism), which she treats not as a theory of logic or metaphysics but as a complex mock-theoretical puzzle. The book's final chapter turns to recent fiction by J. M. Coetzee, a living author conscious of his debts both to Wittgenstein and his modernist literary precursors. This book will interest students of literary modernism, Wittgenstein, and the interconnections between fiction and ordinary language philosophy. (shrink)

According to Wollstonecraft. This suggests that for her ethical judgement is based on reason, and so she is an ethical cognitivist. This impression is upheld by the fact that she clearly believes in the existence of ethical truth and has little sympathy with subjectivism. At the same time, she places a great deal of importance on the role of the emotions in ethical judgement. This raises the question how the emotions can be relevant if ethics consists in a realm of (...) truths, discoverable by reason. The paper answers this question and clarifies Wollstonecraft's model of the interaction of emotion and reason by comparing it with those of Rousseau, Godwin, Price and Adam Smith. It argues that the originality of Wollstonecraft's position resides in the way she understands the role of the imagination in ethical reasoning. (shrink)

The presented paper addresses the concept of technoscience and its possible implications for technology assessment. Drawing on the discourse about converging technologies, it formulates the assumption that a general shift within science from epistemic cultures to techno-epistemic cultures lies at the heart of the propagated convergence between nano-, bio-, info- and cogno-sciences and technologies. This shift is adequately captured—so the main thesis—by the technoscience label. The paper elaborates on the shared characteristics of the new technosciences, especially their hybrid character and (...) their non-linear integration of basic research, object construction and technological innovation. Recent calls for new modes of technology governance (e.g. for upstream technology assessment and public participation) are discussed against the background of these technoscience characteristics. It is concluded that an adequate model of emerging technosciences and a detailed understanding of their characteristics is of paramount importance for current practices of technology assessment. (shrink)

An array of pressing but conceptually perplexing questions in ethics---questions concerning group rights, collective responsibility, and the ethics of nationalism---would seem to require for their resolution answers to the no less perplexing questions of what social groups are and what membership in them amounts to. In this dissertation, I offer an analysis of the concept of what I call an 'ethnic identity group' and argue that questions about ethics and ethnicity or nationality are best understood as questions about such groups (...) and their agency. The main argument for the analysis involves showing its usefulness for understanding how group membership might be involved in personal moral identity and individual agency. ;The analysis I offer makes use of Max Weber's idea that the concept of a social group is analyzable in terms of the possibility that certain kinds of social action will be performed. A Weberian analysis of a kind of social group involves a characterization of the types of social action that are possible in relation to groups of that kind. After responding to Margaret Gilbert's arguments against Weberian analyses of social groups and related phenomena, I suggest that one central social concept is that of a group defined in terms of the availability for group members of standing in a particular relation to an idea of the group, where that idea is, more specifically, an idea of a collective agent. This is the concept of an identity group. What distinguishes members of an identity group from nonmembers is the availability for the former of standing to the group in a relation I call 'moral alignment'. Roughly, an individual aligns herself with a group to the extent that she sees the group's agency as an extension of her own. This concept of moral alignment is a development of Aristotle's view that through shared deliberation and action, friends in a perfect friendship become "other selves" for each other. A group member is socially placed so as to have access to the idea that other members may act for her and she for them. If she aligns herself with the group, the group becomes another self for her, and she may act as a member of the group. An ethnic identity group is a collection of individuals, each of whom may align himself with an idea of the group---where that idea is an idea of a particular collective agent, whose collectivity rests on the shared ancestry of the collected individuals---and each of whom may, therefore, act and respond emotionally as a member of the group. (shrink)

Preface: Blurring the boundary between human and nonhuman beings -- Only one Holocaust? -- Evidence of things not seen -- The henmaid's tale -- Holocaust victimization imagery -- Procrustean solutions -- Scapegoats and surrogates : falsifying the fate of victims -- The 9/11 controversy -- An atrocity can be both unique and general.

The idea of culture has been subject to critical debate in anthropology during the past decade as the result of a shift in emphasis from the bounded local culture to transnational cultural flows. But at the very same time that cultural mobility is being emphasized by anthropologists, the people they study are recasting culture as a place of belonging as they construct local identities. Siting Culture argues that it is only through rich ethnographic studies that anthropologists may explore the significance (...) of place in the global space of relations which mold the lives of people throughout the world. By examining the concept of culture through case studies from Europe, Africa, Oceania, Latin America and the Caribbean, it probes the methodological and theoretical implications of the divergent scholarly and popular concepts of culture. (shrink)

The Archival Profession's Failure to Respond to the National Archives' Breaches of Professional and Ethical Duties.

The concept of binding force is at stake in this book on two different levels: there is an investigation of how, within the work of Hobbes, Hegel and Heidegger, conscience is described as binding upon us; and further, Feldman considers how ...

Communities of Style: Portable Luxury Arts, Identity, and Collective Memory in the Iron Age Levant. By Marian H. Feldman. Chicago: University of Chicago Press, 2014. Pp. xvii + 250, illus. $70.

ObjectivesThis pilot study sought to develop and evaluate a novel online group-based intervention to help breast cancer survivors make healthy lifestyle changes intended to yield not only beneficial physical outcomes but also greater behavioral, and psychosocial well-being.MethodsAn exploratory single-arm, mixed-method triangulation design was employed to evaluate the feasibility and preliminary effectiveness of the HLM-ABC intervention for overweight BCSs. Fourteen women participated in the 10-week intervention and completed quantitative measures of the above-mentioned outcomes at baseline, post-treatment, 6-month, and 12-month follow-up time (...) points. Qualitative data were obtained post-treatment via semi-structured interviews and a treatment satisfaction questionnaire.ResultsParticipants lost an average of 2.83% of their baseline weight by 1-year follow-up, equal to a small effect size. Despite achieving only modest weight loss, participants achieved meaningful gains in the form of increased physical activity, discovery of gratifying movement, more intuitive eating habits, greater bodily and emotional awareness, and positive shifts in beliefs about being able to make healthy choices regarding food and physical activity. Furthermore, they demonstrated a slight improvement in body image and described feeling more self-compassionate, empowered, and acknowledging of variables beyond control that can present barriers to change.ConclusionAfter completing a 10-week online program, participants achieved meaningful and lasting changes on a number of healthful indicators, even when this did not correspond with a significant reduction in weight. Findings highlight the complex, multifaceted nature of “health” and lend support for promotion of healthier lifestyle following cancer treatment that encompasses not only physical weight, but also behavior, psychosocial well-being, and circumstances such as life-preserving hormonal treatments. (shrink)

Over several years, genetic studies in the model system, Drosophila melanogastor, have uncovered genes that when mutated, lead to a block in myoblast fusion. Analyses of these gene products have suggested that Arp2/3‐mediated regulation of the actin cytoskeleton is crucial to myoblast fusion in the fly. Recent advances in imaging in Drosophila embryos, both in fixed and live preparations, have led to a new appreciation of both the three‐dimensional organization of the somatic mesoderm and the cell biology underlying myoblast fusion. (...) BioEssays 30:423–431, 2008. © 2008 Wiley Periodicals, Inc. (shrink)