There is a difference between the conditions in which one can felicitously assert a ‘must’-claim versus those in which one can use the corresponding non-modal claim. But it is difficult to pin down just what this difference amounts to. And it is even harder to account for this difference, since assertions of 'Must ϕ' and assertions of ϕ alone seem to have the same basic goal: namely, coming to agreement that [[ϕ]] is true. In this paper I take on this (...) puzzle, known as Karttunen’s Problem. I begin by arguing that a ‘must’-claim is felicitous only if there is a shared argument for its prejacent. I then argue that this generalization, which I call Support, can explain the more familiar generalization that ‘must’-claims are felicitous only if the speaker’s evidence for them is in some sense indirect. Finally, I sketch a pragmatic derivation of Support. (shrink)

This paper criticizes the dominant approaches to presupposition projection and proposes an alternative. Both the update semantics of Heim and the discourse representation theory of van der Sandt have problems in explicating the presuppositions of disjunctions. Moreover, Heim's approach is committed to a conception of accommodation that founders on the problem of informative presuppositions, and van der Sandt's approach is committed to a conception of accommodation that generates over-interpretations of utterances. The present approach borrows Karttunen's idea that instead (...) of associating presuppositions with sentences, we should define the conditions that contexts must meet in order to satisfy-the-presuppositions-of a sentence. However, in place of Karttunen's conception of contexts in terms of common ground, the present theory substitutes a conception of contexts as objective entities that are independent of the attitudes of the interlocutors. Contexts, so conceived, may be defined as containing sets of relevant possibilities. This allows us to define the conditions under which a context satisfies-the-presuppositions-of a disjunction. (shrink)

There is a difference between the conditions in which one can felicitously use a ‘must’-claim like and those in which one can use the corresponding claim without the ‘must’, as in 'It must be raining out' versus 'It is raining out. It is difficult to pin down just what this difference amounts to. And it is difficult to account for this difference, since assertions of 'Must p' and assertions of p alone seem to have the same basic goal: namely, communicating (...) that p is true. In this paper I give a new account of the conversational role of ‘must’. I begin by arguing that a ‘must’-claim is felicitous only if there is a shared argument for the proposition it embeds. I then argue that this generalization, which I call Support, can explain the more familiar generalization that ‘must’-claims are felicitous only if the speaker’s evidence for them is in some sense indirect. Finally, I propose a pragmatic derivation of Support as a manner implicature. (shrink)

This paper argues that we can see our lives as a snapshot happening now or as a moving picture extending across time. These dual ways of seeing our lives inform how we conceive of the problem of age group justice. A snapshot view sees age group justice as an interpersonal problem between distinct age groups. A moving picture view sees age group justice as a first-person problem of prudential choice. This paper explores these different ways of thinking (...) about age group justice and illustrates them using a principle of respect for human dignity, understood in terms of reasonable support for floor level central human capabilities at each stage of life. I argue that different frames are suitable for different kinds of decisions, and each provides a true, but partial, picture of aging and age group justice. (shrink)

Among various cases that equally admit of evidentialist reasoning, the supposedly evidentialist solution has varying degrees of intuitive attractiveness. I suggest that cooperative reasoning may account for the appeal of apparently evidentialist behavior in the cases in which it is intuitively attractive, while the inapplicability of cooperative reasoning may account for the unattractiveness of evidentialist behaviour in other cases. A collective causal power with respect to agreed outcomes, not evidentialist reasoning, makes cooperation attractive in the Prisoners' Dilemma. And a natural (...) though unwarranted assumption of such a power may account for the intuitive appeal of the one-box response in Newcomb's Problem. (shrink)

W. Labov's & T. Labov's findings concerning their child grammar acquisition ("Learning the Syntax of Questions" in Recent Advances in the Psychology of Language, Campbell, R. & Smith, P. Eds, New York: Plenum Press, 1978) are interpreted in terms of different semantics of why & other wh-questions. Z. Dubiel.

What is needed today is a biologically grounded explanation of behavior, one that moves beyond the so?called mind?body problem. Yet no solution will be found by philosophers who refuse to learn about how brains and bodies work, or by neuroscientists pursuing experimental research based on outmoded or blatantly anti?biological theories. Churchland's book proposes a solution: to come by a unified theory of the mind?brain philosophers have to work together with neuroscientists. Yet Churchland's vision of a unified theory is based (...) on an assumption that, while widely held, may not adequately reflect brain functioning in the production of behavior, namely, the assumption that brain processes represent. The present paper proposes an alternative view, suggesting that patterns of neural activity do not ?represent? anything, that brains do not ?read? or ?transform? representations, and that brains do not require representations to produce goal?directed behavior. Representations are replaced by self?organizing neural processes that achieve a certain end?state of interaction between the organism and its environment in a flexible and adaptive manner. Some of the implications of this view for neuroscientific research and the philosophy of mind are outlined. (shrink)

Context: In the past two decades, the so-called 4E approaches to the mind and cognition have been rapidly gaining in recognition and have become an integral part of various disciplines. Problem: Recently, however, questions have been raised as to whether, and to what degree, these different approaches actually cohere with one another. Specifically, it seems that many of them endorse mutually incompatible, perhaps even contradictory, epistemological and metaphysical presuppositions. Method: By retracing the roots of an alternative conception of mind (...) and cognition, as propounded by Varela, Thompson & Rosch, we provide an outline of the original philosophical framework of enactivism and neurophenomenology. We focus on its three central tenets - reflexivity, subject-world co-determination, and the construal of cognition as situated, skillful and embodied action - and show how they collectively add up to a radical change in attitude towards the age-old philosophical dilemmas. Results: We show how contemporary enactivist and embodied approaches relate to the original Varelian conception, and argue that many of them, despite frequent claims to the contrary, adopt significantly less radical philosophical positions. Further, we provide some tentative suggestions as to why this dilution of the original impetus might have occurred, paying special attention to the deep-rooted disparities that span the field. Implications: It is argued that more attention should be paid to epistemological and metaphysical tenets of different proposals within the 4E movement in general and enactivism in particular. Additionally, in emphasizing the inescapable multilayeredness and contextuality of scientific knowledge, enactivism and neurophenomenology accord with pluralist accounts of science and might provide important contributions to contemporary debates in the field. Constructivist content: The epistemological odyssey, construed as a journey to find a middle way between realism and idealism, is a central tenet of anti-representationalist, non-dualist constructivist approaches aimed at avoiding age-old philosophical traps. (shrink)

The paper proposes a practical answer to Duhem's problem within the framework of experimental psychology. First, this problem is briefly discussed; second, two studies in psychology are presented illustrating how theories are tested. Thirdly, based on the foregoing, an approach called the “Empirical Reasoning” is developed and justified. It is shown that the ER approach can successfully cope with Duhem's problem. Finally, the ER approach and the Error Statistics approach of Mayo are critically compared with regard to (...) Duhem's problem. (shrink)

The ‘causal-constitution’ fallacy, the ‘cognitive bloat’ worry, and the persisting theoretical confusion about the fundamental difference between the hypotheses of embedded (HEMC) and extended (HEC) cognition are three interrelated worries, whose common point—and the problem they accentuate—is the lack of a principled criterion of constitution. Attempting to address the ‘causal-constitution’ fallacy, mathematically oriented philosophers of mind have previously suggested that the presence of non-linear relations between the inner and the outer contributions is sufficient for cognitive extension. The abstract idea (...) of non-linearity, however, can be easily misunderstood and has, in the past, led to incorrect and counterintuitive conclusions about what may count as part of one’s overall cognitive system. In order to prevent any further mistakes I revisit dynamical systems theory to study the nature of the continuous mutual interactions that give rise to the aforementioned non-linear relations. Moreover, focusing on these interactions will allow us to provide two distinct arguments in support of the ontological postulation of extended cognitive systems, as well as an objective criterion of constitution. Accordingly, I put forward a version of HEC that treats continuous mutual interactions (and the resultant non-linear relations) not just as sufficient but also as necessary for cognitive extension. Such a qualified version of HEC may exclude certain alleged cases of cognitive extension where the agent does not mutually interact with his artifacts (e.g., shopping lists and directory services), but it is immune both to the ‘causal-constitution’ fallacy and the ‘cognitive bloat’ worry, and it can be sharply distinguished from HEMC. (shrink)

As interpersonal, racial, social, and international conflicts intensify in the world, it is important to safeguard the mental health of individuals affected by them. According to a Buddhist notion “if you want others to be happy, practice compassion; if you want to be happy, practice compassion,” compassion practice is an intervention to cultivate conflict-proof well-being. Here, compassion practice refers to a form of concentrated meditation wherein a practitioner attunes to friend, enemy, and someone in between, thinking, “I’m going to help (...) them.” The compassion meditation is based on Buddhist philosophy that mental suffering is rooted in conceptual thoughts that give rise to generic mental images of self and others and subsequent biases to preserve one’s egoism, blocking the ultimate nature of mind. To contextualize compassion meditation scientifically, we adopted a Bayesian active inference framework to incorporate relevant Buddhist concepts, including mind, compassion, aggregates, suffering, reification, conceptual thoughts, and superimposition. In this framework, a person is considered a Bayesian Engine that actively constructs phenomena based on the aggregates of forms, sensations, discriminations, actions, and consciousness. When the person embodies rigid beliefs about self and others’ identities and the resulting ego-preserving bias, the person’s Bayesian Engine malfunctions, failing to use prediction errors to update prior beliefs. To counter this problem, after recognizing the causes of sufferings, a practitioner of the compassion meditation aims to attune to all others equally, friends and enemies alike, suspend identity-based conceptual thoughts, and eventually let go of any identity-grasping belief and ego-preserving bias that obscure reality. We present a brain model for the Bayesian Engine of three components: Relation-Modeling, Reality-Checking, and Conflict-Alarming, which are subserved by the Default-Mode Network, Frontoparietal Network and Ventral Attention Network, and Salience Network, respectively. Upon perceiving conflicts, the strengthening or weakening of ego-preserving bias will critically depend on whether the SN up-regulates the DMN or FPN/VAN, respectively. We propose that compassion meditation can strengthen brain regions that are conducive for suspending prior beliefs and enhancing the attunements to the counterparts in conflicts. (shrink)

Karttunen observes that a presupposition triggered inside an attitude ascription, can be filtered out by a seemingly inaccessible antecedent under the scope of a preceding belief ascription. This poses a major challenge for presupposition theory and the semantics of attitude ascriptions. I solve the problem by enriching the semantics of attitude ascriptions with some independently argued assumptions on the structure and interpretation of mental states. In particular, I propose a DRT-based representation of mental states with a global belief-layer and (...) a variety of labeled attitude compartments embedded within it. Hence, desires and other non-doxastic attitudes are asymmetrically dependent on beliefs. I integrate these mental state representations into a general semantic account of attitude ascriptions which relies on the parasitic nature of non-doxastic attitudes to solve Karttunen’s puzzle. (shrink)

This paper sketches a solution to a problem which has been emphasized by Fodor. This is the problem of how to explain distinctively-human flexible cognition in modular terms. There are three aspects to the proposed account. First, it is suggested that natural language sentences might serve to integrate the outputs of a number of conceptual modules. Second, a creative sentence-generator, or supposer, is postulated. And third, it is argued that a set of principles of inference to the best (...) explanation can be constructed from already-extant aspects of linguistic testimony and discourse interpretation. Most importantly, it is suggested that the resulting architecture should be implementable in ways that are computationally tractable. (shrink)

The problem of becoming a social doctrine of Ukrainian Christianity, in particular Ukrainian Catholicism, has become especially relevant today in theological, philosophical and religious sciences, since objective study contributes to the production of not only a true picture of the Church-theological identity of the Ukrainian Orthodox ), which entrenched the historically and theologically not justified name - Ukrainian Greek Catholic Church, but also the place and role of Christianity in modern times. to this Ukrainian public life in general. Ukrainian (...) Catholicism, represented by the Ukrainian Catholic Church, the heir to the Kyiv Church, has accumulated significant experience of collaborating with the public in various spheres of its activity, including in the social sphere, for more than a thousand years. (shrink)

Open peer commentary on the article “Never Mind the Gap: Neurophenomenology, Radical Enactivism, and the Hard Problem of Consciousness” by Michael D. Kirchhoff & Daniel D. Hutto. Upshot: It is not clear what Kirchhoff and Hutto mean by identity when they claim that there is no gap between the phenomenal and the physical. Understanding the relation between causation and diachronic constitution, I suggest that phenomenal-physical existence is better characterized as a dynamically articulated form, structure, or gestalt.

‘It is supposed’, declared the poet Wordsworth in 1802, ‘that by the act of writing in verse an author makes a formal engagement that he will gratify certain known habits of association; that he not only thus apprizes the reader that certain classes of ideas and expressions will be found in his book, but that others will be carefully excluded. This exponent or symbol held forth by metrical language must in different eras of literature have excited very different expectations.’ For (...) his own era of literature Wordsworth proposed a language derived from the ‘simple and unelaborated expressions’ of the ‘language really spoken by men’, at the expense of ‘devices to elevate the style’ and ‘what is usually called poetic diction’. (shrink)

Moore's paradox pits our intuitions about semantic oddnessagainst the concept of truth-functional consistency. Most solutions tothe problem proceed by explaining away our intuitions. But``consistency'' is a theory-laden concept, having different contours indifferent semantic theories. Truth-functional consistency is appropriateonly if the semantic theory we are using identifies meaning withtruth-conditions. I argue that such a framework is not appropriate whenit comes to analzying epistemic modality. I show that a theory whichaccounts for a wide variety of semantic data about epistemic modals(Update Semantics) (...) buys us a solution to Moore's paradox as a corollary.It turns out that Moorean propositions, when looked at through the lenseof an appropriate semantic theory, are inconsistent after all. (shrink)

The paper discusses Ian Wells’s recent argument that there is a decision problem in which followers of Evidential Decision Theory end up poorer than followers of Causal Decision Theory despite having the same opportunities for money. It defends Evidential Decision Theory against Wells’s argument, on the following grounds. Wells's has not presented a decision problem in which his main claim is true. Four possible decision problems can be generated from his central example, in each of which followers of (...) Evidential Decision Theory do at least as well as followers of Causal Decision Theory. There is another case in which followers of Causal Decision Theory have the same opportunities for making money but end up worse than followers of Evidential Decision Theory. (shrink)

Woodward’s interventionist theory of causation is beset by a problem of circularity: the analysis of causes is in terms of interventions, and the analysis of interventions is in terms of causes. This is not in itself an argument against the correctness of the analysis. But by requiring us to have causal knowledge prior to making any judgements about causation, Woodward’s theory does make it mysterious how we can ever start acquiring causal knowledge. We present a solution to this (...) class='Hi'>problem by showing how the interventionist notion of causation can be rationally generated from a more primitive agency notion of causation. The agency notion is easily and non-circularly applicable, but fails when we attempt to capture causal relations between non-actions. We show that the interventionist notion of causation serves as an appropriate generalisation of the agency notion. Furthermore, the causal judgements based on the latter generally remain true when rephrased in terms of the former, which allows one to use the causal knowledge gained by applying the agency notion as a basis for applying Woodward’s interventionist theory. We then present an overview of relevant empirical evidence from developmental psychology which shows that our proposed rational reconstruction lines up neatly with the actual development of causal reasoning in children. This gives additional plausibility to our proposal. The article thus provides a solution to one of the main problems of interventionism while keeping Woodward’s analysis intact. (shrink)

In this article we provide an in-depth description of a new model of informed consent called ‘meta consent’ and consider its practical implementation. We explore justifications for preferring meta consent over alternative models of consent as a solution to the problem of secondary use of health data for research. We finally argue that meta consent strikes an appropriate balance between enabling valuable research and protecting the individual.

In print, the central objection to expressivism has been the Frege–Geach problem. Yet most cognitivists seem to be motivated by “deeper” worries, ones they have spent comparatively little time pursuing in print. Part of the explanation for this mismatch between motivation and rhetoric is likely that those deeper worries are largely metaphysical. Since expressivism is not a metaphysical view, it can be hard to see how to mount a relevant attack. The strategy in this chapter is to introduce claims (...) about thought and language, rather than metaphysics, that represent common intuitions about normative objectivity. It then argues that popular forms of expressivism cannot accommodate these claims if they are to solve the negation problem—an aspect of Frege–Geach. If successful, this shows that expressivism really does have a problem accommodating normative objectivity. But, significantly, it does so without requiring any assumptions about what expressivist metaphysics look like. (shrink)

In our increasingly multicultural society there is an urgent need for a theory that is capable of making sense of the various philosophical difficulties presented by ethical and religious diversity—difficulties that, at first sight, seem to be remarkably similar. Given this similarity, a theory that successfully accounted for the difficulties raised by one form of plurality might also be of help in addressing those raised by the other, especially as ethical belief systems are often inextricably linked with religious belief systems. (...) This article adumbrates a theory that is suitably sensitive to the challenge posed by cultural diversity, and that is respectful of ethical and religious differences. The theory, called “internalist pluralism,” provides a philosophical account of the widely differing claims made by religious believers resulting from the tremendous diversity of belief systems, while simultaneously yielding a novel perspective on ethical plurality. Internalist pluralism is based on Hilary Putnam’s theory of internal realism. This article is not concerned to defend internal realism against its critics, although such defense is clearly required if the theory is to be adopted. Its more modest aim is to show that internal realism has a distinctive voice to add to the current debate about how best to understand religious and ethical diversity. (shrink)

C. S. Lewis sets out to disentangle this knotty issue but wisely adds that in the end no intellectual solution can dispense with the necessity for patience and ...

In recent metaphysics, the questions of whether fictional entities exist, what their nature is, and how to explain truths of statements such as “Sherlock Holmes lives at 221B Baker Street” and “Holmes was created by Arthur Conan Doyle” have been subject to much debate. The main aim of my thesis is to wrestle with key proponents of the abstractionist view that fictional entities are abstract objects that exist (van Inwagen 1977, 2018, Thomasson 1999 and Salmon 1998) as well as Walton’s (...) (1990) pretense view, which denies the existence of such entities. In the process, I propose modifications to these views to deal with problems they face and show how the modifications better account for the philosophical data. -/- Key abstractionists (van Inwagen 1977, Thomasson 1999) make a strict distinction between discourse within fiction, in which statements about literary characters cannot be literally true, and discourse about fiction, as it occurs in literary criticism, where statements about fictional characters can be literally true. Fictional objects are postulated to account for the truth of the latter. This runs into trouble because statements thought to be literally true are not literal. (Yagisawa 2001, Friend 2002) I provide a uniform analysis to account for the truth of statements involving fictional characters by appealing to a presupposition involving a metaphor in both contexts. The presupposition is that there is an x such that x is fictional; x is likened to a real person; and x is and ought to be treated/counted as a real person for all relevant intents and purposes. -/- More generally, I adopt Everett and Schroeder’s (2015) realist view that fictional characters are ideas constituted by mental representations. This, to me, better accounts for how fictional characters are created within the world’s causal nexus (unlike non-spatiotemporal entities in abstractionism), among other things. One key challenge they face is to explain how ideas can possess properties such as being a detective. I present a fine-grained version of their view, according to which the mental representations constituting fictional entities encode mind-dependent properties. Moreover, I explain how reference to such representations is possible, using Bencivenga’s (1983) Neo-Kantian view of reference and Karttunen’s (1976) view on discourse referents. Finally, I suggest that the identity of fictional characters is interest-relative. The constant, and sometimes radical, change of properties that, fictional characters can undergo is taken to be a consequence of the fact that unified mental representations are bundles of simpler mental representations. As change occurs, simpler representations are replaced by others. -/- A key theme that runs through the thesis is that neither fictionality nor pretense is relevant to the semantics of fictional sentences—a claim bolstered by Matravers’ (2014) arguments. Whether or not my account works, this claim, as well as the new philosophical data I bring up, are some of the challenges I pose to the heart of established views. (shrink)

I consider a familiar argument for two-boxing in Newcomb's Problem and find it defective because it involves a type of divergence from standard Baysian reasoning, which, though sometimes justified, conflicts with the stipulations of the Newcomb scenario. In an appendix, I also find fault with a different argument for two-boxing that has been presented by Graham Priest.

One problem for any utilitarian alternative to act utilitarianism, such as rule utilitarianism, is the feeling that act utilitarianism is the most natural form of utilitarianism. Other forms seem unmotivated, inconsistent, or irrational. This argument is found in Smart, Foot and Slote. It turns on the assumption that utilitarianism must be motivated by the "teleological motivation," the idea that one must derive one's entire moral theory from the notion of the good. I respond that act utilitarianism itself has a (...) problem from the point of view of the teleological motivation, a problem solved, surprisingly, by several utilitarian alternatives including rule utilitarianism. (shrink)

Frances Kamm has for some time now been a foremost champion of non-consequentialist ethics. One of her most powerful non-consequentialist themes has been the idea of inviolability. Morality's prohibitions, she argues, confer on persons the status of inviolability. This thought helps articulate a rationale for moral prohibitions that will resist the protean threat posed by the consequentialist argument that anyone should surely be willing to violate a constraint if doing so will minimize the overall number of such violations. As Kamm (...) put it in a 1992 article, ‘If morality permitted minimizing violations of persons by violating other persons, then each of those saved as well as those persons used to save others would be less inviolable. It is the permission, not any actual violation of persons, that makes this so.’ Now, as thus baldly asserted, this claim borders on the conclusory. It is almost as if the claim were that morality conferred on persons the following status: that of being protected from consequentialism. One wants to hear in what inviolability consists, in more detail, so that we can understand it independently of the negation of consequentialism. And there is also an opposite problem: if inviolability is a good, then why can't consequentialism take it into account? Hence, one also wants to hear why this would not be the case. (shrink)

This text is a replica of the article by E.V. Borisov А Straight Solution to Kripke’s problem. The proposed solution to the problem of skepticism regarding the meaning of a linguistic expression is based on the idea of language and speech activity, limited to the act of use. Such a truncated and one-sided version of the analysis of language presents a picture where the only subject capable of understanding the meanings of words is the speech agent himself. Although (...) this approach partially allows us to resolve the skeptical problem, it arises again when we pay attention not to the agent of speech, but to the recipient to whom speech activity is directed. (shrink)

One reason why the problem of other minds keeps cropping up in modern philosophy is that we seem to have conflicting intuitions about our access to the mental lives of others. On the one hand, we are inclined to think that it is wrong to claim, like Cartesian dualists must, that the minds of others are essentially inaccessible to direct experience. But on the other hand we feel that it is equally wrong to claim, like the behaviorists, that the (...) mental lives of others are completely accessible to an outside spectator. This paper attempts to address the problem of the accessibility of other minds while staying faithful to both these intuitions. Central to this undertaking is the idea that we express our mental lives in our bodily behavior. With a firm grasp of the notion of expression, as it is developed in the writings of Wittgenstein and Levinas, we can understand how other minds can be directly perceivable and yet retain a certain inaccessibility. The key is to emphasize the difference between the expressive appearance of a human being and the way an object appears in perception. (shrink)

The duty to procure informed consent (IC) from patients before any significant intervention is among the pillars of medical and research ethics. The provision by the doctor of relevant information about treatment and free decision-making by the patient are essential elements of IC. The paper presents cases of IC where the free decision about treatment is not causally related to the information provided, and claims that such cases pose a difficulty parallel to that presented by the Gettier Problem in (...) epistemology. In analogy to the original problem with the concept of knowledge, these Gettier-type cases show an indeterminacy in the concept of IC: we either need to add some explicit additional condition of causal connection between information and consent, or else we should understand the concept in a new way—specifically, since the practice of autonomy necessarily involves some consideration of the relevant information, we must understand free consent in a way that no longer refers to patient autonomy. (shrink)

Desire satisfaction theorists and attitudinal-happiness theorists of well-being are committed to correcting the psychological attitudes upon which their theories are built. However, it is not often recognized that some of the attitudes in need of correction are evaluative attitudes. Moreover, it is hard to know how to correct for poor evaluative attitudes in ways that respect the traditional commitment to the authority of the individual subject's evaluative perspective. L. W. Sumner has proposed an autonomy-as-authenticity requirement to perform this task, but (...) this article argues that it cannot do the job. Sumner's proposal focuses on the social origins of our values and overlooks the deep psychological roots of other evaluative attitudes that are just as problematic for welfare. If subjective theories of welfare are to be at all plausible they may need to abandon or modify their traditional commitment to the authority of the individual subject. (shrink)

One of the key problems facing bioethics concerns those cases where, due to the limited human and technical resources of medicine, patients are in fact doomed to die. The reason for withdrawing treatment may be the futility of using the available means, as well as the burden of certain procedures. In the contemporary world, euthanasia is offered as an alternative to withdrawing treatment, that is, direct causing the death of a patient, killing. They distinguish these two types of practice by (...) analyzing the duties of the physician, the intentions of all subjects, the differences between action and inaction. The obligation to save the patient at all costs should be rejected because of the non-humanity of this principle. That is why, however, the doctor faces a dilemma: to leave the patient to natural processes, or to kill him or her directly. The intention in both cases is to solve a problem in which the treatment of the patient becomes futile, and the withdrawing sooner or later leads to death. Euthanasia in its passive form may procedurally coincide with the withdrawing treatment. Withdrawing treatment is the decision, and therefore, it is more an action than inaction. It seems that the choice between euthanasia and withdrawing treatment is purely technical. The author of the article suggests comparing the mechanisms of decision making in the application of euthanasia and withdrawing treatment, looking at the purpose of these decisions and the means of its reaching. In the case of euthanasia, the purpose of action or inaction is to relieve suffering, and the means is to cause death. In the case of withdrawing treatment, instead, the goal is also the good of the patient, but death is not a means but a side effect. Therefore, the author recognizes that withdrawing treatment is a more moral practice than euthanasia, which is a direct killing and is justified by the low value of one’s life. (shrink)

1 Background for the Uninitiated RICHMOND CAMPBELL Paradoxes are intrinsically fascinating. They are also distinctively ...

This paper considers religion in relation to four recurrent traits: belief systems incorporating supernatural agents and counterintuitive concepts, communal ritual, separation of the sacred and the profane, and adolescence as a preferred developmental period for religious transmission. These co-occurring traits are viewed as an adaptive complex that offers clues to the evolution of religion from its nonhuman ritual roots. We consider the critical element differentiating religious from non-human ritual to be the conditioned association of emotion and abstract symbols. We propose (...) neurophysiological mechanisms underlying such associations and argue that the brain plasticity of human adolescence constitutes an “experience expectant” developmental period for ritual conditioning of sacred symbols. We suggest that such symbols evolved to solve an ecological problem by extending communication and coordination of social relations across time and space. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Moral Distress: The Face of Workplace BullyingJohn S. MurrayAfter a 28–year long distinguished military career I accepted a research position in a tertiary academic health science center, which I considered to be my dream job following retirement. Initially I was to be responsible for one department. A second was added because of my expertise with disaster preparedness. Following my orientation, I immersed myself into my new roles recognizing that (...) there was much to be done to achieve the goal of getting both departmental research programs up to par with the rest of the organization. In a short time, I began to recognize one of my bosses was going to be challenging to work with.She expected that her name be included on all grant proposals and manuscripts despite making no substantial intellectual contributions to either. Additionally, she wanted unwarranted control over all research and scholarship activities I was engaged in with staff despite having no research experience. Even meeting with her to discuss my plans for the direction of research in this department, my efforts were met with argumentative and condescending behavior. She would agree to discuss my plans. When I showed up for meetings in her office she would get angry with me oftentimes for situations, which she herself created. I continued to move forward with my work feeling that how I had conducted research and scholarly work in the past, with integrity and uncompromising ethical standards, was going to be threatened. This created great moral stress for me. I felt overwhelmed, powerless and frustrated as a result of the uncertainty as to whether or not I could fulfill my responsibilities while still meeting moral obligations.Over time, my moral compass prevented me from deviating from the principles, which helped me to build a long–standing stellar reputation as a leader in the field of pediatric nursing. However, this came with a cost. Working for this particular boss was like being on an emotional rollercoaster. One day I would feel like she was pleased with my work, but the next day my efforts could be met with anger, demeaning and dismissive behaviors. Once she praised me in front of staff for the “great” work I was doing with the evidence–based practice initiative nurse leaders. The following day she reprimanded me for not working closely with this group. She was extremely well versed at singing my praises in front of staff. Behind her closed office door was a very different experience.I confided in some colleagues in this department how I was being treated. I quickly learned that all staff were treated in this manner by this one individual. They shared that condescending language and fear and intimidation were the norm. When [End Page 112] I asked them why no one had the awareness or courage to say this treatment was not right, they quickly shared with me that staff were deterred from speaking up for fear of greater bullying behaviors. Sadly, while everyone knew what was the right thing to do, institutional constraints made it nearly impossible to pursue the right course of action. It was readily apparent these nurses were missing advocacy. At that point, I decided it was important to seek a remedy to this problem recognizing it would be no easy task.Progressively, my work environment with this particular boss became intolerable. Despite working relentlessly to develop a research program, unwarranted criticism, unjustified blame, exclusion, isolation, unreasonable demands and denied opportunities persisted. By this time, I was suffering from nightmares, headaches, fear, anxiety, depression, difficulty concentrating, and problems with self–esteem. I felt like my professional competence and reputation was being unjustifiably denigrated by this one individual.In the past, I confided in trusted organizational leaders for guidance when faced with difficult situations. As such, I approached my other boss and shared what was happening. She was deeply concerned. She encouraged me to seek guidance from a safe and confidential environment where staff members can share concerns and receive assistance with how to handle these apprehensions. I had used a program like this in the past when dealing with moral distress. This experience was very helpful. In fact, I returned on multiple... (shrink)