Objectives. To document the prevalence of ethical requirements in the instructions for authors of journals that published randomized clinical trials (RCTs) in 2005. Design. Using a validated computerized search strategy for retrieving abstracts of RCTs, we retrieved 13 184 references from 2056 journals. These journals were divided into journals that had published > 30 RCTs in 2005, and those that had published fewer. We included all the former and a random sample of the latter journals in the analysis. Measurements. Coders (...) retrieved the instructions for authors for each journal. The coders identified whether 15 ethical requirements were present in each of the instructions, calculated the age of the journal, and determined where it was published. Results. Only 51% of journals required that authors document review by an ethics committee, only 55% required declaration of conflicts of interest, and only 33% required documentation of informed consent. Overall, 48% of instructions required three or fewer of 15 ethics items. Journals publishing many RCTs each year had more ethical requirements (P <0.001), older journals had more requirements (P <0.012), as did journals published in the US (P <0.001). Journals published in Europe had fewer (P <0.001). However, in multiple regression analyses involving the journal's age, location of publication, and number of RCTs published, only publishing many RCTs was associated with having more ethical requirements (P <0.001). Conclusions. Many journals do not require important elements of research ethics in their instructions for authors. Ethical requirements are less common in the many journals that publish few clinical trials each year, journals that have often been overlooked in prior studies of journal ethics. Keywords: Randomized clinical trials, ethical instructions, publication ethics, journal requirements. (shrink)

In this thought-provoking and innovative book, Kendra Coulter examines the diversity of work done with, by, and for animals. Interweaving human-animal studies, labor theories and research, and feminist political economy, Coulter develops a unique analysis of the accomplishments, complexities, problems, and possibilities of multispecies and interspecies labor. She fosters a nuanced, multi-faceted approach to labor that takes human and animal well-being seriously, and that challenges readers to not only think deeply and differently about animals and work, but to reflect (...) on the potential for interspecies solidarity. The result is an engaging, expansive, and path-making text. (shrink)

To rationalize the selection of a research methodology, one must understand its philosophical origins and unique characteristics. This process can be challenging in the landscape of evolving qualitative methodologies. Grounded theory is a research methodology with a distinct history that has resulted in numerous approaches. Although the approaches have key similarities, they also have differing philosophical assumptions that influence the ways in which their methods are understood and implemented. The purpose of this discussion paper is to compare and contrast three (...) widely used grounded theory approaches with key distinguishing characteristics, enabling a more thoughtful selection of approach. This work contributes to the existing literature through contrasting classic Glaserian grounded theory, Straussian grounded theory, and constructivist grounded theory in a systematic manner with prominent distinguishing characteristics developed from a review of the literature. These characteristics included historical development, philosophical perspective, role of the researcher, data analysis procedures, perspective of the grounded theory, and strengths/critique. Based on this analysis, three considerations are proposed to direct the methodological choice for a study: purpose, philosophy, and pragmatics. Understanding the similarities and differences in the grounded theory approaches can facilitate methodological transparency and determine the best fit for one's study and worldview as a researcher. (shrink)

In alignment with stated social, health, and environmental values, hundreds of hospitals in the United States are purchasing local, organic, and other alternative foods. Due to the logistical and economic constraints associated with feeding hundreds to thousands of people every day, new food procurement initiatives in hospitals grapple with integrating conventional supply chain norms of efficiency, standardization, and affordability while meeting the diverse values driving them such as mutual benefit between supply chain members, environmental stewardship, and social equity. This paper (...) provides empirical data and analysis on emerging values-based supply chains in hospitals that attempt to meet both the scale-based requirements and values-based goals of alternative food procurement initiatives. In particular, it examines tensions among industrial, economic, and alternative agrifood values in relation to a particular set of hospital supply chain players called Group Purchasing Organizations. Hospital membership in GPOs in the United States is ubiquitous, and 80–90 % of a hospital’s foodservice procurement comes through GPO channels in keeping with contract terms. GPO-governed supply chains are deeply rooted in industrial and commercial norms, in other words, price competition, economic efficiency, and forces of standardization through adherence to technical and quality standards. The bulk of alternative food procurement initiatives in the health care sector currently occur outside of the GPO–hospital relationship, however, over 90 % of hospital foodservice directors interviewed for this research expressed a desire to increase sustainable food procurement through their GPO. This study finds that, if alternative agrifood efforts in the health care sector are to integrate with GPO-governed supply chains without losing the robustness of the original values and goals that brought them into being, concerns related to supply chain structure, transparency and traceability of alternative food attributes, and alignment of definitions of local and sustainable food between all supply chain members will need to be addressed. This study also details points of flexibility in health care food supply chains and the potential for hospitals to create purchasing and informational alliances around common food goals in order to create new, values-based supply chain relationships both within and beyond GPO procurement channels. (shrink)

Machine generated contents note: Introduction; 1. Inclusion and identity; 2. Contesting competence: the ideal of self-determination; 3. Expertise and authority in the early church; 4. Defining the circle of sophists: Philostratus and the construction of the Second Sophistic; 5. Becoming orthodox: heresiology as self-fashioning; 6. Successions and self-definition; 7. 'From such mothers and fathers': succession narratives in early Christian discourse.

Health disparities education is an integral and required part of medical professional training, and yet existing curricula often fail to effectively denaturalize injustice or empower learners to advocate for change. We discuss a novel collaborative intervention that weds the health humanities to the field of health equity. We draw from the health humanities an intentional focus retraining provider imaginations by centering patient narratives; from the field of health equity, we draw the linkage between stigmatized social identities and health disparities. We (...) describe a longitudinal health equity curriculum for the Hospice and Palliative Medicine fellowship in Memphis, Tennessee, to give trainees exposure to the concept of structural violence and how it affects clinical care. The curriculum was developed in partnership with humanities and social sciences faculty who staff a Health Equity academic program at a small liberal arts college in Memphis. This curriculum has been implemented for the past four years in support of 22 hospice and palliative medicine fellows. Group debriefs and a mixed methods survey have revealed widespread and lasting impact towards understanding health equity concepts, enhanced communication and treatment of patients, and empowerment to address the broader needs and policies affecting patients and the communities in which they live. Ultimately, we model an educational initiative that integrates equity across the full scope of healthcare practice and equips learners with skills for sustaining compassionate practices, focusing on equity-oriented, person-centered care across the full scope of healthcare practice. (shrink)

The library and information profession in Africa is not well recognized. It does not carry an identifiable set of core activities that share a common understanding across societies in Africa. The number of libraries in Africa is limited for a variety of reasons including lack of resources, populations that are not based in print literacy, and having its roots in the British model of librarianship. HIV/AIDS continues to pose severe problems for Sub-Saharan Africa. Some countries in the region have successfully (...) reduced the number of HIV/AIDS cases, citing information as the main source of prevention, presenting library and information professionals a unique opportunity to collectively organize and establish their role in the fight against the disease. This paper will discuss the opportunity for how LIS professionals engaged in HIV/AIDS information activities can develop and strengthen a positive status for the library and information discipline in Sub-Saharan Africa. (shrink)

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610, that the heightened remedies available under the Elder Abuse Act, Cal. Welf. & Inst. Code, §§ 15657,15657.2, apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: section 15657, which provides for enhanced remedies for reckless neglect; and section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless (...) neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility, after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death. (shrink)

A journey across the lush, complex, and uneven landscapes of animal protection reveals that the wellbeing of animals is deeply connected to the work and the wellbeing of people.

Led by women, faith-based pregnancy centers constitute the largest segment of the movement to oppose abortion in the United States. These centers provide services for women but face criticism for offering assistance motivated and shaped by conservative religious views. In this article, I explore how evangelical staff at two faith-based centers in the western United States conceptualize their work as religious practice and reimagine “doing” evangelism. I draw upon observational, interview, and textual data to show how gender shapes the definition, (...) expression, and affective nature of evangelism. In “feminizing evangelism,” the centers challenge established evangelical practice to “share the gospel,” which necessitates spiritual regulation, a distinct form of emotional labor. In highlighting the emotional complexity of gendering religious practices, this article contributes to scholarly conversations at the intersection of gender, religion, and emotion. (shrink)

Farming God’s Way (FGW) is a type of conservation agriculture (CA) that re-interprets the CA principles of no tillage, mulching and crop rotation using biblical metaphors such as God doesn’t plow, God’s blanket, and the Garden of Eden. Through faith-based networks, FGW has spread throughout Sub-Saharan Africa, and beyond, as a development intervention for improving food security, adapting to climate change, and restoring soil productivity for resource-poor farming households. This research identifies and compares the production, sustainability and faith claims of (...) FGW to ascertain which claims are contested. A qualitative study of Canadian program managers with responsibilities for CA or FGW projects in Africa and smallholding FGW farmers in Kenya is employed using semi-structured interviews and focus groups. Production-related claims of improved soil moisture and climate change adaptation are generally consistent among program managers, farmers and the literature, but social claims of increased labour demand on women and religious claims of faith enhancing CA are contested. Findings show that female farmers unanimously contest the claim that their labour for weeding is increased under FGW. Similarly, FGW farmers contest the claim that faith inhibits adoption or innovation on the farm, reporting instead that FGW connects faith to their vocation, transforms why and how they farm, and changes mindsets for adopting faith-based CA. (shrink)

Volume 19, Issue 10, October 2019, Page 103-105.

Frege held that referring expressions in general, and demonstratives and indexicals in particular, contribute more than just their reference to what is expressed by utterances of sentences containing them. Heck first attempts to get clear about what the essence of the Fregean view is, arguing that it rests upon a certain conception of linguistic communication that is ultimately indefensible. On the other hand, however, he argues that understanding a demonstrative (or indexical) utterance requires one to think of the object (...) denoted in an appropriate way. This fact makes it difficult to reconcile the view that referring expressions are "directly referential" with any view that seeks (as Grice's does) to ground meaning in facts about communication. (shrink)

In Mind and World, John McDowell argues against the view that perceptual representation is non-conceptual. The central worry is that this view cannot offer any reasonable account of how perception bears rationally upon belief. I argue that this worry, though sensible, can be met, if we are clear that perceptual representation is, though non-conceptual, still in some sense 'assertoric': Perception, like belief, represents things as being thus and so.

Modes of Presentation analyses a collection of problems, known as 'Frege's puzzle', resulting from how thinkers and speakers have a limited perspective on reference in thought and language. Heck argues that these puzzles have much to teach us both about the foundations of cognition and the nature of linguistic communication.

In an earlier paper, "Non-conceptual Content and the 'Space of Reasons'", I distinguished two forms of the view that perceptual content is non-conceptual, which I called the 'state view' and the 'content view'. On the latter, but not the former, perceptual states have a different kind of content than do cognitive states. Many have found it puzzling why anyone would want to make this claim and, indeed, what it might mean. This paper attempts to address these questions.

Many people have sexual fantasies about being forced to have sex, or forcing someone to have sex. Several authors have argued that it is wrong to enjoy such fantasies: They lead to harm, or reinforce oppressive social structures, are liable to corrupt our character, or, mostly interestingly, are wrong in themselves, because they involve the eroticization of things that are wrong. I argue here that all such arguments fail properly to distinguish between fantasy and desire (despite authors' acknowledgement of that (...) distinction), and between objects of desire and sources of arousal. The broader significance of this point is also discussed. -/- This paper is intended, in part, as a defense of claims about sexual fantasy made at the end of "Does Pornography Presuppose Rape Myths?". (shrink)

The book begins with an overview that introduces the Theorem and the issues surrounding it, and explores how the essays that follow contribute to our understanding of those issues.

So-called 'Frege cases' pose a challenge for anyone who would hope to treat the contents of beliefs (and similar mental states) as Russellian propositions: It is then impossible to explain people's behavior in Frege cases without invoking non-intentional features of their mental states, and doing that seems to undermine the intentionality of psychological explanation. In the present paper, I develop this sort of objection in what seems to me to be its strongest form, but then offer a response to it. (...) I grant that psychological explanation must invoke non-intentional features of mental states, but it is of crucial importance which such features must be referenced. -/- It emerges from a careful reading of Frege's own view that we need only invoke what I call 'formal' relations between mental states. I then claim that referencing such 'formal' relations within psychological explanation does not undermine its intentionality in the way that invoking, say, neurological features would. The central worry about this view is that either (a) 'formal' relations bring narrow content in through back door or (b) 'formal' relations end up doing all the explanatory work. Various forms of each worry are discussed. The crucial point, ultimately, is that the present strategy for responding to Frege cases is not available either to the 'psycho-Fregean', who would identify the content of a belief with its truth-value, nor even to someone who would identify the content of a belief with a set of possible worlds. It requires the sort of rich semantic structure that is distinctive of Russellian propositions. There is therefore no reason to suppose that the invocation of 'formal' relations threatens to deprive content of any work to do. (shrink)

Many philosophers nowadays believe Frege was right about belief, but wrong about language: The contents of beliefs need to be individuated more finely than in terms of Russellian propositions, but the contents of utterances do not. I argue that this 'hybrid view' cannot offer no reasonable account of how communication transfers knowledge from one speaker to another and that, to do so, we must insist that understanding depends upon more than just getting the references of terms right.

Rae Langton and Caroline West argue that pornography silences women by presupposing misogynistic attitudes, such as that women enjoy being raped. More precisely, they claim that a somewhat infamous pictorial, ‘Dirty Pool’, makes such presuppositions, and that it is typical in this respect. I argue for four claims. (1) There are empirical reasons to doubt that women are silenced in the way that Langton and West claim they are. (2) There is no evidence that very much pornography makes the sorts (...) of presuppositions that Langton and West's explanation of silencing requires it to make. (3) Even ‘Dirty Pool’, for all its other problems, does not make such presuppositions. (4) Langton and West misread ‘Dirty Pool’ because they do not take proper account of the fact that pornography often traffics in sexual fantasy. The broader lesson is that we need to read pornography more sensitively if we are to understand its capacity to shape socio‐sexual norms (for good or for ill). (shrink)

As is well-known, the formal system in which Frege works in his Grundgesetze der Arithmetik is formally inconsistent, Russell's Paradox being derivable in it. This system is, except for minor differences, full second-order logic, augmented by a single non-logical axiom, Frege's Axiom V. It has been known for some time now that the first-order fragment of the theory is consistent. The present paper establishes that both the simple and the ramified predicative second-order fragments are consistent, and that Robinson arithmetic, Q, (...) is relatively interpretable in the simple predicative fragment. The philosophical significance of the result is discussed. (shrink)

A brief, non-technical introduction to technical and philosophical aspects of Frege's philosophy of arithmetic. The exposition focuses on Frege's Theorem, which states that the axioms of arithmetic are provable, in second-order logic, from a single non-logical axiom, "Hume's Principle", which itself is: The number of Fs is the same as the number of Gs if, and only if, the Fs and Gs are in one-one correspondence.

This paper argues that that Caesar problem had a technical aspect, namely, that it threatened to make it impossible to prove, in the way Frege wanted, that there are infinitely many numbers. It then offers a solution to the problem, one that shows Frege did not really need the claim that "numbers are objects", not if that claim is intended in a form that forces the Caesar problem upon us.

ABSTRACT In ‘Scorekeeping in a Pornographic Language Game’, Rae Langton and Caroline West borrow ideas from David Lewis to attempt to explain how pornography might subordinate and silence women. Pornography is supposed to express certain misogynistic claims implicitly, through presupposition, and to convey them indirectly, through accommodation. I argue that the appeal to accommodation cannot do the sort of work Langton and West want it to do: Their case rests upon an overly simplified model of that phenomenon. I argue further (...) that, once we are clear about why Langton and West's account fails, a different and more plausible account of pornography's influence emerges. (shrink)

Animals do a wide range of work in our society, but they are rarely recognized as workers or accorded any labour rights, and their working conditions are often oppressive and exploitative. Drawing on law, ethics, and labour studies, the essays in this volume explore the potential and dangers of animal labour.

A general survey of Frege's views on truth, the paper explores the problems in response to which Frege's distinctive view that sentences refer to truth-values develops. It also discusses his view that truth-values are objects and the so-called regress argument for the indefinability of truth. Finally, we consider, very briefly, the question whether Frege was a deflationist.

Frege's development of the theory of arithmetic in his Grundgesetze der Arithmetik has long been ignored, since the formal theory of the Grundgesetze is inconsistent. His derivations of the axioms of arithmetic from what is known as Hume's Principle do not, however, depend upon that axiom of the system--Axiom V--which is responsible for the inconsistency. On the contrary, Frege's proofs constitute a derivation of axioms for arithmetic from Hume's Principle, in (axiomatic) second-order logic. Moreover, though Frege does prove each of (...) the now standard Dedekind-Peano axioms, his proofs are devoted primarily to the derivation of his own axioms for arithmetic, which are somewhat different (though of course equivalent). These axioms, which may be yet more intuitive than the Dedekind-Peano axioms, may be taken to be "The Basic Laws of Cardinal Number", as Frege understood them. Though the axioms of arithmetic have been known to be derivable from Hume's Principle for about ten years now, it has not been widely recognized that Frege himself showed them so to be; nor has it been known that Frege made use of any axiomatization for arithmetic whatsoever. Grundgesetze is thus a work of much greater significance than has often been thought. First, Frege's use of the inconsistent Axiom V may invalidate certain of his claims regarding the philosophical significance of his work (viz., the establishment of Logicism), but it should not be allowed to obscure his mathematical accomplishments and his contribution to our understanding of arithmetic. Second, Frege's knowledge that arithmetic is derivable from Hume's Principle raises important sorts of questions about his philosophy of arithmetic. For example, "Why did Frege not simply abandon Axiom V and take Hume's Principle as an axiom?". (shrink)

This paper has three goals. The first is to defend Tristan Taromino and Erika Lust (or some of their films) from criticisms that Rebecca Whisnant and Hans Maes make of them. Toward that end, I will be arguing against the narrow conceptions that Whisnant and Maes have of what `feminist' pornography must be like. More generally, I hope to show by example why it is important to take pornographic films seriously as films if we're to understand their potential to shape, (...) or mis-shape, socio-sexual norms. (shrink)

Frege, famously, held that there is a close connection between our concept of cardinal number and the notion of one-one correspondence, a connection enshrined in Hume's Principle. Husserl, and later Parsons, objected that there is no such close connection, that our most primitive conception of cardinality arises from our grasp of the practice of counting. Some empirical work on children's development of a concept of number has sometimes been thought to point in the same direction. I argue, however, that Frege (...) was close to right, that our concept of cardinal number is closely connected with a notion like that of one-one correspondence, a more primitive notion we might call just as many. (shrink)

Gareth Evans has argued that the existence of vague objects is logically precluded: The assumption that it is indeterminate whether some object a is identical to some object b leads to contradiction. I argue in reply that, although this is true—I thus defend Evans's argument, as he presents it—the existence of vague objects is not thereby precluded. An 'Indefinitist' need only hold that it is not logically required that every identity statement must have a determinate truth-value, not that some such (...) statements might actually fail to have a determinate truth-value. That makes Indefinitism a cousin of mathematical Intuitionism. (shrink)

In this exciting new collection, a distinguished international group of philosophers contribute new essays on central issues in philosophy of language and logic, in honor of Michael Dummett, one of the most influential philosophers of the late twentieth century. The essays are focused on areas particularly associated with Professor Dummett. Five are contributions to the philosophy of language, addressing in particular the nature of truth and meaning and the relation between language and thought. Two contributors discuss time, in particular the (...) reality of the past. The last four essays focus on Frege and the philosophy of mathematics. The volume represents some of the best work in contemporary analytical philosophy. (shrink)

The paper formulates and proves a strengthening of ‘Frege’s Theorem’, which states that axioms for second-order arithmetic are derivable in second-order logic from Hume’s Principle, which itself says that the number of Fs is the same as the number ofGs just in case the Fs and Gs are equinumerous. The improvement consists in restricting this claim to finite concepts, so that nothing is claimed about the circumstances under which infinite concepts have the same number. ‘Finite Hume’s Principle’ also suffices for (...) the derivation of axioms for arithmetic and, indeed, is equivalent to a version of them, in the presence of Frege’s definitions of the primitive expressions of the language of arithmetic. The philosophical significance of this result is also discussed. (shrink)

This paper is concerned with neo-Fregean accounts of reference to abstract objects. It develops an objection to the most familiar such accounts, due to Bob Hale and Crispin Wright, based upon what I call the 'proliferation problem': Hale and Wright's account makes reference to abstract objects seem too easy, as is shown by the fact that any equivalence relation seems as good as any other. The paper then develops a response to this objection, and offers an account of what it (...) is for abstracta to exist that is Fregean in spirit but more robust than familiar views. (shrink)

This paper considers a now familiar argument that the ubiquity of context -dependence threatens the project of natural language semantics, at least as that project has usually been conceived: as concerning itself with `what is said' by an utterance of a given sentence. I argue in response that the `anti-semantic' argument equivocates at a crucial point and, therefore, that we need not choose between semantic minimalism, truth-conditional pragmatism, and the like. Rather, we must abandon the idea, familiar from Kaplan and (...) others, that utterances express propositions `relative to contexts' and replace it with the Strawonian idea that speakers express propositions by making utterances in contexts. The argument for this claim consists in a detailed investigation of the particular case of demonstratives, which I argue demand such a Strawsonian treatment. I then respond to several objections, the most important of which allege that the Strawsonian account somehow undermines the project of natural language semantics, or threatens the semantics -pragmatics distinction. Please note that the paper posted here is an extended version of what was published. (shrink)

Gottlob Frege's Grundgesetze der Arithmetik, or Basic Laws of Arithmetic, was intended to be his magnum opus, the book in which he would finally establish his logicist philosophy of arithmetic. But because of the disaster of Russell's Paradox, which undermined Frege's proofs, the more mathematical parts of the book have rarely been read. Richard G.

Hartry Field has suggested that we should adopt at least a methodological deflationism: [W]e should assume full-fledged deflationism as a working hypothesis. That way, if full-fledged deflationism should turn out to be inadequate, we will at least have a clearer sense than we now have of just where it is that inflationist assumptions ... are needed. I argue here that we do not need to be methodological deflationists. More pre-cisely, I argue that we have no need for a disquotational truth-predicate; (...) that the word true, in ordinary language, is not a disquotational truth-predicate; and that it is not at all clear that it is even possible to introduce a disquotational truth-predicate into ordinary language. If so, then we have no clear sense how it is even possible to be a methodological deflationist. My goal here is not to convince a committed deflationist to abandon his or her position. My goal, rather, is to argue, contrary to what many seem to think, that reflection on the apparently trivial character of T-sentences should not incline us to deflationism. (shrink)

John McDowell has often emphasized the fact that the use of langauge is a rational enterprise. In this paper, I explore the sense in which this is so, arguing that our use of language depends upon our consciously knowing what our words mean. I call this a 'cognitive conception of semantic competence'. The paper also contains a close analysis of the phenomenon of implicature and some suggestions about how it should and should not be understood.

Are Fregean thoughts compositionally complex and composed of senses? We argue that, in Begriffsschrift, Frege took 'conceptual contents' to be unstructured, but that he quickly moved away from this position, holding just two years later that conceptual contents divide of themselves into 'function' and 'argument'. This second position is shown to be unstable, however, by Frege's famous substitution puzzle. For Frege, the crucial question the puzzle raises is why "The Morning Star is a planet" and "The Evening Star is a (...) planet" have different contents, but his second position predicts that they should have the same content. Frege's response to this antinomy is of course to distinguish sense from reference, but what has not previously been noticed is that this response also requires thoughts to be compositionally complex, composed of senses. That, however, raises the question just how thoughts are composed from senses. We reconstruct a Fregean answer, one that turns on an insistence that this question must be understood as semantic rather than metaphysical. It is not a question about the intrinsic nature of residents of the third realm but a question about how thoughts are expressed by sentences. (shrink)