Although hope is a pervasive concept in cancer treatment, we know little about how ambulatory patients with cancer define or experience hope. We explored hope through semistructured interviews with ten patients with advanced (some curable, some incurable) colon cancer at one Midwestern, university–based cancer center. We conducted a thematic analysis to identify key concepts related to patient perceptions of hope. Although we did ask specifically about hope, patients also often revealed their hopes in response to indirect questions or by telling (...) stories about their cancer experience. We identified four major themes related to hope: 1) hope is essential, 2) a change in perspective, 3) the content of hope, and 4) communicating about hope. The third theme, the content of hope, included three subthemes: a) the desire for normalcy, b) future plans, and c) hope for a cure. We conclude that hope is an essential concept for patients undergoing treatment for cancer as it pertains to their psychological well–being and quality of life, and hope for a cure is not and should not be the only consideration. In a clinical context, the exploration of patients’ hopes and aspirations in light of their cancer diagnosis is important because it provides a frame for understanding their goals for treatment. Exploration of the content of patients’ hope can not only help to illuminate misunderstandings but also clarify how potential treatments may or may not contribute to achieving patients’ goals. (shrink)

The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, with (...) the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)

CYBATHLON is an international championship where people with severe physical disabilities compete with the aid of state-of-the-art assistive technology. In one of the disciplines, the BCI Race, tetraplegic pilots compete in a computer game race by controlling an avatar with a brain-computer interface. This competition offers a perfect opportunity for BCI researchers to study long-term training effects in potential end-users, and to evaluate BCI performance in a realistic environment. In this work, we describe the BCI system designed by the team (...) Mirage91 for participation in the CYBATHLON BCI Series 2019, as well as in the CYBATHLON 2020 Global Edition. Furthermore, we present the BCI’s interface with the game and the main methodological strategies, along with a detailed evaluation of its performance over the course of the training period, which lasted 14 months. The developed system was a 4-class BCI relying on task-specific modulations of brain rhythms. We implemented inter-session transfer learning to reduce calibration time, and to reinforce the stability of the brain patterns. Additionally, in order to compensate for potential intra-session shifts in the features’ distribution, normalization parameters were continuously adapted in an unsupervised fashion. Across the aforementioned 14 months, we recorded 26 game-based training sessions. Between the first eight sessions, and the final eight sessions leading up to the CYBATHLON 2020 Global Edition, the runtimes significantly improved from 255 ± 23 s to 225 ± 22 s, respectively. Moreover, we observed a significant increase in the classifier’s accuracy from 46 to 53%, driven by more distinguishable brain patterns. Compared to conventional single session, non-adaptive BCIs, the inter-session transfer learning and unsupervised intra-session adaptation techniques significantly improved the performance. This long-term study demonstrates that regular training helped the pilot to significantly increase the distance between task-specific patterns, which resulted in an improvement of performance, both with respect to class separability in the calibration data, and with respect to the game. Furthermore, it shows that our methodological approaches were beneficial in transferring the performance across sessions, and most importantly to the CYBATHLON competitions. (shrink)

Since Plato, most philosophers have drawn a sharp line between reason and emotion, assuming that emotions interfere with rationality and have nothing to contribute to good reasoning. In his dialogue the Phaedrus, Plato compared the rational part of the soul to a charioteer who must control his steeds, which correspond to the emotional parts of the soul (Plato 1961, p. 499). Today, scientists are often taken as the paragons of rationality, and scientific thought is generally assumed to be independent of (...) emotional thinking. (shrink)

Chapter 49 of the Han Feizi, entitled 'Wudu', includes one of the earliest discussions in Chinese history of the concepts of gong and si: Han Fei takes si to mean 'acting in one's own interest'. Gong is simply what opposes si. 'Acting in one's own interest' is not inherently reprehensible in Han Fei's view; but a ruler must remember why ministers propose their policies: they are concerned only with enriching themselves, and look upon the ruler as nothing more than a (...) resource to be exploited in their quest for material aggrandizement. The interests of the ministers and the ruler are diametrically opposed. Ministers hope for a comfortable career; a ruler must weed out the posers in his search for those rare and invaluable adjuvants who are genuinely capable of administering the state. In short, if si is the self-interest of the minister, gong is the self-interest of the ruler. (shrink)

"Evidence of a flight from reason is as old as human record-keeping: the fact of it certainly goes back an even longer way. Flight from science specifically, among the forms of rational inquiry, goes back as far as science itself... But rejection of reason is now a pattern to be found in most branches of scholarship and in all the learned professions."--from the introduction In the widely acclaimed Higher Superstition: The Academic Left and Its Quarrels with Science, Paul R. (...) Gross and Norman Levitt offered a spirited response to the "science bashers," raising serious questions about the growing criticism of scientific practice from humanists and social scientists on the academic left. Now, in The Flight from Science and Reason, Gross and Levitt are joined by Martin W. Lewis to bring together a diverse and distinguished group of scholars, scientists, and experts to engage these questions from a wide variety of perspectives. The authors take on critics of science whose views range from moderate to extreme, from social constructivists to deconstructionists, from creationists and feminists to Afro-centrists. They discuss the rise of "alternative medicine" and radical environmentalism (here skewered as "ecosentimentalism"). They explain why the "uncertainty principle" does not work as a metaphor for ambiguity, and why "chaos theory" cannot be invoked without an understanding of mathematics. Throughout, they grapple with the paradox inherent in arguing with opponents who contend that reason itself, and thus logic, is suspect. Distributed for the New York Academy of Sciences. (shrink)

Mandevillian intelligence is a specific form of collective intelligence in which individual cognitive vices are seen to play a positive functional role in yielding collective forms of cognitive success. The present paper introduces the concept of mandevillian intelligence and reviews a number of strands of empirical research that help to shed light on the phenomenon. The paper also attempts to highlight the value of the concept of mandevillian intelligence from a philosophical, scientific and engineering perspective. Inasmuch as we accept the (...) notion of mandevillian intelligence, then it seems that the cognitive and epistemic value of a specific social or technological intervention will vary according to whether our attention is focused at the individual or collective level of analysis. This has a number of important implications for how we think about the design and evaluation of collective cognitive systems. For example, the notion of mandevillian intelligence forces us to take seriously the idea that the exploitation of individual cognitive shortcomings could, in some situations, provide a productive route to collective forms of cognitive and epistemic success. (shrink)

This chapter reviews the aspects of Mencius that did and did not interest Han-dynasty writers. With the help of digital concordances, it is easy to discover that many of the passages considered crucial today were rarely, if ever, cited in the Han. These include the parable of the infant about to fall into a well (2A.6), the debate with a Mohist named Yi Zhi 夷之 (3A.5), and the concept of liangzhi 良知 (7A.15), which, since Wang Yangming 王陽明 (1472–1528), has been (...) considered a cornerstone of Mencian ethics. The chapter discusses other key passages that are never mentioned in Han sources. Absence of evidence is not evidence of absence, and thus one cannot simply infer that these passages were unknown in the Han dynasty, but it remains significant that they were not regarded as essential to understanding Mencius’s philosophy. The conclusion will explore the differences between Mencius’s reception in the Han dynasty and his Neo-Confucianized reception today. (shrink)

L. J. Savage and I. J. Good have each demonstrated that the expected utility of free information is never negative for a decision maker who updates her degrees of belief by conditionalization on propositions learned for certain. In this paper Good's argument is generalized to show the same result for a decision maker who updates her degrees of belief on the basis of uncertain information by Richard Jeffrey's probability kinematics. The Savage/Good result is shown to be a special case of (...) the more general result. (shrink)

There have been a number of attempts to apply mechanism-related concepts to the notion of extended cognition. Such accounts appeal to the idea that extended cognitive routines are realized by mechanisms that transcend some salient border or boundary. The present paper describes some of the challenges confronting the effort to develop a mechanistic account of extended cognition. In particular, it describes five problems that must be resolved if we are to make sense of the idea that extended cognition can be (...) understood via an appeal to extended mechanisms. These problems are intended to guide the philosophical effort to develop a mechanistic account of extended cognition. (shrink)

Professor Kai Nielsen is one of the most forceful proponents of the view that theological assertions have no factual reference because they are compatible with any empirical state of affairs; no evidence, it is alleged, is allowed to count as falsification of such assertions, and therefore they spuriously purport to be what they are not. In this he follows the well-known essay by Professor Antony Flew in which the same argument was advanced, and Nielsen's own most recent contribution on the (...) subject in Religious Studies should be read against the background of his earlier controversy with Professors John Hick and George Mavrodes in The Canadian Journal of Theology. In this latest article he broadens the canvas to question the significance of applying language and concepts appropriate to the realm of empirical observation to anything that is held to transcend it; and this is the substance of Part II of his paper, in which he engages in debate with Professor Ian Crombie, treading well-worn ground that has been the subject of innumerable philosophical discussions. The rest of the paper, however, is a restatement of his earlier contention, and it is with this more limited issue that I shall be concerned in what follows. For I believe that Nielsen is wrong in two quite fundamental respects: he is mistaken in supposing that theological assertions are compatible with any empirical state of affairs: he bases his critique of theological assertions on a far too uncritical appraisal of the principles of verification and falsification in the case of ordinary factual statements. If I am right, the larger questions raised in Part II will still remain open, but it is high time that the ‘verification-falsification argument’ should be shown to be unfounded. (shrink)

Der Autor zeigt auf, dass die Idee der Freiheit fur Karl Jaspers die Grundlage seines politischen Denkens und seiner politischen Ethik darstellt. Jaspers beschreibt, dass der Mensch aus Freiheit und Verantwortung heraus handeln soll, wobei die Motivatoren dafur Vernunft und Liebe seien. So kann der unbedingten Forderung entsprochen werden. Auch in der Politik soll diese Maxime umgesetzt werden. Dementsprechend ist Ethik in Freiheit die Grundlegung von Jaspers' politischem Denken. -Der Autor hat uns mit diesem Buch Karl Jaspers und seine Idee (...) der Freiheit neu nahe gebracht. Moge es viele Fruchte der Freiheit tragen und verbreiten!- "O. Univ.-Prof. Dr. Dr. h.c. Manfried Welan (Universitat fur Bodenkultur Wien)" -Der Aufgabe, eine politische Ethik bei Jaspers zu rekonstruieren, hat sich Paul R. Tarmann in vorbildlicher Weise unterzogen.- "O. Univ.-Prof. Dr. Norbert Leser + (Universitat Wien)"". (shrink)

The U.S. Constitution provides a framework for our laws, but what does it have to say about morality? Paul DeHart ferrets out that document’s implicit moral assumptions as he revisits the notion that constitutions are more than merely practical institutional arrangements. In _Uncovering the Constitution’s Moral Design_, he seeks to reveal, elaborate, and then evaluate the Constitution’s normative framework to determine whether it is philosophically sound—and whether it makes moral assumptions that correspond to reality. Rejecting the standard approach of (...) the intellectual historian, DeHart for the first time in constitutional theory applies the method of inference to the best explanation to ascertaining our Constitution’s moral meaning. He distinguishes the Constitution’s intention from the subjective intentions of the framers, teasing out presuppositions that the document makes about the nature of sovereignty, the common good, natural law, and natural rights. He then argues that the Constitution constrains popular sovereignty in a way that entails a real common good, transcendent of human willing and promotive of human well-being, but he points out that while the Constitution presupposes a real common good, it also implies a natural law that prescribes the common good. In critiquing previous attempts at describing and evaluating the Constitution’s normative framework, DeHart demonstrates that the Constitution’s moral framework corresponds largely to classical moral theory. He challenges the logical coherency of modern moral philosophy, normative positivism, and other theories that the Constitution has been argued to embody and offers a groundbreaking methodology that can be applied to uncovering the normative framework of other constitutions as well. This cogently argued study shows that the Constitution presupposes a natural law to which human law must conform, and it takes a major step in resolving current debates over the Constitution’s normative framework while remaining detached from the social issues that divide today’s political arena. _Uncovering the Constitution’s Moral Design_ is an original approach to the Constitution that marks a significant contribution to understanding the moral underpinnings of our form of government. (shrink)

Nietzsche’s conception of eros and its role in the development of philosophers is similar to the conception of those same topics espoused by Diotima in Plato’s Symposium. Nietzsche and Diotima agree that eros is an insatiable desire to possess the beautiful, that eros aims at immortality through reproduction, and that philosophy requires an ascent beyond sexual desire to “higher” forms of eros, which nevertheless are still modeled on heterosexual reproduction. Understanding these facets of Nietzsche’s view leads to an apparent contradiction (...) in that Nietzsche thinks of philosophy on the model of reproduction and ascribes to the philosopher both the female and the male roles in heterosexual reproduction. I argue that this ambivalence reflects Nietzsche’s view that practicing philosophy requires balancing two conflicting philosophical tendencies: on the one hand, pursuit of truth, which involves dissatisfaction with oneself; on the other hand, creation, which involves acknowledgment of one’s own capacity and value. (shrink)

This peer reviewed reference article is an annotated online bibliography on mereology with 80+ entries. It's aim is to provide a selective and balanced guide to the subject. It contains thematic headings with commentaries. The reader should come away cognizant of what the most influential work in mereology are. Topics highlighted herein include, but are not limited to: the history of mereology, classical extensional mereology and its challenges, parthood, connections with location relations, mereological simples and gunk, composition as identity, as (...) well as mereological essentialism, nihilism, and universalism. (shrink)

Ten years after the publication of “Heng Xian and the Problem of Studying Looted Artifacts” in Dao, this rejoinder to critics begins by recapitulating my original argument, then considers the leading objections that have appeared in the interim. After dispensing with two trivial and ad hominem responses (that I am a hypocrite and an imperialist), the discussion focuses on the one serious objection, namely, that the benefits of studying looted artifacts outweigh the costs. I conclude with my reasons for disagreeing (...) with this judgment. (shrink)

Shangjun shu, a text that is especially rich in nuanced keywords, coordinates different types of power in significant sequences. Comprehending the philosophy of the text therefore requires comprehending the semantics and etymologies of these keywords. The present article is not a comprehensive discussion of power in Shangjun shu but affords a glimpse of the value of historical linguistics for a deeper understanding of philosophy and conceptual history.

Philosophical Investigations, Volume 45, Issue 2, Page 146-160, April 2022.

In Pagans & Christians in the City, Steven D. Smith argues that in contrast to ancient Rome, ancient Christianity, following Judaism, located the sacred outside the world, desacralizing the cosmos and everything in it—including the political order. It thereby introduced a political dualism and potentially contending allegiances. Although Smith’s argument is right so far as it goes, it underplays the role of Christianity’s immanent dimension in subverting the Roman empire and the sacral pattern of antiquity. This division of authority not (...) only undermined the Roman empire and antique sacral political order more generally—it also subverts the modern state, which, in the work of Hobbes and Rousseau, sought to remarry what Western Christianity divorced. (shrink)

Early modern theorists linked the idea of sovereign power to a conception of absolute power developed during the medieval period. Ockham had reframed the already extant distinction between God's absolute and ordained powers in order to argue that God was free of moral constraint in ordaining natural law for human beings. Thus, the natural law could command the opposite of what God had ordained if He wished to make it so. Bodin extended Ockham's argument to earthly sovereigns, who do not (...) (he argued) have to obey civil law. However, Bodin undermined his absolutism by maintaining that civil law has to be consistent with natural and divine law. Hobbes more consistently argued that while mortal sovereigns are accountable to God, the power of sovereigns to command is not subject to moral constraints. Underlying Ockham's view of God's sovereignty, and Bodin's and Hobbes's view of earthly sovereigns, is a notion of the will's unconstrained power. But this notion is self-referentially incoherent. This incoherence, in turn, infects the very notion of sovereignty. (shrink)

Husserl's notion of intentionality is based upon the postulate that consciousness is always consciousness of something. From this basic postulate, a distinct problem arises and to which Ricoeur's theory of narrative offers a response. ;The problem issues from the question of objectivity. When Husserl explains that consciousness is correlated to something , what he means is that a person grasps something real and that a person grasps this something as do all other people. Husserl, however, never properly incorporates such an (...) intersubjective perspective into the basic formulation of intentionality. Since Husserl always looks to the isolated ego as the source of objective validity, the external world seems to become reduced to the representative acts of consciousness. ;Ricoeur clearly overcomes this problem by focusing on the issue of linguistic mediation. What Ricoeur highlights is the fact that our intentions toward the world are already supported by a level of cultural achievement. The intending subject is not, therefore, an isolate ego weighing in his or her mind what expression is the best suited for what is intended. Intentions themselves feed on a social context, a culture, or a tradition which all have a presence in the form of written texts or narratives. Texts or narratives support and inform what can be intended. Although this appeal to narrative mediation answers the intersubjective question, we still need to be shown how the objective world is something more than a mere reflection of linguistic or narrative acts. ;Narrative is a term which has a dual significance: narratives are indeed accounts which people pass on to each other but they are also about reality insofar as they prescribe ways to act in the world. Here Ricoeur incorporates a theory of action into the notion of intentionality: actions are intelligible because of the intentions which permeate them and intentions are correlated to the world insofar as they can be acted upon. In this way, Ricoeur builds into the notion of intentionality an intersubjective component which remains connected to reality through the conscious acts of individuals. (shrink)

This paper argues that questions concerning the nature of concepts that are central in cognitive psychology are also important to epistemology and that there is more to conceptual change than mere belief revision. Understanding of epistemic change requires appreciation of the complex ways in which concepts are structured and organized and of how this organization can affect belief revision. Following a brief summary of the psychological functions of concepts and a discussion of some recent accounts of what concepts are, I (...) propose a view of concepts as complex computational structures. This account suggests that conceptual change can come in varying degrees, with the most extreme consisting of fundamental conceptual reorganizations. These degrees of conceptual change are illustrated by the development of the concept of an acid. (shrink)

After decades of attempts, comparisons between classical Chinese and Greco-Roman philosophy have had limited success. While there have been some productive lines of inquiry (for example, comparing early Confucian ethics to virtue ethics as represented by Aristotle), the overall record is disappointing because concepts such as Plato’s theory of forms or Aristotle’s emphasis on syllogism have proved incommensurable with most classical Chinese ways of thinking. But much of the problem can be attributed to the habit of comparing Chinese thinkers to (...) Plato and Aristotle without asking whether they are the most suitable philosophers for this purpose. For most of the twentieth century, Hellenistic philosophy was scarcely considered. Yet very recently, provocative similarities have been identified between Chinese philosophy and Stoicism, especially Epictetus. I shall argue that these parallels are even more significant than previous scholarship has recognized (I hope to convince the reader that some of them are indeed staggering), and conclude by asking why we find such parallels in the first place. My claim will not be direct or even indirect transmission; this is a case, to borrow a distinction from evolutionary biology, of analogous rather than homologous development. -/- . (shrink)