This paper examines the role of clinical practitioners and clinical researchers internationally in establishing the utility of harm-reduction approaches to substance use. It thus illustrates the potential for clinicians to play a pivotal role in health promoting structural interventions based on harm-reduction goals and public health models. Popular media images of drug use as uniformly damaging, and abstinence as the only acceptable goal of treatment, threaten to distort clinical care away from a basis in evidence, which shows that some ways (...) of using drugs are far more harmful than others and that punitive approaches and insistence on total abstinence as the only goal of treatment often increases the harms of drug use rather than reducing drug use. Therefore the leadership and scientific authority of clinicians who understand the health impact of harm-reduction strategies is needed. Through a review of harm-reduction interventions in Canada, the United Kingdom, the United States, Australia, Switzerland, and the Netherlands, we identify three ways that clinicians have helped to achieve a paradigm shift from punitive approaches to harm-reduction principles in clinical care and in drug policy: through clinical research to provide data establishing the effectiveness and feasibility of harm-reduction approaches, by developing innovative clinical programmes that employ harm reduction, and thereby changing the standard of care to include routine use of these evidence-based approaches in their practices. We argue that through promotion of harm-reduction goals and methods, clinicians have unique opportunities to improve the health outcomes of vulnerable populations. (shrink)

R. Lanier Anderson presents a new account of Kant's distinction between analytic and synthetic judgments, and provides it with a clear basis within traditional logic. He reconstructs compelling claims about the syntheticity of elementary mathematics, and re-animates Kant's arguments against traditional metaphysics in the Critique of Pure Reason.

I argue that we need not accept Quine's holistic conception of mathematics and empirical science. Specifically, I argue that we should reject Quine's holism for two reasons. One, his argument for this position fails to appreciate that the revision of the mathematics employed in scientific theories is often related to an expansion of the possibilities of describing the empirical world, and that this reveals that mathematics serves as a kind of rational framework for empirical theorizing. Two, this holistic conception does (...) not clearly demarcate pure mathematics from applied mathematics. In arguing against Quine, I present a formal account of applied mathematics in which the mathematics employed in an empirical theory plays a role that is analogous to the epistemological role Kant assigned synthetic a priori propositions. According to this account, it is possible to insulate pure mathematics from empirical falsification, and there is a sense in which applied mathematics can also be labeled as a priori. (shrink)

Argues there is a program of five-word utterances that imitate fallen language in Dante’s Commedia.

This paper takes as its starting point the observation of quasi-religious, ‘cultural’ characteristics in the dominant discourse of Western liberal democracy, and of ‘ideological’ characteristics in the discourse of Islamism – noting that both discourses rely, to some extent, upon the notion of rationality. Having provided working definitions of rationality, ideology, and culture, it goes on to argue that culture and ideology may be viewed as discursive macro-strategies which are related to the degree of power enjoyed by a given social (...) system at particular historical moments in time: the former being associated with the consolidation of established power and the latter with a bid to acquire power. It suggests that the general function of cultural and ideological strategies is to mask the underlying irrationalities of free-market democracy and Islamism, respectively, and concludes by considering some of the implications of this view in the context of globalization and the ‘war on terror’. (shrink)

A brief history and description of this project.

In lieu of an abstract, here is a brief excerpt of the content:Locke on the Knowledge of Material Things ROBERT FENDEL ANDERSON IT IS nOT John Locke's intention, in his Essay Concerning Human Understanding, to deal with matter and material substance nor with how these are able to affect the mind. These are considerations for natural philosophy; Locke counts himself rather among the moral philosophers. He does not propose, therefore, to meddle with the physical aspects of the mind, (...) nor with the physical production of sensations through the organs, nor with the production of ideas in the understanding, nor even with whether ideas depend upon matter for their source. He defers to the wisdom of such men as Boyle, Sydenham, Huygens and Newton in these considerations, and finds it "... ambition enough to be employed as an under-labourer in clearing the ground a little, and removing some of the rubbish that lies in the way to knowledge....,, 1 It is true that Locke's Essay is characterized chiefly not by an interest in matter and the mechanics of perception but rather by an interest in epistemology and in the ordering and assessment of our knowledge. Because of the very nature and emphasis of this epistemology, however, Locke finds that he must, from time to time, at least mention the nature of matter and how it affects us. Finally, it becomes apparent, certain changes or ambiguities in his point of view regarding the mode of our knowledge and its certainty are consequences of his understanding of matter. It is a demonstration of these elements of his doctrine, which seem not to have obtained the full attention of such scholars as Aaron, Fraser, and Gibson, that I shall attempt in this paper. Fundamentally, Locke's theory of matter appears to be that of Democritus and Epicurus. Like the Greek atomists, he conceives of matter as consisting of particles or corpuscles infinite in number. At least some of these are so minute as to be individually insensible, and probably he intends that all are, although, to my knowledge, he never states that this is so. In the aggregate, in any case, particles do constitute perceptible bodies. As for the Greeks, so also for Locke, the particles arc all extended, having size and shape. They are said also to possess motion or rest, although he takes care to say that matter cannot produce motion in itself,e Locke frequently mentions other properties as being "primary" or "really in" material things. Some of these are solidity, texture, cohesion of parts, situation, and number. Apparently some of these may be ranked under others since, as he 1"Epistle to the Reader," Vol. I, p. 14. All footnotes refer to passages in John Locke's An Essay Concerning Human Understanding, collated and annotated, with prolegomena, biographical, critical, and historical by Alexander Campbell Fraser, in two volumes (New York, Dover Publications, Inc., 1959). Large Roman numerals refer to books of the Essay; small Roman numerals refer to chapters of the books; Arabic numerals refer to sections of the chapters. 2 IV, x, 10. [205] 206 HISTORY OF PHILOSOPHY remarks, figure presupposes extension, and receiving or communicating motion through impact presupposes solidity. The influences of these particles upon one another are treated by Locke under the topic of "powers," a notion which includes in it some kind of "secret relation of parts." 3 The capacities in any substance to give alterations of primary qualities are active powers; the capacities to receive such alterations are passive powers. This alteration must be accomplished by impact or impulse since this, Locke says, is the only way in which bodies can be conceived to operate. Sensation in the percipient being then is to be understood as a special case of this impact of particles upon others. It is evident to Locke that from external obiects some motion must be conveyed by some parts of our bodies to the brain or seat of sensation to produce in our minds the particular ideas we have of these external objects. We are able by sight to perceive at a distance the primary qualities of bodies of observable size. Locke reasons that therefore "... some singly imperceptible bodies must come from them to the eyes, and thereby convey to... (shrink)

Respected Catholic ethicists have recently defended the use of salpingostomy and methotrexate in the management of ectopic pregnancies.This article examines the arguments for the revised assessments to determine whether there are sound reasons to believe that these two methods do not constitute the direct and immediate killing of innocent human beings. National Catholic Bioethics Quarterly 11.1 (Spring 2011): 65–82.

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 149 temporary, might he an eyeopener to young Thomists who know so little about his work. In the meantime, however, in this English version of The Eyes of Faith a primary source of first importance has come our way. Catholic libraries should definitely have it on hand for philosophers and theologians to consult. Fordham University Bronx, New York GERALD A. McCooL, S.J. The Phuosophy of Thomas Aquinas: (...) Introductory Readings. Edited by CHRISTOPHER MARTIN. New York: Routledge, Chapman & Hall, 1988. Pp. 202. $57.50 (cloth); $18.95 (paper). One has a difficult time finding a wholly satisfactory collection of writings from Thomas Aquinas in a single volume. In different ways, the well-known collections of Mary Clark, Robert Goodwin, Thomas Gilby, Vernon Bourke, and Anton Pegis have their merits, hut they have their defects too-one of which is that they all came out twenty to forty years ago. Christopher Martin has recently produced a new collection of readings, and his selection is much different. Add to this that many of the texts in his work are rare or nonexistent in translation, and one begins to see why it is delightful to see this work appear. Christopher Martin has gathered a number of philosophical texts from Aquinas for those who have already cut their teeth in philosophy. (Hence, the uninitiated to philosophy will find things here hard going.) Texts were selected principally with an eye to interesting those students who are most familiar with philosophy in the analytic tradition. They are often unacquainted with theology and at a loss as to how to sort out Thomas's philosophical claims from his theological claims. The aim was to produce a volume which would help such students read Thomas fruitfully and show them that Thomas has many genuine philosophical insights. To this end, texts were chosen that presupposed no, or a minimal, understanding of theology. Not every side of Thomas's philosophical thought is reflected in this work, hut a number of important sides of it are, and an idea of the breadth of it comes through. The format of this work is something like that of Ralph Mclnerny's recent A First Glance at St. Thomas Aquinas. Each chapter begins with an essay that is closely tied to a Thomistic text or two given at the end of the chapter. In Martin's work, however, the emphasis lies more on the itexts than on the expository essays. Apart from the introduction, the 150 BOOK REVIEWS book is divided into five chapters: Aquinas on Logic; Aquinas on Metaphysics; Aquinas on God; Aquinas on Truth, Knowledge and the Mind; and Aquinas on Ethics. The chapters by design follow the major divisions and order of Anthony Kenny's Aquinas: A Collection of Critical Essays. The essays which begin each chapter and introduce the texts that follow are solid pieces. They make many references to Thomas's depend· ence on Aristotle and to parallels between Thomas's handling of a problem and recent discussions of the same. They also give guidance in reading the Thomistic texts and explain what is difficult in the doctrine found in the texts. Throughout these essays, the influence of Peter Geach's writings is evident (especially God and the Soul and Three Philosophers). At times it is just an example or the choice of a term, and at other times it is something more substantial. Though Martin's essays are quite accurate and helpful, a reader can find things to quibble with. Thomas's distinction, for example, between id a quo nomen imponitur ad significandum and id ad quod nomen imponitur ad significandum does not seem, as Martin suggests, to be Frege's distinction between sense and reference or Kripke's distinction between the reference of a name and the fixing of a reference. Rather, Thomas seems to be distinguishing more the etymology of a name from its meaning. Again, it will not do to say that the principle of individuation for individuals of the same kind is " distinct lumps of matter " and that the lumpiness of matter in turn is responsible for the individuation of forms. The " lumpiness " of matter is itself a formal feature. Thomas's teaching... (shrink)

Heyes's literature review of deception, imitation, and self-recognition is inadequate, misleading, and erroneous. The anaesthetic artifact hypothesis of self-recognition is unsupported by the data she herself examines. Her proposed experiment is tantalizing, indicating that theory of mind is simply a Turing test.

Clinical study of envy and jealousy in the psychotherapy situation indicates that these two states of mind are biopsychosocial response patterns involving the perceptual, cognitive, affective, and intentional mentalfunctions. These response patterns are evoked by perceptual events that inform the individual of one’s relative position vis-à-vis the requirements of one s life. Once these patterns can be discerned in the patient, the clinician is able to hear things in the psychotherapy situation not previously heard and understand, interpret, and work through (...) conflict in a new and useful way. In this paper psychotherapy paradigms and strategies are discussed from the new perspective afforded by the psychology of envy and jealousy. (shrink)

The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each (...) value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness. (shrink)

This essay describes possible futures that may result from accelerating technological advances and the challenges these futures present to psychotherapists. In the next 100 years, human beings will be likely to increasingly use computers and artificial intelligence and become extremely dependent on this relationship. Chip and stem cell implants may provide people with greater memory capacity, computational capacity, and skill sets. Genetic engineering, cryonics, and cloning may allow dramatic increases in the human life span these developments occur, they will challenge (...) what it means to be a human being and have a soul. Although psychotherapists will acquire new tools for assessment and intervention, they will face the daunting task of addressing these changes and challenges to personhood with their clients. (shrink)

Chemistry laboratories, as buildings, have been surprisingly little studied by historians of science; interest has been focused on them more as sites of specific scientific activity, with particular emphasis on the personalities who worked within them. This has overshadowed aspects of laboratories such as their specification, design, construction, fitting-out, adaptation, replacement, status as civic and academic structures, and so on. Systematic study of them would be aided by an agreed taxonomy of laboratory types, according to their purpose, and a scheme (...) is proposed here. Practically no pre-1800 chemical laboratories survive, and there are very few dating from earlier than 1900, at least in their original state. Encouragingly, there have been several recent archaeological excavations which have turned up interesting evidence of early examples from various cultures. Little interest has been shown in the preservation of laboratories as significant architectural or historical structures, certainly when compared with other building types. The paper closes by considering those English laboratories which enjoy some level of legal protection but questioning the criteria adopted in deciding the programme of preservation. (shrink)

Perhaps no other population exposes the clinician to more moral and legal dilemmas than clients with an HIV-positive diagnosis. What does the therapist do about the HIV positive patient who is having sex with unnamed partners and refuses to stop? What should be said in end-of-life decisions? What of the adolescent who is HIV positive but whose guardian does not wish the youth to be informed of his status?

Most of the time when historians study chemistry the subject dealt with is what might be called élite chemistry. This is chemistry at the cutting edge, chemistry which makes a difference to how we come to understand the properties of matter, molecules, reactions, and so on. Other associated matters which may be explored by historians of chemistry concern social, economic or political relationships with élite chemistry. In this Debus Lecture I want to consider what possibilities there were that the working-class (...) would be able to learn about chemistry in the earlier part of the nineteenth century, and how and why this was achieved. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:26. IN DEFENSE OF SECTION V: A REPLY TO PROFESSOR YOLTON Professor Yolton's article is especially valuable for its opening paragraphs on the writing done in the eighteenth century on the physiological basis of cognition. These provide a much-needed background to Hume's own remarks on the nature of perceptions.. It is both correct and helpful, I think, to understand any philosopher as a man of his own century. Professor (...) Yolton offers this article, in part at least, to differ with my interpretation given in "The Location, Extension, Shape, and Size of Hume's Perceptions." It seems to me, however, that this opening part of his article serves instead to lend support to mine. I have not said, by the way, that Hume believes that ideas are "brain impressions," since Hume has not used that phrase himself. Instead, I have merely provided evidence that Hume believes some perceptions have location, extension, shape and size; and I have pointed out an inconsistency that arises in this connection. Professor Yolton warns against taking Hume to intend, in saying that an idea represents its impression, that the idea is an image of the impression. I find, however, that Hume does assert that ideas are images: Those perceptions, which enter with most force and violence, we may name impressions.... By ideas I mean the faint images of these in thinking and reasoning.... (Tl) Again, in explaining memory: For what is the memory but a faculty, by which we raise up the images of paet perceptions? And as an image necessarily resembles its object.... (T260) At the end of his Part I, Professor Yolton concludes: (1) Hume never mentions the brain and the physiological processes. It is the mind or the soul which considers, conceives, imagines, remembers, thinks It seems to me not at all clear that Hume distinguishes soul 27. or mind from the brain, for he says: Bodily pains and pleasures...arise Originally in the soul, or in the body, whichever you please to call it.... (T276) And Hume certainly does describe the brain and its physiological processes on T60-61 and T185, as Professor Yolton himself later recognizes explicitly on his pages 12 and 16. An ambiguity arises regarding 'representation', Professor Yolton concludes, because Hume is writing in two languages in his account of ideas as representations : The difficulties of interpretation arise from Hume's application of quantitative terms to ideas - size, parts, divisibility. We have to balance this quantitative language of ideas by Hume's ascription of logical properties to ideas - truth, contradiction, possibility. When he speaks of ideas 'representing' things, to which language does 'representation' belong: to the quantitative or to the logical language? (6) I gather that Professor Yolton finds some sort of incompatibility between the "quantitative" characteristics of ideas and their "logical" ones; yet he offers no explanation why he finds them incompatible. More to the point, of course, is whether Hume himself regarded them as incompatible. I find he does not. Rather, it appears that it is the "quantitative" aspects of some ideas that permit them to be adequate representations, having the same "logical" properties as do objects. On T28 Hume has concluded that some ideas are very small: This however is certain, that we can form ideas, which shall be no greater than the smallest atom of the animal spirits of an insect a thousand times less than a mite.... Then on the following page he makes use of this conclusion to argue that ideas have the same "logical" properties as the objects they represent: Wherever ideas are adequate representations of objects, the relations, contradictions and 28. agreements of the ideas are all applicable to the objects ; and this we may in general observe to be the foundation of all human knowledge. But our ideas are adequate representations of the most minute parts of extension; and thro' whatever divisions and subdivisions we may suppose these parts to be arriv'd at, they can never become inferior to some ideas, which we form. The plain consequence is, that whatever appca rn impossible and contradictory upon the comparison of these ideas, must be really impossible and contradictory, without any farther excuse or evasion. (T29), Thus I... (shrink)

Australasian Journal of Philosophy, Volume 90, Issue 4, Page 820, December 2012.

Renaissance Florence -- Life -- Political theory -- The Prince I -- The Prince II -- The Discourses -- Machiavelli and war -- A Machiavellian glossary -- Machiavelli : Renaissance man -- Influence.