In the context of health care system complexity, nurses need responsive leadership and organizational support to maintain intrinsic motivation, moral sensitivity and a caring stance in the delivery of patient care. The current complexity of nurses’ work environment promotes decreases in work motivation and moral satisfaction, thus creating motivational and ethical dissonance in practice. These and other work-related factors increase emotional stress and burnout for nurses, prompting both new and seasoned nurse professionals to leave their current position, or even the (...) profession. This article presents a theoretical conceptual model for professional nurses to review and make sense of the ethical reasoning skills needed to maintain a caring stance in relation to the competing values that must coexist among nurses, health care administrators, patients and families in the context of the complex health care work environments in which nurses are expected to practice. A model, Nurses’ Ethical Reasoning Skills, is presented as a framework for nurses’ thinking through and problem solving ethical issues in clinical practice in the context of complexity in health care. (shrink)

Material Plenitude is the view that there is an abundance of coincident objects wherever there is any material object. Although plenitude has garnered increased attention from metaphysicians in recent years, it has yet to be well‐understood beyond its slogan from. The goal of this article is to explore a few places for puzzlement about plenitude; in particular, how we ought to motivate and formulate the target view. I'll suggest along the way that an investigation of plenitude is not merely of (...) interest in its own right, but can provide valuable insights into abundant ontologies more generally. (shrink)

This paper outlines a defense of hybrid contingentism: that it is contingent which individuals there are, but not contingent what properties there are. Critics pursue two main lines of complaint. First, that the hybrid contingentist’s treatment of haecceitistic properties is metaphysically mysterious, and second, that hybrid contingentism involves an unjustified asymmetry in the associated modal logic. I suggest that these complaints may be too quick, at least in the setting of higher-order metaphysics. It is not at all obvious whether and (...) to what extent we should expect particular "symmetries" across the orders, and so whether (as Williamson (2013) argues) “the default preference is for a uniform metaphysics, on which being is contingent at all orders or none.”. (shrink)

Fairchild (2019) advertised the humility of material plenitude, arguing that despite the profligate ontology of coincident objects it entails, the best version of plenitude is one that takes no stand on a range of nearby questions about modality and coincidence. Roughly, the thought is that plenitude says only that there are coincident objects corresponding to every consistent pattern of essential and accidental properties. Plenitude says (or should say) nothing about which patterns those might be, and so should be compatible (...) with any reasonable hypothesis about which combinations of properties it is possible for something to have. I argued in the earlier paper that a particular formulation of the target view (Global Plenitude) has exactly that virtue. But, unfortunately, Global Plenitude turns out not to be very humble at all. Global Plenitude is incompatible with an exceptionally compelling hypothesis about coincidence: that there are some things which coincide, but might not have. Scandal ensues. (shrink)

According to material plenitude, every material object coincides with an abundance of other material objects that differ in the properties they have essentially and accidentally. Although this kind of plenitude is becoming increasingly popular, it isn't clear how to make sense of the view beyond its slogan form. As I argue, it turns out to be extraordinarily difficult to do so: straightforward attempts are either inconsistent or fail to capture the target idea. Making progress requires us to engage in more (...) delicate metaphysics than we might have expected and, along the way, reveals substantive constraints on the material world. In this article, I argue that any attempt to develop a coherent version of plenitude is subject to two under-appreciated challenges, and I develop a version of plenitude (global plenitude) capable of overcoming both. (shrink)

The character of Tom has the proportions of a mythic figure. His story has little of the melodrama of the secondary plot for his heroism in meeting the trials of slavery is manifested not in outward risks and adventures but in inner strength. In Simon Legree, Tom's final adversary, Stowe provides a perfect antithesis, an ultimate image of what slavery must do to the master who takes advantage of his position and uses his power without restraint; for Legree is an (...) ambitious Vermonter, not a Southern, an owner, not an overseer, and a product of the raw, final phase of slavery in the cotton plantations of the deep South. Legree bends every effort to brutalize Tom as though of necessity to prove that he and the South are right about Negroes and slavery, and Tom remains firm in his humanity and so disproves the sordid myth of his oppressor. It is Legree who is dehumanized by the institution of slavery. Tom emerges from the struggle as an example not simply of a black Christian slave, but of a heroic man in the face of intimidating and humiliating power. Moody E. Prior, emeritus professor of English and former dean of the graduate school of Northwestern University, is the author of The Language of Tragedy, Science and the Humanities, and The Drama of Power-Studies in Shakespeare's History Plays. See also: "The Ethics of Uncle Tom's Children" by Tommie Shelby in Vol. 38, No. 3. (shrink)

From nineteenth-century abolitionism to Black Lives Matter today, progressive social movements have been at the forefront of social change. Yet it is seldom recognized that such movements have not only engaged in political action but also posed crucial philosophical questions about the meaning of justice and about how the demands of justice can be met. -/- Michele Moody-Adams argues that anyone who is concerned with the theory or the practice of justice—or both—must ask what can be learned from social (...) movements. Drawing on a range of compelling examples, she explores what they have shown about the nature of justice as well as what it takes to create space for justice in the world. Moody-Adams considers progressive social movements as wellsprings of moral inquiry and as agents of social change, drawing out key philosophical and practical principles. Social justice demands humane regard for others, combining compassionate concern and robust respect. Successful movements have drawn on the transformative power of imagination, strengthening the motivation to pursue justice and to create the political institutions and social policies that can sustain it by inspiring political hope. -/- Making Space for Justice contends that the insights arising from social movements are critical to bridging the gap between discerning theory and effective practice—and should be transformative for political thought as well as for political activism. (shrink)

In the face of the puzzles of material constitution, some philosophers have been moved to posit a distinction between an object's matter and its form. A familiar difficulty for contemporary hylomorphism is to say which properties are eligible as forms: for example, it seems that it would be intolerably arbitrary to say that being statue shaped is embodied by some material object, but that other complex shape properties aren't. Anti-arbitrariness concerns lead quickly to a plenitudinous ontology. The usual complaint is (...) that the super-abundance of material objects is too extraordinary to accept, but I want to raise a different worry: I argue that the most natural way of developing this picture is already inconsistent. I show that a simple version of plenitudinous hylomorphism is subject to a Russellian argument, but argue that we cannot treat the problem straightforwardly as an instance of Russell's Paradox of Sets. (shrink)

Radically permissive ontologies like mereological universalism and material plenitude are typically motivated by concerns about arbitrariness or anthropocentrism: it would be objectionably arbitrary, the thought goes, to countenance only those objects that we ordinarily take there to be. Despite the prevalence of this idea, it isn't at all clear what it is for a theory to be “objectionably arbitrary,” or what follows from a commitment to avoiding arbitrariness in metaphysics. This paper aims to clarify both questions, and examines whether arguments (...) from arbitrariness really are the proper foundations for one or both varieties of ontological permissivism. I argue that these considerations (even when made more precise) are far less successful at motivating radical forms of permissivism than we often take them to be. To do better, permissivists must either supply a much more developed metaphysics of material objects, or a controversial (but tempting) conception of what we're doing when we do metaphysics. (shrink)

In his recent book, Daniel Korman contrasts ontological conservatives with permissivists and eliminativists about ontology. Roughly speaking, conservatives admit the existence of ‘ordinary objects' like trees, dogs, and snowballs, but deny the existence of ‘extraordinary objects', like composites of trees and dogs. Eliminativists, on the other hand, deny many or all ordinary objects, while permissivists accept both ordinary and extraordinary objects. Our aim in this paper is to outline some of our reasons for being drawn to permissivism, as well as (...) some of our misgivings about conservative metaphysics. In the first section, we discuss a tempting epistemic line of argument against conservatism. This isn’t a line of argument we find especially promising. Our most basic complaint against conservatism is not that conservatism has poor epistemic standing even if true, but instead that conservatism is weird. We develop this thought in the second part of the paper. In the final section we discuss some larger methodological issues about the project of ontology. (shrink)

ArgumentIn this paper I examine the mass medical inspections of immigrants to the United States from the 1890s through the 1920s. I show how, framed as it was not only by nativism and eugenics but also by national industrial imperatives and priorities, scientific medicine served dual purposes. On the one hand, the medical exam was a tool for managing cultural and biological threats to the nation. There were regional variations in medical inspections that reflected the politics of race. On the (...) other hand, the medical exam played an important role in the process of building an unskilled, highly mobile labor force. The industrial demands of the nation provided a rationale for drawing and absorbing millions of European immigrants into the labor force. It was thus a distinct product of the political economy of immigration. It was this second function that characterized the exam for the majority of immigrants entering the nation. (shrink)

Medicine has made great strides with advances in technology and outcomes. However, compassion is an element that often is missing from medical care and ethics. The paper discusses why compassion is the ideal physician and why it is important to medicine. The benefit of compassion in biomedical ethics by exploring three ethical frameworks is also explored. Compassion is an important concept that has a place in both medical care and ethical practice.

In this engaging introductory dialogue, Todd Moody maps the spectrum of philosophical arguments and counterarguments for the existence of God. Structuring colloquial conversations along classical lines, he presents a lively and accessible discussion of issues that are central to both theist and atheist thinking, including the burden of proof, the first cause, a necessary being, the natural order, suffering, miracles, experience as knowledge, and rationality without proof. The second edition is a significant and comprehensive revision. Moody broadens and (...) deepens the conversation by addressing additional arguments, such as the problem of animal suffering, the moral argument, intelligent design, and human exceptionalism. The discussion of the cosmological argument is updated to reflect recent work on the Kalam Cosmological Argument. A short preface explains the scope of the work and the purpose of the dialogue form. Suggested further readings of contemporary and classical sources are also included. (shrink)

Although unprecedented in scope and beyond all our life experiences, sweeping social distancing measures are not without historical precedent. Historically, racism, stigma, and discrimination resul...

In sentences such as “Some dogs are mammals,” the literal semantic meaning (“Some and possibly all dogs are mammals”) conflicts with the pragmatic meaning (“Not all dogs are mammals,” known as a scalar implicature). Prior work has shown that adults vary widely in the extent to which they adopt the semantic or pragmatic meaning of such utterances, yet the underlying reason for this variation is unknown. Drawing on theoretical models of scalar implicature derivation, we explore the hypothesis that the cognitive (...) abilities of executive function (EF) and theory of mind (ToM) contribute to this observed variation. In Experiment 1, we show that individuals with better ToM are more likely to compute a scalar implicature and adopt the pragmatic meaning of an utterance; however, EF makes no unique contribution to scalar implicature comprehension after accounting for ToM. In Experiment 2, we replicate this finding and assess whether it generalizes to the comprehension of other pragmatic phenomena such as indirect requests (e.g., “It's hot in here” uttered to ask for something to be done) and metaphor (e.g., “to harvest courage”). This is the first evidence that differences in ToM are associated with pragmatic competence in neurotypical adults across distinct pragmatic phenomena. (shrink)

Deleuzian Encounters brings together sixteen accessible, thought-provoking essays that examine the practical and ethical implications of Deleuze's philosophy for different contemporary social issues. Topics explored include: the environment, terrorism, refugees, indigenous reconciliation, gender, suicide, intellectual disability, injecting drug use, classroom teaching and global activism. Each contribution provides practical examples of how to make use of Deleuze's thought in social research, and offers fresh insights into the creative and innovative potentials Deleuze's philosophy holds for social thought and action.

The idea of moral progress is a necessary presupposition of action for beings like us. We must believe that moral progress is possible and that it might have been realized in human experience, if we are to be confident that continued human action can have any morally constructive point. I discuss the implications of this truth for moral psychology. I also show that once we understand the complex nature and the complicated social sources of moral progress, we will appreciate why (...) we cannot construct a plausible comprehensive action-guiding theory of moral progress. Yet while the nature and sources of moral progress consistently thwart many theoretical hopes, the idea of moral progress is a plausible, critically important and morally constructive principle of historical interpretation. (shrink)

This collection demonstrates how physical objects, materials, space and environments teach us, and redefines practice with theory as a more-than-human network. The contributions illustrate how the materials, process, pedagogies and theories of Arts making question and disrupt the many forms of cultural dominance that exist in our society.

Democratic politics is always identity politics and there are some varieties of identity politics without which full and genuine democratic cooperation would not be possible. Indeed, the very existence of a democratic people involves mobilization of political concern and action around a democratic national identity. But a genuinely democratic national identity must be an open identity that can accommodate internal complexity and acknowledge external responsibilities. Moreover, in democracies characterized by a history of discrimination and oppression, there must also be political (...) space for a revitalizing identity politics that initially mobilizes political concern and action around the identities of those groups that have been subject to discrimination and oppression. Yet a revitalizing identity politics is likely to go awry if it is hostile to the possibility of reconciliation between the oppressed and former oppressors, or intrinsically resistant to political collaborations that might transcend the boundaries of familiar social groups. (shrink)

This paper shows that Nussbaum's Aristotelian essentialism effectively combines resources for constructive social criticism (even in “traditional” societies) with concern for the concrete particulars of realized ways of life. Many critics of Nussbaum’s views have failed to appreciate its many virtues in this regard. Yet Nussbaum's confidence in the broad possibilities of internal social criticism demands a better account of the moral openness of human cultures than anything Nussbaum has herself provided. Even Nussbaum's reading of Aristotle – as well as (...) the ethical antirelativism on which it depends – demands a richer account than Nussbaum has so far offered of the essential openness of human world interpretations. (shrink)