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)

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)

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)

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)

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)

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)

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)

Fieldwork in Familiar Places challenges the misconceptions about morality, culture, and objectivity that support these skepticisms, to show that we can take ...

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 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)

Fairchild, Center for the History and Ethics of Public Health in the Department of Sociomedical Sciences at Columbia University's Mailman School of Public Health Abstract Surveillance is a cornerstone of public health. It permits us to recognize disease outbreaks, to track the incidence and prevalence of threats to public health, and to monitor the effectiveness of our interventions. But surveillance also challenges our understandings of the significance and role of privacy in a liberal democracy. In this paper we trace (...) the century-long history of public health surveillance in the United States situating that history in the context of the broad social, political, and ideological forces that have shaped our conceptions of privacy. Although we focus here on the United States, the debates over privacy that unfolded in the 1960s were repeated in many European nations. The themes we explore here, then, provide a framework for examining the relationship between privacy and public health in other contexts. CiteULike Connotea Del.icio.us What's this? (shrink)

This paper shows that moral progress is a substantive and plausible idea. Moral progress in belief involves deepening our grasp of existing moral concepts, while moral progress in practices involves realizing deepened moral understandings in behavior or social institutions. Moral insights could not be assimilated or widely disseminated if they involved devising and applying totally new moral concepts. Thus, it is argued, moral failures of past societies cannot be explained by appeal to ignorance of new moral ideas, but must be (...) understood as resulting from refusals to subject social practices to critical scrutiny. Moral philosophy is not the main vehicle for disseminating morally progressive insights, though it has an important role in processes that lead to moral progress. Yet we have grounds for cautious optimism, since progressive moral insights can be disseminated and can, sometimes, have constructive social effects. (shrink)

In this book Dr. Moody shares the groundbreaking results of four decades of research into the philosophy of nonsense, revealing new ways to understand and experience life, death, and spirituality.

As therapeutic advances in the treatment of AIDS began to emerge in the late 1980s and public health began to have more to offer than just the threat, or the perceived threat, of quarantine or partner notification, fissures began to appear in the alliance against named HIV reporting that had emerged a few years earlier. In 1989, New York City’s Health Commissioner stated that the prospects of early clinical intervention warranted “a shift toward a disease-control approach to HIV infection along (...) the lines of classic tuberculosis practices,” including the “reporting of seropositives.”Although his proposal met with fierce and effective resistance, it is now clear that his call represented part of a national trend. The CDC continued to press for cases of HIV to he reported by name to health departments, an effort that assumed the dimensions of a campaign. It was supported by a growing number of public health officials. (shrink)

Spiritualist mediums are sought out from a variety of cultures for their advanced spirit communication healing techniques. Otherworldly spirits use mediums to create spirit art, which guides an individual to discover their authentic self and work through self‐limiting beliefs. To serve as a bridge for the spirit world, the medium develops an ability to enter an altered state of consciousness and use a multisensory embodied language to communicate with spirits. I describe this language as “dancing with spirits.” To investigate this (...) language, I use my own spirit art as an innovative experiential ethnographic tool that blends auto‐ethnographic perceptions of spirits with sensory and artistic ethnography, and cultural healing techniques. I provide three case studies of how my spirit art provides unique insights into the less explored experiential dimensions of spirit communication. I layer my experimental ethnographic approach with Deleuze and Guattari's “rhizome” to show that spirit communication overcomes limitations of normal linguistic models. The spirit language serves as a rupture for unconscious forces to offer individually tailored healing and insight to a recipient through heightened sensory and physiological phenomena. Art, altered states of consciousness, and anomalous sensory experiences may offer insights to address a pressing global challenge, mental ill‐health. (shrink)

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)

Comprehensive historical understanding is also a central element of the information we need to be responsible moral agents. It is also a critical support of the morality that makes political cooperation possible, especially in any society shaped by a history of ethnic or racial injustice, colonialism, imperialism, or sectarian conflict. Efforts to censor the teaching of history that makes one uncomfortable are thus ethically as well as epistemically indefensible.

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...

The problem of `conscious inessentialism' is examined in the literature, and an argument is presented that the presence of consciousness is indeed marked by a behavioural difference, but that this should be looked for at the cultural level of speech communities.

This chapter offers an interpretation of the integrated dance theatre of the Restless Dance Company as involving a process of turning away from the determinations of intellectually disabled bodies in medical discourses using the Deleuzian concepts of ‘becoming’ and ‘affect’. It contends that bodies with intellectual disability are constructed through specific systems of knowledge and argues that performance spaces can offer radically new ways of being affected by people with disabilities. It also highlights the importance of Gilles Deleuze and Félix (...) Guattari's works in providing models for understanding minor or politically marginalised knowledge systems. (shrink)