The authors of this article are previous or current members of the Clinical Ethics Consultation Affairs (CECA) Committee, a standing committee of the American Society for Bioethics and Humanities (ASBH). The committee is composed of seasoned healthcare ethics consultants (HCECs), and it is charged with developing and disseminating education materials for HCECs and ethics committees. The purpose of this article is to describe the educational research and development processes behind our teaching materials, which culminated in a case studies book called (...) A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care (hereafter, the Study Guide). In this article, we also enumerate how the Study Guide could be used in teaching and learning, and we identify areas that are ripe for future work. (shrink)

As nursing professionals, we believe access to healthcare is fundamental to health and that it is a determinant of health. Therefore, evidence suggesting access to healthcare is problematic for many Indigenous peoples is concerning. While biomedical perspectives underlie our current understanding of access, considering alternate perspectives could expand our awareness of and ability to address this issue. In this paper, we critique how access to healthcare is understood through a biomedical lens, how a postcolonial theoretical lens can extend that understanding, (...) and the subsequent implications this alternative view raises for the nursing profession. Drawing on peer‐reviewed published and gray literature concerning healthcare access and Indigenous peoples to inform this critique, we focus on the underlying theoretical lens shaping our current understanding of access. A postcolonial analysis provides a way of understanding healthcare as a social space and social relationship, presenting a unique perspective on access to healthcare. The novelty of this finding is of particular importance for the profession of nursing, as we are well situated to influence these social aspects, improving access to healthcare services broadly, and among Indigenous peoples specifically. (shrink)

The Sarbanes–Oxley Act of 2002 requires audit committees of public companies’ boards of directors to install an anonymous reporting channel to assist in deterring and detecting accounting fraud and control weaknesses. While it is generally accepted that the availability of such a reporting channel may reduce the reporting cost of the observer of a questionable act, there is concern that the addition of such a channel may decrease the overall effectiveness compared to a system employing only non-anonymous reporting options. The (...) rationale underlying this concern involves the would-be reporter’s likelihood of reporting, the seriousness with which the organization treats an anonymous report, and the organization’s ability to thoroughly follow-up the report. Thus, we explore the extent to which the availability of an anonymous reporting channel influences intended use of non-anonymous reporting channels. Further, in response to Sarbanes–Oxley and the environment of financial scandals that led to its passage, many firms are strengthening their internal audit departments, and providing them with greater independence from upper management’s direct control. Accordingly, our examination tests whether the intended use of the internal audit department as an internal reporting channel is greater when the internal audit department is of “high” versus “low” quality. Finally, the study investigates intended reporting behavior across three different cases (e.g., settings). Results show that the existence of an anonymous channel does reduce the likelihood of reporting to non-anonymous channels, that generally the internal audit department quality does not affect reporting to non-anonymous channels, and that case-setting affects the type of channel to be used. Implications from the study are discussed. (shrink)

The present studies investigated children’s and adults’ intuitive beliefs about the physical nature of essences. Adults and children (ranging in age from 6 to 10 years old) were asked to reason about two different ways of determining an unknown object’s category: taking a tiny internal sample from any part of the object (distributed view of essence), or taking a sample from one specific region (localized view of essence). Results from three studies indicated that adults strongly endorsed the distributed view, and (...) children showed a developmental shift from a localized to distributed view with increasing age. These results suggest that even children go beyond mere placeholder notions of essence, committing to conceptual frameworks of how essences might be physically instantiated. (shrink)

George Karamanolis breaks new ground in the study of later ancient philosophy by examining the interplay of the two main schools of thought, Platonism and Aristotelianism, from the first century BC to the third century AD. Arguing against prevailing scholarly assumption, he argues that the Platonists turned to Aristotle only in order to elucidate Plato's doctrines and to reconstruct Plato's philosophy, and that they did not hesitate to criticize Aristotle when judging him to be at odds with Plato. Karamanolis (...) offers much food for thought to ancient philosophers and classicists. (shrink)

This article explores the cognitive link among female autonomy, political activity, sexual status, and place in the late Roman Republic. The intersection of non-elite status and political engagement could shape the public perception of a woman's moral status and, in turn, could make scandalous her presence in certain places—physical and metaphorical. When the political activities of a woman such as Praecia, Chelidon, or Volumnia brought her into contact with the men and women of the city's senatorial elite, she left herself (...) open to accusations—warranted or not—of prostitution. (shrink)

This paper examines people's reasoning about identity continuity and its relation to previous research on how people value one-of-a-kind artifacts, such as artwork. We propose that judgments about the continuity of artworks are related to judgments about the continuity of individual persons because art objects are seen as physical extensions of their creators. We report a reanalysis of previous data and the results of two new empirical studies that test this hypothesis. The first study demonstrates that the mere categorization of (...) an object as “art” versus “a tool” changes people's intuitions about the persistence of those objects over time. In a second study, we examine some conditions that may lead artworks to be thought of as different from other artifacts. These observations inform both current understanding of what makes some objects one-of-a-kind as well as broader questions regarding how people intuitively think about the persistence of human agents. (shrink)

The theory of affective intelligence dichotomizes challenging situations into threatening and risky ones. When people perceive a familiar threat, they tend to be dogmatic and partisan, since they are mobilizing decisive action based on habitual behaviors and nearly instinctual perceptions that have proved their worth in similar situations. When facing a novel risk, however, people tend to become more open‐minded and deliberative, since old solutions do not apply. An experiment with students' reactions to challenges to their opinions about a divisive (...) political issue suggests that, indeed, democratic citizens display the different competencies that are demanded by these two different types of situation. The actual conduct of political campaigns, too, can be expected to reflect the differences between trying to guard against defections from one's side by encouraging the appearance of routine partisan combat, and trying to promote defections from the other side by prompting anxiety, hence open‐minded deliberation. (shrink)

My theses are synopsized in my title, so let me begin by expanding on it, starting with the subtitle. The main point of the paper is to argue for the indispensability of the history of science to the philosophy of science, yet by the end I hope to make clear how the converse holds as well. Because both history and philosophy of science involve diverse pursuits, my claim of their mutual indispensability applies only insofar as each of them concerns itself (...) with the nature and scope of the “knowledge” achieved in modern science (The shudder quotes serve not to foreclose from the outset on those who question whether the word is strictly applicable to it). Although adopting Kant’s phrasing exaggerates the situation, in some respects, I am going to argue, philosophy of science without history of science is empty, and history of science without philosophy of science is blind. My hope for some time has been a rapprochement between the two. The crucial step, nevertheless, is for philosophers of science to recognize a need for a certain sort of history of science. The principal task of the paper will be to spell out just what sort that is. (shrink)

The problem with approximation is to find principled grounds for preferring any one over the indefinitely many alternative approximations in equal agreement with observation. From the outset of his efforts on orbital motion Newton’s goal was to show that Kepler’s orbits had a physical standing that the various comparably accurate alternatives lacked. What made this goal difficult was his conclusion, almost from the outset, that the actual motions are too complicated for any representation of them ever to be anything but (...) an approximation. This paper reviews Newton’s efforts, and some of those following his, to turn this very complexity into evidence that Keplerian motion is nonetheless a physical, not merely numerical, approximation. By his and their example those efforts provided a more discriminating way than has generally been recognized to distinguish physical from merely numerical approximations. (shrink)

This collection includes an Introduction and nine articles by contemporary scholars writing on essential topics in Marx’s thought. The topics include: Marx’s theory of history and historical development, his theories of alienation and economic exploitation, his views on ideology, and his critique of justice (including distributive justice) and rights. These essays emphasize the value—specifically with respect to issues in social, moral, and political philosophy—of textually self-conscious, scrupulously analytic investigations of Marx’s work. They afford clarification and elucidation of many of Marx’s (...) fundamental commitments and theories thereby facilitating an understanding of their implications for both effective explication and critical evaluation. Authors included are: G. A. Cohen, William Shaw, John E. Elliott, George E. Panichas, Allen W. Wood, Ziyad I. Husami, Gary Young, and Allen E. Buchanan. (shrink)

This article is concerned with the literal and metaphoric senses in which anthropology's accumulation of knowledge through the production of ethnography on the world's peoples can be considered an archive. The relevance of this concept to ethnography has a very different past, present, and emergent associations. The Human Area Relations Files project as visionary science dependent on the making of an archive of ethnography contrasts with the uses of the past ethnographic record in the pursuit of contemporary fieldwork in a (...) so-called postmodern world. (shrink)

This edition provides texts from the full range of Berkeley's contributions to philosophy, and sets them in their historical and philosophical contexts.

First published in English in 1968, Kierkegaard's Authorship begins with a brief account of the life and meaning of Kierkegaard and concludes with the brief treatment of his relation to multifaceted existentialism. By reviewing the total authorship and by making available much of the fruit of widespread research, this work throws into relief Kierkegaard's central purposes and makes it possible to avoid some of the dubious interpretations which have grown out of more narrowly selective study. This critical introduction and guide (...) is especially important because Kierkegaard's style was deliberately indirect and distorted and even more because half of the works are actually antagonistic to Kierkegaard's own views. By the pseudonymous works he intended to lead into truth through a process of frustration, provoking the reader into existence. In another sense, the body of the book is also a biography for, in a degree perhaps without parallel in world history, the library which he created was his deed and life. This is an important read for scholars and researchers of Philosophy specially existentialism. (shrink)

This book offers a re-examination of the evidence about citizens' capacity for self-governance and what it means for the future of democratic politics, from both empirical and normative perspectives. Are ordinary citizens capable of governing themselves? For more than three decades, social scientists have accumulated evidence of the undemocratic propensities of many ordinary citizens. This has caused some to worry about the stability of existing democratic institutions, while others argue that the institutions themselves are the problem: politics needs to be (...) democratized further, giving citizens more opportunities to practice democratic politics and acquire democratic values. The thirty-three contributors to this volume enter this debate with new evidence on citizens' capacity for deliberative politics. They argue that previous methods of investigation significantly underestimate people's ability to govern themselves, and that the prospects for democracy are better than conventional wisdom suggests. Realization of these prospects will depend on citizens grasping the interplay of emotions and reason in political life, creating new opportunities for citizen deliberation, and reinvigorating the institutions of representative government. Theories of democracy in turn will have to accommodate this changing reality as citizens show themselves to be self-determining in their political activities. (shrink)

Past research has identified a number of asymmetries based on moral judgments. Beliefs about what a person values, whether a person is happy, whether a person has shown weakness of will, and whether a person deserves praise or blame seem to depend critically on whether participants themselves find the agent's behavior to be morally good or bad. To date, however, the origins of these asymmetries remain unknown. The present studies examine whether beliefs about an agent's “true self” explain these observed (...) asymmetries based on moral judgment. Using the identical materials from previous studies in this area, a series of five experiments indicate that people show a general tendency to conclude that deep inside every individual there is a “true self” calling him or her to behave in ways that are morally virtuous. In turn, this belief causes people to hold different intuitions about what the agent values, whether the agent is happy, whether he or she has shown weakness of will, and whether he or she deserves praise or blame. These results not only help to answer important questions about how people attribute various mental states to others; they also contribute to important theoretical debates regarding how moral values may shape our beliefs about phenomena that, on the surface, appear to be decidedly non-moral in nature. (shrink)

Thomas S. Kuhn's singular voice was stilled by cancer on June 17, 1996, some 49 years after his initial encounters with past science had drawn him into a career in the history and philosophy of science. One of the most widely-read and influential academics of the 20th century, Kuhn was educated at Harvard University, where he received an S.B. in Physics in 1943 and a Ph.D. in the subject in 1949. He remained there until 1956, first as a Junior Fellow (...) in the Society of Fellows from 1948 to 1951, when he in effect retrained himself as a historian of science, and then as an Assistant Professor of General Education and History of Science. He joined the faculty of the University of California, Berkeley, in 1956, becoming Professor of History of Science in 1961. From 1964 to 1979 he was on the faculty of the History of Science Program of Princeton University, and from 1972 to 1979 also a member of the Institute for Advanced Study. He moved to the Department of Linguistics and Philosophy of Massachusetts Institute of Technology in 1979, where he became Professor Emeritus in 1991. He was President of the History of Science Society in 1968—70 and of the Philosophy of Science Association in 1988–90. He received the George Sarton Medal of the History of Science Society in 1982 and the John Desmond Bernal Award of the Society for the Social Studies of Science in 1983. (shrink)

Bullot & Reber (B&R) make a strong case for the role of causal reasoning in the appreciation of artwork. Although I agree that an artistic design stance is important for art appreciation, I suggest that it is a subset of a more general framework for evaluating artworks as the causal extensions of individuals, which includes inferences about the creator's mind, as well as more physical notions of essence.

News photographers are increasingly involved in selling the news at anyone's expense, exploiting grief for a profit Camera crews are becoming increasingly brazen, entering not only the funeral home, but the casket as well, crashing through the walls of privacy that have traditionally and morally protected the right of all individuals to grieve in the privacy of their own emotions. Depictions of tragedy per se are contentious, but depictions of grieving survivors are even more so. A limited but increasing amount (...) of discussion of photographing grief is found in the professional literature, but media codes fail to make specific recommendations relative to the problem. This essay maintains that if corrective measures are not taken within the industry, courts may soon redefine the nature of privacy law, interpreting such photos of grief as violations of ordinary decencies. The problem should be addressed while it is still an ethical rather than a legal issue, according to the author. (shrink)

Background: There is growing interest in credentialing hospital ethicists. Consult volume is being incorporated into credentialing criteria, although few data supporting this approach are available...

This paper introduces the notion of syntactic feature to provide a unified treatment of earlier model theoretic proofs of both the compactness and interpolation theorems for a variety of two valued logics including sentential logic, first order logic, and a family of modal sentential logic includingM,B,S 4 andS 5. The compactness papers focused on providing a proof of the consequence formulation which exhibited the appropriate finite subset. A unified presentation of these proofs is given by isolating their essential feature and (...) presenting it as an abstract principle about syntactic features. The interpolation papers focused on exhibiting the interpolant. A unified presentation of these proofs is given by isolating their essential feature and presenting it as a second abstract principle about syntactic features. This second principle reduces the problem of exhibiting the interpolant to that of establishing the existence of a family of syntactic features satisfying certain conditions. The existence of such features is established for a variety of logics (including those mentioned above) by purely combinatorial arguments. (shrink)

We question whether Plamondon & Alimi's model is useful in accounting for the nonsymmetrical and multiple-peaked velocity profiles observed in young and elderly subjects for ballistic aiming tasks. For these subjects, both data and observation suggest that a central representation initiates the movement in an appropriate direction but that multiple adjustments are made, both early and late, to achieve spatial accuracy.

G. A. Cohen’s pathbreaking book, Karl Marx‘s Theory of History: A Defence (1978), prompted extensive reconsideration of historical materialism. This effort recast ongoing debates about Marx‘s theory of history by defending the view that historical materialism embodies a set of substantive claims as appropriately subject to analytical scrutiny as those of any other viable theory. Specifically, Cohen advances one central substantive claim that summarizes his reading of the “Preface” to A Contribution to the Critique of Political Economy. “History is, fundamentally, (...) the growth of productive power, and forms of society rise and fall according as they enable or impede that growth.” This premise affirms that the same set of factors that explain changes societies undergo within a given historical epoch also explain transitions between historical epochs. The theoretical account of intraepochal historical development suffices equally to cover interepochal, revolutionary change. In this paper we reject this premise and argue that even on the most plausible reconstruction of Marx’s theory of history—a reconstruction that employs, among other things, a careful ownership-based criterion of historical epochs and the use of functional explanations—Marx’s theory of history cannot explain social revolutions. -/- . (shrink)

If the task of a post-Cartesian psychoanalysis is understood as one of exploring the patterns of emotional experience that organize subjective life, one can recognize that this task is pursued within a framework of delimiting assumptions concerning the ontology of the person. In this paper, we discuss these assumptions as they have emerged in the thinking of four major philosophers on whom we have drawn: Søren Kierkegaard, Friedrich Nietzsche, Ludwig Wittgenstein, and Martin Heidegger. Our purpose in what follows is to (...) describe essential ideas of these various thinkers and to identify the formative personal contexts within which their key insights into human life took form. By psychologically contextualizing philosophical assumptions, we hope to make progress toward discerning the particularization of scope that may be associated with these assumptions, and hence to begin a further opening up of the horizons of understanding that inevitably encircle psychoanalytic inquiry. (shrink)

Stephen Schulhofer's book, Unwanted Sex: The Culture of Intimidation and the Failure of Law, provides a carefully constructed and powerful case for rape-law reform. His effort is distinctive in three ways: (1) it takes the basic question of reform to be the moral one of determining which sexual interactions ought to be the subject of the criminal law, (2) it takes the right of sexual autonomy to serve as the basis for any successful legal reform, and (3) it makes a (...) philosophically sophisticated case for his own reform proposal. Schulhofer's efforts should be of great interest to philosophers, especially feminist legal philosophers, interested in questions that bear direct relevance to the relationships between autonomy, coercion, and consent as constrained by the requirements of due process. His careful and scrupulously fair discussion of influential reform recommendations set the stage for his own position (discussed in section VII), a critical evaluation thereof (sections VII and VIII), and sympathetic recommendations in VIII and IX. Of special value here is Schulhofer's attempt to extend his analysis of coerced consent to include certain "offers" made in contexts (e.g., the workplace) characterized by significant power differentials between persons. Section IX offers suggestions, generally friendly to Schulhofer's overall reform proposals, for identifying wrongful sexual interactions occurring in certain institutional or professional contexts. (shrink)

This paper considers the theoretical and methodological origins of Marx's beliefs and attitudes towards classical moral theories and then their implications for two basic questions: (1) In what way, if any, was Marx suspicious and dismissive of classical moral theories (e.g., utilitarianism or Kantianism), and (2) what sort of moral theory can a proponent of Marx's moral views support? Here it is argued that there is a clear sense in which Marx would not have been automatically suspicious of moral ideas, (...) conceptions, discourse and the rest. But there is an equally clear sense in which he was. It is in the latter respect that Marx’s views must be explicated in terms of his theory of historical development, and it is only here that the full richness and impact of Marx’s views on moral philosophy can be understood and appreciated. (shrink)

This article starts by identifying the phenomena that Hume thought to explain the need, hence utility, of a rudimentary system of property. Then, and prominently, it considers Hume’s arguments for believing that only a system of private property is justifiable. Hume argues that only in a society with adequate but not absolute abundance and altruism does property have a point or purpose. Property’s basic job, then, is that of addressing conflict and disagreement among persons of limited altruism and means, and (...) so property’s primary purpose is regulative and adjudicative. This point is not disturbed by fluctuations in altruism or the extent of abundance that might result from differing social arrangements. Thus Hume’s explanation of property is logically separable from the question of what kind of system of ownership is justifiable. This raises the central topic of the paper: Does Hume provide arguments showing not only that a system of private property is justifiable but that only such a system will suffice to avoid a condition of chaos and savagery? As argued here, while Hume’s arguments to this conclusion repay careful consideration, they fail and to show that only a system of ownership dominated by private property is justifiable. (shrink)

This paper evaluates Mill’s arguments favoring a society with an economy dominated by “a principle of individual property” over alternatives dominated by the common ownership of the conditions of life and wealth. Mill’s strategy for addressing the problem of property consists in conducting a comparison of competing systems of ownership (capitalism, socialism or communism) on the criterion of which best distributes wealth to the individual. Mill applies this criterion in the evaluation of these systems in light of three considerations: (1) (...) their feasibility in a highly developed society, (2) their efficiency and likelihood of continuing improvement in comparison to competing systems, and (3) their consistency with and conduciveness to individual liberty. This paper investigates Mill’s arguments regarding the application of these and related considerations to the arguments of socialist and communist theorists with whose views he was familiar and, in varying degrees, sympathetic. As argued here, the arguments Mill employs are not, on his own terms and especially with respect to liberty, adequate to justify his general contention that given the inadequate moral and intellectual development of citizens, it is better to gamble on a private property economy than a socialist alternative. (shrink)