Introduction: Schools have become a primary setting for providing mental health care to youths in the U.S. School-based interventions have proliferated, but their effects on mental health and academic outcomes remain understudied. In this study we will implement and evaluate the effects of a flexible multidiagnostic treatment called Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems on students' mental health and academic outcomes.Methods and Analysis: This is an assessor-blind randomized controlled effectiveness trial conducted across five (...) school districts. School clinicians are randomized to either MATCH or usual care treatment conditions. The target sample includes 168 youths referred for mental health services and presenting with elevated symptoms of anxiety, depression, trauma, and/or conduct problems. Clinicians randomly assigned to MATCH or UC treat the youths who are assigned to them through normal school referral procedures. The project will evaluate the effectiveness of MATCH compared to UC on youths' mental health and school related outcomes and assess whether changes in school outcomes are mediated by changes in youth mental health.Ethics and Dissemination: This study was approved by the Harvard University Institutional Review Board. We plan to publish the findings in peer-reviewed journals and present them at academic conferences.Clinical Trial Registration:ClinicalTrials.gov ID: NCT02877875. Registered on August 24, 2016. (shrink)

Against the background of the increasing importance of digitization in health care, the paper examines how medical practitioners who are involved in the development of digital health technologies legitimate and criticize the implementation and use of digital health technologies. Adopting an institutional logics perspective, the study is based on qualitative interviews with persons working at the interface of medicine and digital technologies development in Switzerland. The findings indicate that the developers believe that digital health technologies could harmonize current conflicts between (...) an increasing economization of the health care system and professional–ethical demands. At the same time, however, they show that digital technologies can undermine the demand for medical autonomy, a central element of the medical ethos. (shrink)

This study shows how, in its overall ability to shed light on the vexing complexity of human being, Maimonides’ discourse on matter—treated via metaphors or seen as itself a metaphor—emerges as a venerable guide, pointing the careful reader to the most important truths about perfected humanity within the Guide of the Perplexed. After examining and harmonizing Maimonides’ dual metaphors of matter (matter as the married harlot and the woman of valor) in this way, I show how metaphor as a literary (...) form is itself an illustration of matter’s positive role in the life of the soul. Following upon this consideration of the importance of metaphorical discourse, I end by briefly suggesting how the metaphysics of matter may itself quite generally be characterized as a kind of metaphor. (shrink)

The objective of this study is to describe researchers', health-care providers' and other stakeholders' views of ethical review and research governance procedures. The study design involved qualitative semi-structured interviews. Participants included 60 individuals who either undertook research in the subspecialty of cancer genetics (n = 40) or were involved in biomedical research in other capacities (n = 20), e.g. research governance and oversight, patient support groups or research funding. While all interviewees observed that oversight is necessary to protect research participants, (...) ethical review and research governance (ERG) arrangements were described negatively throughout these interviews. Interviewees identified a number of problems with ERG, including: over-bureaucratization, over-standardization of information requirements for different types of research, a lack of standardization in the types of information required by different committees for the same research and a lack of consistency in different committees' responses. A number of solutions were proposed including streamlining application procedures and harmonizing committees' responses and information requirements. Recent reports suggest that ethical review procedures and research governance arrangements threaten the possibility of undertaking clinical research in the UK, hence the introduction of the Integrated Research Application System (IRAS) is long overdue. However, while IRAS may solve some of the problems identified by interviewees, it remains to be seen to what extent it will impact upon the very negative perceptions of ethics and research governance procedures reported here. (shrink)

A Scientific Integrity Consortium developed a set of recommended principles and best practices that can be used broadly across scientific disciplines as a mechanism for consensus on scientific integrity standards and to better equip scientists to operate in a rapidly changing research environment. The two principles that represent the umbrella under which scientific processes should operate are as follows: Foster a culture of integrity in the scientific process. Evidence-based policy interests may have legitimate roles to play in influencing aspects of (...) the research process, but those roles should not interfere with scientific integrity. The nine best practices for instilling scientific integrity in the implementation of these two overarching principles are Require universal training in robust scientific methods, in the use of appropriate experimental design and statistics, and in responsible research practices for scientists at all levels, with the training content regularly updated and presented by qualified scientists. Strengthen scientific integrity oversight and processes throughout the research continuum with a focus on training in ethics and conduct. Encourage reproducibility of research through transparency. Strive to establish open science as the standard operating procedure throughout the scientific enterprise. Develop and implement educational tools to teach communication skills that uphold scientific integrity. Strive to identify ways to further strengthen the peer review process. Encourage scientific journals to publish unanticipated findings that meet standards of quality and scientific integrity. Seek harmonization and implementation among journals of rapid, consistent, and transparent processes for correction and/or retraction of published papers. Design rigorous and comprehensive evaluation criteria that recognize and reward the highest standards of integrity in scientific research. (shrink)

With the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), global researchers were confronted with major challenges. The German National Pandemic Cohort Network (NAPKON) was launched in fall 2020 to effectively leverage resources and bundle research activities in the fight against the coronavirus disease 2019 (COVID-19) pandemic. We analyzed the setup phase of NAPKON as an example for multicenter studies in Germany, highlighting challenges and optimization potential in connecting 59 university and nonuniversity study sites. We examined the ethics application (...) process of 121 ethics submissions considering durations, annotations, and outcomes. Study site activation and recruitment processes were investigated and related to the incidence of SARS-CoV-2 infections. For all initial ethics applications, the median time to a positive ethics vote was less than two weeks and 30 of these study sites (65%) joined NAPKON within less than three weeks each. Electronic instead of postal ethics submission (9.5 days (Q1: 5.75, Q3: 17) vs. 14 days (Q1: 11, Q3: 26), p value = 0.01) and adoption of the primary ethics vote significantly accelerated the ethics application process. Each study center enrolled a median of 37 patients during the 14-month observation period, with large differences depending on the health sector. We found a positive correlation between recruitment performance and COVID-19 incidence as well as hospitalization incidence. Our analysis highlighted the challenges and opportunities of the federated system in Germany. Digital ethics application tools, adoption of a primary ethics vote and standardized formal requirements lead to harmonized and thus faster study initiation processes during a pandemic. (shrink)

Sarah Gibbons's book is part of a growing literature that sees in Kant's third Critique an attempt to humanize and embody the interests of reason. As her title indicates, Gibbons approaches the problem by providing a theory of imagination that bridges gaps, including those "between concepts and intuitions, thought and sensibility, spontaneity and passivity, subject and object, and, somewhat more indirectly, nature and freedom". These gaps stem from the fact that we are finite discursive knowers that construct part, but (...) not all, of our knowledge. This creates a problem, because, as Kant states, "reason can have insight only into that which it produces after a plan of its own". How can reason gain insight into the part that it does not contribute? In other words, concepts of reason, or categories, must be applied to intuitions that only contingently harmonize with those concepts. There must be additional subjective conditions for this harmony. These conditions cannot be supplied by further concepts without threatening a vicious regress: there cannot be rules for rule-following, because we would need further rules to apply these rules. The conditions for applying concepts to intuitions in acts of judgment require a nonconceptual order. Imagination expresses this order. However, because reason has insight only into that which it produces, imagination produces this order in cooperation with reason--not with reason's categories, but with indeterminate ideas of reason. (shrink)

An emerging trend in cognitive science is to explore central epistemological questions using psychological methods. Early work in this growing area of research has revealed that epistemologists’ theories of knowledge diverge in various ways from the ways in which ordinary people think of knowledge. Reflecting the practices of epistemology as a whole, the vast majority of these studies have focused on the concept of propositional knowledge, or knowledge-that. Many philosophers, however, have argued that knowing how to do something is importantly (...) different from knowing that something is the case. Hence, in this paper we turn our attention to people’s concept of knowledge-how. We present data from two experiments that employed a sentence recognition task as an implicit measure of conceptual activation. The data from this implicit measure suggest that, contrary to prominent intellectualist theories of know-how, according to which know-how is a species of propositional knowledge, people’s concept of know-how more closely aligns with anti-intellectualism, the view that knowing how to perform some task consists in having the appropriate skills or abilities. (shrink)

Many philosophers of science follow Hempel in embracing both substantive and methodological anti-psychologism regarding the study of explanation. The former thesis denies that explanations are constituted by psychological events, and the latter denies that psychological research can contribute much to the philosophical investigation of the nature of explanation. Substantive anti-psychologism is commonly defended by citing cases, such as hyper-complex descriptions or vast computer simulations, which are reputedly generally agreed to constitute explanations but which defy human comprehension and, as a result, (...) fail to engender any relevant psychological events. It is commonly held that the truth of the substantive thesis would lend support to the methodological thesis. However, the standard argument for the substantive thesis presumes that philosophers’ own judgments about the aforementioned cases issues from mastery of the lay or scientific norms regarding the use of ‘explanation.’ Here we challenge this presumption with a series of experiments indicating that both lay and scientific populations require of explanations that they actually render their targets intelligible. This research not only undermines a standard line of argument for substantive anti-psychologism, it demonstrates the utility of psychological research methods for answering meta-questions about the norms regarding the use of ‘explanation.’. (shrink)

Evolutionary psychology is a science in the making, working toward the goal of showing how psychological adaptation underlies much human behavior. The knee-jerk reaction that sociobiology is unscientific because it tells just-so stories has become a common charge against evolutionary psychology as well. My main positive thesis is that inference to the best explanation is a proper method for evolutionary analyses, and it supplies a new perspective on the issues raised in Schlinger's (1996) just-so story critique. My main negative thesis (...) is that, like many nonevolutionist critics, Schlinger's objections arise from misunderstandings of the evolutionary approach.Evolutionary psychology has progressed beyond telling just-so stories. It has found a host of ingenious special techniques to test hypotheses about the adaptive significance and proximate mechanisms of behavior. Naturalistic data using the comparative method combined with controlled tests using statistical analyses of data provide good evidence for a variety of hypotheses about behavioral control mechanisms — whether in nonhumans or in humans. For instance, the work of Gangestad and Thornhill on evolved mate preferences and fluctuating asymmetry of body type (FA) is a model of success. As the quantity and quality of evidence increase, we are entitled not just to regard such evolutionary hypotheses as preferable, but also as true. Such studies combine to show that the best explanation of the psychic unity of humankind — common patterns across societies, history, and cultures exposed by evolutionists — is the gendered, adapted, evolved species-typical design of the mind. (shrink)

Allen Carlson has argued that a proper aesthetics of nature must judge nature for ‘what it is’, and that such judgements must be informed by a scientific understanding of nature, in particular, one shaped by the science of ecology. Carlson uses these claims to support his theory of positive aesthetics. This paper argues that there are problems in this view. First, it misunderstands ecology, thereby adopting a view of the natural world that holds it to be much more integrated than (...) it is. Second, it ignores an even more fundamental science of nature, evolution. Thus, it misunderstands both ecology and nature. An alternative to this view would be an aesthetics based on an evolutionary understanding of nature, which holds that, although there are many functional wholes in nature, there is also significant conflict, disintegration, and incongruent scales. A proper aesthetics of nature must take these conflicts into account. The paper ends with a sketch of an aesthetic theory based on the science of evolution. (shrink)

This paper is a critique of pornography from within the framework of Heideggerian phenomenology. I contend that pornography is a pernicious form of technological discourse in which women are reduced to spectral and anonymous figures fulfilling a universal role, namely that of sexual subordination. Further, the danger of pornography is covered over in the public sphere as a result of the pervasive appeal to its status as mere fantasy. I argue that relegating the problem to the domain of fantasy is (...) superficial and specious at best, inasmuch as fantasy itself is ultimately grounded in everyday reality. When not concealed as innocuous “fantasy,” pornography has been defended under the rubric of “free speech.” One of my aims is to repudiate this approach by revealing it as grounded in a highly suspect and self-contradictory phallocentric view of language. Rae Langton’s (2009) recently published collection of essays on pornography attacks the problem largely in terms of “objectification” and the Austinian notion of “illocutionary disablement” from a position of authority. In this paper, I too confront the issues of language, objectification, and authority, but as articulated by means of Heidegger’s critique of technology. (shrink)

In order to be a self-governing agent, a person must govern the process by means of which she acquires the intention to act as she does. But what does governing this process require? The standard compatibilist answers to this question all assume that autonomous actions differ from nonautonomous actions insofar as they are a more perfect expression of the agent’s agency. I challenge this conception of autonomous agents as super agents. The distinguishing feature of autonomous agents is, I argue, the (...) nonagential role they play in the formation of their intentions. I offer an account of the relevant role. (shrink)

Over twenty years of research have examined the cognitive consequences of positive affect states, and suggested that positive affect leads to a broadening of cognition (see review by Fredrickson, 2001). However, this research has primarily examined positive affect that is low in approach motivational intensity (e.g., contentment). More recently, we have systematically examined positive affect that varies in approach motivational intensity, and found that positive affect high in approach motivation (e.g., desire) narrows cognition, whereas positive affect low in approach motivation (...) broadens cognition (e.g., Gable & Harmon-Jones, Citation2008a; Harmon-Jones & Gable, 2009). In this article we will review past models and present a motivational dimension model of affect that expands understanding of how affective states influence attentional and cognitive breadth. We then review research that has varied the motivational intensity of positive and negative affect and found that affect of low motivational intensity broadens cognitive processes, whereas affect of high motivational intensity narrows cognitive processes. (shrink)

Mealey's work has several interesting implications: It refutes the charge that sociobiology paints a cynical portrait of human nature and adopts a one-sided reductionism; it exemplifies a general theoretical scheme for constructing evolutionary biopsychosocial models of human behavior; and it has the practical effect of promoting and informing early intervention in children at risk for psychopathic disorder.

This essay explores the contemporary experiences of women who live with pain, given the complex responses they encounter within Western medical systems, including pervasive stigma, bias, clinician disbelief, and poor health outcomes. In response to these realities, as highlighted within recent literature and exemplified in a first-person account provided by the paper’s author, this essay explores the Christian practice of the Stations of the Cross as a faithful response to women living with pain. The Stations provide a distinctive Christian practice (...) that invites women living with pain, as well as their clinicians and loved ones, into faithful care marked by prayer, solidarity, and hospitable listening. Practicing the Stations provides one faithful response that Christian clinicians and those who live with pain might engage in the clinic and beyond. (shrink)

No one understands better than Aristotle how deeply the desire for pleasure is rooted in human and animal nature. He must show that while pleasure can threaten morality, it also lies at the heart of human rational perfection. His complex reactions to neutralism, and to the hedonism of Eudoxus, shape his views about pleasure, activity, and completeness.

A compelling argument for the morality of limitations on procreation in lessening the harmful environmental effects of unchecked populationWe live in a world where a burgeoning global population has started to have a major and destructive environmental impact. The results, including climate change and the struggle for limited resources, appear to be inevitable aspects of a difficult future. Mandatory population control might be a possible last resort to combat this problem, but is also a potentially immoral and undesirable violation of (...) human rights. Since so many view procreation as an essential component of the right to personal happiness and autonomy, the dominant view remains that the government does not have the right to impose these restrictions on its own citizens, for the sake of future people who have yet to exist.Sarah Conly is first to make the contentious argument that not only is it wrong to have more than one child in the face of such concerns, we do not even retain the right to do so. In One Child, Conly argues that autonomy and personal rights are not unlimited, especially if one's body may cause harm to anyone, and that the government has a moral obligation to protect both current and future citizens. Conly gives readers a thought-provoking and accessible exposure to the problem of population growth and develops a credible view of what our moral obligations really are, to generations present and future. (shrink)

Sometimes a police officer can only stop a fleeing suspect by striking or shooting him. When is it morally justified to use such force rather than let the suspect go? Beginning with deadly force, this article disentangles key considerations. First, it distinguishes justifications for force that are premised on a liability or forfeiture from justifications premised upon lesser-evils considerations. Second, it unpacks the distinct interests the state might claim in subduing suspects, from adjudicating suspects, to punishing criminals, to preventing crime. (...) Drawing these distinctions shows that the state’s interests are weaker than they first appear, rarely sufficient to outweigh the individual’s strong interests against force, and many suspects are not liable to the force to which they are subjected. Ultimately, we conclude (perhaps unsurprisingly) many legally permissible uses of force are morally unjustified. Finally, we turn to ways our analysis can be extrapolated to nondeadly force. (shrink)

This book explores the far-reaching ethical implications of recent changes in the organization and practice of the social professions, including social work, community and youth work. Drawing on moral philosophy, professional ethics and new empirical research, the author explores such questions as: * Can any occupation justifiably claim a special set of ethics? * What is the impact of the new 'ethics of distrust' on the autonomy discretion and creativity of practitioners? * How does inter-professional working challenge conceptions of professional (...) identities and roles? * Do 'professional ethics' act as an obstruction to constructive developments? Combing interviews with practitioners with developments in ethical theory, Ethics, Accountability and the Social Professions shows the complexity and range of issues at stake. (shrink)

When a mother kills her child, we call her a bad mother, but, as this book shows, even mothers who intend to do their children harm are not easily categorized as "mad" or "bad." Maternal love is a complex emotion rich with contradictory impulses and desires, and motherhood is a conflicted state in which women constantly renegotiate the needs mother and child, the self and the other. Applying care ethics philosophy and the work of Emmanuel Levinas, Maurice Merleau-Ponty, and Simone (...) de Beauvoir to real-world experiences of motherhood, Sarah LaChance Adams throws the inherent tensions of motherhood into sharp relief, drawing a more nuanced portrait of the mother and child relationship than previously conceived. The maternal example is particularly instructive for ethical theory, highlighting the dynamics of human interdependence while also affirming separate interests. LaChance Adams particularly focuses on maternal ambivalence and its morally productive role in reinforcing the divergence between oneself and others, helping to recognize the particularities of situation, and negotiating the difference between one's own needs and the desires of others. She ultimately argues maternal filicide is a social problem requiring a collective solution that ethical philosophy and philosophies of care can inform. (shrink)

Sarah Hutton presents a rich historical study of one of the most fertile periods in philosophy. It was in the seventeenth century that Britain first produced philosophers of international stature. Bacon, Hobbes, and Locke, and many other thinkers are shown in their intellectual, social, political, and religious context.

Artificial intelligence is increasingly inputting into various human resource management functions, such as sourcing job applicants and selecting staff, allocating work, and offering personalized career coaching. While the use of AI for such tasks can offer many benefits, evidence suggests that without careful and deliberate implementation its use also has the potential to generate significant harms. This raises several ethical concerns regarding the appropriateness of AI deployment to domains such as HRM, which directly deal with managing sometimes sensitive aspects of (...) individuals’ employment lifecycles. However, research at the intersection of HRM and technology continues to largely center on examining what AI can be used for, rather than focusing on the salient factors relevant to its ethical use and examining how to effectively engage human workers in its use. Conversely, the ethical AI literature offers excellent guiding principles for AI implementation broadly, but there remains much scope to explore how these principles can be enacted in specific contexts-of-use. By drawing on ethical AI and task-technology fit literature, this paper constructs a decision-making framework to support the ethical deployment of AI for HRM and guide determinations of the optimal mix of human and machine involvement for different HRM tasks. Doing so supports the deployment of AI for the betterment of work and workers and generates both scholarly and practical outcomes. (shrink)

Aristotle connects modality and time in ways strange and perplexing to modern readers. In this book the author proposes a new solution to this exegetical problem. Although primarily expository, this work explores topics of central concern for current investigations into causality, time, and change.

The aquatic, the virtual and the zero-gravity medium share some similarities in the way they are experienced by human beings. Present-day realities are uncertain and fluid. As the term ‘Aquaponics’ refers to agriculture and suggest a very static process, I would advance that the metaphors of travel and movement should be more appropriate to describe today’s challenges regarding the exploration and understanding of those medium. I have included in this article a personal interview with Dr Sarah Jane Pell, a (...) researcher, Artist and professional diver, in order to gain some perspectives on the testimonies of Kitsou Dubois, a French Choreographer who conducted zero-gravity performances. Based on their statements, I give further in the text an insight on my personal practice of Aikido, a Japanese martial art and mind–body harmonization technique. Using references from popular Culture, my own experiences and the testimonies of Kitsou Dubois and Dr Sarah Jane Pell, as well as examples taken from ancestral spiritual traditions from around the world, I try to draw a map of contemporary and multi-scalar realities with a critical approach to the concept of aquaponics. (shrink)

Pessoa (2013) makes an impressive case that emotion, motivation, and cognition are neurally intertwined. Our commentary broadens the discussion to the functional, “mind” level. We argue that philosophical and computational considerations justify some modern “separatist” views. We highlight several psychological phenomena that illustrate independence, including affective and motivational reactions to rudimentary inputs, and the guiding role of such reactions in cognition.

Beginning with Ronald Hepburn’s path-breaking essay, “Contemporary Aesthetics and the Neglect of Natural Beauty,” which helped establish the modern discipline of environmental aesthetics, philosophers have provided sketches of what, after Hegel, might be called “philosophical histories of the aesthetics of nature.” These histories are remarkably similar and can easily be blended together to create a “received history” of the discipline. This history has subtly influenced work in the field. Unfortunately, it is not completely accurate and, as a result, has had (...) a misleading effect. A more accurate and expanded alternative history calls into question the received history’s view both on the origins of the field in arts-based aesthetic theories and on the nature and value of the aesthetic categories, “the picturesque” and “the sublime.” These categories were not borrowed from philosophy of art and inappropriately applied to nature, but instead were developed to appraise landscapes, which unlike natural objects could only rarely be judged beautiful since they are almost never symmetrical or ordered. (shrink)

This book examines sociobiology’s validity and significance, using the sociobiological theory of the evolution of mating and parenting as an example. It identifies and discusses the array of factors that determine sociobiology’s effort to become a science, providing a rare, balanced account—more critical than that of its advocates and more constructive than that of its critics. It sees a role for sociobiology in changing the way we understand the goals of evolutionary biology, the proper way to evaluate emerging sciences, and (...) the deep structure of scientific theories. The book’s premise is that evolutionary biology would not be complete if it did not explain evolutionarily significant social facts about nonhumans and humans. It proposes that explanations should be evaluated in terms of their basis in underlying theories, research programs, and conceptual frameworks. (shrink)