Health systems are integrating medical-legal partnerships (MLPs) into clinical care and increasingly center “complex care” patients. These patients have intersecting medical and social needs and often face systemic inequities that exacerbate their chronic health conditions. This paper describes a role for MLPs in hospital quality initiatives; examines the ethics of MLPs assisting with guardianship and institutionalization of hospital patients including marginalized groups; and advocates for MLP interventions designed to address intersectional and ethical concerns.

Generic generalizations such as ‘mosquitoes carry the West Nile virus’ or ‘sharks attack bathers’ are often accepted by speakers despite the fact that very few members of the kinds in question have the predicated property. Previous work suggests that such low-prevalence generalizations may be accepted when the properties in question are dangerous, harmful, or appalling. This paper argues that the study of such generic generalizations sheds light on a particular class of prejudiced social beliefs, and points to new ways in (...) which those beliefs might be undermined and combatted. (shrink)

To be autonomous is to be a law to oneself; autonomous agents are self-governing agents. Most of us want to be autonomous because we want to be accountable for what we do, and because it seems that if we are not the ones calling the shots, then we cannot be accountable. More importantly, perhaps, the value of autonomy is tied to the value of self-integration. We don't want to be alien to, or at war with, ourselves; and it seems that (...) when our intentions are not under our own control, we suffer from self-alienation. What conditions must be satisfied in order to ensure that we govern ourselves when we act? Philosophers have offered a wide range of competing answers to this question. (shrink)

On the face of it, some of our knowledge is of moral facts (for example, that this promise should not be broken in these circumstances), and some of it is of non-moral facts (for example, that the kettle has just boiled). But, some argue, there is reason to believe that we do not, after all, know any moral facts. For example, according to J. L. Mackie, if we had moral knowledge (‘‘if we were aware of [objective values]’’), ‘‘it would have (...) to be by some special faculty of moral perception or intuition, utterly different from our ordinary ways of knowing everything else’’(1977,p.38).But wehavenosuchspecialfaculty.So,wehavenomoralknowledge. Following Mackie, let us distinguish two questions: Q1: Assuming that we have moral knowledge, how do we have it? Q2: Do we in fact have any moral knowledge? In response to the first question, I argue that if we have moral knowledge, we have some of it in the same way we have knowledge of our immediate environment: by perception. Many people think that this answer leads to moral skepticism, because they think that we obviously cannot have moral knowledge by perception. But I will argue that this is incorrect. The plan for the paper is as follows. In Sections 2–4, I work up to my answer to Q1 by considering rivals. In Section 5, I explain what marks my answer to Q1 as a distinctive view, and defend it. In Section 6, I briefly discuss how this answer to Q1 affects what we say in response to Q2. (shrink)

I begin by proposing and explicating a plausible articulation of the view that morality is overriding. I then argue that it would be desirable for this thesis to be sustained. However, the prospects for its vindication will depend crucially on which moral theory we adopt. I examine some schematic moral theories in order to bring out which are friendly and which unfriendly to moral overridingness. In light of the reasons to hope that the overridingness thesis can be sustained, theories apparently (...) incompatible with it – I argue that consequentialism is one – have a count against them. (shrink)

My chief aim is to explain how someone can act freely against her own best judgment. But I also have a second aim: to defend a conception of practical rationality according to which someone cannot do something freely if she believes it would be better to do something else. These aims may appear incompatible. But I argue that practical reason has the capacity to undermine itself in such a way that it produces reasons for behaving irrationally. Weakness of will is (...) possible because it is possible to conclude that one has sufficient reason to reject the verdicts of one's own reason. (shrink)

Kitcher urges us to think of mathematics as an idealized science of human operations, rather than a theory describing abstract mathematical objects. I argue that Kitcher's invocation of idealization cannot save mathematical truth and avoid platonism. Nevertheless, what is left of Kitcher's view is worth holding onto. I propose that Kitcher's account should be fictionalized, making use of Walton's and Currie's make-believe theory of fiction, and argue that the resulting ideal-agent fictionalism has advantages over mathematical-object fictionalism.

There is a critical need to establish a space to engage in careful deliberation amid exciting, important, necessary, and groundbreaking technological and clinical advances in pediatric medicine. Extracorporeal membrane oxygenation (ECMO) is one such technology that began in pediatric settings nearly 50 years ago. And while not void of medical and ethical examination, both the symbolic progression of medicine that ECMO embodies and its multidimensional challenges to patient care require more than an intellectual exercise. What we illustrate, then, is a (...) person-centered framework that incorporates the philosophy and practice of palliative care and care-based ethical approaches. This person-centered framework is valuable for identifying and understanding challenges central to ECMO, guides collaborative decision-making, and recognizes the value of relationships within and between patients, families, healthcare teams, and others who impact and are impacted by ECMO. Specifically, this person-centered approach enables caregivers to provide compassionate and effective support in critical, and often urgent, situations where conflicts may emerge among healthcare team members, families, and other decision makers. By reflecting on three cases based on actual situations, we apply our person-centered framework and identify those aspects that were utilized in and informed this project. We aim to fill a current gap in the pediatric ECMO literature by presenting a person-centered framework that promotes caregiving relationships among hospitalized critically ill children, families, and the healthcare team and is supported through the philosophy and practice of palliative care and clinical ethics. (shrink)

In the last 50 years, multiauthored publications have become more prevalent, given the increasing number of collaborative, interdisciplinary, multicenter research studies. The determination of authorship credit and order is a difficult process, especially for graduate students, whose disadvantaged power position in research settings increases their vulnerability to exploitation. The American Psychological Association has published ethical standards for determining authorship credit, but the power difference inherent in the student-faculty relationship may complicate this ethical dilemma. The authors reviewed a number of previously (...) recommended strategies and proposed that determining authorship credit is most effectively facilitated through professional development. (shrink)

Capacity building in social science research methods is positioned by research councils as crucial to global competitiveness. The pedagogies involved, however, remain under-researched and the pedagogical culture under-developed. This paper builds upon recent thematic reviews of the literature to report new research that shifts the focus from individual experiences of research methods teaching to empirical evidence from a study crossing research methods, disciplines and nations. A dialogic, expert panel method was used, engaging international experts to examine teaching and learning practices (...) in advanced social research methods. Experts, perspectives demonstrated strong thematic commonalities across quantitative, qualitative and mixed methods domains in terms of pedagogy, by connecting learners to research, giving direct and immersive experiences of research practice and promoting reflexivity. This paper argues that through analysis of expert responses to the distinct pedagogic challenges of the methods classroom, the principles and illustrative examples generated can form the knowledge and understanding required to enhance pedagogic culture and practice. (shrink)

Recent scholarship resuscitates the history and philosophy of a ‘left wing’ in the Vienna Circle, offering a counterhistory to the conventional image of analytic philosophy as politically conformist. This paper disputes the historical claim that early logical empiricists developed a political philosophy of science. Though some individuals in the Vienna Circle, including Rudolf Carnap and Otto Neurath, believed strongly in the importance of science to social progress, they did not construct a political philosophy of science. Both Carnap and Neurath were (...) committed to forms of political neutralism that run strongly against a political reading of their logical empiricism. In addition, Carnap and Neurath sharply differ on precisely the subject of the place of politics in logical empiricism, throwing into question the construct of the ‘Left Vienna Circle’ as a coherent, sociohistorical, programmatic unit within the Vienna Circle.Keywords: Vienna Circle; Rudolf Carnap; Otto Neurath; Logical empiricism; History of philosophy of science; Political philosophy of science. (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)

: Contextualism in epistemology has been proposed both as a way to avoid skepticism and as an explanation for the variability found in our use of "knows." When we turn to contextualism to perform these two functions, we should ensure that the version we endorse is well suited for these tasks. I compare two versions of epistemic contextualism: attributor contextualism and methodological contextualism. I argue that methodological contextualism is superior both in its response to skepticism and in its mechanism for (...) changing contexts. However, methodological contextualism still faces two challenges: explaining why we are solidly committed to some contexts, and explaining why knowledge within a context is valuable. I propose virtue contextualism as a useful extension of methodological contextualism, focusing on the way that our virtues depend on our social roles. My proposed virtue contextualism retains the benefits of methodological contextualism while explaining both our commitment to particular contexts and the value of knowledge held within those contexts. (shrink)

This essay returns to the famous sociological “typology” of Christian ethics in Ernst Troeltsch’s classic Social Teaching of the Christian Churches (1912), in which “church,” “sect,” and “mystic” “types” are contrasted. It enquires whether the question of the significance of Christology for ethics is best not answered unilaterally, but more illuminatingly through this “typological” approach. Taking the near-contemporaries William Temple, Dietrich Bonhoeffer, and Howard Thurman as exemplars of celebrated Christologians who were also ethicists, it draws systematic comparisons between them on (...) the basis of their “type,” but also underscores that the particular efficacy of their witness relates intrinsically to the way that their distinctive “types” correlated with, and responded to, the challenging political circumstances which they confronted. (shrink)

What role can intellectual virtues play in an account of knowledge when we interpret those virtues internalistically, i.e., as depending only on internal states of the cognizer? Though it has been argued that internalist virtues are ill suited to play any role in an account of knowledge, I will show that, on the contrary, internalist virtues can play an important role in recent accounts of knowledge developed to utilize externalist virtues. The virtue account of knowledge developed by Linda Zagzebski is (...) intended to be supplemented by her version of the intellectual virtues which require an external success component. John Greco and Wayne Riggs both develop credit accounts of knowledge on which the abilities we use when we get credit for a true belief must be reliable. I examine the similarities between these three accounts of knowledge and demonstrate that internalist virtues fit into these accounts just as well as externalist virtues. Thus, although internalist virtues do not require a reliable connection to truth, they can still play an important role in defining the truth-requiring concept of knowledge. (shrink)

Most, if not all, psychologists have served as teaching or research assistants during graduate school, been instructed by teaching assistants, or both. As both faculty and students themselves, graduate assistants are faced with several dilemmas for which they typically have little preparation or guidance. These issues are explored in the context of the existing literature on multiple relationships in academic settings. Recommendations are made for graduate assistants, their faculty supervisors or mentors, and administrators to proactively address and confront these challenges (...) in a manner consistent with the profession of psychology's ethics code and to minimize the potential for harm to those we are entrusted to teach. (shrink)

This paper is a defence of Putnam's claim that the proposition expressed by the sentence 'I am a brain-in-a-vat' is necessarily false. In particular, the paper defends the anti-sceptical conclusion against an attack by Noonan.

If we adopt a virtue approach to epistemology, what form should the intellectual virtues take? In this paper, I argue that the proper structure of the intellectual virtues should be one that follows the tradition of internalism in epistemology. I begin by giving a general characterization of virtue epistemology and then define internalism within that framework. Arguing for internalism, I first consider the thought experiment of the new evil demon and show how externalist accounts of intellectual virtue, though constructed to (...) accommodate our intuitions in such cases, cannot fully do so. I further argue that only adopting an internalist structure of the virtues will provide intellectual virtues that appropriately mirror the structure of the classical moral virtues. Finally, I argue that only an internalist structure of the virtues can explain why the intellectual virtues are valuable in themselves. (shrink)

The Global Christian Forum’s international gathering in Limuru, Kenya, in 2007, affirmed the value of this initiative for promoting relationships between Christian traditions with little if any mutual encounter. With this fresh mandate, the Forum organized further regional meetings and extended its methodology into other contexts. Following a second global gathering at Manado, Indonesia, in 2011, it continues to develop its activities. Though its minimal structures and staffing bring challenges, it still aims to deliver what has been described as ‘the (...) best value-for-money ecumenism in the world,’ acting in the service of, and in collaboration with, churches and ecclesial bodies. (shrink)

La 4ème de couverture indique : « Peut-on se sortir de ce que Platon appelle une aporie? de cette situation intenable, cauchemardesque où, comme tombé dans les profondeurs d’un puits, vous êtes soudainement désorienté, dépourvu de toute ressource? où vous êtes piégé, encerclé, paralysé, prisonnier dans les ténèbres sans issue des liens inextricables de la mort? Peut-on sortir d’une situation infernale? Trouver un poros, c’est-à-dire inventer un stratagème, pour faire cesser la détresse, tracer un chemin qui mène de l’obscurité à (...) la lumière? La philosophie est, pour Platon, ce poros salvateur : entreprise prométhéenne, elle est, grâce au feu dialectique, technique d’immortalité. La partie autobiographique de ce texte, intitulée Cauchemar, l’enracine dans les ténèbres d’une enfance particulièrement aporétique. ». (shrink)

Environmental law and environmental protection have long been portrayed as requiring tradeoffs between incompatible ends: "jobs versus environment;" "markets versus regulation;" "enforcement versus incentives." Behind these views are a variety of concerns, including resistance to government regulation, skepticism about the importance or extent of environmental harms, and sometimes even pro-environmental views about the limits of Earth's carrying capacity. This framework is perhaps best illustrated by the Trump Administration, whose rationales for a host of environmental and natural resources policies have embraced (...) a zero-sum approach, seemingly preferring a world divided into winners and losers. Given the many significant challenges we face, does playing the zero-sum game cause more harm than good? And, if so, how do we move beyond it? This book is the third in a series of books authored by members of the Environmental Law Collaborative (ELC), an affiliation of environmental law professors that began in 2011. In it, the authors tackle the origins and meanings of zero-sum frameworks and assess their implications for natural resource and environmental protection. The authors have different angles on the usefulness and limitations of zero-sum framing, but all go beyond the oversimplified view that environmental protection always imposes a dead loss on some other societal value. (shrink)

In this article I set out to trace some of the implications of recharging the political potency of nature in more-than-human terms. This shifts attention from a biopolitical focus on the inventiveness of the life sciences and what this means in terms of the emergence of ‘cyborg’ political subjects to an onto-political focus on the inventiveness of knowledge controversies and what these mean for techno-political practices. Specifically, the article examines the onto-politics of ‘natural’ hazard events and their capacity to force (...) thought in those affected by them, and so to place new demands on research practices in terms of rendering such events affective and amenable to political interrogation. I work these arguments through the demanding experimental ethos of the philosopher Isabelle Stengers, for whom scientific practices produce reliable knowledge claims only in so far as the questions they address are at risk of being redefined by the phenomena mobilized in them, and who extends this ethos to elaborate an understanding of, even a test for, an adequate political theory and practice. I do so with reference to a recent research experiment in which I collaborated with social and natural scientists and people affected by flooding in the UK. (shrink)

Plato's account of the making of the world by a supreme divinity has often been felt to foreshadow the natural theology associated with orthodox western religion. This paper examines some significant ways (having more than merely antiquarian interest, it is hoped) in which the Timaeus scheme differs from more familiar orthodoxy.

The multiplicity of deubiquitinating enzymes (DUBs) encoded by vertebrate genomes is partly attributable to whole genome duplication events that occurred early in chordate evolution. By surveying the literature for the largest family of DUBs (the ubiquitin-specific proteases), extensive functional redundancy for duplicated genes has been confirmed as opposed to singletons. Dramatically conflicting results have been reported for loss of function studies conducted through RNA interference as opposed to inactivating mutations, but the contradictory findings can be reconciled by a recently proposed (...) compensatory mechanism involving nonsense-mediated RNA degradation. Duplicated genes are often inactivated to become pseudogenes, and it is proposed that such is the fate of the USP15 gene of zebrafish, a commonly used model system. As it is reviewed here, these observations have implications not only for the interpretation of model system phenotypes but also for therapeutic interventions designed to target DUBs. (shrink)

This article responds to two ethical conundrums associated with the practice of disability passing. One of these problems is the question of whether or not passing as abled is morally wrong in that it constitutes deception. The other, related difficulty arises from the tendency of the able-bodied in contemporary society to reinforce the activity of passing despite its frequent condemnation as a form of pretense or fraud. We draw upon recent scholarship on transgender and disability passing to criticize and explore (...) some alternatives to the problematic theory of personal identity that is presupposed by the claim that passing as abled always amounts to deceit. We additionally demonstrate the moral indefensibility of society’s reinforcement of disability passing by showing that it may derive, at least in part, from ablest assumptions concerning distributive justice as it relates to disabled individuals. (shrink)

This paper suggests that autistic people relate to themselves via a third-person perspective, an objective and explicit mode of access, while neurotypical people tend to access the different dimensions of their self through a first-person perspective. This approach sheds light on autistic traits involving interactions with others, usage of narratives, sensitivity and interoception, and emotional consciousness. Autistic people seem to access these dimensions through comparatively indirect and effortful processes, while neurotypical development enables a more intuitive sense of self.

On the heels of the groundbreaking Obergefell v. Hodges ruling legalizing same-sex marriage in the United States, the lesbian, gay, bisexual, and transgender movement for marriage equality has received unprecedented coverage. Few people, however, have heard of the marriage equality movement for people with disabilities. In order to understand the lack of coalition between the two movements, as well as the invisibility of the PWD marriage equality movement, I provide a conceptual analysis of both marriage movement discourses. Drawing on Cathy (...) Cohen's work on secondary marginalization in the black community, I argue that both LGBT folks and PWD actively obscure the most needy, most dependent, and most queer members of their respective communities to gain sympathy and support from a independent, heteronormative majority. However, bringing the two movements into dialogue can help us rethink intimate relationships, marriage, and who counts as a citizen worthy of rights. (shrink)

This study highlights a range of perspectives offered by 11 international teachers, participating in a cultural immersion experience, as they reflect on how they saw democracy manifested at their school internships. Teachers from six different countries studied and taught in a rural community in the Southern United States, where a medium-sized research university hosted the teachers as part of a federally-funded program during an academic semester. As a part of a larger qualitative research study analyzing the international teachers’ perception of (...) American schooling, data from intercultural sessions, individual interviews, and assigned reaction papers highlighted multiple contradictions between the teachers’ interpretation of democratic ideals and democratic education as they saw manifested in American schools. These narratives highlight the complex forces that shape individuals’ perceptions of democracy as played out in the everyday life of a cultural immersion experience. The researchers suggest that these transnational perspectives can serve as a mechanism allowing Western educators to listen to the “Other” as they interrogate taken-for-granted assumptions about American schooling. Narratives primarily highlight inconsistencies between the goals of citizenship education and the way in which citizenship is promoted or neglected in K-12 classrooms. (shrink)

This is a book review of "Why be Moral?" Learning from the Neo-Confucian Cheng Brothers.

In Book 10 of the Aeneid, Virgil presents an epic catalogue of Etruscan allies who return under Aeneas' command to the beleaguered Trojan camp, including the forces from Liguria. The account of the Ligurians initially conforms to the general pattern of the catalogue, as Virgil briefly introduces and describes the two leaders. But the description of Cupauo's swan-feather crest leads to a digression about the paternal origins of the avian symbol. Cupauo's father Cycnus, stricken with grief for his beloved Phaethon, (...) was transformed from a mournful singer into the swan that bears his name : non ego te, Ligurum ductor fortissime bello,transierim, Cinyre, et paucis comitate Cupauo,cuius olorinae surgunt de uertice pennae formaeque insigne paternae.namque ferunt luctu Cycnum Phaethontis amati,populeas inter frondes umbramque sororum 190dum canit et maestum Musa solatur amorem,canentem molli pluma duxisse senectamlinquentem terras et sidera uoce sequentem. Virgil not only places the Ligurians in a central position within the catalogue, but also devotes more verses to them than to any other contingent, including his own Mantuans. At the very heart of this prominent passage lies the embedded tale of Cycnus, the erotic and sorrowful centrepiece of Virgil's Etruscan catalogue. (shrink)

While face masks prevent the spread of disease, they occlude lower face parts and thus impair facial emotion recognition. Since emotions are often also contextually situated, it remains unknown whether providing a descriptive emotional context alongside the facial emotion may reduce some of the negative impact of facial occlusion on emotional communication. To address this question, here we examined how emotional inferences were affected by facial occlusion and the availability of emotional context. Participants were presented with happy or sad emotional (...) faces who were either fully visible or partially obstructed by an opaque surgical mask. The faces were shown either within an emotionally congruent (e.g., “Her cat was found/lost yesterday afternoon”) or neutral (“Get ready to see the next person”) context. Participants were asked to infer the emotional states of the protagonists by rating their emotional intensity and valence. Facial occlusion by masks impacted the ratings, such that protagonists were judged to feel less intense and more neutral emotions when they wore masks relative to when their face was fully visible. Importantly, this negative impact of visual occlusion by mask was reduced but not fully eliminated when the faces were presented within a congruent emotional context. Thus, visual occlusion of facial emotions impairs understanding of emotions, with this negative effect of face masks partially mitigated by the availability of a larger emotional context. (shrink)

Dans la Rome républicaine et impériale, les pleurs accompagnent des événements de la vie privée et publique. Pour agrémenter leurs discours et asseoir leur autorité, des sénateurs, des empereurs et de brillants chefs d’armes n’hésitent pas à verser des larmes quand l’heure est grave. L’effet de leurs sanglots dépend de leur position sociale et de leur renommée : les plaintes d’un aristocrate ont plus de portée que celles d’un simple soldat. Aux femmes, en revanche, les larmes sont souvent interdites (hormis (...) dans le deuil), quand bien même leur « nature » et leur imbecillus animus (Tite-Live, 3, 48, 8) les prédisposent aux pleurs. Le chantage à l’émotion est surtout féminin, pense-t-on. Malgré ses prescriptions de retenue, la philosophie, notamment stoïcienne, n’arrive pas à contrevenir à ce grand usage des larmes, qui est progressivement détourné et revalorisé par les auteurs chrétiens dans leur éloge de la pénitence. (shrink)

This essay addresses the relation between ghosts and the fires of writing. It allows itself to dream of purely burning, of consuming and leaving behind all objects, topics and occasions in an absolutely concrete, singular, sensational experience of reading. It is written to and for ghosts – the only ones who can survive in the blazing building that writing can become. The ghosts live in burning house scenes, in poems about dream rooms and erotic hauntings, and in the intellectual tension (...) of literary and non-literary texts. They have something to do with the fires of sexuality, and the intensities of sublimation. It is all about love and death. (shrink)