Put relationship-centered communication at the forefront of care Today, physicians face a hypercompetitive marketplace in which they must meet unique and complex patient needs as efficiently as possible. But in a culture prioritizing clinical outcomes above all, there can be a tendency to lose sight of one of the most critical aspects of providing effective care: the communication skills that build and foster physician-patient relationships. Studies have shown that good communication between doctors and patients and among all caregivers who interface (...) with patients directly results in better clinical outcomes, reduced costs, greater patient satisfaction, and lower rates of physician burnout. In Communication the Cleveland Clinic Way, Dr. Adrienne Boissy and her team tell the story of how Cleveland Clinic created and applied the R.E.D.E. to Communicate: Foundations of Healthcare program, making the world-renowned hospital system a leader in relationship-centered care. They provide a step-by-step guide for healthcare leaders and decision-makers to design, develop, and implement communication skills training in their own institutions. Learn how to: • Craft an effective, colleague-supported communication skills program to include veteran physicians, residents, and medical students • Leverage creative program design and data transparency to engage and facilitate staff physicians and advanced care providers • Identify common misperceptions and myths in healthcare communication and respond to them successfully • Cultivate a true sense of empathy—with patients and fellow caregivers alike—while maintaining professionalism In a field where difficult conversations and stressful relationships are commonplace, clinicians need a structured approach to enable them to deliver the best care possible. Communication the Cleveland Clinic Way is the blueprint for establishing a relationship-centered program that will improve patient experience, reinvigorate doctors’ passion for their work, and elevate any organization. (shrink)

Journal of Philosophy of Education, EarlyView.

Some commentators indirectly challenge the ethics of using synthetic gametes as a way for same-sex couples to have children with shared genetics. These commentators typically impose a moral burden of proof on same-sex couples they do not impose on opposite-sex couples in terms of their eligibility to have children. Other commentators directly raise objections to parenthood by same-sex couples on the grounds that it compromises the rights and/or welfare of children. Ironically, the prospect of synthetic gametes neutralises certain of these (...) objections, insofar as they would ensure that children have parents whom they can know as their genetic parents, which outcome is not always possible when same-sex couples involve third parties as the source of gametes or embryos. Not all commentators in bioethics throw the use of synthetic gametes into doubt as far as same-sex couples are concerned, but even these commentators put parenting by gay men and lesbians at the conclusion of an argument rather than presupposing parental legitimacy from the outset. Synthetic gametes do raise questions of ethics in regard to parenthood for gay men and lesbians, but these are largely questions of access and equity, not questions of parental fitness and/or child welfare. (shrink)

In an earlier paper, I claimed that one version of Putnam's model-theoretic argument against realism turned on a subtle, but philosophically significant, mathematical mistake. Recently, Luca Bellotti has criticized my argument for this claim. This paper responds to Bellotti's criticisms.

It would be difficult to overestimate the influence Hume’s problem of induction exercises on contemporary epistemology. At the same time, the problem of induction has not perceptibly slowed the progress of mathematics and science. This ironic state of affairs, immortalized by C. D. Broad’s description of induction as “the glory of science” and “the scandal of philosophy,” ought in all fairness to give both sides some pause. And on occasion, it does: the mathematicians stop to concede that Hume has not (...) yet been answered, the scientists worry about randomization of experiments, and inductive skeptics stir uneasily in their chairs at the mention of certain mathematical theorems that seem palpably to have bearing on the problem. (shrink)

It has been suggested that damage to anterior regions of the left hemisphere results in a dissociation in the perception and lexical activation of past-tense forms. Specifically, in a lexical-decision task in which past-tense primes immediately precede present-tense targets, such patients demonstrate significant priming for irregular verbs (spoke–speak), but, unlike control participants, fail to do so for regular verbs (looked–look). Here, this behavioral dissociation was first confirmed in a group of eleven patients with damage to the pars opercularis (BA 44) (...) and pars triangularis (BA 45) of the left inferior frontal gyrus (i.e., Broca's area). Two conditions containing word-onset orthographic–phonological overlap (bead–bee, barge–bar) demonstrated that the disrupted regular-verb priming was accompanied by, and covaried with, disrupted ortho-phonological priming, regardless of whether prime stimuli contained the regular inflectional rhyme pattern. Further, the dissociation between impaired regular-verb and preserved irregular-verb priming was shown to be continuous rather than categorical; priming for weak-irregular verbs (spent–spend) was intermediate in size between that of regular verbs and strong verbs. Such continuous dissociations grounded in ortho-phonological relationships between present- and past-tense forms are predicted by single-system, connectionist approaches to inflectional morphology and not predicted by current dual-system, rule-based models. Event-related potential data demonstrated that N400 priming effects were intact for both regular and irregular verbs, suggesting that the absence of significant regular-verb priming in the response time data did not result from a disruption of lexical access, and may have stemmed instead from post-lexical events such as covert articulation, segmentation strategies, and/or cognitive control. (shrink)

Call a set A n-correctable if every set Turing reducible to A via a Turing machine that on any input makes at most n queries is Turing reducible to A via a Turing machine that on any input makes at most n-queries and on any input halts no matter what answers are given to its queries. We show that if a c.e. set A is n-correctable for some n ≥ 2, then it is n-correctable for all n. We show that (...) this is the optimal such result by constructing a c.e. set that is 1-correctable but not 2-correctable. The former result is obtained by examining the logical closure properties of c.e. sets that are 2-correctable. (shrink)

This note concerns a recent paper by Hud Hudson on the nature of 'receptacles'. It simplifies the mathematics in Hudson's paper, and it eliminates almost all of the topology in Hudson's arguments.

In this paper I take a philosophy of technology approach to so-called “creative AI.” In light of the disruptions promised by generative AI systems, I explore the way AI may give cause to develop a philosophical concept of creativity for the new technological milieu, beyond those often found in AI models, based on human psychology alone. Largely framed by the process thought of Alfred Whitehead, the paper first engages in a critique of human-centric accounts of creativity that are dominant in (...) the AI field, and then explores the way a process philosophy of technology can describe emerging creativity-technology relationships. The conclusion of the paper is twofold: the first is that creative AI systems should embrace a more contingent and complex concept of creativity in order to produce “new, surprising, and valuable” objects in the world. The second is that one of the key roles of contemporary philosophy of technology is to rethink creativity as artificial in light of the potential of AI. (shrink)

We show that for various set theories T including ZF, T + AC is conservative over T for sentences of the form \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\forall x \exists! y}$$\end{document}A(x, y) where A(x, y) is a Δ0 formula.

The erstwhile sedentary Parisian theologian, Bonaventure of Bagnoregio, traveled extensively throughout Europe after his election as Minister General of the Minorite Order in 1257. In the fall of 1259 he arrived on Mount La Verna in Tuscany. As he ruminated on the stigmatized flesh of Francis of Assisi, Bonaventure composed the classical mystical text, Itinerarium mentis in Deum. Utilizing Michel de Certeau's work on prayer, travel narratives and spatial practices, this essay explores how Bonaventure rereads the story of the Poverello (...) in the Itinerarium mentis in Deum as a mystic narrative of peripatetic prayer. (shrink)

Professional standards in medicine and psychology treat concurrent sexual relationships with patients as violations of fiduciary trust, and they sometimes rule out sexual relationships even after a clinical relationship is over. These standards also rule out sex with research subjects who are also patients, but what about nonclinical relationships where there are not always parallels to the standards of clinical medicine? One way to treat sex in nonclinical research relationships is to treat it as sex is treated elsewhere among adults, (...) as a matter of individual choice and responsibility. Alternately, one could ask oversight bodies to draw lines between research that can safely accommodate sexual relationships and research that cannot. One could even ask researchers to avoid all concurrent sexual relationships with their research participants, as happens in clinical medicine. Each of these options has drawbacks that undermine its value as a definitive solution. The deficiencies of these options highlight the need for a professional code of conduct for nonclinical researchers. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Empire of the Tetrarchs: Imperial Pronouncements and Government a.d. 284–324T. D. BarnesSimon Corcoran. The Empire of the Tetrarchs: Imperial Pronouncements and Government a.d. 284–324. Oxford: Clarendon Press, 1996. xv 1 406 pp. Cloth, $85. (Oxford Classical Monographs)The four decades between the accession of Diocletian on 20 November 284 and the abdication of Licinius on 19 September 324 witnessed profound changes in the government and administrative structure of (...) the Roman world. These changes are naturally reflected in the legislation of the period, which survives in relative abundance—indeed, a larger proportion of the emperors’ legal decisions and enactments probably survives from these four decades than from any previous period of forty years in the history of the Roman Empire. The high rate of survival is due in part to the activity of the commissioners who compiled the Theodosian Code in the 430s and the Codex Justinianus in the sixth century: the former set out to collect general laws and edicts of the Christian Roman Empire since the conversion of Constantine, while the latter included in their compilation a large part of two Diocletianic collections of imperial rescripts, the Codex Gregorianus and the Codex Hermogenianus. But the legislation of Diocletian and his imperial colleagues and successors is also known from a wide variety of other sources—papyri, inscriptions, nonofficial collections of laws, Lactantius’ account of the decade of Christian persecution from 303 to 313 in his On the Deaths of the Persecutors, and Eusebius’ Ecclesiastical History. Moreover, Eusebius’ Life of Constantine quotes important documents from the last months of 324.Simon Corcoran includes all this varied and historically significant material in his purview, and he provides a reliable guide to it. His monograph is a revised version of an Oxford doctoral thesis which he began in 1987 under the supervision of Fergus Millar and completed in 1992 under that of John Matthews, and he has also taken advice from Tony Honoré. His work is technically proficient. I have not noticed any careless errors of any consequence, and Corcoran has used my work on the period of Diocletian and Constantine in the spirit in [End Page 145] which I intended it to be used: he has understood the underlying principles upon which it rests, then applied them critically, sometimes to reach conclusions which not only differ from my own but are superior to them.Corcoran begins with two introductory chapters which succinctly survey the subject and the evidence available. On interpolation in legal texts, he is cautious and sensible. He proceeds on the assumption that though “the transmitted texts are seldom identical with what the imperial chancery originally issued,” they have seldom undergone drastic alteration: “abbreviation is the most common fate of constitutions in the legal sources” (19). Yet he provides a salutary reminder and example of what can happen (16–18): whereas a rescript in the Fragmenta Vaticana denies that the temporary gift of estates subject to tax is valid (Frag. Vat. 283, si stipendariorum proprietatem dono de-disti,... donatio inrita est), the same rescript in the Codex Justinianus directly contradicts and asserts that such a gift is valid (CJ 8.54.2, si praediorum proprietatem dono dedisti,... donatio valet). On a priori grounds alone, it seems highly probable that something similar has happened to some texts which are known only through the Codex Justinianus—and where the alteration may not be at all obvious.What of the date and contents of the two Diocletianic codes? Corcoran confronts the problems of dating and attribution squarely and honestly. Most of his conclusions may not be new, but his discussion has been able to proceed from the fact that an Aurelius Hermogenianus, who can hardly be anyone other than the jurist, is now securely attested as praetorian prefect between 293 and 305 with Julius Asclepiodotus as his colleague (AE 1987, 456). Corcoran argues that Gregorius published the Codex Gregorianus in 291/2 or ca. 292, after serving as magister libellorum with Diocletian from 285 to 290: he accounts for the ascription of some later constitutions to this code by postulating a second edition compiled ca. 306, possibly at the court of Maximinus or... (shrink)

The Bible, a religious text, is also often said to be one of the foundation texts of Western culture. The present volume explores how religious, political and cultural identities, including ethnicity and gender, are embodied, often problematically, in biblical discourse. Following the authors, we read the Bible with new eyes: as a critic of gender, ideology, politics, and culture. We ask ourselves new questions: about God's body, about women's roles, about racial prejudices and about the politics of the written word.

On a subject that hath been so often treated, ’tis impossible to avoid saying many things which have been said before. It may, however, with reason be affirmed, that there still remains, on this subject, great scope for new observations. Besides, it ought to be remember’d, that the evidence of any complex argument depends very much on the order into which the material circumstances are digested, and the manner in which they are display’d.

Let us sum up. We began with the question, “What is the interest of a model-theoretic definition of validity?” Model theoretic validity consists in truth under all reinterpretations of non-logical constants. In this paper, we have described for each necessity concept a corresponding modal invariance property. Exemplification of that property by the logical constants of a language leads to an explanation of the necessity, in the corresponding sense, of its valid sentences. I have fixed upon the epistemic modalities in characterizing (...) the logical constants: to be a logical constant in the language of a population is to be invariant over a modality describing complete possible epistemic states of that population (or an idealized analogue thereof). The grounds for this characterization are these: (1) It leads, I believe, to an extensionally reasonable demarcation of the logical constants, including clear cases and excluding clear non-cases. It gives a principled criterion for deciding unclear cases. (2) It provides an analysis of the topic-neutrality of logic. (3) It leads to an explanation of the epistemic necessity of the logical truths in terms of the topic-neutrality of the logical constants.All the same, it is reasonable to ask, even if the suggested demarcation of logic is extensionally correct, whether it can reasonably be expected to be fundamental. The epistemic invariance of an expression is a rather striking property, one which we should want to explain. What is missing, then, is an explanation of the distinguishing epistemic properties of the constants in terms of more fundamental properties involving their understanding and use. It would be these that properly define the nature, not just the extent, of logic. (shrink)

Throughout his philosophical project Michel Serres uses the etymological connections between words to reveal much larger experiential and philosophical links. One such connection is between the words ‘media’ and ‘milieu’. In this paper I show how Serres’ philosophy of communication can be used to think critically about the relationship between media and the environment. The paper provides an introduction to Serres’ mode of thought, focusing on his treatment of communication systems. It explores his articulation of noise, information, and thermodynamics and (...) what this contributes to critical discussions of media ecology. (shrink)

When Merleau-Ponty writes about belief in the Christian God, he does not explicate the belief phenomenologically, whilst accepting Husserl’s claim that God cannot perceive panoptically or access human consciousness fully. For the later Merleau-Ponty the Christian idea of God incarnate does not separate the absolute from existence, and God is found wherever we gather in his name and ameliorate suffering. Yet Christianity remains haunted by the threat of acosmism, or the collapse of the real world into the divinity. I respond (...) that believers are not concerned by full access to their first-person states. What is important is the way we are accessed. When we turn to Merleau-Ponty’s later conception of God, I contend that it draws on the resources of the Christian tradition it disavows and is open to a Nietzschean critique. Just as importantly it neglects the phenomenon of motivation. I suggest that William James does much to set out a first-person phenomenology of an inspirational belief in God that Merleau-Ponty neglects. (shrink)

Explicitly utopian novels are relatively uncommon in twentieth-century Scottish fiction, perhaps due to a prevailing conception of Scottish literature as inherently peripheral; for many critics and authors, Scotland is already a place outside the mainstream of political and historical narrative. Utopian themes and imagery, however, have frequently been used by Scottish writers to address the role of religious experience in contemporary life. In novels by Robin Jenkins, Neil M. Gunn, Alasdair Gray, and Iain M. Banks, the utopian form presents the (...) possibility of abandoning traditional religious practices in favor of direct discourse with the divine. Even as they appear to repudiate organized religion, these novels also demonstrate the continued relevance of God and myth. Whether in outright science fiction such as Banks’s Culture series and portions of Gray’s “Lanark,” classical utopias such as Gunn’s “The Green Isle of the Great Deep,” or ostensibly realist novels such as Jenkins’s “The Missionaries,” utopian imagery is used to examine what role the divine might have in a secular society. These Scottish utopias offer a place to discuss the relationships between individuals, communities, and nations and how these relationships are reconstituted in a modernity where God is known only as absence. (shrink)

This paper discusses two combinatorial problems in stability theory. First we prove a partition result for subsets of stable models: for any A and B, we can partition A into |B |<κ(T ) pieces, Ai | i < |B |<κ(T ) , such that for each Ai there is a Bi ⊆ B where |Bi| < κ(T ) and Ai..

Bioconservative commentators argue that parents should not take steps to modify the genetics of their children even in the name of enhancement because of the damage they predict for values, identities and relationships. Some commentators have even said that adults should not modify themselves through genetic interventions. One commentator worries that genetic modifications chosen by adults for themselves will undermine moral agency, lead to less valuable experiences and fracture people's sense of self. These worries are not justified, however, since the (...) effects of modification will not undo moral agency as such. Adults can still have valuable experiences, even if some prior choices no longer seem meaningful. Changes at the genetic level will not always, either, alienate people from their own sense of self. On the contrary, genetic modifications can help amplify choice, enrich lives and consolidate identities. Ultimately, there is no moral requirement that people value their contingent genetic endowment to the exclusion of changes important to them in their future genetic identities. Through weighing risks and benefits, adults also have the power to consent to—and assume the risks of—genetic modifications for themselves in a way not possible in prenatal genetic interventions. (shrink)

Call the claim, common to many in the Christian intellectual tradition, that Christ, in virtue of his created human intellect, had certain, infallible, exhaustive foreknowledge the Foreknowledge Thesis. Now consider what I will call the Conditional: if the Foreknowledge Thesis is true, then Christ's created human will was not free. In so far as many, perhaps all, of the people who affirm the Foreknowledge Thesis also wish to affirm the freedom of Christ's human will, the truth of the Conditional would (...) be most unwelcome to them. I consider an argument in support of the Conditional; I argue that it is not successful. (shrink)

A necessary part of David Armstrong's account of truthmakers for modal truths is his Possibility principle: any truthmaker for a contingent truth is also a truthmaker for the possibility of the complement of that contingent truth (if T makes _p_ true and _p_ is contingent, then T makes ⋄∼_p_ true). I criticize Armstrong's Possibility principle for two reasons. First, his argument for the Possibility principle both relies on an unwarranted generalization and vitiates his desire for relevant truthmakers. His argument undercuts (...) relevant truthmakers by entailing that each contingent being is a truthmaker for all modal truths. Second, even if the argument seems successful, the Possibility principle is subject to counterexamples. Armstrong's being composed of more than fifty atoms makes it true _that something composed of more than fifty atoms exists_ and that truth is contingent, but his being composed of more than fifty atoms does not make it true _that it is possible that it is not the case that something composed of more than fifty atoms exists_. (shrink)