Consumers are bombarded with labels and claims that are intended to address their concerns about how food products are produced, processed, and regulated. Among those are the natural or all-natural claims and the certified organic label. In this study, two focus groups were conducted to explore consumers’ attitudes toward all-natural and organic pork and to gather their reactions to the USDA organic standards for meat, and the policy for natural claims. Results indicated that participants had positive associations with the terms (...) “organic” and “all-natural” with exceptions regarding the trustworthiness of all-natural claims. Participants perceived the “no” labeling theme (no antibiotics, no hormones, no chemicals, etc.) often coupled with the all-natural label on pork products as identifying potential health and animal welfare risks. In response to the USDA standards and policies for labeling pork products as organic or all-natural, participants expressed confusion and had many unanswered questions. (shrink)

To examine the institutional ethics of the church there must be a focus on how the mutually reinforcing interplay of cultural and political values of white supremacy and heteropatriarchy are so effectively perpetuated by Christians through their church bodies. Analysis of this institutional process includes an illustration from the United Methodist Church 2019 quadrennial global assembly and a moment of LGBTQI protest against the Church’s enactment of the “traditional plan” banning equality across sexual orientations and gender identities by limiting ordination (...) and full access to pastoral care to cisgender heterosexuals. A transformative vision of institutional ethics of the church requires disruption of the church’s commitment to preserving social domination. (shrink)

Foundational theories of mental content seek to identify the conditions under which a mental representation expresses, in the mind of a particular thinker, a particular content. Normativists endorse the following general sort of foundational theory of mental content: A mental representation r expresses concept C for agent S just in case S ought to use r in conformity with some particular pattern of use associated with C. In response to Normativist theories of content, Kathrin Glüer-Pagin and Åsa Wikforss propose a (...) dilemma, alleging that Normativism either entails a vicious regress or falls prey to a charge of idleness. In this paper, I respond to this argument. I argue that Normativism can avoid the commitments that generate the regress and does not propose the sort of explanation required to charge that its explanation has been shown to be problematically idle. The regress-generating commitment to be avoided is, roughly, that tokened, contentful mental states are the product of rule-following. The explanatory task Normativists should disavow is that of explaining how it is that beliefs and other contentful mental states are produced. I argue that Normativism, properly understood as a theory of content, does not provide this kind of psychological explanation, and therefore does not entail that such explanations are to be given in terms of rule-following. If this is correct, Normativism is not the proper target of the dilemma offered by Glüer-Pagin and Wikforss. Understanding why one might construe Normativism in the way Glüer-Pagin and Wikforss must, and how, properly understood, it avoids their dilemma, can help us to appreciate the attractiveness of a genuinely normative theory of content and the importance of paying careful attention to the sort of normativity involved in norm-based theories of content. (shrink)

This article tracks how group egotists disavow their hate group identity. Group egotists are individuals born and raised in hate groups. The well-documented exit cases of Megan Phelps-Roper (Westboro Baptist Church) and Derek Black (White Nationalism) prove that hate group indoctrination can be undermined. A predominantly epistemic approach, which focuses on argument and conversational virtues, falls short in capturing the complexity of their apostasies. I turn to pragmatism for conceptual support. Using the work of Richard Rorty and William James, I (...) explain how redemptive relationships and alternative lifeworlds participate in weakening belief-systems, leading to the disavowal of the hate group. (shrink)

In this paper we consider the prospects for an account of good argument that takes the character of the arguer into consideration. We conclude that although there is much to be gained by identifying the virtues of the good arguer and by considering the ways in which these virtues can be developed in ourselves and in others, virtue argumentation theory does not offer a plausible alternative definition of good argument.

This special issue of IJFAB starts from the premise that fitness is a feminist issue, and, more specifically, it is an issue that ought to be of concern to feminists interested in bioethics. While a neglected concept in feminist bio-ethics, fitness is of key importance to women’s health and well-being. Not only that, it is also an area of women’s lives that invites unwelcome policing and advice from friends, family members, medical practitioners, and even strangers. People have a difficult time (...) prying apart the idea of fitness from that of weight loss. Most women who embark on a fitness routine have weight loss among their primary goals.Since late 2011, we and a host of guest authors have been exploring the... (shrink)

The book makes a new contribution to the contemporary debates on nihilism and the sacred. Drawing on an original interpretation of Richard Rorty’s writings, it challenges the orthodox treatment of nihilism as a malaise that human beings must overcome. Instead, nihilism should be framed as a problem for human culture to outgrow through pragmatism.

Four studies explore the role of perceptual fluency in attenuating bullshit receptivity, or the tendency for individuals to rate otherwise meaningless statements as “profound”. Across four studies, we presented participants with a sample of pseudoprofound bullshit statements in either a fluent or disfluent font and found that overall, disfluency attenuated bullshit receptivity while also finding little evidence that this effect was moderated by cognitive thinking style. In all studies, we measured participants’ cognitive reflection, need for cognition, faith in intuition, and (...) superstitious beliefs. Superstition strongly predicted bullshit receptivity regardless of fluency. Inconclusive results were found for the remaining scales. Potential links for the role of perceptual disfluency in promoting analytic thinking are discussed. (shrink)

A warning that politics has a particular validity, but that this validity is challenged by much that is characteristic of modernity. It demonstrates that humans are tempted to move away from politics, and outlines the costs and benefits of retaining the political as a realm of human activity.

The aim of this study was to understand how incivility is viewed across multiple academic programs and respondent subgroups where different institutional and cultural power dynamics may influence the way students and faculty perceive uncivil behaviors. This study used the Conceptual Model for Fostering Civility in Nursing Education as its guiding framework. The Incivility in Higher Education Revised (IHE-R) Survey and a detailed demographic questionnaire were used to gather self-assessment and personal perspective data regarding incivility in the higher education setting. (...) This approach aspired to collect a comprehensive perspective of incivility in higher education. With data from 400 students and 69 faculty, there was limited agreement between faculty and student participants about perceptions and experiences with incivility. Faculty and students did agree that the solution to incivility may be found with the creation of a code of conduct that defines acceptable and unacceptable behavior, role-modeling professionalism and civility, and taking personal responsibility and standing accountable for actions. Despite significant differences in participants’ perceptions of incivility, they shared common solutions. With a shared goal, faculty and students can work toward cultivating civility in higher education. (shrink)

Few historical figures have been more important in modeling the ideal of impartial critical scholarship than Erasmus of Rotterdam (1469-1536). Yet his critical scholarship, though beholden to no one, was not dispassionate. James Tracy shows how Erasmus the scholar sought through his writings to promote the moral and religious renewal of Christian society. Tracy finds the genesis of the humanist's notion of a "Christian republic" of pious and learned individuals in his "Burgundian," or Low Countries, roots. Erasmus's vision (...) of reform, Tracy argues, sprung from a humanist tradition focusing on the importance of teaching (_doctrina_), a tradition from which Erasmus departed in his optimism about human nature and his deep suspicion of the powers that be. Amid the storms of Reformation controversy, he pruned back the "dissimulation" by which he had thought to convey different meanings to different readers, yet in the end he could not control the way his words were read. If Erasmus's scholarly ideal carries an enduring fascination, so too does his dilemma as a man of circumspection who would also be a reformer. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Commandment against the Law Writing and Divine Justice in Walter Benjamin’s “Critique of Violence”Tracy McNulty (bio)Pierre Legendre has shown that the Romano-canonical legal traditions that form the foundations of Western jurisprudence “are founded in a discourse which denies the essential quality of the relation of the body to writing” [“Masters of Law” 110]. It emerges historically as a repudiation of Jewish legalism and Talmud law, where the (...) rite of circumcision encodes the subject’s entry into law as an “allegiance to the absolute Writing,” or the “relationship between the human subject and the logical place of the Other” [110–11; see also “les juifs”]. In this shift, one understanding of writing is displaced by another: the material inscription of the letter, as an incommunicable limit or cut, is supplanted by the fantasy of what Legendre calls a “living writing,” a writing “in the heart” that promotes an ideal of perfect communication in which nothing is lost, in which meaning is lodged in an absolute Other who guarantees all knowledge. In his words, “we belong to a culture in which a mystically alienated human body stands in the place of the absolute book. The state has emerged from this structure.... Its basic characteristics can be set out by means of a fundamental Romano-pontifical maxim: the Emperor carries all the archives in his breast (omnia scrinia habet in pectore suo)” [“Masters of Law” 109].The ultimate theological source of this Roman maxim is Paul’s polemic against the Jewish law in the Epistle to the Romans. Paul’s polemic is structured by a distinction between two orders of law: the “law of God” and the “law of sin.” The first is associated with the intelligible “spirit” of the law, which is “written in the heart,” the second with the prescriptive “letter” of the Jewish law, which compromises or corrupts the first by binding it to a particular representation and consigning it to written form. Paul’s solution is to bypass the law, to bypass representation, and perhaps even language itself. The prescriptive “letter” of the Jewish law must be sublated by the law of the spirit, such that “we serve not under the old written code but in the new life of the Spirit” [Romans 7: 6]. Christ, as the living embodiment of the law of God, upholds the spirit of the law by “fulfilling”––and so rendering obsolete–its written form.The doctrine of Christ as the “living law” sustains what Legendre describes as a “banalisation of writing” [“Masters of Law” 111], a disregard for its material inscription that holds the letter to be nothing more than a placeholder, a flawed or incomplete representation of a meaning or truth that is itself beyond words. At the same time, it makes possible the legal and political fantasy of a living writing, located in a single body understood as the site of interpretive authority. The extraction of a meaning or truth from the intractable letter becomes the ultimate aim of the legal order and the most lofty task of its sovereign interpreter, uniquely charged with animating the dead letter. This notion permeates what Peter Goodrich describes as “the most standard protocols of legal reading,” according to [End Page 34] which “it is not the letter but the spirit that determines the meaning of the law”:The text is composed of dead letters (litera mortua); the rule is no more than a “mute judge,” a sleeping form, requiring the interposition, anima legis, of jurist or judge.... [T]he meaning of the law is internal to its living body, viva vox iuris or lex loquens, its image, interpreter, or legislator. In classical terms it is spelled out by reference to something beyond words: “to know the law is not to know the words of the law, but its force and power.” In a renaissance formulation we are similarly told that “no words, forms, niceties, or propriety of language is of any regard in the Civil Law, in comparison to truth, faithfulness and integrity. For verba menti, non verbis servire debet; words, are made as instruments to serve and express the mind, and not to command it.”[229–30]1... (shrink)

There are significant problems involved in determining the ontology of quantum field theory. An ontology involving particles seems to be ruled out due to the problem of defining localized position operators, issues involving interactions in QFT, and, perhaps, the appearance of unitarily inequivalent representations. While this might imply that fields are the most natural ontology for QFT, the wavefunctional interpretation of QFT has significant drawbacks. A modified field ontology is examined where determinables are assigned to open bounded regions of spacetime (...) instead of spacetime points. (shrink)

What is the moral, spiritual, and educative function of philosophy and literature in modern lives? Such a large question is rarely posed by philosophers or literary theorists these days, but one philosopher who has put it at the top of his agenda is Richard Rorty. His general answer is that both literature and philosophy serve distinct ends: the private end of personal fulfilment through the redescription of experiences and the possibility of self-creation, and the public end of expanded horizons of (...) moral imagination and spheres of solidarity. In what follows I will take a closer look at Rorty’s proposal. I begin by situating it as a contribution to philosophical discussions of the ‘problems of modernity’. Second, I draw attention to an important but sometimes neglected thought that underscores Rorty’s proposal: the alliance of philosophy and literature in making sense of modern lives. With this background in place, in the third section I consider the distinctive version of the private/public split that Rorty invokes, which can be regarded as his version of worldmaking in modernity. I argue that Rorty’s version of the distinction has more going for it than some critics have been prepared to grant, and that it at least provides a basis for further reflection on the important question it helps to answer. (shrink)

The rhetorical function of whataboutism is to redirect attention from the specific case at hand. Although commonly used as a rhetorical move, whataboutisms can appear in arguments. These tend to be weak arguments and are often instances of the tu quoque fallacy or other fallacies of relevance. In what follows, I show that arguments involving a whataboutist move can take a wide variety of forms, and in some cases, they can occur in good arguments. I end by considering how whataboutist (...) arguing in social justice contexts can be harmful to arguers and to the audiences for their arguments. (shrink)

This paper explores a philosophical praxis of paying attention, and the importance of bodily comportment, in human-animal interactions. It traces some of the beginnings of the notion of attentiveness as it has arisen in contemporary Western environmental and animal ethics, and its further development into both a philosophical approach and actual practice as a kind of interspecies etiquette. It is informed by the kinds of comportments of openness and responsivity found in diverse examples of practical phenomenology. Through a wide-ranging interdisciplinary (...) discussion, I suggest that a praxis of attentiveness can inspire practical applications of ethical interactions between species. (shrink)

A groundbreaking guide showing us how being "out of control" (and admitting it) is the first step to living a truly better, more meaningful life. Raise your hand if you've ever wanted to "self-improve" but, for some reason, you just can't follow through. Turns out, the issue isn't a lack of willpower. For centuries, we've been fed a common perspective: Explore your subconscious mind, heal your trauma, fit into your society, and happiness will follow, right? Wrong. Dr. Courtney Tracy, (...) also known as "The Truth Doctor," disrupts this outdated narrative through digestible scientific research, shockingly honest personal stories, and compassionate-yet-direct advice. Feeling out of control and helpless isn't a flaw but a universal truth of our existence. Instead of trying to change how we work as human beings (spoiler alert: you can't,) we need to embrace and make peace with our unconscious, making it work for and alongside us instead of against. Half psychology textbook written by your best friend (who's also a therapist), half comprehensive guide brimming with actionable insights for engaging with our unconscious positively and productively, Your Unconscious Is Showing is here to help us accept what we can't control, courageously change what we can, and wisely know the difference. (shrink)

This article engages Richard Rorty’s controversial concept of ethnocentrism with the help of Randolf (Randy) S. David’s writings. The first section defines Rorty’s concept of ethnocentrism and responds to the general criticisms of relativism and divisiveness that have been made against it. The second section suggests a conceptual replacement for Rorty’s notion of a vicious ethnocentrism: egotism. Egotism is a kind of cultural ethnocentrism that is resistant to openness, creativity, and social transformation. Inspired by David’s work, the third and final (...) section suggests how the concepts of ethnocentrism and egotism might be of some use as conceptual tools for articulating contemporary social issues in the Philippines. (shrink)

In this paper we argue that while a full-blown virtue-theoretical account of argumentation is implausible, there is scope for augmenting a conventional account of argument by taking a character-oriented turn. We then discuss the characteristics of the good epistemic citizen, and consider approaches to nurturing these characteristics in critical thinking students, in the hope of addressing the problem of lack of transfer of critical thinking skills to the world outside the classroom.

Leonard Norman Primiano (1957–2021), esteemed folklorist and ethnographer of religion, relied for 16 years on assistive technology to speak. Described by an anonymous reviewer as “our ever-vanguard of thought, work, and ethics, not to mention creativity, funkiness, and joy,” Primiano brought a reverential delight to his vocation and inspired a reverential delight in return. This essay reflects on Primiano as a radiant example of the capacity for wonder.

Responds to the comments by F. Paniagua on the current author's original article, "Meehl revisited: A look at paradigms in psychology" , in which the current author reviewed Paul Meehl's famous article "Theroetical risks and tabular asterisks: Sir Karl; Sir Ronald, and the slow progress of soft psychology." According to the current author, Paniagua takes exception to two casual remarks made in the current author's paper, one about Kuhn and the other about Skinner, but neither remark is related to the (...) actual thesis. Paniagua's comments do not carry the substantive aspects of the article forward, which is unfortunate asserts the current author, because the theory discussed therein may prove useful in understanding the nature and evolution of psychology. 2012 APA, all rights reserved). (shrink)

Although many of the congenital syndromes that used to be lethal no longer are, they are still routinely referred to as “lethal anomalies.” But the label is not only inaccurate, it is also dangerous: by portraying as a medical determination what is in fact a judgment about the child's quality of life, it wrests from the parents a decision that only the parents can make.

Some physicists and philosophers argue that unitarily inequivalent representations in quantum field theory are mathematical surplus structure. Support for that view, sometimes called ‘algebraic imperialism’, relies on Fell’s theorem and its deployment in the algebraic approach to QFT. The algebraic imperialist uses Fell’s theorem to argue that UIRs are ‘physically equivalent’ to each other. The mathematical, conceptual, and dynamical aspects of Fell’s theorem will be examined. Its use as a criterion for physical equivalence is examined in detail and it is (...) proven that Fell’s theorem does not apply to the vast number of representations used in the algebraic approach. UIRs are not another case of theoretical underdetermination, because they make different predictions about ‘classical’ operators. These results are applied to the Unruh effect where there is a continuum of UIRs to which Fell’s theorem does not apply. _1_ Introduction _2_ Weak Equivalence and Physical Equivalence _3_ Mathematical Overview of Algebraic Quantum Field Theory _4_ Fell’s Theorem and Philosophical Responses to Weak Equivalence _5_ Weak Equivalence in C*-Algebras and W*-Algebras _6_ Classical Equivalence and Weak Equivalence _7_ Interlude: Is Weak Equivalence Really Physical Equivalence? _8_ The Unruh Effect _9_ Time Evolution and Symmetries _10_ Conclusions Appendix. (shrink)

Pompey's dialogue with his helmsman about celestial navigation at Lucan 8.165-92 is designed to illustrate the impossibility of mental escape from civil war. Seeking reassurance after Pharsalus in the Stoic refuge of astronomy, Pompey is instead reduced to despair by celestial portents of his imminent death, namely, the helmsman's reference to stellar deceit (a pessimistic reworking of Manilius) and his gratuitous mention of the ill-omened star Canopus. Pompey's mental collapse casts doubt on the usefulness of stellar observation for either consolation (...) or spiritual progress, in contrast with the optimistic view of astronomy espoused by Lucan's uncle Seneca the Younger. (shrink)

In this paper I explore methodological approaches to Aquinas’s argument for a real distinction between essence and existence in creatures in De ente et essentia. Joseph Owens and John Wippel examine the text through three stages that, they conclude, result in a demonstration for the real distinction. I contrast this approach with R. E. Houser, who argues that Aquinas’s text, which proceeds dialectically, must be understood within the context of its sources, namely, Avicenna’s Metaphysics of the Healing and The Intentions (...) of the Philosophers by al-Ghazali. First, I will offer an evaluative judgment on the disagreement between Owens and Wippel on which stage Aquinas demonstrates a real distinction. Second, I will offer an evaluative judgment on the nature of the treatise as a whole by suggesting that the methodology of source-based contextualism offers another way to read the De ente. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Clinical Ethicists: Can They Help Families in Their Times of Need?Tracy R. WilsonI am a doctorally-prepared nurse practitioner with over 20 years in healthcare, and I am currently pursuing my MS in Bioethics and Medical Humanities at Tulane University, with an anticipated graduation of May 2023. In the fall of 2022, I had the pleasure of taking a Clinical Ethics course. As part of that course, I shadowed (...) a Clinical Ethicist for a week. It was a valuable experience, and I gained some insights about a role I didn’t know about previously. The last two years have been difficult for my family and me. I lost my dad in November 2020 and then a “sister cousin” in May 2021. In both instances, we had the team involved in their care and helping with the decision-making process.The role of the Clinical Ethicist Consultant (CEC) service is to help families process medical decisions—most of those decisions deal with endof-life care. The CEC works as the mediator between the family and the medical team. This is how I saw the CEC role play out in my experience.During my shadowing experience, my preceptor was phenomenal at his role because 1) he listened to the patient and the family, and 2) he consulted with the appropriate team members. My shadowing experience was virtual due to the restrictions of the healthcare facility. However, I was able to attend ethical team meetings. I was able to listen to multiple family calls and consultations. During my experience, my clinical ethicist was very conscientious of taking inventory of the feelings of everyone involved. Before he provided an opinion on a case, he did a deep dive into the patient’s chart to gain the patient’s historical context. He always asked for my opinion while we discussed a case, which made me feel included even as a student. It made me feel like my opinion had some weight, and it did in one of the cases. When I returned the next day, the feelings I had about a patient and her family using her for financial gain turned out to be true. Elder abuse was taking place.My personal experiences were more complicated, in which we didn’t always have a medical team that always heard what we needed for our loved ones. In the case of my sister cousin, she entered the hospital and was diagnosed with COVID-19. Our family never thought she would die from it, so it was shocking to us when she was placed on a ventilator and never came off. When the critical care MD stated that “there was nothing else he could do for her,” I could not understand how that could be when lung transplants were being done all over the US and even less than 100 miles away.We needed a CEC team then. I was the medical expert for my family, and I felt the medical team was not listening to what we wanted. The medical team believed that to continue treatment would be futile and their belief about this exceeded their need to continue treating my sister cousin. However, having a CEC mediate by first understanding the clinical team’s perspective, explaining those considerations to us, and then helping our family relay back our [End Page 23] wants, needs, and values to the clinical team could have helped. Unfortunately, my cousin never got this option. There was a palliative care team implemented but never a Clinical Ethicist. Having faced both, from a student perspective and from a personal experience, I would say that having a CEC present allows a family to have an advocate in the room, someone who knows the medical language and can explain to you and will explain to the medical team your perspective, which can sometimes be lost in translation or not heard.When my father passed away, he did not have a Clinical Ethicist as a part of his medical team either. My dad was a Vietnam Vet and a very prideful man. So, when my dad became ill in 2018 with vascular dementia, it took a toll on me and my sisters. To... (shrink)

Bernard Stiegler's account of technology as constitutive of the human as such is without precedent. However, Stiegler's work must also be understood in terms of its explicit appropriations from the thought of Jacques Derrida. An important, yet overlooked, context for framing Stiegler's relation to Derrida is the question of nonhuman life thought in terms of différance . As I argue, Stiegler's account does not unfold the most profound implications of Derrida's understanding of nonhuman life as différance . While Stiegler describes (...) human life as prosthetic and in default of origin, there is no treatment of the way in which nonhuman life is also aporetic and constituted in terms of its relatedness to exteriority. I conclude with a reconsideration of Stiegler's work from the perspective of Derrida's richer account of nonhuman life as différance in order to bring to light an anthropocentric aspect of Stiegler's work. (shrink)

This paper considers the use of Derek Jarman’s film “Wittgenstein” as a valuable resource for those writing upon, thinking about, and teaching Wittgenstein’s philosophy, especially in understanding Wittgenstein’s approach to questions about language and its relationship to reality. The paper begins by considering the role biography plays in philosophical scholarship and how, in the case of Wittgenstein, this has a particularly significant role. Next, the paper describes the form and content of the film before moving to a discussion of strategies (...) for using the film in class. Finally, the paper concludes by arguing that the film is a Wittgensteinian one as it illustrates Wittgenstenian themes by showing them rather than telling them. (shrink)

This essay examines the right of health care freedom of choice contained in some state constitutions. It explores how courts have, and could, use this constitutional health care right as a basis for recognizing or reinforcing a fundamental right to choose an abortion.

“The Innsmouth Look: H. P. Lovecraft’s Ambivalent Modernism” explores how horror writing responds to the anxieties and possibilities presented by historical modernity. Lovecraft, in his short story “The Shadow Over Innsmouth,” translated contemporary concerns about immigration, industrialization and racial difference into a plot about a young traveler encountering a terrifying alien population in a small New England town. The essay examines the ways that this story both demonstrates how the dehumanization of the racialized “other” operated during the modern period, and (...) exposes the inherent fallacy in such objectification. Though the aliens in the story are physically distinct, and the visual difference provokes disgust and withdrawal in the narrator, this “Innsmouth look” also reveals the way the objectified other is always looking back, a subject in his or her own right. (shrink)

In this article, I argue that the question of divinity provides an important context for reading Heidegger’s initial two Nietzsche lecture courses (1936–37). First,I demonstrate how this often overlooked background can shed light upon the way in which Heidegger understood the meanings of will to power and eternal recurrence in this period. Second, I argue that the related themes of need (Not) and necessity (Notwendigkeit) in these lectures can be seen as an important framework for understanding the relation between Heidegger’s (...) early Nietzsche engagement and his Contributions to Philosophy (1936–38). (shrink)

This article explores the claim that how we talk can inspire how we reason and act. Contemporary research suggests that the words militant Christian leaders in the Philippines use shape how they rationalize President Rodrigo Duterte’s war on drugs. Describing drug users as “sinners,” a trope in religious language, is particularly lethal. Using work on pragmatism and philosophy of language by Richard Rorty, Robert Brandom, and Lynne Tirrell, the author examines how the term “sinner” generates pernicious claims in the drug (...) war. It explores how the use of the term inspires hermeneutic uptake, redirects discursive focus, and engenders certain social and political actions in the Philippines. (shrink)

Physicians often express frustration with the ‘system’ in which they work. Over time, this frustration may put them at risk of burnout and disengagement, which may impact patient care. In this study, we aimed to understand the nature of the system flaws that physicians identified in their published narratives and to explore their self-representation as agents of change. We reviewed all reflective narratives published in four medical journals between January 2015 and December 2017. By consensus, we identified those that addressed (...) system flaws. Using content and narrative analysis, we analyzed the types of flaws and the physicians’ orientation to the flawed system. We identified seven recurring system flaws—five related to medical culture: failures of communication, erosive impact of the hidden curriculum, inadequate health advocacy, frenzied pace of work, and experience of stigma. Less frequently, physicians’ narratives also exposed limited and disparate healthcare resources and restrictive institutional practices as impeding patient-centered care. Physicians expressed agency to create change foremost when writing about flaws related to medical culture. While physicians are challenged by system flaws, they strive to practice in ways that do not succumb to them. We saw tension between the elements outside the physician’s control and those within it. This tension becomes a source of distress when the compromises that emerge from system flaws move physicians away from the values that define their professional identity. (shrink)

Despite the drastic differences in their views of the intellect and the location and specific function of the will both Aquinas and Averroes are able to claim that their systems allow for moral agency because they both place the will—a faculty that is of prime importance to the process of moral action—in the individual. Both philosophers think that they are following Aristotle in making their claims about the will and the intellects. This paper will examine the issue of will and (...) the related issue of the intellects as it appears in the Aristotelian texts and in the subsequent work of Averroes and Aquinas. It will argue that at least some of the divergence in Averroes and Aquinas can be attributed to an issue of translation regarding De Anima, and a difference in the role of cogitation and the intellects regarding will. (shrink)

The idea of nihilism continues to figure prominently in philosophical debates about the problems of modernity. The aim of this article is to consider how Richard Rorty’s work might advance these debates. The article begins with a discussion of the problem of nihilism as it appears in the recent exchange between Charles Taylor, Hubert Dreyfus and Sean Kelly. It then brings Rorty into the conversation by considering his reflections on egotism and his proposed antidote to it: self-enlargement. I propose that (...) self-creation and solidarity, two key ideas of Rorty’s earlier work, should be understood as redemptive paths to self-enlargement. With this interpretation in place, Rorty can be seen as offering an alternative perspective on the problem of nihilism, one that compares favourably with those put forward by Taylor, Dreyfus and Kelly. (shrink)

The ‘Lima Call for Climate Action’ decision marked the conclusion of the 20th session of the Conference of Parties to the United Nations Framework Convention on Climate Change. It expresses how the 196 UNFCCC Parties intend to negotiate the elements of a new agreement to be opened for signature in Paris at COP21. This ‘Paris Agreement’ would govern Parties starting in 2020, when the Kyoto Protocol's second commitment period ends. The new agreement would also move Parties beyond the Kyoto Protocol's (...) focus on mitigation to include adaptation, finance, technology development and transfer, and capacity building requirements. At COP20, Party delegates struggled to find consensus on how to act on the UNFCCC's core principle of ‘common but differentiated responsibilities and respective capacities’ when drafting the Call for Climate Action. In this article, we provide a detailed account of the evolution of the COP20 decision, to show how both its overall structure and specific language shifted in.. (shrink)

RésuméJ'examine ici la plausibilité du perfectionnisme, compris comme une théorie morale dotée d'une structure conséquentialiste maximisante et du principe d'action suivant: maximise la valeur perfectionniste. Je soutiens que: 1) la structure en question ne répond pas aux préoccupations principales qui ont été responsables de l'intérêt récent pour ce type de théorie; 2) le principe d'action n'a que l'apparence de la précision; 3) nous ne pouvons promouvoir la valeur perfectionniste, vue comme une exigence morale, qu'en l'intégrant à un cadre moral pluraliste; (...) et 4) si nous l'intégrons à un cadre moral pluraliste, alors le principe requérant sa promotion ne peut pas être un principe de maximisation. (shrink)

The essays gathered together in this volume are the work of leading Nietzsche scholars and include reprints of seminal writings from all the major interpretive schools. Also included is a new translation of one of Nietzsche's most controversial writings, The Greek State, as well as a lengthy bibliography of writings on Nietzsche and politics.

From the immemorial humans have lived together in groups. What it means to be a human being has no other basis than the interactions that take place in these groups. Politics then is the shaping of the necessary fact of social interaction. This volume concerns itself with the role of the individual in this social and political order. Including selections from both classical writers such as Plato, and contemporary scholars such as George Kareb, Michael Sandel, and Donna Haraway, the work (...) examines one of the most fundemental questions of human society: what part do individual desires and concerns play, and what part should they play, in political society? How can we negotiate the relation between individuals and society, between the will of one and the mandate of the multitude? Strong's lengthy introduction provides an excellent framework that serves to unify these semial writings. (shrink)

The ideas of Reinhold Niebuhr about public ethics that were generated in his essays and books during the 1930s and early 1940s coexisted in the same Harlem neighborhood with ideas about public ethics generated by black women activists working for social change during this historical period. This essay explores an approach to constructing Christian ethics by placing these perspectives, by Niebuhr and the Harlem women activists, in "conversation." Highlighting their common quest for ideas that help to bring radical social change (...) to alleviate subjugating conditions, I specifically analyze the differing understandings of Marxist communism by Niebuhr and Harlem women Communist Party activists. I suggest that a dialogue such as this can fruitfully inform considerations of self-interest, political struggle, and the role of religion in building public ethics for a pluralistic society. (shrink)

The evolution of the idea of hospitality can be traced alongside the development of Western civilization. Etymologically, the host is the “master,” but this identity is established through expropriation and loss—the best host is the one who gives the most, ultimately relinquishing what defines him as master. In The Hostess, Tracy McNulty asks, What are the implications for personhood of sharing a person—a wife or daughter—as an act of hospitality? In many traditions, the hostess is viewed not as a (...) subject but as the master’s property. A foreign presence that both sustains and undercuts him, the hostess embodies the interplay of self and other within the host’s own identity. Here McNulty combines critical readings of the Bible and Pierre Klossowski’s trilogy The Laws of Hospitality with analyses of exogamous marital exchange, theological works from the Talmud to Aquinas, the writings of Kant and Nietzsche, and the theory of femininity in the work of Freud and Lacan. Ultimately, she contends, hospitality involves the boundary between the proper and the improper, affecting the subject as well as interpersonal relations. Tracy McNulty is assistant professor of romance studies at Cornell University. (shrink)

Responding to mounting public concern about the shift to managed care, legislation to grant patient protections has dominated the health policy agenda over the past two years. Although some policies, such as laws on maternity length of stay, can be easily dismissed as “body part by body part” micromanagement of medical practice, other initiatives offer substantive, new rights to patients across the spectrum of care. At both the state and the federal levels, the right of enrollees to appeal a denial (...) of treatment or to file grievances about other plan decisions has emerged as a centerpiece of patient protection legislation. Grievance and appeal rights have been embraced as a way to empower patients, to enhance access to treatment, and to improve the quality of care by providing an external mechanism to review treatment denials. (shrink)

Research on emotion and health has tended to focus on the negative consequences of “negative” emotions. An emerging literature has begun to explore the positive aspects of negative affect, suggesting that emotion be treated in a more differentiated way by recognising the components and intensity that can promote or harm health. For example, short bursts of emotion-associated sympathetic activation can stimulate parts of the immune system, whereas more chronic activation can cause “wear and tear” on the cardiovascular system. Anxiety and (...) guilt have been associated with preventive health behaviours and care-seeking, whereas distress and depression increase symptom sensitivity, accuracy of illness perception, and can facilitate care-seeking and receipt of support. However, intense and chronic negative affects may lead individuals to engage in risky health behaviours, such as substance abuse, overeating, and high risk sex, as a coping mechanism to regulate negative emotion. They may also undermine social support systems, leading to a self-perpetuating cycle of conflict and isolation. Future research must address the parameters defining “healthy” and “unhealthy” negative emotion. (shrink)

Despite the initial strangeness of grouping Iris Murdoch (a Platonist), Martha Nussbaum (an Aristotelian), and Richard Rorty (a pragmatist) together, this paper will argue that these thinkers share a strong commitment to the moral purport of literature. I will also show that their shared idea of moral engagement through literature interlocks the individual’s sense of self and the world of others. After considering their accounts, I will conclude by raising the question of literature’s moral limits.