Over the last decade there has been a noticeable increase in attention, on the part of public health scholars and professionals, to the important ethical challenges that arise in the context of public health policy, practice and research. This has arguably been a driver for the development of public health ethics as both a specialized field of study in bioethics and a subject for professional education. But how is PHE taught in public health programs and schools? Are current educational approaches (...) sufficient to provide future professionals with the necessary tools to address the diverse ethical challenges they will encounter? In this article, we examine the international public health and bioethics literatures regarding PHE education in public health programs and schools. Specifically, we 1) summarize the results from studies that describe PHE education in the United States, Europe, Canada and in some developing countries, 2) explore current attitudes and educational approaches toward ethics curricula in public health, and 3) identify and discuss reported barriers to PHE education. We conclude with some general recommendations and a research agenda to guide future work on implementing PHE into different public health programs. (shrink)

Au Québec, la Loi sur l’accès aux documents des organismes publics et sur la protection des renseignements personnels offre une exception en matière de transparence à la plupart des institutions publiques où la recherche en santé publique est menée en leur permettant de ne pas divulguer leurs utilisations de données à caractère personnel (souvent collectées sans le consentement des personnes étudiées). Cette exception est éthiquement problématique en raison de préoccupations importantes (ex. : la protection de la vie privée et les (...) inconvénients potentiels des utilisations secondaires de données) et nous soutenons que tous ceux qui mènent des recherches doivent être transparents et responsables du travail qu’ils accomplissent dans l’intérêt public. (shrink)

In Québec, the Act Respecting Access to Documents Held by Public Bodies and the Protection of Personal Information provides an exception to transparency to most public institutions where public health research is conducted by allowing them to not disclose their uses of personal data. This exceptionalism is ethically problematic due to important concerns and we argue that all those who conduct research should be transparent and accountable for the work they do in the public interest.

BackgroundDealing with end of life is challenging for patients and health professionals alike. The situation becomes even more challenging when a patient requests a legally permitted medical service that a health professional is unable to provide due to a conflict of conscience. Such a scenario arises when Victorian health professionals, with a conscientious objection (CO) to voluntary assisted dying (VAD), are presented with patients who request VAD or merely ask about VAD. The Voluntary Assisted Dying Act 2017 (Vic) recognizes the (...) inherent conflict of conscience that may arise for some health professionals when asked to provide VAD and responds by affording broad protection to conscientious objectors who wish to refuse to take part in the VAD process.MethodsSeventeen semi-structured qualitative interviews were conducted with Victorian health professionals with a self-identified CO to VAD in the lead-up to the implementation of VAD in Victoria. Interviews explored how participants anticipated they would manage their CO in practice. Interviews were transcribed verbatim and analyzed thematically.ResultsOur results reveal that the way in which health professionals claimed they would approach CO conversations is variable and was dependant on the strength of their opposition to VAD. We categorized conscientious objectors according to their approach as either dissuasive non-referrers, passive non-referrers, facilitators or negotiators. Our study also explores the perceived difficulties of exercising one’s CO as identified by our participants.ConclusionThe broad protection offered by the Voluntary Assisted Dying Act 2017 (Vic) encourages a range of behaviors from conscientious objectors, due to the minimal obligations imposed. In order to assist conscientious objectors, more policy, institutional guidance, and education needs to be available to conscientious objectors explicitly addressing how to effectively manage one’s CO. Such guidance is imperative to ensuring that their moral integrity is preserved and that they are exercising their CO appropriately. (shrink)

In Victoria, Australia, the law regulating abortion was reformed in 2008, and a clause was introduced requiring doctors with a conscientious objection to abortion to refer women to another provid...

There has been increasing attention to financial conflicts of interest (COI) in public health research and policy making, with concerns that some decisions are not in the public interest. One notable problematic area is expert advisory committee (EAC). While COI management has focused on disclosure, it could go further and assess experts’ degree of (in)dependence with commercial interests. We analyzed COI disclosures of members of Québec’s immunization EAC (in Canada) using (In)DepScale, a tool we developed for assessing experts’ level of (...) (in)dependence. We found great variability of independence with industry and that companies with the highest vaccine sales were predominantly associated with disclosed COIs. We argue that EACs can use the (In)DepScale to better assess and disclose the COIs that affect their experts. Going forward our scale could help manage risk and select members who are less conflicted to foster a culture of transparency and trust in advisors and policy-makers. (shrink)

L’érosion actuelle de la confiance du public envers les campagnes de vaccination et les décisions de politiques publiques qui y sont associées, aggravée par des scandales comme ceux relatifs à la pandémie H1N1 et l’utilisation du Tamiflu™, risque de diminuer de façon significative l’efficacité de ces interventions importantes pour la santé publique. Un manque de confiance de la population envers les acteurs de santé publique peut conduire à une méfiance accrue face aux interventions, pouvant ainsi compromettre l’atteinte des objectifs recherchés (...) par une intervention spécifique et, conséquemment, avoir un impact important sur les bénéfices attendus pour la population visée par cette intervention. Dans la production des avis d’experts, les membres des comités consultatifs d’experts en immunisation (CCEI) peuvent avoir une influence importante sur la prise de décision publique, notamment, sur la sélection par les décideurs de santé publique de vaccins en particulier et la façon dont les campagnes de vaccination seront déployées. En contrepartie de cette influence sur les décisions publiques, une indépendance et une transparence sont attendues de leur part puisque des mécanismes de divulgation et de gestion de conflits d’intérêts (CI) imparfaits peuvent affecter négativement la confiance du public à l’égard de telles décisions. Il apparaît donc important de s’assurer que des mécanismes de gestion des CI, transparents et robustes, existent pour ces comités. Dans cette étude, les avis ou rapports d’évaluation de la pertinence de la vaccination préparés par un CCEI au Québec ont été examinés pour quatre types de maladies évitables par la vaccination (infections invasives à méningocoques et à pneumocoques, coqueluche et virus du papillome humain). Le but était de : 1) identifier les CI divulgués par les membres du CCEI dans leurs rapports comparativement à ceux déclarés dans leurs publications scientifiques pour ces mêmes infections ; 2) analyser la nature des CI (réel, potentiel, apparent, personnel, financier, institutionnel, etc.) et l’impact potentiel (risque) sur la prise de décision impartiale et sur la confiance du public ; et 3) évaluer les mécanismes de gestion de CI actuellement utilisés par ce CCEI. Les résultats de cette étude montrent que très peu de rapports du CCEI contiennent une section sur les CI par rapport à la pléthore divulguée dans les publications scientifiques publiées par les membres du CCEI. De plus, les CI divulgués dans les rapports fréquemment ne correspondent pas à ceux décrits dans les publications scientifiques. Il serait donc important d’introduire des mesures visant à accroître la transparence des experts en immunisation et d’améliorer les mécanismes de divulgation et de gestion des CI afin de veiller à ce que la confiance du public envers les décideurs en santé publique soit maintenue et améliorée. (shrink)

During the debates about the legalization of Voluntary Assisted Dying in Victoria, Australia, the presence of anti-VAD health professionals in the medical community and reported high rates of conscientious objection to VAD suggested access may be limited. Most empirical research on CO has been conducted in the sexual and reproductive health context. However, given the fundamental differences in the nature of such procedures and the legislation governing it, these findings may not be directly transferable to VAD. Accordingly, we sought (...) to understand how CO operates in the context of VAD. Prior to the implementation of the VAD legislation in June 2019, we conducted semi-structured interviews with seventeen health professionals with a self-declared CO to VAD, to explore what motivated their CO. Participants identified multiple motivations, which can be broadly categorized as: concerns for oneself; concerns for patients; concerns about the current Victorian legislation; and concerns for the medical profession. Participants’ moral commitments included personal, professional, and political commitments. In some cases, one’s CO was specific to Victoria’s current legislation rather than VAD more broadly. Our findings suggest CO motivations extend beyond those traditionally cited and suggest a need to better understand and manage CO in the healthcare context. (shrink)

In this paper, we discuss some questions about compactness in MV-topological spaces. More precisely, we first present a Tychonoff theorem for such a class of fuzzy topological spaces and some consequence of this result, among which, for example, the existence of products in the category of Stone MV-spaces and, consequently, of coproducts in the one of limit cut complete MV-algebras. Then we show that our Tychonoff theorem is equivalent, in ZF, to the Axiom of Choice, classical Tychonoff theorem, and (...) Lowen’s analogous result for lattice-valued fuzzy topology. Last, we show an extension of the Stone–Čech compactification functor to the category of MV-topological spaces, and we discuss its relationship with previous works on compactification for fuzzy topological spaces. (shrink)

Emily Thomas has written a superb short book about the British philosopher Victoria Welby (1837-1913). Working from the 1880s into the early twentieth century, Welby wrote many articles and several...

Background Victoria was the first Australian state to legalize voluntary assisted dying (elsewhere known as physician-assisted suicide and euthanasia). Some institutions indicated they would not participate in voluntary assisted dying. The Victorian government issued policy approaches for institutions to consider Objective To describe and analyse publicly available policy documents articulating an institutional objection to voluntary assisted dying in Victoria. Methods Policies were identified using a range of strategies, and those disclosing and discussing the nature of an institutional objection (...) were thematically analysed using the framework method. Results The study identified fifteen policies from nine policymakers and developed four themes: (1) extent of refusal to participate in VAD, (2) justification for refusal to provide VAD, (3) responding to requests for VAD, and (4) appeals to state-sanctioned regulatory mechanisms. While institutional objections were stated clearly, there was very little practical detail in most documents to enable patients to effectively navigate objections in practice. Conclusion This study demonstrates that despite having clear governance pathways developed by centralized bodies (namely, the Victorian government and Catholic Health Australia), many institutions’ public-facing policies do not reflect this guidance. Since VAD is contentious, laws governing institutional objection could provide greater clarity and regulatory force than policies alone to better balance the interests of patients and non-participating institutions. (shrink)

This article presents a review of Hard to Believe, a compelling documentary reporting the forced organ procurement and death of Chinese prisoners of conscience. The documentary is targeted to ignite political and public pressure to stop these practices that are thought to be motivated by financial and political gain. Narrated by journalist and author Ethan Gutmann, the documentary pricks at the collective conscience, as credible witnesses provide evidence that point to an abrogation of every ethical principle ascribed to legitimate organ (...) procurement. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ossian and the Invention of Textual HistoryKristine Louise HaugenIt is now controversial to call James Macpherson a forger or the poems of Ossian a hoax. 1 Encouraged by Derick Thomson’s 1952 demonstration that Macpherson’s Ossian indeed echoes authentic Gaelic verse, 2 a group of critics has undertaken to “rehabilitate” Macpherson, not least through a new critical edition of Ossian’s poems and related texts. 3 The edition makes it (...) easier than before to encounter Ossian directly:Morna, thou fairest of women, daughter of Cormac-Carbre? [sic] why in the circle of stones, in the cave of the rock, alone? The stream murmureth hoarsely. The blast groaneth in the aged tree. The lake is troubled before thee.... But thou art like snow on the heath. Thy hair like a thin cloud of gold on the top of Cromleach.... Thy arms, as two white pillars in the hall of Fingal. 4The authentic source of this passage seems to be the eighteenth-century commonplace that the savage and uneducated delight in figurative language, especially similes and metaphors—a commonplace enunciated often in the writings [End Page 309] of Hugh Blair, a literary critic deeply interested in Macpherson’s Ossianic productions. 5 As Harold Weinbrot and others suggest, the Ossian poems were celebrated largely because they confirmed readers’ most picturesque preconceptions about the “infancy of mankind.” 6There was room for disagreement. Many influential litterati were convinced of the poems’ antiquity, among them Goethe, Herder, Cesarotti, and a host of Scottish intellectuals. 7 But there were also detractors, mainly English—for example, Dr. Johnson and Edward Gibbon—although David Hume soon joined the skeptics, and the Scotsman Malcolm Laing issued the most crushing attack in the exchange several decades after Ossian’s first appearance in 1760. 8 The Ossian poems served a potent mixture of scholarly and political concerns, of which some were new but some were venerable. With a subtle but important shift in balance, the same mixture underlay the willingness of the most prominent eighteenth-century critics to discredit problematic texts and textual myths, even at the cost of an apparent reduction in historical knowledge. 9 For all parties Macpherson’s Ossian invited not only aesthetic delectation, but sustained thought about the relationship between early poetry and history and the value of early texts for reconstructing the past. [End Page 310]The question of British origins had preoccupied seventeenth-century antiquaries for a number of reasons, including Polydore Vergil’s unflattering Anglica Historia (first published 1546). 10 In the campaign to establish respectable national roots the Celtic druids had quickly become a kind of favorite example; they were presented early and often as heroes of British culture. The druids and their associates the bards had been described in their French setting by classical authors; William Camden, John Selden, and others transferred them easily to Celtic Britain. It was then straightforward to suggest further that the British Celts were the first discoverers of writing and philosophy, or at least discoverers concurrent with the ancient Hebrews, or both, this theory having been elaborated for the French Celts through Annius of Viterbo’s historical forgeries of 1498 and Annius’s French partisans. 11In fact this theory placed England at a disadvantage as Scotland, Ireland, and Wales had the more convincing joint claim to Celtic ancestry. Individual claims for Scotland and Ireland were frequently heard as well. The text most relevant to Ossian was the deist John Toland’s 1726 history of the druids, in which Toland both satirized the eighteenth-century clergy and argued that the ancient Celts of France and Scotland were colonists from Ireland—the original home of druidism, learning, and Toland. 12 In Toland’s version the theory made much of certain unpublished Irish manuscripts, supposedly dating from Cicero’s day and written in the “native” Irish alphabet. St. Patrick had burned hundreds of druidical religious books when he arrived in Ireland—proof that the Celts had a written language—but the bardic histories, couched in rugged verse, had escaped the evangelist’s flames. 13 Clearly, any respectable reply would need to draw on ancient manuscripts too.Even for readers unfamiliar with Toland, Macpherson’s texts... (shrink)

Many women wrote philosophy in nineteenth-century Britain, and they wrote across the full range of philosophical topics. Yet these important women thinkers have been left out of the philosophical canon and many of them are barely known today. The aim of this book is to put them back on the map. It introduces twelve women philosophers - Mary Shepherd, Harriet Martineau, Ada Lovelace, George Eliot, Frances Power Cobbe, Helena Blavatsky, Julia Wedgwood, Victoria Welby, Arabella Buckley, Annie Besant, Vernon Lee, (...) and Constance Naden. Alison Stone looks at their views on naturalism, philosophy of mind, evolution, morality and religion, and progress in history. She shows how these women interacted and developed their philosophical views in conversation with one another, not only with their male contemporaries. The rich print and periodical culture of the period enabled these women to publish philosophy in forms accessible to a general readership, despite the restrictions women faced, such as having limited or no access to university education. Stone explains how these women became excluded from the history of philosophy because there was a cultural shift at the end of the nineteenth century towards specialised forms of philosophical writing, which depended on academic credentials that were still largely unavailable to women. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:American Journal of Philology 127.2 (2006) 309-312 [Access article in PDF] Mark Buchan. The Limits of Heroism: Homer and the Ethics of Reading. The Body, In Theory: Histories of Cultural Materialism. Ann Arbor: University of Michigan Press, 2004. x + 282 pp. Cloth, $65. Buchan's introduction challenges the critical consensus on the Odyssey as both "too teleological" and "not teleological enough." The epic's partisan perspective on its hero, with (...) an ethical universe designed to exculpate his violence, has been too long taken for granted. Meanwhile, critics do not take seriously enough the epic's insistence that Odysseus' return to his home is not the end he longs for. Buchan thus raises the hope for a genuinely new reading of the Odyssey, and to a great degree, the book lives up to its promise with close textual studies framed by Lacanian theory on human desire. Buchan's opening gambit of defining his ideas against a consensus grows less appealing, however, when it becomes a trope that cites only two or so scholars on any issue. The gesture conforms to Buchan's method of textual analysis, which exploits the provocative detail or juxtaposition, and his approach suggests how fruitfully psychoanalytic readings can expose a text's unconscious universe. But the lure of the big picture—the telos of the epic—irresistibly draws Buchan onto less yielding interpretive ground. Still, his results are illuminating for Homer and instructive about the limits of psychoanalytic interpretation.Buchan studies the "dangers of certain fantasies of the self" exploited by Odysseus in his return home (4). The fantasies that define the Phaeacians and Cyclopes are exposed and ruined through their encounters with Odysseus, in part because these peoples arrive at a correct interpretation of themselves too late. Odysseus has already gotten what he needs and left his victims with rocks hanging over them and a new sense of identity wrought by loss. Buchan's view of Odysseus is unexpected and provocative; it rejects his ethics and reads him purely as the agent of trauma that introduces those he meets to the human condition of desire. This style of analysis yields its best results in the early chapters on the "victims" of the returning hero: the Cyclops, the Phaeacians, and, with Menelaus, the sea-god Proteus.Each of these chapters reveals an artifact of human culture that comes into being at a moment of loss and thus marks an awakening to self-consciousness. These artifacts represent for the newly acculturated their loss as a predication of their humanity. Polyphemus' blinding causes the Cyclops to name him for the [End Page 309] first time, creating social language as a symptom of his loss and a concomitant desire for the Father as authority. Competition with Odysseus is the beginning of a truly human culture for the Phaeacians, who were formerly self-sufficient, never doubting themselves as contestants or fathers. When Odysseus defeats their athletes, they learn that their "games-without-loss" culture is no longer a sustainable system. Buchan's perspective yields arresting insights on both episodes, including a suggestive dialectic among the images of stone imperiling the Phaeacians, from the discus throw that opens an insurmountable gap to a mountain hanging over them when they vanish from our view. But Buchan's insights come at a cost of readerly indulgence, because they depend on a decidedly selective treatment of the text. For instance, he insists on Polyphemus' namelessness before he meets Odysseus and the lack among the Cyclopes of a father as an authority figure. His discussion of the Phaeacians requires the assumption that they have never lost a competition, although they compel every visitor to participate (197 and n. 29).Buchan's final study of a victim of an heroic nostos best illustrates the gains and costs of his method. Menelaus tricks Proteus into human desire by disguising himself and three comrades as seals: the god is compelled to count himself, a deft double entendre (4.453) to make up the counting unit of five by which he keeps track of his seals Proteus thus confounds... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Meditations on the Letter A:The Hand as Nexus Between Music and LanguageEleanor V. StubleyThe image is that of a little girl. She stands alone, center-stage, her lips moving quietly as she rehearses the letters of the alphabet so that her forthcoming performance will be fresh and perfect. Her name is called. She takes a deep breath and begins, haltingly, doh,... doh, ray,... doh, ray, me,.... Her tongue catches at (...) the beginning of each sound as if it were a new found delight, but it is the sequence, the linear progression that is the focus of her concentration. And slowly, her recitation begins to take on its own rhythmic fluidity, each sound's name becoming stronger and more confident than the one before. Then just as quickly as it began, it is over, and she stands tall in the glory of the final doh's resonance, proud in her belief that having mastered the letters of the alphabet, she has at long last discovered the key to unlocking music's deepest and darkest mysteries.The alphabet—I begin its story with the hand behind the hieroglyphic markings of our ancient ancestors, the hand that discovered in the tracings of its own aimless movements across the sand a capacity to replicate the arc of the moon, the flowering branches of a shrub. It was a hand pre-occupied with the visual, its scratchings serving to extend the communicative power of its own reach by calling forth the image of a thing not immediately present. Meaning, as such, was typically a matter of a one-to-one correspondence inferred on the basis of shape and form, with concepts such as speed and light portrayed by animals and natural objects that one would associate with each (for instance, a running cougar, a stylized sun). But as language and the art of storytelling evolved, the emergence of concepts lacking precise visual associations required the development of a variety of phonetic strategies that, often working through pictographic puns (that is, belief, bee+leaf), used the visual to invoke the sound of the human voice.1 The effect, David Abrams suggests, was that of magic, the word having seemingly been "drawn" from the silence of thin air.2 And, like all tricks, the hand disappeared behind the magic. Where initially voice and hand had worked as extensions of one another, the voice serving to bring people together,3 the hand pointing to that which was voiced, the word as name now sounded alone.The story continues with the artistry of the storyteller. It was the artistry of a rhapsodist, one who used the voice to spin a tale of a "remembered present" from [End Page 42] the remnants of the hand's scratchings that had withstood the ravages of time.4 I say "remembered present" because the voice was valued for its expressive qualities and worked in and through a battery of memorized melodic embellishments that allowed it to stitch one image to the next on the basis of the storyteller's own experience and knowledge.5 It was a voice, consequently, that worked in the moment, a voice that drew energy and inspiration not only from the hand's scratchings but also from those that had gathered to listen. The first alphabets did little to change the dynamics of the event, they being nothing more than crudely assembled compilations of idiosyncratic phonograms (that is, z = buzzing bee) designed to define the possibilities of language as a vocabulary of names.6 Etched into bark, tree, stone, and parchment, however, they came to have a longevity that allowed the sounding codes they represented to be carried "word of mouth" from place to place. Where the spoken word had once been both fleeting and fluid, gone before it was fully sounded, it now had a repeatability that served to fix both its spellings and its meanings. And it was not long before the spinning of a tale had become a matter of second sight, the work of an extraordinary memory able to "recall" that which the storyteller had not been present to hear.7The gift worked through a self-conscious awareness of oneself as... (shrink)

Although research on corporate social responsibility has grown steadily, little research has focused on CSR at the individual level. In addition, research on the role of environmental friendly organizational citizenship behaviors within CSR initiatives is scarce. In response to this gap and recent calls for further research on both individual and organizational variables of employees’ environmentally friendly, or green, behaviors, this article sheds light on the influence of these variables on three types of green employee behaviors simultaneously: recycling, energy savings, (...) and printing reduction. An initial theoretical model identifies both individual and organizational variables that affect different types of green behaviors as a stepping stone for further research. The results reveal managerial implications and future research directions on the design of effective social marketing interventions that motivate different types of OCBs in the workplace. In particular, the results suggest that creating separate interventions for each type of environmental behavior, as well as for each organization, sector, and type of organization , is necessary. In addition, this research illustrates patterns of attitudes, perceptions, and behaviors by exploring individual and organizational variables and behaviors across seven different organizations belonging to different sectors. (shrink)

In jurisdictions where voluntary assisted dying is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously object to involvement in the VAD process, including provision of information about VAD. While (...) this protection appears categorical and straightforward, conscientious objection to VAD-related care is ethically complex for junior doctors for reasons that are specific to this group of clinicians. For junior doctors wishing to exercise a conscientious objection to VAD, their dependence on their senior colleagues for career progression creates unique risks and burdens. In a context where senior colleagues are supportive of VAD, the junior doctor’s subordinate position in the medical hierarchy exposes them to potential significant harms: compromising their moral integrity by participating, or compromising their career progression by objecting. In jurisdictions intending to provide all health professionals with meaningful conscientious objection protection in relation to VAD, strong specific support for junior doctors is needed through local institutional policies and culture. There are no data in this work. (shrink)

One of the most characteristic features of Comparative Literature in terms of methodological practice is that of operating in “in between” spaces. Not only does this feature suggest the comparative approach as something which originates through movement, thus making it imperative for the researcher to deal with the notion of mobility, it also characterizes many of the concepts with which it operates. Considering the possibility, as well as the fertility, of practicing this methodology in the analysis and critique of contemporary (...) visual art, we understand that it fits the analysis of any enterprise regarding the in-betweens of visual and verbal texts. These fundamental aspects were elected for a comparative analysis of two visuals artists whose œuvres operate in in-between spaces between the visual and the verbal as much as between the self and the Other. José Leonilson (Brazil 1957-1993) and Louise Bourgeois (France/EUA 1911-2010) reveal, through a comparative analysis, creative and constitutive actions which elaborate a space we could best understand through the image of a seaside landscape where the line we try to draw to divide the saltwater from the sand never stands. But, in what manners could the constituted poetic space created by them be of significance for a broader spectrum than the literary interest? In our understanding, Leonilson’s and Bourgeois’s poetics operate through a silent hearing of the Other, might that be their loved ones, the stone or cloths. This conceptual notion, required for the creative action, thus establishes a particular notion of balance between them and the Other. It is this precise aspect that also operates the mobility of the notion of love through their œuvre, and through the election of personal emotional narratives as the thriving force for creation. And what could be more needed nowadays, here as elsewhere, than considering together with Leonilson’s and Bourgeois’ images that love shall be the perpetual moving space that at times nears, and later distances us from each other? (shrink)

Shaun Gallagher applies enactivist thinking to a staggeringly wide range of topics in philosophy of mind and cognitive science, even venturing into the realms of biological anthropology. One prominent point Gallagher makes that the holistic approach of enactivism makes it less amenable to scientific investigation than the cognitivist framework it seeks to replace, and should be seen as a “philosophy of nature” rather than a scientific research program. Gallagher also gives truth to the saying that “if you want new ideas, (...) read old books”, showing how the insights of the American pragmatists, particularly Dewey and Mead, offer a variety of resources and tools that can be brought to bear on modern day enactivism. Here, I suggest that the adoption of enactivist thinking would undermine the assumptions of certain scientific positions, requiring their abandonment, rather than simply making it more difficult to conduct research within an enactivist framework. I then discuss how Mead’s work has been used previously as a “pragmatist intervention” to help resolve problems in a related 4E endeavour, Gibson’s ecological psychology, and make a case for the inclusion of radical behaviorism as another pragmatist resource for 4E cognition. I conclude with a plea for further enactivist intervention in studies of comparative cognition. (shrink)

What is hope? Though variously characterized as a cognitive attitude, an emotion, a disposition, and even a process or activity, hope, more deeply, a unifying and grounding force of human agency. We cannot live a human life without hope, therefore questions about the rationality of hope are properly recast as questions about what it means to hope well. This thesis is defended and elaborated as follows. First, it is argued that hope is an essential and distinctive feature of human agency, (...) both conceptually and developmentally. The author then explores a number of dimensions of agency that are critically implicated in the art of hoping well, drawing on several examples from George Eliot’s Middlemarch. The article concludes with a short section that suggests how hoping well in an individual context may be extended to hope at the collective level. (shrink)

In a 1955 lecture the physicist Richard Feynman reflected on the place of doubt within scientific practice. ‘Permit us to question, to doubt, to not be sure’, proposed Feynman, ‘it is possible to live and not to know’. In our contemporary world, the science of machine learning algorithms appears to transform the relations between science, knowledge and doubt, to make even the most doubtful event amenable to action. What might it mean to ‘leave room for doubt’ or ‘to live and (...) not to know’ in our contemporary culture, where the algorithm plays a major role in the calculability of doubts? I propose a posthuman mode of doubt that decentres the liberal humanist subject. In the science of machine learning algorithms the doubts of human and technological beings nonetheless dwell together, opening onto a future that is never fully reduced to the single output signal, to the optimised target. (shrink)

In this chapter I explore various facets of Addams' approaches to culture as art and as structures of life because they illuminate not only her struggles to reconcile competing perspectives and values, but also because these issues are recurring features in the development of feminist analyses of culture. -/- “This well-crafted collection of essays recognizes Jane Addams as the inspiring and occasionally provocative feminist she was. Connecting Addams’s pragmatism to social theory, political philosophy, queer theory, postcolonial theory, and more, the (...) book’s twelve authors sympathetically and critically explore Addams’s ongoing relevance to issues of art, culture, sexuality, prostitution, religion, cosmopolitanism, public/private divisions, and community organization. Scholarly experts on Addams, as well as those discovering her feminist pragmatism for the first time, will find this volume valuable.” -/- Although Jane Addams's Twenty Years at Hull-House is considered an American classic, her dozen books and hundreds of published articles have sometimes been thought of as quaint examples of an overly optimistic era. Beginning in the 1990s, feminist scholars rediscovered the vitality of Addams's social philosophy and challenged the marginalization of her ideas. Today, following a war-laden twentieth century and the failure of militarism and "get tough" approaches to solve domestic and global problems, Addams's social theorizing, which emphasizes cosmopolitan experiences and sympathetic connections, provides a provocative alternative to Western notions of individualism, transactional relations, and spectator epistemology. Feminist Interpretations of Jane Addams brings together many of the leading Addams scholars in North America to consider Addams's ongoing relevance to feminist thought. Aside from the editor, the contributors are Victoria Bissell Brown, Marilyn Fischer, Judith M. Green, Shannon Jackson, Katherine Joslin, Louise W. Knight, L. Ryan Musgrave Bonomo, Wendy Sarvasy, Charlene Haddock Seigfried, Eleanor J. Stebner, and Judy D. Whipps. (shrink)

Society is failing in its moral obligation to improve the standard of healthcare provided to vulnerable populations, such as people who lack decision making capacity, by a misguided paternalism that seeks to protect them by excluding them from medical research. Uncertainties surround the basis on which decisions about research participation is made under dual regulatory regimes, which adds further complexity. Vulnerable individuals’ exclusion from research as a result of such regulation risks condemning such populations to poor quality care as a (...) result of ‘evidence biased’ medicine. This paper explores the research regulation provisions for proxy decision making for those unable to provide informed consent for themselves, and the subsequent legal and practical difficulties for decision-makers. There are two separate regulatory regimes governing research involving adults who lack capacity to consent in England and Wales. The Mental Capacity Act 2005 governs how incapacitated adults can be involved in research, however clinical trials of medicinal products are separately regulated by the Medicines for Human Use Regulations 2004. There are significant differences under these dual regimes in the provisions for those lacking capacity to participate in medical research. The level of risk permitted differs, with a greater requirement for justification for participation in a clinical trial than other types of research. Who acts as proxy decision maker, how much information is provided to the person lacking capacity, and whether they retain the power of veto also significantly differs. The development of two separate regulatory regimes has resulted in significant differences between the provisions for clinical trials and other forms of research, and from usual medical practice. The resulting uncertainty has reinforced the tendency of those approving and conducting research to exclude adults lacking capacity to avoid difficult decisions about seeking consent for their participation. Future developments, such as the incoming EU Regulations, may address some of these differences, however the justification and level of risk permitted requires review to ensure that requirements are appropriate and proportionate to the burdens and risks for the individual, and also to the benefits for the wider population represented. (shrink)

In our contemporary moment, when machine learning algorithms are reshaping many aspects of society, the work of N. Katherine Hayles stands as a powerful corpus for understanding what is at stake in a new regime of computation. A renowned literary theorist whose work bridges the humanities and sciences among her many works, Hayles has detailed ways to think about embodiment in an age of virtuality ( How We Became Posthuman, 1999), how code as performative practice is located ( My Mother (...) Was a Computer, 2005), and the reciprocal relations among human bodies and technics ( How We Think, 2012). This special issue follows the 2017 publication of her book Unthought: The Power of the Cognitive Nonconscious, in which Hayles traces the nonconscious cognition of biological life-forms and computational media. The articles in the special issue respond in different ways to Hayles’ oeuvre, mapping the specific contours of computational regimes and developing some of the ‘inflection points’ she advocates in the deep engagement with technical systems. (shrink)

The article proposes that the hypothetical framework of Kierkegaard's "Philosophical Fragments" is determined by the question 'How is it possible for one to become a disciple?' An account of this framework is provided by employing an original interpretation of the concept 'the Moment'. This enables an understanding of 'the condition' by means of a contrast between 'Universalist' and 'Particularist' perspectives. Moreover, it is only when the insights offered by both perspectives are combined that the answer to the determining question of (...) the Fragments becomes apparent. (shrink)

This research explores the experiences of UK NHS healthcare professionals working with asylum applicants housed in contingency accommodation during the COVID-19 pandemic. Using a critical understanding of the concept of moral resilience as a theoretical framework, we explore how the difficult circumstances in which they worked were navigated, and the extent to which moral suffering led to moral transformation. Ten staff from a general practice participated in semistructured interviews. Encountering the harms endured by people seeking asylum prior to arrival in (...) the UK and through the UK’s ‘Hostile Environment’ caused healthcare staff moral suffering. They responded to this in several ways, including: (1) feeling grateful for their own fortunes; (2) defining the limitations of their professional obligations; (3) focusing on the rewards of work and (4) going above and beyond usual care. Although moral resilience is reflected in much of the data, some participants described how the work caused ideological transformations and motivated challenges to systems of oppression. We show how current moral resilience theory fails to capture these transformative political and social responses, warning of how, instead, it might encourage healthcare staff to maintain the status quo. We caution against the widespread endorsement of current formulations of moral resilience in contemporary social and political climates, where the hostile and austere systems causing suffering are the result of ideological political decisions. Future work should instead focus on enabling working conditions to support, and developing theory to capture, collective resistance. (shrink)

Analyzes the origin, structure and resolution of Kant's antinomies of reason from a systematic rather than a historical perspective, exploring the relationship between the theoretical antinomies and the practical antinomy in order to indicate their similarities and differences and to suggest the dependence of the latter on the former.

This three-volume history of England from before the Roman conquest through to the Glorious Revolution of 1688 was originally serialised in Charles Dickens' magazine Household Words between 1851 and 1853. The text was published in book form in the same period, although each volume was post-dated to the following year. Dickens dedicated the work to his own children, intending it to be a stepping stone to more substantial histories. The volumes were popular with readers for decades, and were used (...) in British schools well into the twentieth century. Dickens employs his signature style to bring events and personalities to life, making use of vivid similes, unabashedly partisan language and direct speech, as well as the occasional moral lesson. Volume 3 covers the period from Henry VII through to the fall of James II, with a short chapter on events between 1688 and the accession of Queen Victoria. (shrink)

This paper examines the debate over the human immunodeficiency virus (HIV) as the cause of acquired immunodeficiency syndrome (AIDS) from an historical perspective. The changing criteria for proving the link between putative pathological agents and diseases are discussed, beginning with Robert Koch's research on anthrax in the late nineteenth century. Various versions of 'Koch's postulates' are analyzed in relation to the necessity and sufficiency arguments of logical reasoning. In addition, alterations to Koch's postulates are delineated, specifically those required by the (...) discovery of rickettsiae and viruses in the early twentieth century and by the immunological testing developed after midcentury to demonstrate the links between elusive viral agents and two diseases, hepatitis B and infectious mononucleosis. From this perspective, an examination of the AIDS debate is constructed. Molecular biologist Peter Duesberg's argument that HIV is not the cause of AIDS is analyzed in light of his contention that a version of Koch's postulates has not been satisfied. Additional research findings through 1990 relating to the etiology of AIDS are also noted. (shrink)

Sex selection technologies have become increasingly prevalent and accessible. We can find them advertised widely across the Internet and discussed in the popular media—an entry for “sex selection services” on Google generated 859,000 sites in April 2004. The available services fall into three main types: preconception sperm sorting followed either by intrauterine insemination of selected sperm or by in vitro fertilization ; preimplantation genetic diagnosis, by which embryos created by IVF are tested and only those of the desired sex are (...) transferred to the woman's uterus; and prenatal testing of fetuses through ultrasound or chromosomal analysis, followed by selective abortion of fetuses detected to be of the undesired sex. (shrink)

This article represents a response to ‘the problem of women and African philosophy', which refers mainly to the absence of strong women's and feminist voices within the discipline of African philosophy. I investigate the possibility that African women are not so much excluded from the institutionalized discipline of philosophy, as preferring fiction as a genre for intellectual expression. This hypothesis can be supported by some feminists who read the absolute prioritisation of abstraction and generalization over the concrete and the particular (...) as a masculine and western oppressive strategy. Attention to the concrete and the unique which is made possible by literature more readily than by philosophy, could thus operate as a form of political resistance in certain contexts. If fiction is currently the preferred form of intellectual expression of African women, it is crucial that the community of professional philosophers in a context like South Africa should come to terms with the relevance of such a preference for philosophy's self-conception, and it should work to make these intellectual contributions philosophically fruitful. In the process, we may entertain the hope that philosophy itself will move closer to its root or source as ‘love of wisdom'. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:36 Feminist Studies 45, no. 1. © 2019 by Feminist Studies, Inc. Sonny Nordmarken Queering Gendering: Trans Epistemologies and the Disruption and Production of Gender Accomplishment Practices Those who are deemed “unreal” nevertheless lay hold of the real, a laying hold that happens in concert, and a vital instability is produced by that performative surprise. —Judith Butler, Gender Trouble Beginning in the 1960s, scholars began to theorize gender as (...) a contextually specific process rather than a universal category reflecting an essential pre-discursive sex. Two interrelated traditions developed: a discursive approach, which theorized gender as performative, and an interactionist approach, which investigated the interactional achievement of gender. For Judith Butler, “what we take to be an internal essence of gender is manufactured through a sustained set of acts, posited through the gendered stylization of the body.”1 Gender is therefore performative : it is a series of effects produced through the repetition and citation of stylized acts, which are named via and thus produced through discourse ; discourse also produces the defining limits of subjects.2 Candace West and Don Zimmerman theorized gender as a “routine, methodical, 1. Judith Butler, Gender Trouble, 10th anniversary ed. (New York: Routledge, 1999), xv. 2. Butler, Gender Trouble; Judith Butler, Bodies that Matter: On the Discursive Limits of Sex (New York: Routledge, 1993); Judith Butler, Undoing Gender (New York: Routledge, 2004). Sonny Nordmarken 37 and recurring accomplishment” produced in social interaction.3 They observed how, in the relational process of “doing gender,” social actors display gender, presenting an appearance to others, who attribute gender by interpreting this appearance. In this article, I investigate how actors interactionally challenge and construct discursive structures in order to contribute to scholarship that analyzes the role language plays in such interactions.4 Following Sandy Stone, who suggests that transsexuals are not a class, nor a third gender, but a genre, “a set of embodied texts,” who, through their interpretation, might potentially disrupt dichotomous sexuality and gender categories, I examine the spaces in which the discursive and the interactional merge to investigate how gender minorities, as simultaneous subjects, texts, social actors, and cultural workers, queer hegemonic gender practices.5 I argue that members of trans linguistic communities and gender nonconforming individuals queer the normative gender process in two ways: by productively linguistically communicating third-person gender pronouns and by disruptively inhibiting gender’s hegemonic attribution. Lal Zimman has made parallel observations, explaining linguistic gender self-determination practices as a new cultural phenomenon, focusing on terminology for types of gendered persons, grammatical gender forms (i.e., pronouns), and lexical items that relate to embodied sex.6 My analysis builds on Zimman’s observations using sociological, performance 3. Candace West and Don H. Zimmerman, “Doing Gender,” Gender & Society 1, no. 2 (1987): 126. 4. For example, see Mimi Schippers, “Recovering the Feminine Other: Masculinity, Femininity, and Gender Hegemony,” Theory and Society 36, no. 1 (2007): 85–102. 5. Sandy Stone, “The Empire Strikes Back: A Posttranssexual Manifesto,” in Body Guards: The Cultural Politics of Gender Ambiguity, ed. Julia Epstein and Kristina Straub (New York: Routledge, 1991), 296. The term “gender minorities ” encompasses individuals identifying with gender identity terms other than those they were assigned and individuals with gender nonconforming appearance. 6. See Lal Zimman, “Transgender Language Reform: Some Challenges and Strategies for Promoting Trans-affirming, Gender-Inclusive Language,” Journal of Language and Discrimination 1, no. 1 (2017): 84–105; Lal Zimman, “Trans People’s Linguistic Self-Determination and the Dialogic Nature of Identity,” in Representing Trans: Linguistic, Legal, and Everyday Perspectives, ed. Evan Hazenberg and Miriam Meyerhoff (Wellington, New Zealand: Victoria University Press, 2017). 38 Sonny Nordmarken studies and performativity frameworks to theorize these practices. By approximating new gender pronoun-attribution norms that bring a trans queer paradigm to life in interactions and by disregarding their perceptions of each other’s bodies, actors accomplish gender pronouns linguistically, override hegemonic gender attribution norms, and reorganize gender accountability. These practices institutionalize a new interpretive frame and accountability structure through which social actors create and recognize a variety of gender expressions, identities, and pronouns, reworking performativity to produce gender minorities as subjects. I argue that this gendering-queering is a form of disidentificatory gender accomplishment. In addition, I... (shrink)

This article puts forward a philosophical interpretation of Bettina von Arnim's epistolary bookDie Günderode, in the following stages. First I situate von Arnim's work in relation to women's participation in early German Romanticism and idealism. The ideal ofSymphilosophie, which was integral to Romantic epistemology, created possibilities for women to participate in philosophical discussion, albeit not on equal terms with men. This suggested that perhapsSymphilosophiebetween women could be more equal and reciprocal. However, interpreters have considered theSym-in Günderrode and von Arnim'sSymphilosophiemore than (...) the-philosophie, whereas here I foregroundDie Günderode's rich philosophical content. I trace the stages in the unfolding dialogue between Günderrode and von Arnim and identify von Arnim's philosophical standpoint as it emerges from this dialogue. For Günderrode, finite beings are attracted together and can only fully unite by dying and superseding their boundaries. This feeds into a gigantic cosmic process through which the earth spiritualizes itself, progressively transcending its own materiality. Von Arnim likewise thinks that all finite beings are dynamically interconnected within the earth's creative process. But, unlike Günderrode, von Arnim thinks that finite beings can realize their interconnectedness within life without needing to die, which means in turn that material nature can rise into successive levels of spirit without its materiality having to be superseded. This metaphysical difference orchestrates many other philosophical disagreements between the two women. I then conclude that on balance, and with significant qualifications,Die Günderodeembodies a successfulSymphilosophiebetween women, but that von Arnim is simultaneously pointing out the fragility ofSymphilosophie. The more independence dialogue partners have, the more liable they are to move away in new directions and abandon or outgrow the conversation, just as Günderrode turns away from von Arnim by the end of the book. (shrink)

Alcibiades is one of the most explicitly sexualized figures in fifth-century Athens, a "lover of the people" whom the demos "love and hate and long to possess" (Ar. Frogs 1425). But his eros fits ill with the normative sexuality of the democratic citizen as we usually imagine it. Simultaneously lover and beloved, effeminate and womanizer, Alcibiades is essentially paranomos, lawless or perverse. This paper explores the relation between Alcibiades' paranomia and the norms of Athenian sexuality, and argues that his eros (...) reveals an intrinsic instability within the sexual economy of the democracy: the desire he embodied blurred the categories that defined Athenian masculinity; the desire he inspired rendered the demos passive and "soft." This same instability can be seen in Thucydides' juxtaposition of the mutilation of the Herms and the legend of Harmodius and Aristogeiton. These two episodes (obscurely linked by Thucydides) together tell of an idealized citizen body under threat. The tyrannicide story figures the democratic citizen as an elite lover, whose sexual dominance is vital to his political autonomy. The Herms, with their prominent phalloi, symbolized this citizen-lover, and thus their mutilation was an assault on the masculinity, as well as political power, of the demos. The tyrannicide legend seems to promise a defense against this threat of civic castration; but instead of shoring up the sexually-dominant citizen, Thucydides' version of the legend merely reveals his frailty and fictionality: even in Athens' heroic past there is no inviolable democratic eros to cure the impotence of mutilation and tyranny. Reading these two episodes against the backdrop of Alcibiades' paranomia (as described by Plutarch and Plato), this paper examines the nature of democratic masculinity, the (eroticized) relation between demagogue and demos, and the place of perverse desire within the protocols of sex. (shrink)

This article gives a historical-philosophical overview of three generations of pragmatist thinking centered around the question of democracy. It serves as an introduction and contextualization to the papers that develop a third generation pragmatic point of view in the remainder of the special issue. The perspective is from one American-trained philosopher of education who has studied and written widely in pragmatism and European social theory. The article has sections on three generations generally described and with primary influences of John Dewey, (...) Richard Rorty, and Bruno Latour. In each generation, other important philosophic contributions discussed come from C. S. Peirce and William James, Hilary Putnam, Donna Haraway, and Isabelle Stengers as well as relevant commentators. The first two, Dewey and Rorty, contribute to a sub-theme of democracy in their writings that the third, Latour, continues in politics in a section elaboration. The introduction sets forth a generational theme and an international setting for pragmatism. The conclusion summarizes the article's key ideas and points to a need in education for a democratic future. (shrink)

This review essay investigates Andrea Ballestero’s A Future History of Water, Jeremy Schmidt’s Water: Abundance, Scarcity, and Security in the Age of Humanity, and Wade Graham’s Braided Waters: Environment and Society in Molokai, Hawai’i within the wider theme of water-human relationships. More specifically, these books provide insight into the human dimensions of water management as they explore the process of how water impacts and drives economic, social, and political change. By doing this, Ballestero, Schmidt, and Graham highlight water’s agency and (...) the vital role it plays in a variety of locations and situations. Broadly speaking, works like these help move water beyond discussions limited to ecological science, giving this resource a starring role in crucial discussions ranging from policy and economics to community development and social equity. In this regard, environmental issues are holistic matters that must engage cultural, economic, political, and religious dimensions as well as ecological issues. Collectively these books show that water’s fluctuating nature dictates the structure of our world, permeating every issue from the daily to the global while reinforcing the need to look critically at this life-giving resource. (shrink)

The relevance of the study of this problem is that the concept of information-digital management contributes to the development of digital society, based on a new wave of technological progress. The purpose of the study is to show how the information revolution of the XXI century contributes to the reduction of manpower as a result of progressive robotization. There are different technologies that are used today to replace people; the need for human resources is reduced thanks to robots, computers and (...) other high-tech gadgets. Methods of theoretical analysis - deduction and induction, historical and logical, comparative and structural-genetic analysis, informatiological method, which contribute to the penetration into the essence of the phenomenon under study as a complex phenomenon and dynamic process. Results: It has been proven that, due to the various well-known developments in information-computer technologies and robotics, many experts believe that the society is at an early stage of the new industrial revolution, which in the future can change the way people live and work just like 200 years ago a steam engine did. Technological unemployment is one of the main reasons for the increase in the overall unemployment rate in Western countries over the past 30 years. Although to some extent this is connected with the demographic revolution and the changing structure of the economy in many countries, the development of information and computer technologies, as well as other types of automation and Internet have played a significant role, especially since 2000. Findings. We have shown that many jobs of cheap labor can disappear, because the digital society focuses on the development of human resources. The world is turning into a digital society and the world is ruled by a digit, world that is based on intelligence, mind, algorithms, digitalization. The digital society consists of a set of algorithms that are controlled by information and computer technologies that penetrate into digital management, which is based on intellectual right-minded force represented by human resources. It is human resources that develop robotics, artificial intelligence, computerization, mechanization, robotization, which are based on robotics, artificial intelligence. These varieties of digital society will accelerate the potential of the long-term productivity increase through intellectualization. Practical recommendations - to develop a small business that rests on the network of intelligent platforms and helps to create jobs on the Internet and create new types of employment. (shrink)