Philosophers of science have in recent years become increasingly interested in the notion of interdisciplinarity. One important form interdisciplinarity can take is that of a dynamic exchange of problems and solutions between disciplines—what has recently been called problem-feeding. On this model problems arising within specific disciplines are sometimes solved more effectively by, or in collaboration with, other disciplines. In this paper we explore this model as a framework for thinking about, and actively structuring, interdisciplinary research. We point to (...) the applicability of the problem-feeding model, and to some of the prerequisites of problem-feeding interdisciplinarity, highlighting in particular the harmonisation of goals and the establishment of mutual trust between disciplines. (shrink)

One way to bring order into the often muddled picture we have of interdisciplinarity is to sort interdisciplinary projects or aims by the kinds of element that interact in encounters between researchers of the two or more disciplines involved. This is not the usual approach. Since the early seventies and the publication of Erich Jantsch , at least, the level of integration of the disciplines has been the primary focus. For instance, the level of integration is often treated as the (...) distinguishing boundary between multi‐, inter‐, and trans‐disciplinarity. We identify three kinds of interdisciplinary relation: problem‐feeding, conceptual drift, and methodological migration; we focus, in particular, on the first of these. Drawing on examples from the emerging field of Sustainability Science we show that problem‐feeding is a common and apparently fruitful way of connecting disparate disciplines. We illustrate some of the roles conceptual drift and methodological migration have in problem‐feeding as well as in their own right. Towards the end of the paper we suggest that there is an interesting difference between our approach to interdisciplinarity and the integrative perspective suggested by Jantsch. The interdisciplinarity resulting from problem‐feeding between researchers is typically local and temporary; integration is associated with a longer‐term, global form of interdisciplinarity. (shrink)

Traditionally, interdisciplinarity has been taken to require conceptual or theoretical integration. However, in the emerging field of sustainability science this kind of integration is often lacking. Indeed sometimes it is regarded as an obstacle to interdisciplinarity. Drawing on examples from sustainability science, we show that problem-feeding, i.e. the transfer of problems, is a common and fruitful-looking way of connecting disparate disciplines and establishing interdisciplinarity. We identify two species of problem-feeding: unilateral and bilateral. Which of these is (...) at issue depends on whether solutions to the problem are fed back to the discipline in which the problem originated. We suggest that there is an interesting difference between the problem-feeding approach to interdisciplinarity and the traditional integrative perspective suggested by among others Erich Jantsch and his colleagues. The interdisciplinarity resulting from problem-feeding between researchers can be local and temporary and does not require collaboration between proximate disciplines. By contrast, to make good sense of traditional integrative interdisciplinarity we must arguably associate it with a longer-term, global form of close, interdisciplinary collaboration. (shrink)

Most sources providing information on infant feeding strongly recommend breastfeeding. The WHO and UNICEF recommend that women breastfeed their babies and that health professionals promote breastfeeding. This creates severe pressure on women to breastfeed, a pressure which is ethically questionable since many women have physical or emotional problems with breastfeeding. In this article, we use insights from the ethics of risk to criticize the current breastfeeding policy. We argue that there are problems related to balancing aggregate wellbeing versus individual (...) wellbeing, that not enough attention is paid to alternatives, that women’s emotions and their need for free choice should be considered and that issues of equity are currently overlooked. We also criticize the way scientific information is presented in the current policy. We conclude that the official sources of information on infant feeding should be revised. Information should be more nuanced and designed to support mothers, and families in making a free choice on what is the best way to feed their babies. (shrink)

Feeding difficulties in older patients who are suffering from dementia present problems with balancing conflicting ethical principles. They have been considered by several writers in recent years, and the views of nursing and care staff have been studied in different contexts. The present study used focus groups to explore the way in which nursing and care staff in a National Health Service trust deal with conflict between ethical principles in this area. Three focus groups were convened, one each from (...) the staff of three wards caring for patients with dementia. Case histories were discussed and transcripts analysed. It emerged that staff were aware of making fine judgements of utility concerning the spectrum of feeding methods available. Informants gave some weight to the principle of autonomy, but sought to balance that against their commitment to care. In explaining their perspectives, informants gave more weight to personal attitudes and trust culture than to professional ethics. (shrink)

Medical Officer of Health reports for London boroughs, 1900–19, are analysed to determine the incidence of neonatal breast-feeding, duration of lactation, reasons for early supplementation and premature weaning, and their relationship with infant mortality. In a sample of 222,989 infants, breast-feeding rates were very high. Over 90% were breast-fed in the first month, almost 80% at 3 months, and over 70% at 6 months. The poorest boroughs had the highest rates of neonatal breast-feeding, but also a higher (...) incidence of early supplementation and premature weaning. There was a significant positive correlation between breast-feeding and infant mortality due to poor maternal diet and health, poor nutritional quality of supplementary and substitute foods, and the use of an unhygienic feeding bottle. Energetic campaigns to counteract these problems probably contributed to the fall of infant mortality in this period. (shrink)

Animal lovers who feed meat to other animals are faced with a paradox: perhaps fewer animals would be harmed if they stopped feeding the ones they love. Animal diets do not raise problems merely for individuals. To address environmental crises, health threats, and harm to animals, we must change our food systems and practices. And in these systems, animals, too, are eaters. -/- Looking beyond what humans should eat and whether to count animals as food, Just Fodder answers ethical (...) and political questions arising from thinking about animals as eaters. Josh Milburn begins with practical dilemmas about feeding the animals closest to us, our pets or animal companions. The questions grow more complicated as he considers relationships with more distance - questions about whether and how to feed garden birds, farmland animals who would eat our crops, and wild animals. Milburn evaluates the nature and circumstances of our relationships with animals to generate a novel theory of animal rights. -/- Looking past arguments about what we can and cannot do to other beings, Just Fodder asks what we can, should, and must do for them, laying out a fuller range of our ethical obligations to other animals. (shrink)

"1. A science or study of being: specifically, a branch of metaphysics relating to the nature and relations of being; a particular system according to which problems of the nature of being are investigated; first philosophy. 2. a theory concerning the kinds of entities and specifically the kinds of abstract entities that are to be admitted to a language system.".

In this paper, I argue that clinically-oriented practical and theoretical approaches to the problem of pain should more carefully heed narrative and phenomenological research. I begin with the work of S. Kay Toombs, contending that her phenomenological account of multiple sclerosis demonstrates how a degenerative condition attendant with pain ultimately effect a constriction of one’s world. Drawing upon two of artist Yosl Bergner’s depictions of the story, I then present a reading of Kafka’s “The Vulture” as a literary account (...) of the constrictive movement of acute, localized pain to chronic, systemic pain. I conclude by discussing the implications of literary and phenomenological accounts of pain for its diagnosis, management, and treatment. (shrink)

According to Jewish law, to make a judgment that a life has no purpose and is not worth saving is contrary to the concept of justiceTraditional medical practice dictates that when patients are unable to eat or drink enough to sustain their basic nutritional requirements, artificial feeding and hydration is indicated. Common clinical examples of this problem are patients with senile dementia and those in a persistent vegetative state . In recent decades, however, the practice of mandating artificial (...) feeding has been increasingly questioned. A combination of legal, ethical, and clinical considerations has resulted in broad support for withholding and withdrawing artificial nutrition. The guiding ethical principle in the current clinical standards is that patient autonomy must be honoured. In the context of an incompetent adult , advance directives or surrogate decision making are legally binding. Such requests to withhold artificial nutrition are considered appropriate and even encouraged.1 Such a view, however, is not unanimous. For example, Catholic writers have questioned the current consensus. The New Jersey Catholic Conference has written that withholding nutrition and hydration from such patients “ultimately results in starvation, dehydration, and death,” and that withdrawing such basic care from patients who are not dying but in a PVS “is a clear statement that the patient’s life has no moral value”.2 This question is also of great concern in Jewish law . In contrast to secular medical ethics, halachah requires that artificial feeding be given to patients with dementia or in a PVS. The following discussion gives an overview of the pertinent arguments that have led to the consensus in secular ethics that artificial feeding may be withheld from the severely demented and the halachic considerations that argue against this practice.CLINICAL ARGUMENTS IN FAVOUR OF WITHHOLDING ARTIFICIAL FEEDINGThe most obvious …. (shrink)

The implications of Pope John Paul II's 2004 Allocution on vegetative states remain unclear despite dozens of articles and a recent clarifying statement from the Vatican. Yet few have considered its implications for those with end-stage progressive dementia, such as Alzheimer's disease. Although recent studies suggest tube feeding is burdensome and not beneficial for such patients, the Allocution would nonetheless seem to forbid patients from forgoing it. But this seems to be in tension with the Catholic bioethical tradition as (...) a whole and may therefore be a consequence that the pope did not intend. Because the recent Vatican clarification specifically addresses Alzheimer’s, it is especially important to know what duties it intends to impose on those with dementia. Problems with how it would apply to such patients casts doubt on whether it should be applied to patients in vegetative states at all. (shrink)

Cultural competence, a clinical skill to recognise patients' cultural and religious beliefs, is an integral element in patient‐centred medical practice. In the area of death and dying, physicians' understanding of patients' and families' values is essential for the delivery of culturally appropriate care. Dementia is a neurodegenerative condition marked by the decline of cognitive functions. When the condition progresses and deteriorates, patients with advanced dementia often have eating and swallowing problems and are at high risk of developing malnutrition. Enteral tube (...) feeding is a conventional means of providing artificial nutrition and hydration to meet nutritional needs, but its benefits to the frail population are limitedly shown in the clinical evidence. Forgoing tube feeding is ethically challenging when patients are mentally incompetent and in the absence of an advance directive. Unlike some developed countries, like the United States of America, death and dying is a sensitive issue or even a taboo in some cultures in developing countries that forgoing enteral tube feeding is clinically and ethically challenging, such as China and Malaysia. This article in three parts 1) discusses the clinical and ethical issues related to forgoing tube feeding among patients with advanced dementia, 2) describes how Hong Kong Chinese, North American, and Malaysian Islamic cultures respond differently in the decision‐making patterns of forgoing tube feeding for patients with advanced dementia, and 3) reiterates the clinical implications of cultural competence in end‐of‐life care. (shrink)

Lactation constitutes a major focus for research in international health because of its dramatic impact on child survival; evolutionary biology has investigated lactation as an important aspect of parenting strategy, with implications for understanding parent-offspring conflict. These perspectives are brought together in an attempt to develop integrated models for an issue of key international health concern: the duration of exclusive breast-feeding and the timing of weaning. This analysis highlights the relevance of evolutionary theory for practical problems in public health, (...) and it suggests the utility of public health outcomes for addressing evolutionary questions. (shrink)

In a recent article, Fiona Woollard draws attention to a number of problems, both theoretical and pragmatic, with current discourse around infant feeding. References both to the ‘benefits of breastfeeding’ and ‘harms of formula’ are problematic, since there is no obvious baseline of comparison against which to make these evaluations. Further, she highlights the pragmatic consequences of these linguistic choices. Saying that formula feeding harms babies, for instance, is likely to exacerbate feelings of guilt and shame felt by (...) many mothers who use formula, for various reasons. Since I agree with much that Woollard says, this response is mostly sympathetic, but I wish to draw attention to one point that is largely missing from her analysis. The pragmatic effect of an utterance depends significantly on who is speaking, to whom, and in what context. Thus, we might differentiate between what it is appropriate to say in a professional context, such as an academic journal, from what one might say in a policy document or to a new mother. While we should always be careful about the language that we use, we need not assume that the same language is appropriate in all contexts nor that equal care is always required. (shrink)

The specific objectives of the study were 1) To create a “ke-kame-tu” formula (15-60-25), 2) To create nuggets as a PMT product based on the ke-kame-tu formula, 3) To analyze the proximate content, amino acids, zinc, calcium, phosphorus and magnesium of PMT products, 4) To determine the preferred PMT product based on the acceptance test by toddlers. The making of the “ke-kame-tu” formula (15-60-25) used a randomized block design (RAK) with one treatment and three replications. The PMT product was made (...) using the ke-kame-tu formula (15-60-25) and the acceptability test used 30 toddler panelists. Analysis of protein, calcium, phosphorus and magnesium (HPLC/AAS and spectrophotometry). To determine the acceptability of the PMT product, a limit of ≥50% of toddlers stated that they liked it was used. Nuggets made using a modified recipe with the addition of 100 grams of ke-kame-tu formula. The results of the protein analysis were 16.60%, calcium 0.07 mg%, phosphorus 0.15 mg%, magnesium 0.02 mg%, zinc 1.95 mg%. If toddlers consume 100 grams of this nugget, it will be able to meet the nutritional needs, especially protein for toddlers aged 6-11 months by 110.6%, 1-3 years by 83% and 4-6 years by 66.4%. The results of the trial on toddler panelists showed that all toddlers liked the nuggets served. If we looked at carefully at the protein content of this nugget with complete essential amino acid content, it is very possible to substitute the fulfillment of toddler protein requirements. Consumption of toddler protein according to needs will achieve optimal nutritional status, in other words, the problem of stunting can be prevented and dealt with. (shrink)

Animal feeding operations have come under increased scrutiny as sources of water pollution. Due to the concentration of animals at individual locations and in certain regions, the local environment may not be able to use all of the nutrients contained in the manure. Particularly, problematic are waters being impaired by nitrogen and phosphorus from animal manure. Since federal and state regulations have not been totally successful in precluding water contamination from manure nutrients, scientists and policymakers might seek ways to (...) encourage the use of manure as a resource for crop production. By analyzing diverse state regulations, this paper identifies several strategies that would treat animal waste as a recyclable production input rather than a production byproduct. Citizens and regulators can encourage more sustainable livestock production by proffering regulations that mandate selected production requirements or practices. Agronomic rate regulations, limitations on manure application and timing, lagoon safety requirements, closure mandates, and alternative uses of manure constitute possibilities to remedy some pollution problems. (shrink)

The problem of cortical integration is described and various proposed solutions, including grandmother cells, cell assemblies, feed-forward structures, RAAM and synchronization, are reviewed. One method, involving complex attractors, that has received little attention in the literature, is explained and developed. I call this binding through annexation. A simulation study is then presented which suggests ways in which complex attractors could underlie our capacity to reason. The paper ends with a discussion of the efficiency and biological plausibility of the proposals (...) as integration mechanisms for different regions and functions of the brain. (shrink)

The calls for evidence-based public policy making have increased dramatically in the last decades, and so has the interest in evidence-based sustainability studies. But questions remain about what “evidence” actually means in different contexts and if the concept travels well between different domains of application. Some of the most relevant questions asked by sustainability studies are not, and in some cases cannot be, directly answered by relying on research evidence of the kinds favored by the evidence-based movement. Therefore, sustainability studies (...) must also harness other forms of knowledge, based on forms of practical experience. How to integrate these two sources of knowledge is one of the most fundamental epistemological and practical problems society is facing. Identifying what kind of practical experience and research evidence we need to integrate is another challenging question. We draw on examples from our research in the Global South and suggest an efficient principle, problem-feeding, for harnessing practical experience within an adapted version of evidence-based sustainability studies. (shrink)

In this paper, I propose two theses, and then examine what the consequences of those theses are for discussions of reduction and emergence. The first thesis is that what have traditionally been seen as robust, reductions of one theory or one branch of science by another more fundamental one are a largely a myth. Although there are such reductions in the physical sciences, they are quite rare, and depend on special requirements. In the biological sciences, these prima facie sweeping reductions (...) fade away, like the body of the famous Cheshire cat, leaving only a smile.... The second thesis is that the "smiles" are fragmentary patchy explanations, and though patchy and fragmentary, they are very important, potentially Nobel-prize winning advances. To get the best grasp of these "smiles," I want to argue that, we need to return to the roots of discussions and analyses of scientific explanation more generally, and not focus mainly on reduction models, though three conditions based on earlier reduction models are retained in the present analysis. I briefly review the scientific explanation literature as it relates to reduction, and then offer my account of explanation. The account of scientific explanation I present is one I have discussed before, but in this paper I try to simplify it, and characterize it as involving field elements and a preferred causal model system abbreviated as FE and PCMS. In an important sense, this FE and PCMS analysis locates an "explanation" in a typical scientific research article. This FE and PCMS account is illustrated using a recent set of neurogenetic papers on two kinds of worm foraging behaviors: solitary and social feeding. One of the preferred model systems from a 2002 Nature article in this set is used to exemplify the FE and PCMS analysis, which is shown to have both reductive and nonreductive aspects. The paper closes with a brief discussion of how this FE and PCMS approach differs from and is congruent with Bickle's "ruthless reductionism" and the recently revived mechanistic philosophy of science of Machamer, Darden, and Craver. (shrink)

Academician Gerasimov devoted his presentation to the problem of improvement and protection of the environment. In his opinion, today, when there is a worldwide threat of exhaustion of natural resources, irreversible pollution, poisoning of the environment, and the impossibility of feeding a growing population, questions of environmental protection and rational use of natural resources are becoming not only an important problem for natural science but a serious social and political matter around which an acute ideological struggle is (...) being waged. Certainly it is a real fact that contemporary mankind is encountering a progressive impairment of the world's ecological situation, caused by the ever more intensive utilization of natural resources under the conditions of rapid scientific and technological progress. Therefore, issues of further rational use of natural resources and improvement and protection of the environment are now becoming problems affecting the everyday interests of the entire population of the earth. (shrink)

ABSTRACT This paper aims to elucidate the problem of truth as Merleau-Ponty treats it. To achieve this we will analyze two of the examples considered by the author and we will seek to hold, on the basis of these, that any formalization is always retrospective and "feeds on intuitive thought", it is in the intuition where all certainty is formed and a truth appears. The proper place of truth will be the one of the recovery of the object of (...) thought in the new signification instituted on those relations, along with the construction of the new relations in which the meaning of the first ones becomes contracted and included. To reach the mentioned aim we will appeal to the notion of institution of knowledge elaborated by the French philosopher. RESUMEN Este artículo tiene por objetivo elucidar el problema de la verdad tal como lo trata Merleau-Ponty. Para ello se analizarán dos ejemplos trabajados por el autor y se buscará sostener a partir de estos que toda formalización es siempre retrospectiva y vive del pensamiento intuitivo, es en la intuición donde se forma toda certidumbre y aparece una verdad. El lugar propio de dicha verdad será aquel de la recuperación del objeto de pensamiento en la nueva significación instituida a partir de aquellas relaciones, más la construcción de nuevas relaciones en las que el sentido de las primeras queda contraído y comprendido. Para alcanzar dicho objetivo apelaremos a la noción de institución de un saber elaborada por el filósofo francés. (shrink)

Text and photographs describe the lives of deer, including their feeding, breeding, and defense behavior.

We propose a new theory to explain the nature and function of subjective experience, as a mechanism that guides the organism towards beneficial outcomes. In simple animals, that guidance takes the form of an affect producing a fitness-enhancing response. In human consciousness, there is not a single response, but a range of potential developments allowing a free choice. That range can be modelled as a local prospect: a field of possibilities centred on the present situation and coloured by valence. Building (...) on neural models of global workspace and adaptive resonance, we suggest how such a prospect could be implemented in the brain: as a halo of activation diffusing from, and feeding back into, a core of circulating activation. Using the thought experiment of qualia inversion, we argue that local prospect theory solves the ‘hard problem of consciousness’. We show how our theory explains key characteristics of consciousness: subjectivity, feeling, free will, agency, transience, continuity, integration, selectivity, intentionality, and ‘what it is like’. (shrink)

Ecology shows that living beings, with all their diversity, make up a homogenous system on the earth's surface, with rules that are no less exacting than those applicable to gravitational astronomy (celestial mechanics). The physical energy coming from the sun in the form of radiation is attracted by green plant-life, be it vegetation growing on the land or microscopic algae floating on the surface of the ocean; this energy is then transformed into chemical energy, with, incidentally, a modest yield, due (...) to the process of chlorophyllian synthesis. This stage is the only one to include a productive process—an anabolism. Other sorts of living beings derive their energy and the elements necessary for their sustenance and multiplication from organic matter devised in this way. Some vegetarian animals feed on them and are in their turn prey to predators which are themselves devoured by other predators. Food chains, grouped in bunches or network systems, are thus established on the principle of a complex pyramid. Each consumer occupies a place at a trophic level, which is clearly defined, where he guarantees the conveyance of matter and energy which are degraded in accordance with the laws of thermodynamics. These biological mechanisms entail numerous species, ranging from the most elementary forms of life to birds and mammals. Decomposition agents then recycle the mineral elements and make them available to plants. In any given area, the inert chemical elements and the community of living beings (embracing all species) together constitute a biological entity or ecosystem, this is a kind of supraspecific organism which functions with a certain flexibility, and yet is ordered down to the last detail. Just as a man consists of a heart, lungs, a liver, so a natural community consists of “organs” which are each made up of one of the various constituent species. These ecosystems are the fundamental units of the living world and they are relatively independent of one another, although exchanges do occur between them. They all come together to form a balanced system which encompasses the whole complex of living beings. This is the biosphere, a gigantic mechanism with innumerable cogs and gears which have evolved in harmony with each other throughout the whole of history, going as far back as the first trace of life on earth. (shrink)

The present paper will summarise the methodology, the scientific outcomes, and the potential for generalisation of the model of a project that studied cohabitation between human inhabitants and liminal species (in the present case, corvids) in Tartu, Estonia, from October 2021 to July 2023, with a comparative field study in Paris, France. It will present the context and goals of using a semiotic model to map interspecific cohabitation, expose what kind of data can be used to feed the model in (...) a relevant way and how it was done in the case of this project. This paper will present how the model diagnosed issues in cohabitation, both from material nuisances and cultural aspects, insisting on the concept of “hostile minority” that emerged from the study. It will discuss the importance of problem-solving in interspecific cohabitation, what the model suggested regarding this aspect, how this tool can be generalised to a large variety of cases and why it should be used this way. (shrink)

The period 1873–1947 was productive in fostering ideas about observing, measuring, and quantifying repetitive human movements, prior to the rise of occupational health and ergonomics within industrial psychology. Starting with physiological experimentation in the lab, instruments of graphic inscription were then applied in the industrial workplace, initially as a benevolent measurement for monitoring worker health, but elsewhere as a more invasive measurement for the surveillance of worker efficiency. Herman Helmholtz’s invention of the myograph, and an adaptation called the ergograph, would (...) help form what Kronecker (1873) and later Mosso (1891) termed the ‘curve of fatigue’, and were used in extensive research on factory workers for Jules Amar’s Le Moteur humain in 1914. Meanwhile, in Britain in 1915 the physiologist Sherrington was observing workers in munitions factories, feeding into the formation of the Industrial Fatigue Research Board in 1919, which produced official reports. In the United States, similar but more high-profile research was conducted by Frederick Winslow Taylor and Lillian and Frank Gilbreth, who studied movement efficiency to maximize industrial productivity by innovating upon photographic and chronophotographic techniques. Further physiological research was taken up in Lawrence J. Henderson’s Harvard Fatigue Laboratory between 1927 and 1947 on subjects situated in environmental extremes. (shrink)

With aims to both increase organ supply and better reflect individual donation preferences, many nations worldwide have shifted from ‘opt‐in’ to ‘opt‐out’ systems for post‐mortem organ donation (PMOD). In such countries, while a prospective donor's willingness to donate their organs/tissues for PMOD was previously ascertained—at least partially—by their having recorded positive donation preferences on an official register prior to death, this willingness is now presumed or inferred—at least partially—from their not having recorded an objection to PMOD—on an official organ donation (...) register. Using evidence regarding the presence and prevalence of selective donation preferences, and via exploration of how appeals to donation preferences are used to both motivate and legitimate shifts to opt‐out frameworks, this paper draws attention to a set of previously unexplored problems for opt‐out organ donation arising in contexts where: (a) individuals demonstrate selective post‐mortem organ/tissue donation preferences, (b) legislation provides prospective donors with the opportunity to selectively permit/refuse the donation of certain organs/tissues in line with these preferences. While selective preferences pose few problems for opt‐in systems where a selective occasion is built into the process of signing the donor register, this is not the case for opt‐out systems. The loss of this selective occasion can cause significant problems where appeals to preferences motivate/legitimate shifts to opt‐out but evidence regarding variable preferences does not feed into determinations regarding organ/tissue exclusions. The nature of these problems depends on how the authorization aspect of ‘opt‐out’ systems is framed (e.g. as presumed consent, deemed consent or, given the role of familial consent in many jurisdictions as consent in name only). (shrink)

BackgroundDecision-making in end-stage dementia is a complex process involving medical, social, legal and ethical issues. In ESD, the person suffers from severe cognitive problems leading to a loss of capacity to decide matters regarding health and end-of-life issues. The decisional responsibility is usually passed to clinicians and relatives who can face significant difficulty in making moral decisions, particularly in the presence of life-threatening swallowing problems.AimThis study aimed to understand the decision-making processes of clinical teams and relatives in addressing life-threatening swallowing (...) difficulties in ESD in long-term care in Malta.MethodThe study followed a qualitative approach where six case studies, involving six different teams and relatives of six different patients, were interviewed retrospectively to understand their decision-making in connection with the management of swallowing difficulties in ESD. Data were collected through semistructured interviews with each stakeholder. All data were transcribed and subjected to thematic analysis.ResultsFour themes were identified: the vulnerability of patients in dementia decision-making; the difficult role of relatives in decision-making; the decisional conflict between aggressive care through tube feeding versus oral comfort feeding; a consensus-building decision-making process as ideal to facilitate agreement and respect for patient’s dignity.ConclusionDecision-making to manage swallowing difficulties in ESD is a challenging process, which involves an interpretation of personal values, beliefs, patient preferences, care needs and clinical practice. Better communication between clinicians and relatives in dementia helps promote agreement between stakeholders leading to a care plan that respects the dignity of patients at their end of life. (shrink)

The present study examined the role of father sensitivity and couple coparenting quality in the first 2 years of life in relation to the development of externalizing behavior problems in middle childhood, focusing on the unique role of fathers. In this study, 125 mothers, fathers, and their first-born children were followed from 8 months to age 7 years. Paternal sensitivity was rated when infants were 8 and 24 months old. Fathers were videotaped at home playing, feeding, and changing their (...) 8-month-old infants’ clothes. They also were videotaped in a lab playing with their 24-month-olds and solving a variety of challenging tasks. At 24 months, competitive coparenting was assessed via videotaped triadic family interactions at home in which families participated in a variety of tasks. Teachers rated externalizing behavior problems when the children were age 7. Continuity in paternal sensitivity was documented from 8 to 24 months, and paternal sensitivity at 8 months predicted externalizing behavior in middle childhood through father sensitivity at 24 months. Moreover, paternal sensitivity at 8 months predicted competitive coparenting which, in turn, forecast externalizing behavior problems in middle childhood, even after controlling for maternal sensitivity at 8 and 24 months. These findings highlight the unique role of paternal caregiving quality during the first year of life on couple coparenting and children’s subsequent development of externalizing problems and have implications for creating effective interventions to prevent children from developing externalizing disorders. (shrink)

Kelsen, Secular Religion, and the Problem of Transcendence An alleged ‘return to religion’ in contemporary western politics (and science) prompted the Trustees of the Hans Kelsen Institut to posthumously publish Kelsen’s critique of the concept of ‘secular religion’ advanced by his early student Eric Voegelin. This paper identifies, firstly, what concept of transcendence is targeted by Kelsen, and argues that his analysis leaves scope for other conceptions. It does so in two steps: it summarizes the arguments against ‘secular religion’ (...) (section 2) and it gives an account of the differences between Voegelin’s and Schmitt’s conception of transcendence – both under attack from Kelsen (section 3). It then submits an alternative account of the relationship between politics and religion in Modernity, building on the concept of a ‘civil religion’ as found in Rousseau’s Social Contract. Giving a Rousseauist slant to Claude Lefort’s analysis of political theology (section 4) it concludes that a thin concept of transcendence is part and parcel of every, in particular a democratic, account of politics. It should be a stronghold against any resurgence of religion that feeds on hypostatized transcendence. In closing (section 5), it is argued that two key concepts in Kelsen’s legal philosophy may well be understood as paradigms of thin transcendence, namely ‘the people’ and ‘the Grundnorm’. (shrink)

Quantum theory can be regarded as a rationally coherent theory of the interaction of mind and matter and it allows our conscious thoughts to play a causally e cacious and necessary role in brain dynamics It therefore provides a natural basis created by scientists for the science of consciousness As an illustration it is explained how the interaction of brain and consciousness can speed up brain processing and thereby enhance the survival prospects of conscious organisms as compared to similar organisms (...) that lack consciousness As a second illustration it is explained how within the quantum framework the consciously experi enced I directs the actions of a human being It is concluded that contemporary science already has an adequate framework for incorporat ing causally e cacious experiential events into the physical universe in a manner that puts the neural correlates of consciousness into the theory in a well de ned way explains in principle how the e ects of consciousness per se can enhance the survival prospects of organisms that possess it allows this survival e ect to feed into phylogenetic de velopment and explains how the consciously experienced I can direct human behaviour.. (shrink)

In The Case for Animal Rights, Tom Regan argues that, in addition to the negative duty not to harm nonhuman animals, moral agents have a positive duty to assist nonhuman animals who are victims of injustice. This claim is not unproblematic because, in many cases, assisting a victim of injustice requires that we harm some other nonhuman animal(s). For instance, in order to feed victims of injustice who are obligate carnivores, we must kill some other animal(s). It seems, then, that (...) sometimes the duty to assist nonhuman animals who are victims of injustice conflicts with the prima facie duty not to harm nonhuman animals. In defense of Regan’s theory against this apparent inconsistency, I introduce an additional principle, the “guardianship principle,” which can be used to illustrate how we can be justified, under certain conditions, in overriding our prima facie duty not to harm nonhuman animals in order to fulfill our duty to assist nonhuman animals who are victims of injustice. (shrink)

Infant feeding decisions are highly emotionally charged. I argue elsewhere that many problems surrounding infant feeding decisions result from a moralized context created by mistakes in our assumptions about maternal duties including the mistaken assumption that mothers have a defeasible moral duty to breastfeed. Mothers have a reason, but not a moral duty to breastfeed. Even those who are convinced by my argument in the case of full-term babies, might find it harder to accept in the case of (...) premature babies. It might seem that mothers do have a defeasible moral duty to breastfeed or, as is more likely to be appropriate in such cases, to express breastmilk. Here, I explain why preterm neonates present a tricky case for the right not to breastfeed. I show why, nonetheless, moral pressure for mothers to express breastmilk in the neonatal unit is neither permissible nor pragmatically advisable. I argue that instead we should address structural barriers to providing breastmilk and support donor milk initiatives. (shrink)

This study elaborates on narrative resources emerging in the treatment of longlasting musculoskeletal and psychosomatic disorders in Norwegian psychomotor physiotherapy. Patients’ experiences produced in focus group interviews were analyzed from a narrative perspective, combining common themes across groups with in depth analysis of selected particular stories. NPMP theory expanded by Løgstrup’s and Ricoeur’s philosophy, and Mattingly’s and Frank’s narrative approach provided the theoretical perspective. Patients had discovered meaning imbued in muscular tension. Control shifted from inhibiting discipline and cognitive strategies, towards (...) more contingence with gravity and sensation, and increased freedom to be what and who they were. Trust, time, open speech, and being respectfully listened to were described as therapeutic pre-conditions. The body was experienced as the source of their voice as their own. As tension patterns transformed, novel experience in sensation appeared to feed narrative imagination, reshaping past plots, embodied identity and future prospects. NPMP was disclosed as a treatment integrating detection, battle and repair as narrative subplots, but the core narrative was the journey of transformation. Novel embodied narrative resources nourished the quest for a life and identity in tune with the body as one’s own. (shrink)

Problems of fuel ethanol production have been the subject of numerous reports, including this analysis. The conclusions are that ethanol: does not improve U.S. energy security; is uneconomical; is not a renewable energy source; and increases environmental degradation. Ethanol production is wasteful of energy resources and does not increase energy security. Considerably more energy, much of it high- grade fossil fuels, is required to produce ethanol than is available in the energy output. About 72% more energy is used to produce (...) a gallon of ethanol than the energy in a gallon of ethanol. Ethanol production from corn is not renewable energy. Its production uses more non- renewable fossil energy resources in growing the corn and in the fermentation/distillation process than is produced as ethanol energy. Ethanol produced from corn and other food crops is also an unreliable and therefore a non-secure source of energy, because of the likelihood of uncontrollable climatic fluctuations, particularly droughts which reduce crop yields. The expected priority for corn and other food crops would be for food and feed. Increasing ethanol production would increase degradation of agricultural land and water and pollute the environment. In U.S. corn production, soil erodes some 18- times faster than soil is reformed, and, where irrigated, corn production mines water faster than recharge of aquifers. Increasing the cost of food and diverting human food resources to the costly and inefficient production of ethanol fuel raise major ethical questions. These occur at a time when more food is needed to meet the basic needs of a rapidly growing world population. (shrink)

Different ideals of friendship feed into different ideals of political community. A political liberal can accept that political association should be a form of friendship,so long as his conception of friendship is a liberal one. Plato hopes for maximal mutual identification, with lovers' lives merging, and citizens applying the term 'mine' together.What then leaves it a problem why philosophers should be willing to rule is that they cannot share the most valuable part of their life — doing philosophy — (...) with most of their fellow-citizens. Plato stills intends a degree of political and interpersonal unity that sounds amiable, but invites fascism. Aristotle takes over some of Plato's structure: friends' lives overlap in the activities they share; and all citizens are to belinked within political friendship. This appears to be a dilute form of perfect friendship, retaining goodwill, but replacing intimacy by acquaintance, and rather pursuing than presupposing similarity. To move from that to a liberal conception of friendship andpolitics we need to allow that friends and fellow-citizens may accept one another's choices without fully endorsing them. Personal affection and respect can and should survive a recognition even of fundamental differences — so long as these are compatible with the values of friendship. (shrink)

The chapter addresses the problem of the relationship between life (vitality) and mind (thought) by drawing on the resources available in Canguilhem’s and Merleau-Ponty’s philosophies. It consists of six sections. In the first and second section, I outline the so-called ‘mind-life problem’ and two diametrically opposed responses to it: life philosophy (life subsumes mind) and transcendentalism (mind subsumes life). Against this background, I flesh out Canguilhem’s ‘slantwise’ resolution, which argues that, while it is true that life feeds into (...) mind, it is equally true that mind takes up and subl(im)ates life. In the third and fourth section, I focus on the first half of the proposed solution: I start by putting forward a non-reductionist account of life grounded on the idea of vital normativity, and then go on to show how this vital dynamism translates into human cognition via praktognosia (embodied and techn(olog)ical know-how). In the fifth section I tackle the second half of the solution: by delineating the idea of symbolic behavior and ex-centric positionality I try to indicate how mind, while grounded in life, is nonetheless able to transcend it. Finally, in the last section, I suggest that this Janus-faced dynamism between life and mind also holds true for the researcher investigating these topics, and hint at the broader philosophical implication of such a view for the practice of science and philosophy. (shrink)

If evolutionary history were to be replayed from the beginning, what would be the same, and what would be likely different? Would there be a human-like species, multicellularity, or even DNA? There is a great variety in the answers biologists give to this question, despite having the same access to empirical data and biological theory. For instance, Stephen J. Gould has claimed that evolutionary history is radically contingent, while Conway Morris holds that it converges onto specific biological structures that are (...) favored by natural selection. Others such have proposed that evolutionary history is characterized by an inexorable increase in complexity, while others see it as an evolutionary arms race. In this dissertation I investigate the fundaments underlying claims biologists make about contingency and directionality in evolutionary history as a whole. The topics of convergence and contingency have received attention from philosophers of biology in recent years, but the foundations of interpretations of evolutionary history as a whole remains a relatively neglected field. Hence the primary objective of this dissertation was not to defend this or that account, but rather to show a method by which these fundamental issues can be identified and analyzed constructively. The dissertation is organized into two parts, each dedicated to a single problem. The first part concerns the problem of ‘description dependence’: claims about the contingency of evolutionary outcomes depend on how these outcomes and the evolutionary process itself are described. I set out to map the different ways in which the contingency of outcomes changes as the phenomena are described in more and in less detail, and as broader or narrower subsets of evolutionary history are taken into account. That such an analysis is useful to pursue, I attempt to show by applying it to two of the most prominent interpretations of evolutionary history, those of Gould and Conway Morris. According to how their claims about evolutionary history are analyzed, one can arrive at opposing conclusions about the contingency of evolutionary outcomes. The second part concerns the problem of ‘causal complexity’: evolutionary history is a complex mess of unrelated causal processes, and for every generalization there is an exception. This raises the question whether non-speculative generalizations over evolutionary history as a whole are even possible. Limiting the scope of the investigation to the mechanism of natural selection alone, I consider first whether and how natural selection may be expected to give rise to trends at all. Some philosophers reject that natural selection is a cause at all, and that all evolution is simply an accumulation of births and deaths. If any trend occurs at all, it is due to a confluence of unrelated causal processes that could easily not have occurred. I argue against this by showing that these philosophers overlook the issue of time-scale: causal processes may make a difference for reproductive outcome at a time-scale of a single generation without them making a difference at the time-scale of multiple generations. With this distinction in mind, one can argue that natural selection causes a population to tend towards equilibrium. If a yet longer time-scale is taken – not that of multiple generations in a single environment, but that of many species and genuses across many environments – the challenge of causal complexity becomes much more difficult to overcome. Drawing on the phenomenon of phenotypic plasticity and niche construction, I argue that selection for plasticity ‘feeds’ on this complexity and variability in the environment. The trend in plasticity is unique in this regard, since trends in other types of adaptation are interrupted by the variability of complex environments. (shrink)

Husserl's notion of intentionality is based upon the postulate that consciousness is always consciousness of something. From this basic postulate, a distinct problem arises and to which Ricoeur's theory of narrative offers a response. ;The problem issues from the question of objectivity. When Husserl explains that consciousness is correlated to something , what he means is that a person grasps something real and that a person grasps this something as do all other people. Husserl, however, never properly incorporates (...) such an intersubjective perspective into the basic formulation of intentionality. Since Husserl always looks to the isolated ego as the source of objective validity, the external world seems to become reduced to the representative acts of consciousness. ;Ricoeur clearly overcomes this problem by focusing on the issue of linguistic mediation. What Ricoeur highlights is the fact that our intentions toward the world are already supported by a level of cultural achievement. The intending subject is not, therefore, an isolate ego weighing in his or her mind what expression is the best suited for what is intended. Intentions themselves feed on a social context, a culture, or a tradition which all have a presence in the form of written texts or narratives. Texts or narratives support and inform what can be intended. Although this appeal to narrative mediation answers the intersubjective question, we still need to be shown how the objective world is something more than a mere reflection of linguistic or narrative acts. ;Narrative is a term which has a dual significance: narratives are indeed accounts which people pass on to each other but they are also about reality insofar as they prescribe ways to act in the world. Here Ricoeur incorporates a theory of action into the notion of intentionality: actions are intelligible because of the intentions which permeate them and intentions are correlated to the world insofar as they can be acted upon. In this way, Ricoeur builds into the notion of intentionality an intersubjective component which remains connected to reality through the conscious acts of individuals. (shrink)

The article analyzes the problem of Ukraine's development since independence. A comparison of the way of organizing social reality in modern Ukraine and in the Soviet period is carried out. The main regulatory factor in the life of Soviet society was the principle of domination. Ukraine has inherited the principle of domination and retains its leading role in the current social order. Its various manifestations that determine the structure of Ukrainian society, in particular the growth of the bureaucratic class (...) and bureaucratic pressure on all spheres and sections of life, are analyzed. The dominance of bureaucracy contains latent violence, feeds corruption and minimizes social dynamics. It is also a phenomenon of power rent, which finds its expression in a kind of "privatization of the state." Another universal effect of the principle of domination is the doubling of social reality into apparent and hidden. The apparent reality becomes a space for the existence of ordinary citizens and the implementation of legal procedures, while the hidden one contains a system of real circulation of power, which is not regulated by any legal regulations, instead, controls all movements of the social body. The systemic role in the hidden society is played by cliques — informal groups of influential people who really control the course of events. The con- sequence of the principle of domination is the passivity and marginalization of the Ukrainian citizen, associated with the defect of political participation. Such non-participation in power is embodied in such forms of consciousness as hope, liking, and despair. Today, independence is not a given, but a chance that must be realized. The way to this is through the restoration of the role of the people as a sovereign power and the development of non-dominant regulatory factors of sociality. (shrink)

In the Republic, Plato developed an educational program through which he trained young Athenians in desiring truth, without offering them any knowledge-education. This is not because he refused to pass on knowledge but because he considered knowledge of the Good as an ongoing research program. I show this by tracing the steps of the education of the Philosopher-Kings in Plato’s ideal state, to establish that the decades-long educational regime aims at training them in three types of virtue: Moral Virtue; the (...) Cognitive Virtue of Abstraction; the Cognitive Virtue of Debate.Plato’s theory of education has much to teach us about intellectual character education today. The Platonic educational program does not advocate the direct transmission of knowledge from teacher to learner but rather focuses on building the learners’ epistemic dispositions. Building upon the Socratic Method, Plato’s educational program does not ‘spoon-feed’ knowledge to the learners but rather fosters the growth of intellectual virtues through problem-solving.I explain ways in which fostering intellectual virtues through problem-solving could be applied in classrooms today. I conclude that Plato’s rigorous educational program is of definite merit for contemporary virtue education, especially since Aristotle offers us surprisingly little on how to educate for intellectual virtues. (shrink)

Professor Martin West's paper, titled ‘The Parodos of the Agamemnon’’, argues with characteristic learning and insight that Archilochus’’ fable of the fox and the eagle was a major source for Aeschylus’’ description of the portent of the eagles and the pregnant hare in the parodos of the Agamemnon . The portent is vividly described by the chorus: two eagles, one black and one white behind feed upon a pregnant hare. Poetry is not real life, and Aeschylus’’ picture is not a (...) naturalist's field-report. At the same time, an image's power increases in proportion to its precision, and I have no doubt that at some stage behind Aeschylus’’ description there was a personal sighting of a parallel incident by Aeschylus himself perhaps, or by Archilochus, or by an unknown figure who passed on his report. Fraenkel's commentary avers that ‘precise zoological identification of the species of eagle named by Aeschylus must not be attempted.’’ This is a fair warning, but not for the reason advanced by Fraenkel here: the plumage variation among different birds of the same species, which makes the identification of large raptors in the wilds of Greece today a problem for even the most expert ornithologists. There are two better reasons. One will emerge in the course of this note. The other is that no ancient writer using the Greek language came at all near to the modern classification of eagle species native to Greece. (shrink)

The food supply of the temperate lands of early-medieval western Europe, and the ways in which its peoples dealt with the central problem of feeding themselves, has been subjected to a variety of interpretations in recent years. Vern Bullough and Cameron Campbell's study of the medieval diet and female longevity concluded that early-medieval women suffered from iron deficiencies triggered jointly by poor nutrition and frequent childbearing and that these deficiencies contributed substantially to their average early age of death. (...) Ann Hagen's overview of Anglo-Saxon patterns of food production and consumption suggested that most of the early English population routinely lived at marginally adequate or outright substandard levels of nutrition. Similar conclusions were reached by Renée Doehaerd in her study of the early-medieval economy. Michel Rouche, on the other hand, asserted that the typical Carolingian—including the peasants—had access to a monotonous, but abundant, supply of foodstuffs and may have consumed an average of 6,000–9,000 calories per day. Richard Hodges likewise decided that Anglo-Saxon peasants were reasonably well fed, based on the heavy food rents per hide demanded during the reign of the West Saxon king Ina. (shrink)

Evolutionary systems biology is an emerging hybrid approach that integrates methods, models, and data from evolutionary and systems biology. Drawing on themes that arose at a cross-disciplinary meeting on ESB in 2013, we discuss in detail some of the explanatory friction that arises in the interaction between evolutionary and systems biology. These tensions appear because of different modeling approaches, diverse explanatory aims and strategies, and divergent views about the scope of the evolutionary synthesis. We locate these discussions in the context (...) of long-running philosophical deliberations on explanation, modeling, and theoretical synthesis. We show how many of the issues central to ESB’s progress can be understood as general philosophical problems. The benefits of addressing these philosophical issues feed back into philosophy too, because ESB provides excellent examples of scientific practice for the development of philosophy of science and philosophy of biology. (shrink)

These essays are about education, learning, rational inquiry, philosophy, science studies, problem solving, academic inquiry, global problems, wisdom and, above all, the urgent need for an academic revolution. Despite this range and diversity of topics, there is a common underlying theme. Education ought to be devoted, much more than it is, to the exploration real-life, open problems; it ought not to be restricted to learning up solutions to already solved problems - especially if nothing is said about the problems (...) that provoked the solutions in the first place. There should be much more emphasis on learning how to engage in cooperatively rational exploration of problems: even five year olds could begin to learn how to do this. A central task of philosophy ought to be to keep alive awareness of our unsolved fundamental problems - especially our most fundamental problem of all, encompassing all others: How can our human world - and the world of sentient life more generally - imbued with the experiential, consciousness, free will, meaning and value, exist and best flourish embedded as it is in the physical universe? This is both our fundamental intellectual problem and our fundamental problem of living. As far as the latter is concerned, we are at present heading towards disaster - as our immense, unsolved global problems tell us: population growth, destruction of natural habitats and rapid extinction of species, vast inequalities of wealth and power around the world, pollution of earth, sea and air, our proclivity for war, and above all global warming. If we are to resolve our conflicts and global problems more intelligently, effectively and humanely than we have managed to do so far, then we have to learn how to do it. That, in turn, requires that our institutions of learning, our universities and schools, are rationally designed and devoted to the task. At present they are not. That is the crisis behind all the others. From the past we have inherited the idea that the basic intellectual aim of inquiry ought to be to acquire knowledge. First, knowledge is to be acquired; then, secondarily, it can be applied to help solve social problems. But this is dangerously and damagingly irrational, and it is this irrationality that is, in part, responsible for the genesis of our current global problems, and our current incapacity to solve them. As a matter of supreme urgency, we need to transform academia so that it becomes rationally devoted to helping humanity learn how to make progress towards as good and wise a world as possible. This would involve putting problems of living - including global problems - at the heart of academia, problems of knowledge and technological know-how emerging out of, and feeding back into, the central task to help people tackle problems of living in increasingly cooperatively rational ways. Almost every department and aspect of academia needs to change. We need a new kind of academic inquiry devoted, not just to knowledge, but rather to wisdom - wisdom being the capacity to realize what is of value in life for oneself and others, wisdom including knowledge and technological know-how, but much else besides. So, this is what these essays seek to provoke: a concerted effort to transform our institutions of learning so that they become rationally and effectively devoted to helping us learn how to create a wiser world. With these essays before me, I can see that there is one crucial element of learning about which they say nothing - or nothing explicit. The vital role of play in learning. All mammals - or at any rate almost all mammals - learn by means of play. Cats, tigers, foxes and other predators learn to hunt by means of endless mock fights when kittens and cubs. Deer, sheep and antelope learn to escape by means of playful leaps and bounds when young. We are mammals too. Almost certainly, we learnt how to be adult human beings by means of play during the millions of years we evolved into homo sapiens living in hunting and gathering tribes. Children today, out of school, learn by means of play. Learning by means of play is almost certainly fundamental to our makeup. Education needs to exploit it. Schools and universities need to become places of play. Successful problem solving is often likely to be playful in character. The youthful Einstein called doing physics "getting up to mischief". But our most serious problems of living are so grim, so imbued with suffering, wasted lives and unnecessary death that the idea of approaching them in a playful spirit seems sacrilegious. We need to keep alive tackling of intellectual problems so that playful capacities can be exercised - if for no other reason (and other reasons there are, of course, aplenty). There are two really worthy impulses behind all rational inquiry: delight and compassion. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Handle With CareDonna TuckerMy name is Donna Tucker, and I'm a state tested nursing assistant (STNA)! I have been an STNA for 33 years. I simply love it. It is so rewarding to me to know I make a difference in the lives of my patients. I go in to my job with a smile on my face, an upbeat attitude, open arms, broad shoulders, ears, and a caring (...) heart. I set examples to all around me. I am a mentor, I am a go-to person for my director of nursing (DON). Other STNAs come to me with problems or questions or concerns and together we take care of it. I am an expert committee member for my state's aging panel. I am a committee member for Career Nursing Assistants. I work a lot with Geni Gipson, the founder of this committee. I am a published author and the mother of one daughter and two sons. I have six grandchildren. I just wouldn't like doing anything else. I love my job and family and my teacup poodle, Baby!Let's say I have talked to friends who are not STNAs about my job. I tell them that there is always going to be someone's grandma, grandpa, sister, brother, aunt, uncle, mother, father, etc. who will one day need to be placed in a home. I tell them how good I feel when I can help them. STNAs are not going away, and the door to the home I work at will not close. In some cases it's like taking care of a child. The way you give them a bath, dress them, feed them, take care of incontinence problems. No, I agree, not everyone can do my job. I hear that from my friends a lot. So I tell them, I thank God I can do the job I have.What I do when the resident comes to our facility, I introduce myself to them and to their family. I ask the resident, "Are you spoiled?" Sometimes they say no not at all. I tell them, "Well you are in for a treat. I love to spoil and that's one of the things we do around here." If they say yes, I tell them, "Well we have our work cut our for us, because we have to spoil you even more." I usually get lots of smiles from the family and resident. After they settle for a while, and the family is alone, I ask the [End Page 153] family questions about their loved one. I like to get a story about the resident from family so I can use it in my conversation later with the resident. I assure the family their loved one will be treated exactly the way they themselves would treat them. We are not trying to replace the family. We are filling in as family while they are away from the loved one. Then after the family is gone, I keep checking in on the resident, visit for a spell and chat. I ask them if they need anything. I just want the resident to feel safe, loved, and comfortable.Demanding family members can mean different things. For example, if they come in to help feed their loved one—I had a family member tell me, "I want mother's food now so I can feed her." I tell the family the cart that is coming now is room trays and as soon as we deliver the room trays, because we want our residents to get hot meals, I will call the kitchen and get that tray for your mother ASAP. Some family members just want you to drop all you are doing to assist their loved one. When a family member asks for something we are pretty prompt to get up and take care of it. It assures them that we will not put off anything asked of us. Sometimes it's the family member's way to show their loved one, "Well, I'll take care of this" so their loved one knows they are loved by family. Some family members just feel bad... (shrink)

Traditionally, attempts at resolving the problem of accounting for the possibility of human freedom against the background of determinism have assumed that the options available are to: endorse determinism and deny human freedom, deny determinism in order to make room for human freedom, or find a compatibilist reconciliation. Commonly, the problem is addressed from an 'externalist' perspective. In the dissertation, the issue is refocused upon the positions of 'internalists' such as Frankfurt, Watson, Taylor, and Wolf. Their compatibilist approaches (...) emphasize the importance of first person, psychological characteristics of agents as the salient determinants of human freedom. But each of these internalist approaches are found to be wanting. Consequently, the dissertation considers an alternative internalist view, that of Spinoza. I examine in detail Spinoza's concept of freedom, as it emerges from his overall metaphysical system, and note that his compatibilism not only affirms determinism, but further holds that a certain kind of necessity is a prerequisite to any coherent account of freedom. I then proceed to show that, by comparison with the views of the aforementioned contemporary compatibilists, only Spinoza's concept of freedom can account for a 'developmental' view of human nature, one which depicts the self as engaged in a process of liberation from the sort of psychological determinism which feeds upon ignorance. (shrink)

An explanatory gap ensues when the truths constituting the explanans do not entail the explanandum. Attempts to give a physicalist account of consciousness seem to generate an explanatory gap, which is special in the following psychological sense. In other cases, it is possible to bridge or close the gap by regimenting or eliminating the respective concepts. In the case of consciousness, however, there is a pervasive intuition that the gap remains even when one works out a notion of consciousness that (...) allows the entailment of truths about consciousness from physical premises. The intuition is expressed by the sense that something essential about consciousness is left out from any such conceptual regimentation. This paper defends the view that this intuition is generated by the way our experiences are given to us. Every experience has a component that is not captured by any specification. The gap intuition is due to this ineffable component in experiences. Since conscious experiences are partly ineffable, it seems that no account of consciousness captures conscious experiences entirely and so would develop the intuition that something has been left out. An alternative explanation to the gap intuition is provided by the “phenomenal concepts’ strategy”. According to this strategy, it is the peculiar nature of phenomenal concepts that feeds the intuition. The main problem with such an approach is that phenomenal concepts are more coarse-grained than the experiences themselves and thus their application still does not entail what it is like to have a particular phenomenal experience. (shrink)