In this article I examine the metaphysical foundations of Guido de Ruggiero’s liberalism and ask what these can tell us about his changing view of Giovanni Gentile's actualism, which was such an influence on de Ruggiero before the First World War. I argue that de Ruggiero’s ‘actualism’ was never the same as Gentile’s, but was drawn from the same intellectual sources; that the actualist conception of free and self-conscious agency runs through both versions of the doctrine, though interpreted in different (...) ways; and finally that the contrasts between de Ruggiero’s and Gentile’s political allegiances result from something other than their differing interpretations of actualism, which serves, in the end, not so much as a theory as a set of basic principles, images and ideals that each philosopher tried to modify and match to the political circumstances in which he found himself. (shrink)

There was once a leak from Hebdomadal Council. The Assessor told her husband, who told my wife, who told me that Monday afternoon had been spent discussing what Lucas would say if various courses of action were adopted, leading to the conclusion that it would be best to do nothing. I was flattered, but a bit surprised. The tide of philosophical scepticism had ebbed, and it was generally allowed that a reasonable way of discovering what someone would say was to (...) ask him. Dick Southwood did: he would quiz me in Common Room – sometimes ending "Thank you for letting me bounce these ideas off you" – and had reliable information about how one member of Congregation would react to various proposals. And not only me: he was a listening Vice-Chancellor, who used to bike from Wellington Square to Merton for lunch, greeting many as he passed them, and ready to stop if occasion warranted it. Of course, there are many other leaks. I remember once attending a meeting in the Town Hall to argue for cycle tracks, and someone coming up to me, and saying, "You’re having a tussle with Council, aren’t you? I think you ought to see the minutes of their latest meeting"; the next day there was a copy in my pigeon hole, giving me just the ammunition I needed. What members of Congregation tend the forget is the existence – the other side of the green baize door, so to speak – of a corps of bedells. (shrink)

In this paper I focus on the limits of narrative by asking what kinds of things narratives do, and what kinds of texts do related things in other ways. In particular I focus on how narrative genres organise time in relation to value, drawing on functional linguistic models of temporality and evaluation. From a linguistic perspective, the various narrative genres negotiate different kinds of solidarity with listeners, and so the limits of narrative materialise various possibilities for communing in a culture, (...) alongside the potentialities for construing community through related and other genres of discourse—since in general, the limits/possibilities of our language (and attendant modalities of communication) are the limits/possibilities of our social world. (shrink)

According to the legend, Bishop Wilberforce at a meeting of the British Association for the Advancement of Science in Oxford on Saturday, June 30th, 1860, turned to Thomas Huxley, and asked him ``Is it on your grandfather's or your grandmother's side that you claim descent from a monkey''; whereupon Huxley delivered a devastating rebuke, thereby establishing the primacy of scientific truth over ecclesiastical obscurantism. Although the legend is historically untrue in almost every detail, its persistence suggests that it may nonetheless (...) be true in some deeper, mythical, sense. To explore this possibility the British Academy has invited Dr Janet Browne to be a neo-Huxley confronting Mr J.R. Lucas, as a neo-Wilberforce, with each reconsidering their earlier arguments. (shrink)

If beliefs are a map by which we steer, then, ceteris paribus, we should want a more accurate map. However, the world could be structured so as to punish learning with respect to certain topics—by learning new information, one’s situation could be worse than it otherwise would have been. We investigate whether the world is structured so as to punish learning specifically about moral nihilism. We ask, if an ordinary person had the option to learn the truth about moral nihilism, (...) ought she to take it? We argue, given plausible assumptions about ordinary human preferences, she should not. (shrink)

The Unity of Science is often thought to be reductionist, but this is because we fail to distinguish questions from answers. The questions asked by different sciences are different---the biologist is interested in different topics from the physicist, and seeks different explanations---but the answers are not peculiar to each particular science, and can range over the whole of scientific knowledge. The biologist is interested in organisms--- concept unknown to physics---but explains physiological processes in terms of chemistry, not a mysterious vital (...) force. The replacement of Laplacian determinism by quantum mechanics further erodes the tendency towards reductionism. The answers given in different explanations are not subsumed under one complete theory; and quantum mechanics does not have a concept of haecceitas, "this-i-ness" which would make its entities the fundamental constituents of everything. (shrink)

Equality is one of the great issues of our age, but few people stop to wonder at its being an issue in politics at all. Yet it is surprising that a concept which has its natural habitat in the mathematical sciences should have taken root in our thinking about how we should be governed. We do not naturally think of society in terms of group theory, or rings or fields, and have long been aware of the difficulties in establishing any (...) over-arching social or political order. But we unthinkingly assume that we can meaningfully ask, and reliably tell, whether people are, or ought to be, equal to one another even while admitting how difficult it would be to say whether they were more or less than one another. Formal logic can help. Equality is an equivalence relation, that is to say one that is transitive, symmetric and reflexive. Equivalence classes pick out classes of people or things that are the same, or similar , in some respect or other. There are many such, and we need to specify in respect of what two things are or are not equivalent before we are saying, or asking, anything definite. I can be equivalent to you in respect of age, or height, or weight, and many equivalence classes— contemporaries, co-religionists, comrades—may be of great importance socially or politically. But equality is, in its original context, more than just an expression of sameness. It suggests also a possibility of being either more than or less than. I can be the same age as you, but if I were not, I should be either older than you, or younger. This is always the case in mathematics. The law of trichotomy holds, that if two things are not equal, then one is greater, in the relevant respect, than the other, and the difference can itself be measured. With human beings, however, there are rather few respects in which we can be properly measured. Age, height and weight apart, the ascription of most numerical measures is a dubious affair. At one time psychologists were confident that they could measure intelligence, and economists still purport to measure wealth, but the ascriptions they actually make do not seem to deserve the confidence called for.. (shrink)

viva was unmistakable; I had sat in when a friend was being done, to spot the form; it was the same room, which I had not been into since my own viva in Greats many years ago, the same table, the lonely candidate on one side, the sombre Inquisitors on the other, courteous, considerate, anxious that the candidate should acquit himself well, but sure to notice every fallacy or error. Others, too, had sensed the likeness. ``Yes, I think the candidate (...) passed'' one tutor said meditatively of an ennobled Vice-Chancellor; ``I think the Examiners passed too; very fair, very fair---but very searching. You had better look out.'' A blur of people, perhaps friends and supporters. Kindly, encouraging questions, some expected, some not. Balls asking to be hit for six; dropped catches---why had not I gone armed with a list of a dozen different ways in which Oxford was more up to date than other places? missed cues; fumbled answers; moments of caution; moments of over-confidence-- -``I have heard tell of a women's college where...'', biting my tongue just too late. (shrink)

It seems to me certain that the perception of foreign bodies of a certain sort, although a necessary, is not the only, part of the basis of our belief in other persons. The greatest disagreement with this view that I know of has been expressed by Professor Aaron in a paper published in Philosophy , XIX, 72. He claims that, since one does not really know “what it means to be a mind in one's own case,” the question whether we (...) can be certain that there are other minds is meaningless except as reducible to the question whether such propositions as “Robinson exists” are propositions which we can be certain about. And he tries to show that no more is involved in the analysis of “Robinson exists” than would be involved in the analysis of propositions of whose truth we can be perceptually certain, such as “That table over there exists” or “The Eiffel Tower exists.” My assurance that Robinson exists is not the assurance that something called Robinson's mind exists. It is the perfectly ordinary perceptual assurance that ‘the person over there’ exists. “You ask me how I am certain that Robinson exists and I answer, ‘Well, look, there he is.’ It would be absurd for anyone to say that he does not exist when I see him here before me and hear him talk and watch him move that chair.”. (shrink)

At the beginning of Book II of the Republic, Glaucon and Adeimantus ask Socrates to tell them what it is to be just or unjust, and why a man should be the former. Socrates suggests in reply that they consider first what it is for a polis to be just or unjust—a polis is bigger than an individual, he says, so its justice should be more readily visible. Now if we were to view in imagination a polis coming into existence, (...) he goes on, we should see also its justice and injustice coming into existence, and this might help us to discover what these qualities are. (shrink)

This small book explores the political thought of Lucretius, by analysing De rerum natura. Nichols does not move immediately to the last section of Book V, which discusses clearly political phenomena; rather he locates that section within the place it has in the entire poem. Writing in the Straussian tradition, Nichols analyses not only the sections of the poem relevant to the political enterprise, but discusses the form and movement of the poem as a whole. Chapter 1 asks how we (...) can take such an apparently antipolitical and antireligious tradition—the Epicurean—as serious political philosophy, answering that the Epicurean-Lucretian materialist atomism, and its consequences for our understanding of the whole of things, represents a fundamental philosophic alternative to the Socratic-idealist political tradition. The traditions agree, though, on the primacy of philosophy for genuine human fulfillment. Chapter 2 elucidates Lucretius’ non-Epicurean choice of a poetic medium for his philosophy. Nichols ties it both to the need for beauty to conceal Lucretius’ bitter doctrine of the whole of things until Epicurean philosophy can replace politics and religion, and also to poetry’s "psychagogic utility." These claims are often made of Plato’s use of poetry. It is thus unfortunate that Nichols does not discuss the differences and similarities between Plato’s and Lucretius’ use of poetry, because Plato’s political project, and hence his dramatic philosophical presentations, seems essential to his philosophy, whereas "The element of poetry does not arise naturally or automatically from the Epicurean doctrine." Chapter 3 describes the character of the poem as a whole. Nichols works through the development from the first two Epicurean metaphysical principles to the Lucretian teaching which opposes the fear of death and the chains of love. This teaching does not rest on the overcoming of false religious fears but rather on not attributing "something more than belongs to our mortal condition to oneself or to another." It is this thesis in its metaphysical, theological, and political dimensions that is the core of Nichols’ reading of Lucretius. Chapter 4 deals specifically with Lucretius’ political concerns. Its two themes are Lucretius’ evaluation of the development of current political society, and his response to the bitter truth about man’s relationship to a thoroughly nonteleological universe. Both themes are, to say the least, bleak. traces the "natural" development of political society out of primitive association and through pre-political life. While this development is "natural," and in a way mandated by human desires, Nichols is clear that "... the most striking aspect of Lucretius’ treatment of political society is his depreciation of political life... There is no indication that Lucretius thinks the city achieves any other good purpose". describes the tension between religion and politics, and philosophy. The former try to replace or control fears and excess desires by other fears and desires. "Only philosophy" "can purge a man’s heart of unnecessary desires and thus enable him to live well without fear...." Chapter 5 compares Lucretius with Hobbes, Montesquieu, and Rousseau: "... all three share a hopefulness for fundamental improvements in man’s lot that sets them apart from Lucretius...." Nichols’ book presents a consistent picture of Lucretius’ work as a whole, and of the interrelationship of themes in it which lie beyond the domain of politics.—J.R. (shrink)

Scabini's doctoral thesis from the Università Cattolica del Sacro Cuore in Milan focuses primarily on the philosophical methodology pervading Tillich's three volume Systematic Theology, although the author demonstrates a solid familiarity with all of Tillich's writing. The study has two major divisions. Part one summarizes Tillich's existential dialectic, method of correlation, his concept of reason and revelation and his treatment of ontology. Part two explores Tillich's theology of culture with particular emphasis on his concept of history. Tillich's development of existence (...) and the Christ, the New Being, receives only passing attention, although Scabini has certainly grasped the significance of the New Being in Tillich's comprehensive system. While the author's summation of Tillich's philosophical structures affords a precise and competent overview, some of her critical reflections appear too modest and beg further development and clarification. Scabini's most dominant criticism is that Tillich failed to articulate a rigorous metaphysics and thus succumbed to imprecision and ambiguity. The author also contends that Tillich, even if he would deny the charge, has produced a natural theology in his treatment of Being and God. Given the Tillichian distinction and dilemma between controlling knowledge and receiving knowledge, Scabini asks on what rational principle Tillich opts for receiving knowledge and its openness to revelation since both types of knowledge are equally acceptable. Since Tillich views the existential situation of man as offering only partial meaning to life's ambiguities, Scabini asks on what metaphysical grounds partial meaning demands ultimacy in meaning. The author presents a thorough bibliography on Tillich. Scabini deserves honest commendation for her engaging study and becomes the first scholar to present the systematic thought of Paul Tillich to an Italian audience.--J. R. (shrink)

J. N. Findlay has selected ten lectures given at the British Academy spanning the years 1921-1962. The lectures include: H. A. Prichard's Duty and Ignorance of Fact in which the author examines the notion of moral obligation; G. E. Moore's Proof of an External World which inaugurated the debate whether or not Moore would endorse an "ordinary language" view of philosophy; and J. L. Austin's Ifs and Cans, which begins by asking "Are cans constitutionally iffy?" Austin, after investigating at great (...) length main clauses that contain "cans" in order to see whether or not such clauses are preceded by if clauses, hopes in the end that there will be someday a science of language which can stand independent of philosophy. Then, such a science will be "kicked upstairs" as it were—rid of philosophy just as physics and mathematics rid themselves of philosophy when graciously "kicked upstairs." K. R. Popper examines the historical significance of Baconian empiricism and Cartesian rationalism in his 1960 lecture Sources of Knowledge and Ignorance. There is no research value in this edition. It contains no bibliography and Findlay's very brief introduction simply offers a capsule paragraph on each lecture. In general, as Findlay states, the lectures serve to "illustrate the strong British penchant... for exact, cautious, logical thinking...."—J. J. R. (shrink)

The occasion for this collection of four essays—by Vlastos, Ostwald, Callahan, and Solmsen—was Plato’s 2400th birthday in 1974. We note at once the book’s most disappointing and inexplicable flaw: it includes no example of North’s own fine classical scholarship and luminous understanding of the spirit of Platonic thought. Ostwald’s essay, ranging over much of the Platonic corpus, tills the well-plowed field of Plato’s contribution to the nomos-physis problem. His thesis is clear and familiar: Plato introduces new objects, eide, into nature, (...) the knowledge of which objects founds both the techne [[sic]] of the true king and justice. The science of such knowledge is the bulwark against Thrasymachus’s, Callicles', and Glaucon’s arguments concerning ‘natural law'. Ostwald seems unwilling, though, to grapple with the practical details of this techne [[sic]] in the political sphere. Rep. 546b-e and Polit. 310d ff. are programmatic, not substantive, and supply more puzzlement than answer. Callahan takes no smaller a topic than dialectic, myth, and history in Plato. His most interesting claim is that myth provides a setting for dialectic; each dialogue, he argues, is itself a myth, providing a locus wherein mythical topics, historical personages, and records of dialectical examinations can themselves be examined. Solmsen’s quite suggestive essay asks why Plato should investigate the physical world, which is intrinsically less than fully knowable, as well as being an insufficient source of guidance for man on issues of justice, moderation, and conduct. Though pointing out that physical bodies and their science must be of lesser rank than dialectic, Solmsen reminds us that not only did bodies provide a starting-point for mathematical demonstrations, and the incentive for solid geometry, but also that the planetary motions provided a taxis, an order, which was an image of an ordered cosmos, itself an image of an ordered eidetic realm. (shrink)

Image-making is a nearly universal human behavior, yet the visual strategies and conventions to represent things in pictures vary greatly over time and space. In particular, pictorial styles can differ in their degree of figurativeness, varying from intersubjectively recognizable representations of things to very stylized and abstract forms. Are there any patterns to this variability, and what might its ecological causes be? Experimental studies have shown that demography and the structure of interaction of cultural groups can play a key role: (...) the greater the degree of contact with other groups, the more recognizable and less abstract are the representations. Here we test this hypothesis on a real-world dataset for the first time. We constructed a balanced database of Indigenous Australian rock art motifs from both isolated and contact Aboriginal groups (those often in contact with other groups). We then ran a survey asking participants to judge the recognizability of the motifs and to provide interpretations. Results show that motifs from contact Aboriginal groups were more likely to be judged as inter-subjectively recognizable and also elicited more convergent descriptions than motifs from isolated groups. This is consistent with the idea that intergroup contact is likely to be an important factor in the cultural evolution of pictorial representation. We discuss the implications of these findings for the archaeology and anthropology of art, and the parallels with language evolution. (shrink)

Political liberals ask citizens not to appeal to certain considerations, including religious and philosophical convictions, in political deliberation. We argue that political liberals must include a demanding requirement of intellectual modesty in their ideal of citizenship in order to motivate this deliberative restraint. The requirement calls on each citizen to believe that the best reasoners disagree about the considerations that she is barred from appealing to. Along the way, we clarify how requirements of intellectual modesty relate to moral reasons for (...) deliberative restraint. And we argue against attempts to weaken our requirement of intellectual modesty by emphasizing those moral reasons. (shrink)

Purpose Prescription stimulant use as “cognitive enhancers” has been described among undergraduate college students. However, the use of prescription stimulants among future health care professionals is not well characterized. This study was designed to determine the prevalence of prescription stimulant misuse among students at an academic health sciences center. -/- Method Electronic surveys were e-mailed to 621 medical, pharmacy, and respiratory therapy students at East Tennessee State University for four consecutive weeks in fall 2011. Completing the survey was voluntary and (...) anonymous. Surveys asked about reasons for, frequency of, and side effects of nonprescription misuse of prescription stimulants. Given the sensitive material, an opportunity to win one of ten $50 gift cards was used as an incentive. -/- Results Three hundred seventy-two (59.9%) students completed the survey from three disciplines (47.6% medical, 70.5% pharmacy, and 57.6% respiratory therapy). Overall, 11.3% of responders admitted to misusing prescription stimulants. There was more misuse by respiratory therapy students, although this was not statistically significant (10.9% medicine, 9.7% pharmacy, 26.3% respiratory therapy; P = .087). Reasons for prescription stimulant misuse included to enhance alertness/ energy (65.9%), to improve academic performance (56.7%), to experiment (18.2%), and to use recreationally/get high (4.5%). -/- Conclusions Prescription stimulant misuse was prevalent among participating students, but further research is needed to describe prevalence among future health care workers more generally. The implications and consequences of such misuse require further study across professions with emphasis on investigating issues of academic dishonesty (e.g., “cognitive enhancement”), educational quality, and patient safety or health care quality. (shrink)

A combination of social forces has thrown marriage into question in westernised societies at the end of the millennium. This uncertainty creates space for new ways of thinking about marriage. In this context, we examine the idea of marriage as friendship. We trace its genealogy in the work of Mary Wollstonecraft, John Stuart Mill and Harriet Taylor and then subject it to critical scrutiny using some of Michel de Montaigne’s ideas. We ask how applicable the ideal of higher friendship is (...) to marriage and what might be gained and lost by a synthesis of marriage and friendship. Grounding the discussion in historical sources is valuable because the topic is so little explored in the contemporary philosophical literature. This approach also allows any enduring value in these historical texts to be elicited. (shrink)

BackgroundThe COVID-19 crisis has introduced a variety of stressors, while simultaneously decreasing the availability of strategies to cope with stress. In this context, it could be useful to understand issues that people find most concerning and ways in which they cope with stress. In this study, we explored these questions with a sample of graduate and professional students.MethodUsing open-ended assessments, we asked participants to identify their biggest challenge or concern, their most effective way of handling stress, and their most common (...) way of handling stress. We applied thematic analysis and evaluated whether participants’ strategies corresponded with evidence-based practices.ResultsParticipants frequently reported top problems relating to productivity, physical health, and emotional health. Distraction was the most frequently classified common strategy, whereas behavioral activation was the most frequently identified effective strategy. Participants who reported a common strategy classified as an EBP reported lower depressive and anxiety symptoms. In contrast, there was no evidence of an association between symptom levels and whether or not participants’ effective strategy was an EBP. Participants who reported the same strategy as both their common and effective strategy reported lower depressive symptoms than those whose common and effective strategies were different.ConclusionOur findings highlight stressors that students are experiencing and ways they are coping during the COVID-19 crisis. We discuss how these findings can inform mental health promotion efforts and future research on coping with stressors. (shrink)

During the first half of the present century a number of outstanding philosophers realized that language theory could profitably be viewed as far more than merely a means of studying one among the many human faculties, or merely sharpening the tool we use to philosophize - they realized that there is a sense in which philosophy of language comprises (almost) the whole of philosophy. This was the famous linguistic turn: philosophers came to accept that everything that is is in a (...) sense through language, and that to study what there is is to study what our words mean.1 The enigma of the language-world relationship was brought to the centre of philosophical discussion early in this century by Frege, Russell, Wittgenstein, Austin and others. Their original point was that we cannot take the representing capacities of language at face value, that in order to treat of things - which cannot be done save with the help of words - we must first treat of words and make sure which of them are really capable of treating of things. Thus the philosophers undergoing the linguistic turn slowly gave up asking what is consciousness (matter, evil etc.)? in favour of asking what is the meaning of 'consciousness' ('matter', 'evil' etc.)? This simple turn seemed to have tremendous consequences for philosophy. By replacing the question what is consciousness? by the question what is the meaning of 'consciousness'? we seem to lose nothing (any meaningful answer to the former question seems to be recoverable from an answer to the latter), and yet it seems to take us from the weird realms of mind to the commonplace domain of language, from the troublesome immersing into people's heads to straightforward observing how they use words. It also seems to guard against the "bewitchment of our reason by language" (Wittgenstein) caused by words which are only seemingly meaningful: such questions as what does the word 'ether' stand for? can be answered simply by nothing, whereas the question what is ether? presupposes that there is something as ether (as.... (shrink)

Fourth-year medical students at the University of Colorado School of Medicine distributed cards to patients in the emergency department asking, "What Worries You Most?" The patients' responses provided insight about their most pressing concerns, often unrelated to their "chief complaints.".

Do UK community pharmacists encounter the high drama dilemmas of the medical ethics literature or is a 'morality of the mundane' more appropriate? This paper presents the findings of a qualitative study that asked a sample of UK pharmacists to describe their ethical issues and to establish whether these were ethical dilemmas as understood philosophically or ethical problems of a more legal or emotional nature. It emerged that although many pharmacists referred to 'dilemmas', these were often problems involving a conflict (...) between an ethical value and a legal or procedural issue and often arose in the routine minutiae of dispensing prescriptions and selling medicines. Such ethical problems remained of concern for pharmacists and the commercial environment, corporate pharmacy ownership and pharmacists' subordination to doctors, all precipitated ethical problems. Law and ethics appeared to be understood synonymously but this may reflect a modernity that increasingly brackets out ethical experiences by encouraging reliance upon law and procedure. (shrink)

As an immediate reply, meanwhile, I should like to make a remark or two about what is perhaps the central issue raised in the foregoing Comment. This is whether Price's dispositional reduction, or anyone's dispositional reduction can adequately render the act of thinking. Alternatively, the question could, I think, be stated in more presently-favoured language. One could ask whether statements about universals, thoughts, concepts, or ideas can be logically deduced from dispositional statements not containing these "mentalistic" terms. If one is (...) inclined to prefer this more lengthy formulation one may then take this to be my meaning; whenever "dispositional solution" or "dispositional reduction" is mentioned one may translate it into this longer form. (shrink)

An increasing number of older patients have to decide on a treatment plan for advanced chronic kidney disease, involving dialysis or conservative care. Shared decision-making is recommended as the model for decision-making in such preference-sensitive decisions. The aim of SDM is to come to decisions that are consistent with the patient’s values and preferences and made by the patient and healthcare professional working together. In clinical practice, however, SDM appears to be not yet routine and needs further implementation. A shift (...) from a biomedical to a person-centered conception might help to make the process more shared. Shared should, therefore, be interpreted as two persons bringing two perspectives to the table, that both need to be explored during the decision-making process. Starting from the patient’s perspective will enable to determine the mutual goals of care first and, subsequently, determine the best way for achieving those goals. To perform such SDM, the healthcare professional needs to become a skilled companion, being part of the patient’s relational context, and start asking the right questions about what matters to the patient as person. In this article, we describe the need for a person-centered conception of SDM for the setting of older patients with advanced CKD. (shrink)

This volume asks how and why the concept of nature has changed its meaning in modernity and whether a rearticulation of premodern ideas about nature is possible. Building on the work of Voegelin, Strauss, Lonergan, Finnis, and others, the book compares and contrasts classical, medieval, and modern conceptions of nature.

As critical incidents and terrorist threats are on the increase, the military/SWAT (Special Weapons and Tactics) aspects of U.S. civilian policing are being expanded. The person called upon as a last resort to kill the criminal agent has a unique position on the SWAT team. The police sniper is asked to kill with premeditation and usually not in a situation of self-defense. Very little appears in the ethics literature analyzing the morality of the sniper role. This paper will tentatively outline (...) a process of analysis that draws upon the framework of principles associated with the just-war tradition. Elements examined are the ends of sniper killing, intention and motives, relevant emotions, and implementation means used. The conclusion is that a plausible case can be made for the moral justification of such killing as long as certain conditions or tests are met. (shrink)

In all facets of our lives, humans construct meaning to understand their place in the world and their relationships to one another and to broader environments. Within this semantic web, words, stor...

Background: Increasing interest in empirical ethics has enhanced understanding of healthcare professionals’ ethical problems and attendant decision-making. A four-stage decision-making model involving ethical attention, reasoning, intention and action offers further insights into how more than reasoning alone may contribute to decision-making.Aims: To explore how the four-stage model can increase understanding of decision-making in healthcare and describe the decision-making of an under-researched professional group.Methods: 23 purposively sampled UK community pharmacists were asked, in semi-structured interviews, to describe ethical problems in their work (...) and how they were resolved. Framework analysis of transcribed interviews utilised the four decision-making stages, together with constant comparative methods and deviant-case analysis.Results: Pharmacists were often inattentive and constructed problems in legal terms. Ethical reasoning was limited, but examples of appeals to consequences, the golden rule, religious faith and common-sense experience emerged. Ethical intention was compromised by frequent concern about legal prosecution. Ethical inaction was common, typified by pharmacists’ failure to report healthcare professionals’ bad practices, and ethical passivity emerged to describe these negative examples of the four decision-making stages. Pharmacists occasionally described more ethically active decision-making, but this often involved ethical uncertainty.Discussion: The four decision-making stages are a useful tool in considering how healthcare professionals try to resolve ethical problems in practice. They reveal processes often ignored in normative theories, and their recognition and the emergence of ethical passivity indicates the complexity of decision-making in practice. Ethical passivity may be deleterious to patients’ welfare, and concerns emerge about improving pharmacists’ ethical training and promoting ethical awareness and responsibility. (shrink)

Because no single person or group holds knowledge about all aspects of research, mechanisms are needed to support knowledge exchange and engagement. Expertise in the research setting necessarily includes scientific and methodological expertise, but also expertise gained through the experience of participating in research and/or being a recipient of research outcomes. Engagement is, by its nature, reciprocal and relational: the process of engaging research participants, patients, citizens and others brings them closer to the research but also brings the research closer (...) to them. When translating research into practice, engaging the public and other stakeholders is explicitly intended to make the outcomes of translation relevant to its constituency of users. In practice, engagement faces numerous challenges and is often time-consuming, expensive and ‘thorny’ work. We explore the epistemic and ontological considerations and implications of four common critiques of engagement methodologies that contest: representativeness, communication and articulation, impacts and outcome, and democracy. The ECOUTER methodology addresses problems of representation and epistemic foundationalism using a methodology that asks, “How could it be otherwise?” ECOUTER affords the possibility of engagement where spatial and temporal constraints are present, relying on saturation as a method of ‘keeping open’ the possible considerations that might emerge and including reflexive use of qualitative analytic methods. This paper describes the ECOUTER process, focusing on one worked example and detailing lessons learned from four other pilots. ECOUTER uses mind-mapping techniques to ‘open up’ engagement, iteratively and organically. ECOUTER aims to balance the breadth, accessibility and user-determination of the scope of engagement. An ECOUTER exercise comprises four stages: engagement and knowledge exchange; analysis of mindmap contributions; development of a conceptual schema ; and feedback, refinement and development of recommendations. ECOUTER refuses fixed truths but also refuses a fixed nature. Its promise lies in its flexibility, adaptability and openness. ECOUTER will be formed and re-formed by the needs and creativity of those who use it. (shrink)

Review of extant research on the corporate environmental performance (CEP) and corporate financial performance (CFP) link generally demonstrates a positive relationship. However, some arguments and empirical results have demonstrated otherwise. As a result, researchers have called for a contingency approach to this research stream, which moves beyond the basic question “does it pay to be green?” and instead asks “when does it pay to be green?” In answering this call, we provide a meta-analytic review of CEP–CFP literature in which we (...) identify potential moderators to the CEP–CFP relationship including environmental performance type (e.g., reactive vs. proactive performance), firm characteristics (e.g., large vs. small firms), and methodological issues (e.g., self-report measures). By analyzing these contingencies, this study attempts to provide a basis on which to draw conclusions regarding some inconsistencies and debates in the CEP–CFP research. Some of the results of the moderator analysis suggest that small firms benefit from environmental performance as much or more than large firms, US firms seem to benefit more than international counterparts, and environmental performance seems to have the strongest influence on market-measures of financial performance. (shrink)

We asked whether and how generations vary in their perceptions on moral matters ranging from their justifications of crime and questions concerning bodily autonomy. In our exploratory study using data from the World Values Survey, we found that Generations Y and Z are more likely than their older counterparts to justify crimes, such as cheating on taxes or stealing property, and to favor greater bodily autonomy in issues such as suicide and abortion. They also rank lower the importance of God (...) and national pride. Implications are offered for employers who wish to motivate and incentivize a multi-generational workforce. (shrink)

Background: Ethical dilemmas are an integral part of medicine. Whether physicians actually feel that they have made ethically problematic treatment decisions or choices in their work is largely unknown. Identifying physicians with ethical problems, and the types of problems and underlying factors, might benefit organisational and educational efforts to help physicians solve ethical dilemmas in a constructive way. We investigated how the frequency and types of ethically difficult treatment decisions vary by specialty.Method: A mail survey of all non-retired Finnish physicians (...) was conducted in 2004. Of those who had made any ethically problematic treatment decisions, the types of decisions and reasons given for these decisions were asked for. Factor analysis was used to investigate clustering of ethically problematic treatment decisions, and logistic regression to investigate the effect of specialty, adjusted for age and gender.Results: Psychiatrists experienced ethically problematic treatment decisions most frequently, followed by pulmonologists, internists and neurologists. Problems were reported least often by pathologists, laboratory physicians and ophthalmologists. Overtreatment was more common than undertreatment in most specialties, with the exception of psychiatrists who emphasised undertreatment and patient rights issues.Conclusion: Physicians of different specialties differ significantly regarding frequency and types of ethically problematic treatment decisions they have made. Psychiatrists differ from all other specialists in reporting more undertreatment and patient rights issues. Experiencing ethically problematic decisions might affect the quality of care and physician well-being in many ways. The findings could be useful for both under- and postgraduate ethics education. (shrink)

Real causal systems are complicated. Despite this, causal learning research has traditionally emphasized how causal relations can be induced on the basis of idealized events, i.e. those that have been mapped to binary variables and abstracted from time. For example, participants may be asked to assess the efficacy of a headache-relief pill on the basis of multiple patients who take the pill (or not) and find their headache relieved (or not). In contrast, the current study examines learning via interactions with (...) continuous dynamic systems, systems that include continuous variables that interact over time (and that can be continuously observed in real time by the learner). To explore such systems, we develop a new framework that represents a causal system as a network of stationary Gauss--Markov (``\OU'') processes and show how such \textit{OU networks} can express complex dynamic phenomena such as feedback loops and oscillations. To assess adult's abilities to learn such systems, we conducted an experiment in which participants were asked to identify the causal relationships of a number of OU networks, potentially carrying out multiple, temporally-extended interventions. We compared their judgments to a normative model for learning OU networks as well as a range of alternative and heuristic learning models from the literature. We found that, although participants exhibited substantial learning of such systems, they committed certain systematic errors. These successes and failures were best accounted for by a model that describes people as focusing on pairs of variables, rather than evaluating the evidence with respect to the full space of possible structural models. We argue that our approach provides both a principled framework for exploring the space of dynamic learning environments as well as new algorithmic insights into how people interact successfully with a continuous causal world. (shrink)

The question of whether studies of human learning provide evidence for distinct conscious and unconscious influences remains as controversial today as ever. Much of this controversy arises from the use of the logic of dissociation. The controversy has prompted the use of an alternative approach that places conscious and unconscious influences on memory retrieval in opposition. Here we ask whether evidence acquired via the logic of opposition requires a dual-process account or whether it can be accommodated within a single similarity-based (...) account. We report simulations using a simple neural network model of two artificial grammar learning experiments reported by Higham, Vokey, and Pritchard that dissociated conscious and unconscious influences on classification. The simulations demonstrate that opposition logic is insufficient to distinguish between single- and multiple-system models. (shrink)

Cognitive‐enhancing drugs are prescribed to patients with psychiatric disorders, such as attention deficit hyperactivity disorder (ADHD) and Alzheimer's disease, to treat cognitive deficits. This chapter discusses the use of pharmacological agents to improve the cognition of both those with cognitive impairments and of the general population, as well as some of the benefits, risks, and ethical issues associated with the use of cognitive‐enhancing drugs. The chapter also talks about a survey run by the journal Nature, which was prompted by a (...) commentary by the authors of this chapter, that asked readers for their views on the issues surrounding cognitive enhancement. It can be seen that the ethical issues surrounding the use of cognitive‐enhancing drugs are complex and require discussion among different groups. With the development of new drugs and methods of enhancing cognition, such as brain stimulation, the need for further research and discussion is likely to become more pressing. (shrink)

OBJECTIVE: To ascertain attitudes to different methods of obtaining informed consent for randomised clinical trials (RCTs). DESIGN: Structured interviews with members of the public, medical secretaries and medical students. SETTING: The public were approached in a variety of public places. Medical secretaries and students were approached in their place of work. SUBJECTS: Fifty members of the public, 25 secretaries and 25 students. MAIN OUTCOME MEASURES: Views on RCTs were elicited, with particular emphasis on how subjects thought the concept of randomisation (...) should be explained. Each participant was presented with descriptions of proposed clinical trials and asked to select his or her preference from a range of options. RESULTS: Written information was preferred over verbal information in 91% of replies. Most respondents (86%) would prefer to sign a consent form. Of the seven statements explaining randomisation, a significant difference was found in favour of explanations that were less explicit about the play of chance (ANOVA; p = 0.0004). Eighty-three per cent of participants thought that randomised trials were morally acceptable when there was no prior medical preference between treatments. However, over half (55%) thought they would find it upsetting to be offered entry in such a trial and a quarter thought the outcome of treatment might be adversely affected. CONCLUSIONS: Our results offer some support for the idea that "economy with truth" is less unsettling than a frank description of the stark reality of what randomisation means. It is a matter of debate as to whether, if we are correct, autonomy should have precedence over beneficence. The offer of entry in a clinical trial is likely to affect the experience of care for many people, especially if the process of randomisation is described explicitly. Potential participants should be given a detailed written explanation of the rationale for the trial and be asked to sign a consent form if they agree to take part. (shrink)

For many years scholars have paid lip service to the "dramatic" or "mimetic" character of Plato's dialogues, but too few have taken this character seriously. Klein does, making it the basis of his exposition. He convincingly demonstrates that the dramatic action and the topic discussed are tightly interwoven and must be taken together to understand the Meno. In his introduction he distinguishes three kinds of mimesis: ethological, doxological, and mythological. The Meno is interpreted as primarily ethological. But one can ask (...) whether the author has done justice to the doxological element in the dialogue. He places considerable emphasis on the character of the "historical" Meno and does not seem to consider seriously the possibility that Meno's responses to Socrates show that he is learning something about the nature of ἀρετή. To suggest a possible criticism is in no way to take issue with the major thesis of this thorough and imaginative study.—R. J. W. (shrink)

The title of this work evokes suspicion: how can Soll aim at one "part"--metaphysics--of a philosophy such as Hegel's? How would one go about introducing only Hegel's metaphysics? One might, with some validity, go about discussing Hegel's metaphysics ; but how would one, assuming his reader's general unfamiliarity with Hegel, introduce his "metaphysics," and that alone? Alas, one's worst fears are soon realized: the opening sentence reads, "Hegel's method is best approached by asking what he was trying to accomplish with (...) it." Bifurcation. The operant supposition which guides the work is that Hegel "has" a method with which he attempts to "do" various things. This view is utterly un-Hegelian, as even a cursory reading of the introduction to the Logic, to cite only one source, illustrates. No guide to Hegel is going to be useful that clouds this fundamental point. The whole texture of Hegel's integrated and integrative system is never rescued. Soll's presentation approaches, and treats of, Hegel from the standpoint of pedestrian philosophizing, leaning heavily on the collected tradition to make distinctions in a glib and altogether external way. From his starting point, Soll proceeds, drawing on a handful of secondary sources, to deliver an extended series of facile, shotgun commentaries: but if one already has the ability to adjudge which of them find their mark, he does not need the book in the first place. The primary problem a book of this kind faces is the perhaps insuperable difficulty of creating a suitable "introduction" to Hegel's thought. And to be fair, one might say that most of the shortcomings of Soll's book are attributable to this problem. Where does one start, if not where Hegel did; and whither does one proceed, except in the direction Hegel did? One should either attempt to go that path, or elect not to go at all. It is too easy to lose one's way in so dense a forest.--R. J. G. (shrink)

1 Evidence-based policy requires researchers to provide the answers to ecological questions that are of interest to policy makers. To find out what those questions are in the UK, representatives from 28 organizations involved in policy, together with scientists from 10 academic institutions, were asked to generate a list of questions from their organizations. 2 During a 2-day workshop the initial list of 1003 questions generated from consulting at least 654 policy makers and academics was used as a basis for (...) generating a short list of 100 questions of significant policy relevance. Short-listing was decided on the basis of the preferences of the representatives from the policy-led organizations. 3 The areas covered included most major issues of environmental concern in the UK, including agriculture, marine fisheries, climate change, ecosystem function and land management. 4 The most striking outcome was the preference for general questions rather than narrow ones. The reason is that policy is driven by broad issues rather than specific ones. In contrast, scientists are frequently best equipped to answer specific questions. This means that it may be necessary to extract the underpinning specific question before researchers can proceed. 5 Synthesis and applications. Greater communication between policy makers and scientists is required in order to ensure that applied ecologists are dealing with issues in a way that can feed into policy. It is particularly important that applied ecologists emphasize the generic value of their work wherever possible. (shrink)

The History and Philosophy of Science: A Reader brings together seminal texts from antiquity to the end of the nineteenth century and makes them accessible in one volume for the first time. With readings from Aristotle, Aquinas, Copernicus, Galileo, Descartes, Newton, Lavoisier, Linnaeus, Darwin, Faraday, and Maxwell, it analyses and discusses major classical, medieval and modern texts and figures from the natural sciences. Grouped by topic to clarify the development of methods and disciplines and the unification of theories, each section (...) includes an introduction, suggestions for further reading and end-of-section discussion questions, allowing students to develop the skills needed to: § read, interpret, and critically engage with central problems and ideas from the history and philosophy of science § understand and evaluate scientific material found in a wide variety of professional and popular settings § appreciate the social and cultural context in which scientific ideas emerge § identify the roles that mathematics plays in scientific inquiry Featuring primary sources in all the core scientific fields - astronomy, physics, chemistry, and the life sciences - The History and Philosophy of Science: A Reader is ideal for students looking to better understand the origins of natural science and the questions asked throughout its history. By taking a thematic approach to introduce influential assumptions, methods and answers, this reader illustrates the implications of an impressive range of values and ideas across the history and philosophy of Western science. (shrink)

This article analyzes the contribution Christian ethics might be able to make to the ethical debate on policy and caregiving in health and social care in the United Kingdom. The article deals particularly with the concepts of solidarity and subsidiarity which are essential in Christian social ethics and health care ethics, and which may be relevant for the ethical debate on health and social caregiving in the United Kingdom. An important argument in the article is that utilitarian and market-driven policies (...) in the National Health Service (NHS) and the social care system have marginalized the position of the elderly and have seriously impoverished the quality of care for the elderly. The neglect of the elderly and other vulnerable groups is also the result of widespread consumerist attitudes among patients and of libertarian models of noninterference which are affirmed by a public ethos of self-sufficiency and counter-dependency. Those who need care dare not make their need known to others and ask for help, while simultaneously those who could help are so intimidated by the public affirmation of privacy and negative rights that they do not dare to offer help except if this is explicitly demanded. This distant and standoffish attitude is in an important way responsible for the fact that the voice of those in need is altogether lost to the public forum. Christian ethics puts much emphasis on responsibility and solidarity with the needy other but is not able to have much impact on the delivery of care in a secularized society and health care system like the NHS. Nonetheless, Christianity still has a powerful and respected voice, by speaking up for those who cannot speak for themselves, such as the elderly and the handicapped. Christians can find allies in the ethics of care and other relational approaches in health care ethics in order to combat libertarianism, consumerism, and utilitarianism. (shrink)

Misinformation is a serious concern for societies across the globe. To design effective interventions to combat the belief in and spread of misinformation, we must understand which psychological processes influence susceptibility to misinformation. This paper tests the widely assumed – but largely untested – claim that emotionally provocative headlines are associated with worse ability to identify true versus false headlines. Consistent with this proposal, we found correlational evidence that overall emotional response at the headline level is associated with diminished truth (...) discernment, except for experienced anger which was associated with increased truth discernment. The second set of studies tested a popular emotion regulation intervention where people were asked to apply either emotional suppression or emotion reappraisal techniques when considering the veracity of several headlines. In contrast to the correlation results, we found no evidence that emotion regulation helped people distinguish false from true news headlines. (shrink)

Three experiments, adopting an evolutionary biology perspective, investigated subjects’ inferences about living things. Subjects were told that different enzymes help regulate cell function in two taxa and asked which enzyme a third taxon most likely uses. Experiment 1 and its follow-up, with college students, used triads involving amphibians, reptiles, and mammals (reptiles and mammals are most closely related evolutionarily) and plants, fungi, and animals (fungi are more closely related to animals than to plants). Experiment 2, with 10th graders, also included (...) triads involving mammals, birds, and snakes/crocodilians (birds and snakes/crocodilians are most closely related). Some subjects received cladograms (hierarchical diagrams) depicting the evolutionary relationships among the taxa. The effect of providing cladograms depended on students’ background in biology. The results illuminate students’ misconceptions concerning common taxa and constraints on their willingness to override faulty knowledge when given appropriate evolutionary evidence. Implications for introducing tree thinking into biology curricula are discussed. (shrink)

TRAGICALLY, ETHNIC CONFLICTS HAVE BECOME ONE OF THE HALLMARKS of the post-Cold War era. In response to this, two distinct traditions appear to be emerging.The first continues the classical just war tradition while the second represents a new "reconciliation tradition," built largely around questions of restorative justice in areas of social division. Our goal in this essay is to begin a rapprochement of these divergent traditions by asking the question, what does a restorative justice perspective offer to the just war (...) tradition? We proceed in three stages: first, we survey the current state of the just war tradition; second, we introduce the reconciliation tradition, drawing on both reconciliation thinkers and the practical experience of experiments in social reconciliation in South Africa and Rwanda; and third, we draw these two traditions together with a series of constructive proposals for how the reconciliation tradition can enrich the just war tradition. (shrink)

Has anything of value been contributed to aesthetic issues from a Marxist point of view? I suspect that most intelligent people asked this question might be inclined to answer no. If they hesitated, it might be because of some dim awareness that there has been a great deal of concern about aesthetic issues by European intellectuals influenced by Marxism. But this present bibliography which is limited to books and articles in English shows how extensive and diverse the literature has been. (...) Many items are included here which are not primarily concerned with aesthetic issues, but which are nevertheless relevant. And there are many items which are not Marxist in orientation but bear on Marxism. The annotations are helpful and the bibliography will be a great aid to anyone interested in exploring this dimension of Marxism. It is unfortunate that the bibliography is limited to work written or translated into English, for many of the best works have not been translated. However, the compiler promises a supplemental volume dealing with foreign material.--R. J. B. (shrink)

One might legitimately wonder why, if Christopher Middleton, in his Selected Letters of Friedrich Nietzsche, published translations of approximately ten per cent of the total available Nietzschean correspondence, the current translators have elected to repeat roughly sixty per cent of these in the present work. One might extend this misgiving to a further questioning as to why the co-translators have chosen to include "representative" passages of these letters when Middleton translates them in their entirety. Stripping sentences from paragraphs and paragraphs (...) from pages is surely no way to present a meaningful portrait of their author. If this were done with the intention of presenting a simple, non-contradictory view of Nietzsche's development or personality, it would be understandable, if unjustifiable. But it is not. If the present translations were markedly fresh and lucid in contrast to previously bungled efforts, it would be understandable. But they are not. If Middleton's content footnotes were occasionally lifted from Schlechta, they made up in substance what they lacked in originality. The few footnotes scattered here might be copiously expanded to explain what is going on--going on in the letter, going on in Nietzsche's development, going on in the book. As it is, all one can do is ask: Why bother?--R. J. G. (shrink)

These three brief lectures are the Riddell Memorial Lectures delivered in 1964. Three questions are asked: Why secularization in England has not progressed any further than it has done, especially among the working class; whether religious decline is a, or the, cause of moral decline; and, what effect secularization has had upon English Christianity. In the course of answering these questions, MacIntyre has a number of perceptive things to say about the relation of class structure to varieties of religion in (...) England, the differences between religion in the United States and England, and what's wrong with the new protestant theology in its sophisticated and degenerate forms. His general conclusion is best summed up at the close of the first lecture when he tells us that "what our children are left with is on the one hand a vestigial Christian vocabulary of a muddled kind and on the other an absence of any alternative vocabulary in which to raise the kind of issues which it is necessary to raise if there is to be not mere assessment of means, but some kind of explicit agreement or disagreement about social and moral ends."--R. J. B. (shrink)

Through case studies that highlight the type of information that is seldom reported in the news, Faces of Environmental Racism exposes the type and magnitude of environmental racism, both domestic and international. The essays explore the justice of current environmental practices, asking such questions as whether cost-benefit analysis is an appropriate analytic technique and whether there are alternate routes to sustainable development in the South.