In 2022, the Camden Coalition Medical-Legal Partnership began providing civil and criminal legal services to substance use disorder patients at Cooper University Health Care’s Center for Healing. This paper discusses early findings from the program’s first year on the efficacy of the provision of criminal-legal representation, which is uncommon among MLPs and critical for this patient population. The paper concludes with takeaways for other programs providing legal services in an addiction medicine setting.

Volume 18, Issue 1, April 2019, Page 69-71.

Acceptance of elderly or marginal health individuals as kidney donors is debated, with practices varying between centres. Transplant recipients, live kidney donors and health-care professionals caring for patients with renal failure were surveyed regarding their views on live donor kidney transplantation (LDKT) of marginal health (diabetes, hypertension, atherosclerosis, obesity, etc.) and elderly donors. Participants were recruited within a tertiary renal and transplant centre and invited to participate in focus groups and structured interviews. They also completed an anonymous questionnaire. Of 464 (...) participants who completed the questionnaire (36% health-care professionals and 64% patients), 49% and 64%, respectively, stated that marginal and elderly donors should be accepted for LDKT. In the structured interviews, emphasis was given to presenting to donor, recipient and their respective families a calculated risk regarding the effect that either a nephrectomy or transplant has on long-term quality of life. Participants stated that an independent third party in addition to the transplant team should discuss involved risks. Issues of ‘how desperate’ the recipient's situation is should also be considered. Health-care professionals stated that regardless of the strength of will of an individual to donate a kidney (despite age, health problems or personal risk), they should always have the right to say ‘no’ if performing a specific LDKT was against their professional and ethical values. About half of those surveyed considered that marginal health and elderly donors were acceptable for LDKT. Emphasis was given to the explanation to donors and recipients of the risks involved in such transplantation. (shrink)

Antibodies that are specific for DNA provide an excellent system for studying the protein‐nucleic acid interactions that allow proteins to recognize specific DNA structures or sequences.

While working with a long-distance running event organizer, the authors of this study observed considerable differences between event participants’ official finish time and their self-reported finish time in the post-event survey. Drawing on the notion of self-serving bias, we aim to explore the source of this disparity and how such psychological bias influences participants’ event experience at long-distance running events. Using evidence of 1,320 marathon runners, we demonstrated how people are more likely to be subject to a biased self-assessment contingent (...) upon achieving their best finish time at the event. The study samples were split into record-high-achieved and record-high-missed groups, and the self-serving biases of each group were explored. Results from the t-test comparing record-high-achieved and -missed groups showed that runners in the record-high-missed group were significantly more likely to report a positively biased finish time than runners in the record-high-achieved group. Additionally, results from logistic regression showed that as runners missed their best finish time by a wider margin, the probability of reporting a positively biased incorrect finish time increased. Lastly, we conducted an additional t-test and revealed that runners who are subject to self-serving bias showed a lower level of overall event satisfaction. The current study suggests one way to bypass the adverse effects of participant sport event participants’ worse-than-expected athletic performance. We specifically suggest that the event organizers target runners who had worse-than-expected performance and make extra efforts on non-race service attributes because these runners are more likely to be unsatisfied with the event. (shrink)

People tend to perceive ongoing continuous activity as series of discrete events. This partitioning of continuous activity may occur, in part, because events correspond to dynamic patterns that have recurred across different contexts. Recurring patterns may lead to reliable sequential dependencies in observers' experiences, which then can be used to guide perception. The current set of simulations investigated whether this statistical structure within events can be used 1) to develop stable internal representations that facilitate perception and 2) to learn when (...) to update such representations in a self-organizing manner. These simulations demonstrate that experience with recurring patterns enables a system to accurately predict upcoming stimuli within an event, to identify boundaries between such events based on transient increases in prediction error, and to use such boundaries to improve prediction about subsequent activities. (shrink)

Regulating affective responses to acute stress has the potential to improve health, performance, and well-being outcomes. Using the biopsychosocial model of challenge and threat as an organizing framework, we review how appraisals inform affective responses and highlight research that demonstrates how appraisals can be used as regulatory tools. Arousal reappraisal, specifically, instructs individuals on the adaptive benefits of stress arousal so that arousal is conceptualized as a coping resource. By reframing the meaning of signs of arousal that accompany stress, it (...) is possible to break the link between stressful situations, and malignant physiological responses and experiences of negative affect. Applications of arousal reappraisal for academic contexts and clinical science, and directions for future research are discussed. (shrink)

Many psychological studies of categorization and reasoning use undergraduates to make claims about human conceptualization. Generalizability of findings to other populations is often assumed but rarely tested. Even when comparative studies are conducted, it may be challenging to interpret differences. As a partial remedy, in the present studies we adopt a 'triangulation strategy' to evaluate the ways expertise and culturally different belief systems can lead to different ways of conceptualizing the biological world. We use three groups (US bird experts, US (...) undergraduates, and ordinary Itza' Maya) and two sets of birds (North American and Central American). Categorization tasks show considerable similarity among the three groups' taxonomic sorts, but also systematic differences. Notably, US expert categorization is more similar to Itza' than to US novice categorization. The differences are magnified on inductive reasoning tasks where only undergraduates show patterns of judgment that are largely consistent with current models of category-based taxonomic inference. The Maya commonly employ causal and ecological reasoning rather than taxonomic reasoning. Experts use a mixture of strategies (including causal and ecological reasoning), only some of which current models explain. US and Itza' informants differed markedly when reasoning about passerines (songbirds), reflecting the somewhat different role that songbirds play in the two cultures. The results call into question the importance of similarity-based notions of typicality and central tendency in natural categorization and reasoning. These findings also show that relative expertise leads to a convergence of thought that transcends cultural boundaries and shared experiences. (shrink)

This article explores four major areas of moral concern regarding virtual reality technologies. First, VR poses potential mental health risks, including Depersonalization/Derealization Disorder. Second, VR technology raises serious concerns related to personal neglect of users’ own actual bodies and real physical environments. Third, VR technologies may be used to record personal data which could be deployed in ways that threaten personal privacy and present a danger related to manipulation of users’ beliefs, emotions, and behaviors. Finally, there are other moral and (...) social risks associated with the way VR blurs the distinction between the real and illusory. These concerns regarding VR naturally raise questions about public policy. The article makes several recommendations for legal regulations of VR that together address each of the above concerns. It is argued that these regulations would not seriously threaten personal liberty but rather would protect and enhance the autonomy of VR consumers. (shrink)

The biopsychosocial model of challenge and threat posits that resource and demand appraisals interact in situations of acute stress to determine affective responses, and concomitant physiological responses, motivation, and decisions/behaviors. Regulatory approaches that alter appraisals to regulate challenge and threat affective states have the potential to facilitate coping. This reply clarifies the conceptualization of one such regulatory approach, arousal reappraisal, and suggests avenues for future research. However, it is important to note that arousal reappraisal is not a “silver bullet” for (...) improving stress outcomes, nor should this strategy be expected to positively impact all individuals. More work is needed to better elucidate how psychological and biological stress processes interact to shape health. (shrink)

Koonin, in an article in this issue, claims that CRISPR–Cas systems are mechanisms for the inheritance of acquired adaptive characteristics, and that the operation of such systems comprises a “Lamarckian mode of evolution.” We argue that viewing the CRISPR–Cas mechanism as facilitating a form of “directed mutation” more accurately represents how the system behaves and the history of neoDarwinian thinking, and is to be preferred.

In Alfonso de Cartagena's 'Memoriale virtutum' (1422) María Morrás and Jeremy Lawrance offer a new edition from the manuscripts of a compilation of Aristotle's Nicomachean Ethics addressed by the major Castilian intellectual of the day, bishop Alfonso de Cartagena, to the heir to the throne of Portugal, crown prince Duarte. The work was a speculum principis, an education for the future king in the virtues suitable to a statesman; Cartagena's choice of Aristotle was thus a significant index of the (...) advent of new Renaissance ideas. This edition shows how the "memorial" throws light on the ideological transformation of society those ideas would bring, setting new ethical guidelines for the ruling class at the crossroads between medieval feudalism and Renaissance absolutism. (shrink)

In the New Testament the concept of self-control or voluntary restraint of one’s desires is highlighted as a “fruit of the Spirit,” a trait of the spiritually mature, and a hallmark of Christian leadership. But as a Christian virtue, self-control is a product of spiritual discipline, a trait for which the Christian must engage in “strict training.” This biblical theme has inspired a long history of Christian moral-spiritual practices aimed at cultivating self-mastery or strength of will. Here I discuss several (...) of these as found in the writings of the Desert Fathers, Augustine of Hippo, Julian of Norwich, Thomas Aquinas, John Calvin, Thomas à Kempis, and John Wesley. Despite their theological diversity, these Christian thinkers are united in the belief that self-control can and ought to be intentionally nurtured via the systematic practice of self-denial. (shrink)

The current debate about disagreement has as rivals those who take the steadfast view and those who affirm conciliationism. Those on the steadfast side maintain that resolute commitment to a belief is reasonable despite peer disagreement. Conciliationists say that peer disagreement necessarily undermines warrant for one’s belief. This article discusses the relevance of open‐mindedness to the matter of peer disagreement. It shows how both the steadfast and the conciliatory perspective are consistent with a robust and substantive display of open‐mindedness. However, (...) it also turns out that there are more ways to display open‐mindedness on the steadfast view than on the conciliatory view. (shrink)

Popper was also a critic of the idea that it was possible – or necessary – to give a positive response to the problem of induction. He was also a critic of many probabilistic theories of induction. He suggested that instead of seeking for a positive way of resolving the problem of induction – or, more generally, of trying to justify our claims that our ideas were true – we should, instead be concerned to make our claims open to criticism. (...) All this, and its strengths and weaknesses, have been much discussed. But it seems to me that not enough attention has been paid to what is distinctive about Popper’s work – and to the question of how it addresses our various problem-situations today. (shrink)

Ever since George Berkeley first published Principles of Human Knowledge his metaphysics has been opposed by, among others, some Christian philosophers who allege that his ideas fly in the face of orthodox Christian belief. The irony is that Berkeley’s entire professional career is marked by an unwavering commitment to demonstrating the reasonableness of the Christian faith. In fact, Berkeley’s immaterialist metaphysical system can be seen as an apologetic device. In this paper, I inquire into the question whether Berkeley’s immaterialist metaphysics (...) is congruent with the Christian scriptures. I conclude that not only are Berkeley’s principles consistent with scripture, a case can be made for the claim that certain biblical passages actually recommend his brand of immaterialism. (shrink)

While open-mindedness as an intellectual trait has been recognized for centuries, Western philosophers have not explicitly endorsed it as a virtue until recently. This acknowledgment has been roughly coincident with the rise of virtue epistemology. As with any virtue, it is important to inform contemporary discussion of open-mindedness with reflection on sources from the history of philosophy. Here I do just this. After reviewing two major accounts of open-mindedness, which I dub "Contest" and "Indifference," I explore some ideas pertinent to (...) the subject in four philosophers spanning eighteen centuries: Sextus Empiricus, John Locke, John Stuart Mill, and Paul Feyerabend. Despite their varying concerns and terminology, their contributions may valuably inform current reflection on the virtue of open-mindedness, whether construed in terms of the Contest or Indifference account. (shrink)

Proponents of same-sex marriage often defend their view by appealing to the concept of justice. But a significant argument from justice against same-sex marriage can be made also, as follows. Heterosexual union has special social value because it is the indispensable means by which humans come into existence. What has special social value deserves special recognition and sanction. Civil ordinances that recognize same-sex marriage as comparable to heterosexual marriage constitute a rejection of the special social value of heterosexual unions, and (...) to deny such special social value is unjust. (shrink)

A major source of disagreement among proponents of the traditionalist and conditionalist views of hell regards the proportionality criterion, according to which the justice of a punishment must match the severity of the offense. Conditionalists often argue that eternal conscious torment is too severe, given that the sins of any human being are finite. Traditionalists, however, typically insist that the perfect moral status of God requires infinite punishment for the damned. The discussion usually proceeds on the assumption that eternal conscious (...) torment is a more extreme punishment than annihilation. Here I challenge this assumption by identifying reasons to believe annihilation is actually a more severe punishment than eternal conscious torment. (shrink)

To be open-minded is to be willing to revise or entertain doubts about one’s beliefs. Commonly regarded as an intellectual virtue, and often too as a moral virtue, open-mindedness is a trait that is generally desirable for a person to have. However, in the major theistic traditions, absolute commitment to one’s religious beliefs is regarded as virtuous or ideal. But one cannot be completely resolved about an issue and at the same time be open to revising one’s beliefs about it. (...) It appears, then, that religious devotion is inconsistent with open-mindedness. The more religiously devout a person is, the more firmly she will hold to her convictions. And the stronger her belief commitments, the less open-minded she will be regarding these beliefs. So there appears to be a paradox here, where from the standpoint of religious devotion, it is virtuous to display an intellectual vice, namely closed-mindedness. I discuss this problem and explore some potential routes of escape from the paradox. (shrink)

Does philosophy have any value for our faith? James Spiegel insists that Christians need philosophy to discern wrong ideas and shows us how it can enhance biblical faith and living.

Toot. Pass gas. Break wind. Cut the cheese. Float an air biscuit. Burp from behind. Blow the brown horn. The backfire, bant, bucksnort, booty bomb, colon cologne, drifter, fanny bubble, gasser, gurgler, moon beam, nether belch, pants puffer, pooh tune, rip-snort, sphincter whistle, thunder dumpling, tush tickler, and trouser cough. These are synonyms for a bodily function that is as natural as breathing, eating, or sleeping. Yet unlike other physiological functions, the ‘flatus’ is a source of endless humor – perhaps (...) more so than any other subject in human experience. But why are farts funny? That is a question that is both serious and philosophically interesting. (shrink)

Berkeleyan idealism, or ‘immaterialism,’ has had an enormous impact on the history of philosophy during the last three centuries. In recent years, Christian scholars have been especially active in exploring ways that Berkeley's thesis may be fruitfully applied to a variety of issues in philosophy and theology. This essay provides an overview of some of the ways Christian philosophers have deployed immaterialism to solve problems and generate insights in metaphysics, philosophy of mind, philosophy of science, philosophy of religion, and philosophical (...) theology. (shrink)

The classical Christian creeds generally address historical and metaphysical issues, such as the Trinity and the work of Christ. These doctrines are commonly construed as definitive of Christian orthodoxy or right belief. But are there behavioral standards that are essential to Christian living? If so, are beliefs about such matters as crucial to the faith as the creedal points? I introduce the concept of “moral heresy” as an ethical-doxastic category, which may be useful as a conceptual tool in addressing these (...) questions. There are potentially serious implications here for how Christians should approach some critical issues of our time, particularly regarding sexual ethics. (shrink)

I argue that the free-will defense and soul-making theodicy have more in common than traditionally has been thought and that their differences have more to do with their divergent aims than their relative merits as responses to the problem of evil. Moreover, I show how the two approaches are logically interdependent. The free-will defense depends for its success on some soul-making concepts, and the soul-making theodicy relies upon a prior concept of human freedom in order to succeed. These facts seem (...) to recommend that we see these two approaches as complementary rather than as competitors when addressing the problem of evil. (shrink)

The primrose path and prisoner's dilemma paradigms may require cognitive (executive) control: The active maintenance of context representations in lateral prefrontal cortex to provide top-down support for specific behaviors in the face of short delays or stronger response tendencies. This perspective suggests further tests of whether altruism is a type of self-control, including brain imaging, induced affect, and dual-task studies.

In the recent history of philosophy few works have appeared which favorably portray Idealism as a plausible philosophical view of the world. Considerably less has been written about Idealism as a viable framework for doing theology. While the most recent and significant works on Idealism, composed by the late John Foster (Case for Idealism and A World for Us: The Case for Phenomenological Idealism), have put this theory back on the philosophical map, no such attempt has been made to re-introduce (...) Idealism to contemporary Christian theology. Idealism and Christian Theology is such a work, retrieving ideas and arguments from its most significant modern exponents (especially George Berkeley and Jonathan Edwards) in order to assess its value for present and future theological construction. As a piece of constructive philosophical-theology itself, this volume considers the explanatory power an Idealist ontology has for contemporary Christian theology. (shrink)