IntroductionDeep brain stimulation (DBS) is utilized to treat pediatric refractory dystonia and its use in pediatric patients is expected to grow. One important question concerns the impact of hope and unrealistic optimism on decision-making, especially in “last resort” intervention scenarios such as DBS for refractory conditions.ObjectiveThis study examined stakeholder experiences and perspectives on hope and unrealistic optimism in the context of decision-making about DBS for childhood dystonia and provides insights for clinicians seeking to implement effective communication strategies.Materials and MethodsSemi-structured interviews (...) with clinicians (n = 29) and caregivers (n = 44) were conducted, transcribed, and coded.ResultsUsing thematic content analysis, four major themes from clinician interviews and five major themes from caregiver interviews related to hopes and expectations were identified. Clinicians expressed concerns about caregiver false hopes (86%, 25/29) and desperation (68.9%, 20/29) in light of DBS being a last resort. As a result, 68.9% of clinicians (20/29) expressed that they intentionally tried to lower caregiver expectations about DBS outcomes. Clinicians also expressed concern that, on the flip side, unrealistic pessimism drives away some patients who might otherwise benefit from DBS (34.5%, 10/29). Caregivers viewed DBS as the last option that they had to try (61.3%, 27/44), and 73% of caregivers (32/44) viewed themselves as having high hopes but reasonable expectations. Fewer than half (43%, 19/44) expressed that they struggled setting outcome expectations due to the uncertainty of DBS, and 50% of post-DBS caregivers (14/28) expressed some negative feelings post treatment due to unmet expectations. 43% of caregivers (19/44) had experiences with clinicians who tried to set low expectations about the potential benefits of DBS.ConclusionThoughtful clinician-stakeholder discussion is needed to ensure realistic outcome expectations. (shrink)

The article reviews different antitheodicies in response to Toby Betenson’s article “Anti-Theodicy”. Antitheodicies involve rejecting the position that God or meaning exist only, if evils have justifying morally sufficient reasons. The article builds on Betenson’s division into moral and conceptual antitheodicies and his characterization of antitheodicies as a metacritique of the problem of evil. Moral antitheodicies are problematic, as they do not address the key conceptual issues and might end up in question-begging or moralism. Dissolving the problem of evil requires (...) a conceptual antitheodicy that exposes its presuppositions as speculative metaphysics. Religious conceptual antitheodicies help to focus on different ways of sense-making that do not fall into theodicism. (shrink)

Descartes's concept of the mind, as distinct from the body with which it forms a union, set the agenda for much of Western philosophy's subsequent reflection on human nature and thought. This is the first book to give an analysis of Descartes's pivotal concept that deals with all the functions of the mind, cognitive as well as volitional, theoretical as well as practical and moral. Focusing on Descartes's view of the mind as intimately united to and intermingled with the body, (...) and exploring its implications for his philosophy of mind and moral psychology, Lilli Alanen argues that the epistemological and methodological consequences of this view have been largely misconstrued in the modern debate. Informed by both the French tradition of Descartes scholarship and recent Anglo-American research, Alanen's book combines historical-contextual analysis with a philosophical problem-oriented approach. It seeks to relate Descartes's views on mind and intentionality both to contemporary debates and to the problems Descartes confronted in their historical context. By drawing out the historical antecedents and the intellectual evolution of Descartes's thinking about the mind, the book shows how his emphasis on the embodiment of the mind has implications far more complex and interesting than the usual dualist account suggests. (shrink)

Mentoring Away the Glass Ceiling in Academia: A Cultured Critique describes how women of diverse backgrounds perceive their mentoring experiences or the lack of mentoring experiences in the academy. This book provides a space for envisioning strategies and practices to improve mentoring practices and the collegiate environment.

The aim of this literature study was to suggest a value ground for nursing anchored in two ethical principles: the principle of human value and the right to experience a meaningful life. Previous nursing research between the years 2000 and 2009 was analysed. Presented values suggested in this value ground are thus in line with the nursing context and science of today. Statements within ethical literature have been used in order to formulate arguments aimed at supporting the values that were (...) found in the study. In the literature study six values were found: trust, nearness, sympathy, support, knowledge and responsibility. These values hold equal status and are not presented in hierarchical order. They vary due to the persons involved, nursing situations and cultural surroundings, but have the common requirement of being non-excluding. In order to implement the values within the value ground, two prerequisites are discussed and claimed as essential: ethical dialogue and a caring encounter between care provider and patients. (shrink)

In this article, I discuss my experiences of being an insider researching Laestadianism. I present my research, noting the advantages and disadvantages, ending with a conclusion in which I refer to the discussion among anthropologists and ethnologists, especially in the study of religion. The outcome is that even though the distinction insider–outsider researcher is complicated, both insider and outsider researchers will improve the research, contributing to its nuanced presentation.

The paper examines Johann Georg Hamann’s influence on Ludwig Wittgenstein’s late philosophy. Wittgenstein’s letters, diaries and Drury’s memoirs show that Wittgenstein read Hamann’s writings in the early 1930s and 1950s. Wittgenstein’s diary notes and the Cambridge lectures show that Wittgenstein’s discussion of Hamann’s views in 1931 corresponds to adopting a Hamannian view of symbols and rule-following. The view of language as an intertwining of signs, objects and meanings in use forms a common core in the philosophies of Hamann and Wittgenstein. (...) The harmony of language and reality takes place in communicative use, so non-communicative private languages and pre-linguistic ideal forms of representation are not possible. Language is a free response to reality, and it involves belief-systems and trust. (shrink)

Today the halls of Technology, Entertainment, and Design and Davos reverberate with optimism that hacking, brainstorming, and crowdsourcing can transform citizenship, development, and education alike. This article examines these claims ethnographically and historically with an eye toward the kinds of social orders such practices produce. This article focuses on a hackathon, one emblematic site of social practice where techniques from information technology production become ways of remaking culture. Hackathons sometimes produce technologies, and they always, however, produce subjects. This article argues (...) that the hackathon rehearses an entrepreneurial citizenship celebrated in transnational cultures that orient toward Silicon Valley for models of social change. Such optimistic, high-velocity practice aligns, in India, with middle-class politics that favor quick and forceful action with socially similar collaborators over the contestations of mass democracy or the slow construction of coalition across difference. (shrink)

Cet article relève une impasse qui apparaît quand les travaux récents sur la suspension du jugement sont intégrés aux solutions évidentialistes au problème de la «mauvaise sorte de raison» : il semble qu’il n’existe aucune raison pour suspendre le jugement. Deux réponses possibles à cette impasse sont considérées ici : l’une redéfinit la suspension du jugement comme une action mentale, l’autre la redéfinit comme une attitude de second ordre. L’article fait valoir que ces réponses n’évitent l’impasse qu’en compromettant de manière (...) inacceptable la notion de suspension du jugement. (shrink)

This is the first book to give an analysis of Descartes's pivotal concept that deals with all the functions of the mind, cognitive as well as volitional, ...

One seldom-noted consequence of most recent arguments for “animal rights” or against “speciesism” is their inability to provide a justification for differential treatment on the basis of species membership, even in cases of rare or endangered species. I defend the claim that arguments about the moral status of individual animals inadequately deal with this issue, and go on, with the help of several test cases, to reject three traditional analyses of our alleged obligation to protect endangered species. I conclude that (...) these traditional analyses fail, that there is an important conceptual confusion in any attempt to ascribe value to a species, and that our obligation must ultimately rest on the value---often aesthetic-of individual members of certain species. (shrink)

The quality of early childhood education and care (ECEC) is important for children’s development. One instrument that was developed to assess an aspect of ECEC quality is the Classroom Assessment Scoring System for pre-kindergarten children (CLASS Pre-K). We examined the factorial validity of the instrument using data from 177 German preschool classrooms. The three-factor teaching through interaction model (Hamre et al., 2013) was contrasted to a one-factor, a two-factor, and a bifactor model as proposed by Hamre et al. (2014). Our (...) results indicated that the three-factor structure with the domains of emotional support, classroom organization, and instructional support fit the data best. The fit of the teaching through interaction model was satisfying after adding a cross-loading of the dimension language modeling on emotional support, and two correlated residuals. Evidence of convergent and discriminant validity are provided. In terms of factor structure and pattern score comparisons, the results were similar to previous U.S. and German studies. The discussion concerns the justifiability of the factor model revisions and draws directions for further research. We concluded that our study offers further evidence of the applicability of the CLASS Pre-K for the assessment of teacher-child interaction quality in the German context. (shrink)

Originally published in 1914, this book contains an illustrated story of life in a provincial French town in the early twentieth century. The French of the story is accessible for a young audience, and provides an entertaining as well as educational story for readers. This book will be of value to anyone with an interest in French life or the history of French education in Britain.

This chapter contains section titled: Introductory Remarks The Cartesian Background Impressions and Ideas Passions as Reflective Impressions Direct and Indirect Passions Association and the Individuation of Passions Perception and Perceiving Passions and Moral Sentiments Notes References Further reading.

This paper explores Spinoza’s therapy of passions and method of salvation through knowledge and love of God. His optimism about this method is perplexing: it is not even clear how his God, who is unlike any traditional notion of divinity, can be loved. Sorting out Spinoza’s view involves distinguishing an ethics of bondage from another of freedom, and two corresponding notions of love of God. The paper argues that the highest kind of love—‘pure intellectual love of God’—should not be understood (...) as an affect at all, but instead as unimpeded intellectual activity. This suggestion requires reconsidering Spinoza’s account of cognition, particularly his use of the Cartesian notions of objective and formal reality which are not only central to his theory of ideas but constitute the foundations of his salvation project. (shrink)

One seldom-noted consequence of most recent arguments for “animal rights” or against “speciesism” is their inability to provide a justification for differential treatment on the basis of species membership, even in cases of rare or endangered species. I defend the claim that arguments about the moral status of individual animals inadequately deal with this issue, and go on, with the help of several test cases, to reject three traditional analyses of our alleged obligation to protect endangered species. I conclude (a) (...) that these traditional analyses fail, (b) that there is an important conceptual confusion in any attempt to ascribe value to a species, and (c) that our obligation must ultimately rest on the value---often aesthetic-of individual members of certain species. (shrink)

Hume is famous for his criticism of substantial minds, free will, and self-consciousness—central elements in traditional philosophical accounts of persons. His empiricism dissolves self-inspecting minds into heaps of distinct perceptions and turns cognitive faculties into successions of causally related, discrete impressions and ideas. Whatever regularities the complex ideas and their bundles or heaps display are explained by laws of association of ideas, which are supposed to play the same role in the mental world as Newton’s laws of gravitation play in (...) physical nature. This paper explores some strands of the new science of man proposed in Hume’s Treatise, in particular his account of personal identity.. (shrink)

There are two main strands in the afterlife of Descartes’s famous redefinition of mind in terms of thinking likely to color one’s reading of his notion of mind or self. The one stressed most by his posterity and developed from early on in the empiricist tradition sees consciousness as its main characteristic. The other focuses on reason and rationality. This paper discusses the textual support for the first reading promoted by Ryle and his followers and aligns itself with the second (...) arguing that it is the exercise of its rational, cognitive capacities that are essential to the Cartesian mind and not consciousness, which is merely a presupposition for its rational activity. It examines the interrelation and respective roles of awareness on the one hand, and reason on the other in Descartes’s account of mind or self. But it also suggests that the role given by Descartes to the will in judgment and his separation of will and intellect into two distinct powers may be seen as contributing to a transformation of the very notion of reason and of self as a cognitive and moral agent. (shrink)

When we consider closely any highly integrated vital process, like embryonic development, or animal behavior of the end-subserving or purposive type, we are inevitably impressed with the importance of those special controlling factors, collectively termed “regulative,” which appear chiefly responsible for the unified and finalistic character of the whole sequence of events. These factors are persistent in their influence although they may act intermittently. Without their presence the sequence would soon lose coördination and “run wild,” just as an automobile runs (...) off the road unless occasional compensating touches are given to the steering wheel. They are the factors which give unity and direction to the total process. Generalizing, we may say that in any complex unified process, especially a synthetic one—where the progress is from less to greater complexity—integration seems always to imply or presuppose the operation of regulative factors having the character which we call directive. These keep the sequence of events to a definite course which in the living organism usually terminates in some outcome having special biological significance, or survival value. (shrink)

This paper reflects on the status of Descartes' notion of the mind-body union as an object of knowledge in the framework of his new philosophy of nature, and argues that it should be taken seriously as representing a third kind of real thing or reality—that of human nature. Because it does not meet the criteria of distinctness that the two natures composing it—those of thinking minds and extended bodies— meet, the phenomena referred to it, which are objects of psychology as (...) traditionally understood, fall outside the scope of clear and distinct perception required for knowledge. The prospects for rationalist psychology are bleak, since because of the mind-body union so little of the contents of the human mind are accessible to rational inspection or introspection. Mechanistic natural philosophy on the other hand gives us knowledge only of the physiological and corporeal aspects of the phenomena Descartes classifies as mental. What pertains to the mind-body union can only be known through the senses, moreover, we learn to conceive the mind-body union only through daily experience (“usant seulement de la vie et des conversations ordinaries”, AT 3, 695). I discuss the nature of this experience, and the sense in which Cartesian psychology without being part of his philosophy of nature in the strict sense of the term, can still be seen as a naturalist undertaking in a more traditional sense of nature where life, sentience, reasoning and rational action are all seen as natural phenomena. (shrink)

This book develops a grammatical method for our underlying presuppositions which can help us unravel the problem of evil. The problem essentially rests on a dualism between fact and meaning. 'Evil and Intelligibility' provides an examination of the grammar of being and of the intelligibility of the world, culminating in a philosophical grammar in which God, meaning, and evil can coexist.

In his Peirce and Religion, Roger Ward offers an insightful interpretative angle into Peirce’s philosophy. Ward interprets Peirce as a fundamentally religious Christian and Trinitarian thinker who holds that science and religion are complementary approaches to inquiry. He tracks the development of Peirce’s pragmatism against the background of Peirce’s life, and searches for points of contact between Peirce’s pragmatism on the one hand and Trinitarian theology and Christian ecclesiology on the other. Such an interpretation would place Peirce along great Christian (...) philosophers of language like Augustine, Duns Scotus, and J. G. Hamann.Ward first gives us an overview of Peirce’s intellectual background in mid-19th... (shrink)

1. 1826-1840 -- 2. 1840-1842 -- 3. 1842-1843 -- 4. 1844-1845 -- 5. 1845-1847 -- 6. 1847-1849 -- 7. 1850-1856 -- 8. 1857-1858 -- 9. 1859-1860.

This paper discusses the interrelations between three aspects of human emotions: their intentionality, their expressivity and their moral significance. It distinguishes three kinds of philosophical views of emotions: the cognitivist (classically held by the Stoics), the emotivist which reduces emotions to non‐intentional bodily sensations and physiological states, and the moral phenomenologist, the latter being held by Annette Baier, whose work is the focus of the discussion. Her view, which represents an original development of ideas found in Descartes and Hume, avoids (...) the reductionism of congitivist and emotivist accounts. The paper gives special attention to her notion of ‘deep’objects of emotions and to her account of the expressivity of emotions, arguing that while the first is problematic, the second is a significant contribution to our understanding of the role of emotions in our moral lives. (shrink)

Descartes's view of modality is analyzed by contrast to two earlier models: the ancient realist one, defended by Boethius, where possibility and necessity are connected to natural potency, and the modern intensionalist one, which dissociates necessary and possible truths from any ontological foundation, treating them as conceptual, a priori given preconditions for any intellect. The emergence of this view is traced from Gilbert of Poitiers to duns Scotus, Ockham and Suarez. The Cartesian theory of the creation of eternal truths, it (...) is argued, involves a rejection of this idea of absolute conceivability and can be seen as a constructivist view of intelligibility and rationality. (shrink)

This paper examines Descartes's third primary notion and the distinction between different kinds of knowledge based on different and mutually irreducible primary notions. It discusses the application of the notions of clearness and distinctness to the domain of knowledge based on that of mind-body union. It argues that the consequences of the distinctions Descartes is making with regard to our knowledge of the human mind and nature are rather different from those that have been attributed to Descartes due to the (...) influential Rylean picture of Cartesian mind-body dualism. (shrink)

In an article entitled ?The Ontological Status of Mental Images?, Robert Audi rejects the view presented in Hannay's Mental Images: A Defence, and proposes ?the property account of imaging? as an alternative. Some of the strengths and weaknesses of Audi's proposal are discussed, and a more detailed and specific version of the property account offered; it is suggested that imaging ? should be described as entertaining the thought that if one were looking at (or smelling, touching, hearing, etc.) x, things (...) would appear ? (shrink)