This manuscript proposes a proactive framework for preventing or mitigating disruptive ethical conflicts that often result from delayed or avoided conversations about the ethics of care. Four components of the framework are explained and illustrated with evidenced-based actions. Clinical implications of adopting a prevention-based, system-wide ethics framework are discussed. While some aspects of ethically-difficult situations are unique, system patterns allow some issues to occur repeatedly—often with lingering effects such as healthcare providers’ disengagement and moral distress (McAndrew et al. Journal of (...) Trauma Nursing 18(4):221–230, 2011), compromised inter-professional relationships (Rosenstein and O’Daniel American Journal of Nursing, 105(1):54–64, 2005), weakened ethical climates (Pauly et al. HEC Forum 24:1–11, 2012), and patient safety concerns (Cimiotti et al. American Journal of Infection Control 40:486–490, 2012). This work offers healthcare providers and clinical ethicists a framework for developing a comprehensive set of proactive, ethics-specific, and evidence-based strategies for mitigating ethical conflicts. Furthermore, the framework aims to encourage innovative research and novel ways of collaborating to reduce such conflicts and the moral distress that often results. (shrink)

Stresses on healthcare systems and moral distress among clinicians are urgent, intertwined bioethical problems in contemporary healthcare. Yet conceptualizations of moral distress in bioethical inquiry often overlook a range of routine threats to professional integrity in healthcare work. Using examples from our research on frontline physicians working during the COVID-19 pandemic, this article clarifies conceptual distinctions between moral distress, moral injury, and moral stress and illustrates how these concepts operate together in healthcare work. Drawing from the philosophy of healthcare, we (...) explain how moral stress results from the normal operations of overstressed systems; unlike moral distress and moral injury, it may not involve a sense of powerlessness concerning patient care. The analysis of moral stress directs attention beyond the individual, to stress-generating systemic factors. We conclude by reflecting on how and why this conceptual clarity matters for improving clinicians’ professional wellbeing, and offer preliminary pathways for intervention. (shrink)

It is widely noted that physicalism, taken as the doctrine that the world contains just what physics says it contains, faces a dilemma which, some like Tim Crane and D.H. Mellor have argued, shows that “physicalism is the wrong answer to an essentially trivial question”. I argue that both problematic horns of this dilemma drop out if one takes physicalism not to be a doctrine of the kind that might be true, false, or trivial, but instead an attitude or oath (...) one takes to formulate one’s ontology solely according to the current posits of physics. (shrink)

Within the field of quantum gravity, there is an influential research program developing the connection between quantum entanglement and spatiotemporal distance. Quantum information theory gives us highly refined tools for quantifying quantum entanglement such as the entanglement entropy. Through a series of well-confirmed results, it has been shown how these facts about the entanglement entropy of component systems may be connected to facts about spatiotemporal distance. Physicists are seeing these results as yielding promising methods for better understanding the emergence of (...) (the dynamical) spacetime (of general relativity) from more fundamental quantum theories, and moreover, as promising for the development of a nonperturbative theory of quantum gravity. However, to what extent does the case for the entanglement entropy-distance link provide evidence that spacetime structure is nonfundamental and emergent from nongravitational degrees of freedom? I will show that a closer look at the results lends support only to a weaker conclusion, that the facts about quantum entanglement are constrained by facts about spatiotemporal distance, and not that they are the basis from which facts about spatiotemporal distance emerge. (shrink)

What justifies the allocation of funding to research in physics when many would argue research in the life and social sciences may have more immediate impact in transforming our world for the better? Many of the justifications for such spending depend on the claim that physics enjoys a kind of special status vis-a-vis the other sciences, that physics or at least some branches of physics exhibit a form of fundamentality. The goal of this paper is to articulate a conception of (...) fundamentality that can support such justifications. I argue that traditional conceptions of fundamentality in terms of dynamical or ontic completeness rest on mistaken assumptions about the nature and scope of physical explanations. (shrink)

This is a new volume of original essays on the metaphysics of quantum mechanics. The essays address questions such as: What fundamental metaphysics is best motivated by quantum mechanics? What is the ontological status of the wave function? Does quantum mechanics support the existence of any other fundamental entities, e.g. particles? What is the nature of the fundamental space of quantum mechanics? What is the relationship between the fundamental ontology of quantum mechanics and ordinary, macroscopic objects like tables, chairs, and (...) persons? This collection includes a comprehensive introduction with a history of quantum mechanics and the debate over its metaphysical interpretation focusing especially on the main realist alternatives. (shrink)

There is a standard way of interpreting physicalism. This is as a completeness thesis of some kind. Completeness physicalists believe there is or in principle could be some future physics that provides a complete explanatory or ontological basis for our universe. And this provides a sense in which physics is special among the sciences, the sense in which it is fundamental. This paper contrasts this standard completeness physicalism with what is a more plausible maximality physicalism. Maximality physicalists believe physics is (...) special only in its providing an epistemic framework that is ontologically or explanatorily superior in some respect. This paper shows how completeness physicalists cannot, while maximality physicalists can, provide an adequate explanation of the empirical support for and the pragmatic usefulness of physicalism. It also shows how maximality physicalism is better supported in light of several developments from late twentieth century philosophy of science. (shrink)

Jaegwon Kim has argued that unless mental events are reducible to subvening physical events, they are at best overdeterminers of their effects. Recently, nonreductive physicalists have endorsed this consequence claiming that the relationship between mental events and their physical bases is tight enough to render any such overdetermination nonredundant, and hence benign. I focus on instances of this strategy that appeal to the notion of constitution. Ultimately, I argue that there is no way to understand the relationship between irreducible mental (...) events and their physical bases such as to both eliminate causal redundancy and preserve the efficacy of mental events. (shrink)

Cooperative child care among humans, where individuals other than the biological mother (allomothers) provide care, may increase a mother’s fertility and the survivorship of her children. Although the potential benefits to the mother are clear, the motivations for allomothers to provide care are less clear. Here, we evaluate the kin selection allomothering hypothesis using observations on Hadza hunter-gatherers collected in ten camps over 17 months. Our results indicate that related allomothers spend the largest percentage of time holding children. The higher (...) the degree of relatedness among kin, the more time they spend holding, supporting the hypothesis of nepotism as the strongest motivation for providing allomaternal care. Unrelated helpers of all ages also provide a substantial amount of investment, which may be motivated by learning to mother, reciprocity, or coercion. (shrink)

You want to see the concert, but don’t want to take a long drive (even though the concert is far away). Such *strongly conflicting desire ascriptions* are, I show, wrongly predicted incompatible by standard semantics. I then object to possible solutions, and give my own, based on *some-things-considered desire*. Considering the fun of the concert, but ignoring the drive, you want to see the concert; considering the boredom of the drive, but ignoring the concert, you don’t want to take the (...) drive. (shrink)

This semester-long research project examined the use of social studies trade books to thematically teach about six individuals who served as change agents in the United States during the late 19th century and early 20th century. Three of the individuals were African American men, Robert Smalls, Frederick Douglass, and John Roy Lynch, who took civic action to address racial discrimination faced by the Black community in the half century following the U.S. Civil War. The other three indivduals were women women, (...) Ida B. Wells, Clara Lemlich, and Jane Addams, who challenged social inequities and injustices within their communities. Over the course of the semester-long research project, sixth-grade U.S. history students read selected trade books, examined primary sources, completed graphic organizers, and crafted writing assessments about each of the six individuals. Students demonstrated complex historical thinking, integrated economic and civic thinking, and communicated thematic ideas of systemic oppression of minorities, women, and the poor. They struggled to make connections between examples of historic oppression and contemporary examples of societal oppression. (shrink)

Cross-cultural sex differences in mobility and harm avoidance have been widely reported, often emphasizing fitness benefits of long-distance travel for males and high costs for females. Data emerging from adults in small-scale societies, however, are challenging the assumption that female mobility is restricted during reproduction. Such findings warrant further exploration of the ontogeny of mobility. Here, using a combination of machine-learning, mixed-effects linear regression, and GIS mapping, we analyze range size, daily distance traveled, and harm avoidance among Hadza foragers during (...) middle childhood and adolescence. Distance traveled increased with age and, while male adolescents had the longest daily ranges, average daily distance traveled by each sex was similar. We found few age- or sex-related patterns in harm-avoidant responses and a high degree of individual variation. When queried on the same issues, children and their parents were often in alignment as to expectations pertaining to harm avoidance, and siblings tended to behave in similar ways. To the extent that sex differences in mobility did emerge, they were associated with ecological differences in physical threats associated with sex-specific foraging behaviors. Further, we found no strong association between harm avoidance and mobility. Young Hadza foragers of both sexes are highly mobile, regardless of how harm avoidant they are. Taken together, our findings indicate that the causal arrows between harm avoidance and mobility must be evaluated in ecologically specific frameworks where cultural expectations of juvenile mobility can be contextualized. (shrink)

This is a new volume of original essays on the metaphysics of quantum mechanics. The essays address questions such as: What fundamental metaphysics is best motivated by quantum mechanics? What is the ontological status of the wave function? What is the nature of the fundamental space (or space-time manifold) of quantum mechanics?

"What are the ontological implications of quantum theories, that is, what do they tell us about the fundamental objects that make up our world? How should quantum theories make us reevaluate our classical conceptions of the basic constitution of material objects and ourselves? Is there fundamental quantum nonlocality? This book articulates several rival approaches to answering these questions, ultimately defending the wave function realist approach. It is a way of interpreting quantum theories so that the central object they describe is (...) the quantum wave function, interpreted as a field, and that the nonseparability and nonlocality we seem to find in quantum mechanics are ultimately manifestations of a more intuitive, separable and local picture in higher dimensions. quantum mechanics, quantum field theory, wave function, wave function realism, measurement problem, macro-object problem, primitive ontology, quantum entanglement, quantum nonlocality, quantum ontology"--. (shrink)

The COVID-19 pandemic introduced many restrictions to in-person interactions, and remote social interactions may be especially important for managing loneliness when such restrictions are in place. However, it is unclear how social interactions are related to loneliness when in-person interactions are limited. Data were collected between February 2021 and March 2022 from a sample of 581 university students. Participants reported their loneliness and participation in positive in-person or remote social interactions each day for 14 days. Results from dynamic structural equation (...) models showed that participants felt less lonely than they usually felt on the days they engaged in positive remote interactions at the within-person level. Moreover, participants generally felt less lonely when engaging more frequently in remote interactions, but only when in-person interactions were restricted (between-person level). Some of these results varied by changing COVID-19 restrictions. Finally, for participants who felt lonelier in general, the effect of positive in-person and remote interactions on loneliness was less strong. These findings suggest that social interactions may buffer loneliness but are not as impactful for those who experience greater loneliness. (shrink)

Algorithms wield increasing control over our lives—over which jobs we get, whether we're granted loans, what information we're exposed to online, and so on. Algorithms can, and often do, wield their power in a biased way, and much work has been devoted to algorithmic bias. In contrast, algorithmic neutrality has gone largely neglected. I investigate three questions about algorithmic neutrality: What is it? Is it possible? And when we have it in mind, what can we learn about algorithmic bias?

This paper argues for the concept of a decolonial humanism at the heart of C.L.R. James’s theoretical and political engagements. In exploring the concept of decolonial humanism, the paper moves through three major sections dealing with some of the definitive epistemic and political aspects of James’s work: a critique of Enlightenment Humanism and European Marxism without disavowing the aspirations of universal human emancipation; James’s work with the Johnson-Forest Tendency, the Pan-Africanist movement, and his attempts at labor organizing in Trinidad first (...) alongside Eric Williams in the People’s National Movement and later in his own Workers and Farmer’s Party ; and the practicality of decolonial humanism in terms of its adoption by Tim Hector and the Antigua Caribbean Liberation Movement. (shrink)

From David Hume's famous puzzle about 'the missing shade of blue' to current research into the science of colour, the topic of colour is an incredibly fertile region of study and debate, cutting across philosophy of mind, epistemology, metaphysics and aesthetics as well as psychology. Debates about the nature of our experience of colour and the nature of colour itself are central to contemporary discussion and argument in philosophy of mind and psychology, and philosophy of perception. This outstanding Handbook contains (...) twenty-nine specially commissioned contributions by leading philosophers and examines the most important aspects of philosophy of colour. It is organised into six parts: The Importance of Colour to Philosophy The Science and Spaces of Colour Colour Phenomena Colour Ontology Colour Experience and Epistemology Language, Categories and Thought. The Routledge Handbook of Philosophy of Colour is essential reading for students and researchers in philosophy of mind and psychology, epistemology, metaphysics and aesthetics, as well as for those interested in conceptual issues in the psychology of colour. (shrink)

Neo-Fregeanism aims to provide a possible route to knowledge of arithmetic via Hume’s principle, but this is of only limited significance if it cannot account for how the vast majority of arithmetic knowledge, accrued by ordinary people, is obtained. I argue that Hume’s principle does not capture what is ordinarily meant by numerical identity, but that we can do much better by buttressing plural logic with plural versions of the ancestral operator, obtaining natural and plausible characterizations of various key arithmetic (...) concepts, including finiteness, equinumerosity and addition and multiplication of cardinality—revealing these to be logical concepts, and obtaining much of ordinary arithmetic knowledge as logical knowledge. Supplementing this with an abstraction principle and a simple axiom of infinity (known either empirically or modally) we obtain a full interpretation of arithmetic. (shrink)

It describes and explains the patient-centered model examining and evaluating qualitative and quantitative research. It comprehensively covers the evolution and the six interactive components of the patient-centered clinical method, taking the reader through the relationships between the patient and doctor and the patient and clinician. All the editors are professors in the Department of Family Medicine at the University of Western Ontario, London, Canada.

Realists wanting to capture the facts of quantum entanglement in a metaphysical interpretation find themselves faced with several options: to grant some species of fundamental nonseparability, adopt holism, or to view localized spacetime systems as ultimately reducible to a higher-dimensional entity, the quantum state or wave function. Those adopting the latter approach and hoping to view the macroscopic world as grounded in the quantum wave function face the macro-object problem. The challenge is to articulate the metaphysical relation obtaining between three-dimensional (...) macro-objects and the wave function so that the latter may be seen in some sense as constituting the former. This paper distinguishes several strategies for doing so and defends one based on a notion of partial instantiation. (shrink)

Over the past several years, the human rights implications of climate change have become more evident. While extreme weather events and slow onset changes caused by climate change affect the exercise of human rights, the implementation of climate change policies - in relation to both mitigation and adaptation - may also lead to the infringement of the rights of indigenous peoples and local communities. Despite this recognition by the UN Human Rights Council and other bodies, the international climate change regime (...) has failed to address these implications, recognizing only in 2010 the importance for parties to respect human rights in the implementation of the Framework Convention. The adoption of the Durban Platform for Enhanced Action (ADP), together with the reform of existing mechanisms and the operationalization of new institutions, offers several opportunities to ensure the adequate fulfillment of human rights obligations under the Convention. In this commentary, we highlight four concrete options available to the parties in the upcoming negotiations to guarantee the respect of substantial and procedural rights of all the stakeholders and to offer a redress mechanism in the case of loss and damages caused by climate change. (shrink)

Ecological concern has recently prompted efforts to assess the economic value of ecological functions: the “work of nature” must no longer be taken for granted as a free amenity, but priced and accounted for as “natural capital.” Critiques of this approach tend to defend nature’s intrinsic value against intrusions of economic logic, but fail to articulate a compelling politics in response. I here argue that nature ought indeed to be brought in to the realm of political economy, but question the (...) category of natural capital: instead, extending the insights of feminist theorists regarding undervalued forms of production, I articulate an expanded idea of hybrid labor that understands the “work of nature” as a collective, distributed undertaking of humans and nonhumans acting to reproduce, regenerate, and renew a common world. This approach poses the value of nature as inherently political and suggests the potential for new forms of more-than-human politics. (shrink)

Obstacles to achieving a global climate treaty include disagreements about questions of justice raised by the UNFCCC's principle that countries should respond to climate change by taking cooperative action "in accordance with their common but differentiated responsibilities and respective capabilities and their social and economic conditions". Aiming to circumvent such disagreements, Climate Change Justice authors Eric Posner and David Weisbach argue against shaping treaty proposals according to requirements of either distributive or corrective justice. The USA's climate envoy, Todd Stern, takes (...) a similar position. In this article I explain the practical and theoretical drawbacks of Posner & Weisbach's welfarist perspective and propose an alternative. I show that their arguments fail to rule out John Rawls' non-utilitarian, political conception of international justice and human rights, the Law of Peoples. On this basis I develop a conception of climate justice that highlights implications of some of Rawls' principles and adds a principle for determining fair shares of climate -treaty-related benefits and burdens. I propose this conception as a moral framework for negotiating a treaty that would promote human welfare consistently with requirements of justice, and I argue that a treaty proposal satisfying these requirements could best satisfy Posner & Weisbach's own feasibility criteria. (shrink)

Incidental findings in research with human participants may have implications for a person’s present health or future health outcomes. Current guidelines focus on methods for handling and reporting incidental findings from biological test data but incidental findings might also arise from non-biological tests. This article presents three examples in which the results from non-biological test data can be predictive of future disease and should be disclosed to research participants. It is intended to increase awareness and facilitate further discussion about the (...) reporting of incidental findings from non-biological data. (shrink)

This paper defends wave function realism against the charge that the view is empirically incoherent because our evidence for quantum theory involves facts about objects in three-dimensional space or space-time . It also criticizes previous attempts to defend wave function realism against this charge by claiming that the wave function is capable of grounding local beables as elements of a derivative ontology.

There are now several, realist versions of quantum mechanics on offer. On their most straightforward, ontological interpretation, these theories require the existence of an object, the wavefunction, which inhabits an extremely high-dimensional space known as configuration space. This raises the question of how the ordinary three-dimensional space of our acquaintance fits into the ontology of quantum mechanics. Recently, two strategies to address this question have emerged. First, Tim Maudlin, Valia Allori, and her collaborators argue that what I have just called (...) the ‘most straightforward’ interpretation of quantum mechanics is not the correct one. Rather, the correct interpretation of realist quantum mechanics has it describing the world as containing objects that inhabit the ordinary three-dimensional space of our manifest image. By contrast, David Albert and Barry Loewer maintain the straightforward, wavefunction ontology of quantum mechanics, but attempt to show how ordinary, three-dimensional space may in a sense be contained within the high-dimensional configuration space the wavefunction inhabits. This paper critically examines these attempts to locate the ordinary, three-dimensional space of our manifest image “within” the ontology of quantum mechanics. I argue that we can recover most of our manifest image, even if we cannot recover our familiar three-dimensional space. (shrink)

Some philosophers argue that many contemporary debates in metaphysics are “illegitimate,” “shallow,” or “trivial,” and that “contemporary analytic metaphysics, a professional activity engaged in by some extremely intelligent and morally serious people, fails to qualify as part of the enlightened pursuit of objective truth, and should be discontinued” (Ladyman and Ross, Every thing must go: Metaphysics naturalized , 2007 ). Many of these critics are explicit about their sympathies with Rudolf Carnap and his circle, calling themselves ‘neo-positivists’ or ‘neo-Carnapians.’ Yet (...) despite the fact that one of the main conclusions of logical positivism was that metaphysical statements are meaningless, many of these neo-positivists are themselves engaged in metaphysical projects. This paper aims to clarify how we may see a neo-positivist metaphysics as proceeding in good faith, one that starts with serious engagement with the findings of science, particularly fundamental physics, but also has room for traditional, armchair methods. (shrink)

This article discusses recent disagreements over the correct formulation of physicalism. Although there appears to be a consensus outside those who discuss the issue that physicalists believe that what exists is what is countenanced by physics, as we will see, this orthodoxy faces an important puzzle now frequently referred to as 'Hempel's Dilemma'. After surveying the historical trajectory from Enlightenment-era materialism to contemporary physicalism, I examine several mainstream approaches that respond to Hempel's dilemma, and the benefits and drawbacks of each.

Neural devices have the capacity to enable users to regain abilities lost due to disease or injury – for instance, a deep brain stimulator (DBS) that allows a person with Parkinson’s disease to regain the ability to fluently perform movements or a Brain Computer Interface (BCI) that enables a person with spinal cord injury to control a robotic arm. While users recognize and appreciate the technologies’ capacity to maintain or restore their capabilities, the neuroethics literature is replete with examples of (...) concerns expressed about agentive capacities: A perceived lack of control over the movement of a robotic arm might result in an altered sense of feeling responsible for that movement. Clinicians or researchers being able to record and access detailed information of a person’s brain might raise privacy concerns. A disconnect between previous, current, and future understandings of the self might result in a sense of alienation. The ability to receive and interpret sensory feedback might change whether someone trusts the implanted device or themselves. Inquiries into the nature of these concerns and how to mitigate them has produced scholarship that often emphasizes one issue – responsibility, privacy, authenticity, or trust – selectively. However, we believe that examining these ethical dimensions separately fails to capture a key aspect of the experience of living with a neural device. In exploring their interrelations, we argue that their mutual significance for neuroethical research can be adequately captured if they are described under a unified heading of agency. On these grounds, we propose an “Agency Map” which brings together the diverse neuroethical dimensions and their interrelations into a comprehensive framework. With this, we offer a theoretically-grounded approach to understanding how these various dimensions are interwoven in an individual’s experience of agency. (shrink)

This is a commentary on Mathias Frisch's book Causal Reasoning in Physics (Cambridge 2014). This commentary was presented at the 2016 Pacific Division Meeting of the American Philosophical Association in a session sponsored by the Society for the Metaphysics of Science.

This paper examines the relationship between physical theories of causation and theories of difference-making. It is plausible to think that such theories are compatible with one another as they are aimed at different targets: the former, an empirical account of actual causal relations; the latter, an account that will capture the truth of most of our ordinary causal claims. The question then becomes: what is the relationship between physical causation and difference-making? Is one kind of causal fact more fundamental than (...) the other? This paper defends causal foundationalism: the view that facts about difference-making are dependent on the obtaining of facts about physical causation. However, the paper's main goal is to clarify the structure of the debate. At the end of the paper, it is shown how settling the issue about the relationship between physical theories of causation and theories of difference-making has more than mere intrinsic interest in unifying the very different pursuits that have been undertaken in the philosophy of causation. It can help to break a stalemate that has arisen in the current debate about mental causation. (shrink)

Once anesthetized, patients are inherently “compliant” with surgical interventions because they can no longer intervene on their own behalf. In their target article, Minkoff et al. (2024) reasonabl...

Physicalism is sometimes portrayed by its critics as a dogma, but there is an empirical argument for the position, one based on the accumulation of diverse microphysical causal explanations in physics, chemistry, and physiology. The canonical statement of this argument was presented in 2001 by David Papineau. The goal of this paper is to demonstrate a tension that arises between this way of understanding the empirical case for physicalism and a view that is becoming practically a received position in philosophy (...) of physics: that microphysics does not support the existence of causal facts (and so does not support causal explanations). Indeed this is a conclusion embraced in recent work by Papineau himself. This paper examines a range of natural ways of avoiding this tension and reconciling the empirical case for physicalism with the rejection of microphysical causation. (shrink)