As with other areas of the social world, academic research in the contemporary healthcare setting has undergone adaptation and change. For example, research methods are increasingly incorporating citizen participation in the research process, and there has been an increase in collaborative research that brings academic and industry partners together. There have been numerous positive outcomes associated with both of these growing methodological and collaborative processes; nonetheless, both bring with them ethical considerations that require careful thought and attention. This paper addresses (...) the ethical considerations that research teams must consider when using participatory methods and/or when working with industry and outlines a novel informed consent matrix designed to maintain the high ethical standard to which academic research in the healthcare arena has traditionally adhered. (shrink)

Delirium has conventionally been considered a disorder of consciousness, but this remains a relatively unexamined precept. First, a review of the role of consciousness disruption in delirium is revised from an historical and diagnostic perspective. Second, consciousness measurement in routine assessment of delirium is considered. Conscious levels, comprising alertness and arousal, are most commonly used but are not representative of the multidimensionality of consciousness. Third, a justification for the exploration of phenomenal consciousness is presented. Three candidate dimensions of phenomenal consciousness (...) are identified as the pre-reflective state, phenomenal experience, and reflective thought. Finally, the clinical implications of a deeper understanding of delirium through measurement of phenomenal consciousness is considered. (shrink)

Philosopher Ludwig Wittgenstein had an enormous influence on twentieth-century philosophy even though only one of his works, the famous Tractatus Logico-Philosophicus, was published in his lifetime. Beyond this publication the impact of his thought was mainly conveyed to a small circle of students through his lectures at Cambridge University. Fortunately, many of his ideas have survived in both the dictations that were subsequently published, and the notes taken by his students, among them Alice Ambrose and the late Margaret Macdonald, (...) from 1932 to 1935. These notes, now edited by Professor Ambrose, are here published, and they shed much light on Wittgenstein's philosophical development. Among the topics considered are the meaning of a word and its relation to common usage, rules of grammar and their relation to fact, the grammar of first person statements, language games, and the nature of philosophy. This volume is indispensable to any serious discussion of Wittgenstein's work. (shrink)

It is argued that the generality of strong reciprocity theory (SRT) is limited by the existence of anonymous spontaneous cooperation, maintained in the absence of punishment, despite free-riding. We highlight how individual differences, status, sex, and the legitimacy of non-cooperation need to be examined to increase the internal and ecological validity of SRT experiments and, ultimately, SRT's external validity.

Abstract‘Synod’ and ‘synodality’ have become synonymous with Pope Francis. Since Pope Paul VI instituted the Synod of Bishops as a permanent office in 1965, there hasn't been any pontificate that has given these matters as much profile and attention as his has. Why is this the case, and what is Pope Francis’ vision for a synodal Church? More fundamentally, what is synodality, according to tradition of the Church, and Pope Francis? Several years into both local and global synodal-type processes and (...) formation gatherings, it seems many people, even prominent Church leaders, readily admit that they still do not fully understand it. For this reason, this article sets out to provide a general overview and introduction. (shrink)

Electron redistribution is the cornerstone of our understanding of chemical reactivity. For the vast majority of organic reactions electrons are assumed to move in pairs providing explanatory mechanisms through the generation of intermediate structures. But for many transformations these discrete steps are idealized constructs, involving intermediates assumed but not empirically justified. This unitary perspective predicated on the curved arrow formalism has resulted in the scenario where for many organic transformations our supposed understanding far surpasses our growing knowledge. Reformulating organic mechanisms (...) to include single electron transfer as a component of, or an alternative to, the prevailing iconic descriptions can provide for a more empirically adequate mechanistic description. In addition using the language of SET presents an opportunity to unify mechanistic concepts under a common donor/acceptor framework. (shrink)

Popular filmic and literary stereotypes of teachers from Brodie and Chips to Keating and Schneebly have not only reflected a public desire for radically innovative and perverse teaching practices, but also created those paradigms in ways that are not always readily identifiable or traceable. This article seeks to analyse tensions between traditional institutional protocols and contemporary populist opinion on the role of the effective teacher. In doing so, the article takes Peter Weir’s Dead Poets Society (1989) as a primary example (...) of those tensions and argues for a perverse ‘foolosophical’ view of pedagogical performance and a new appreciation for the necessity of ignorance in the classroom. Since ignorance and understanding are not taken as unambiguous antonyms, the article proposes that effective teaching and learning occur most effectively in the interstices between humility and hospitality. (shrink)

Suppose your friends had to ascribe a single vice to you in large measure, along with any virtues that could be coherently combined with that salient vice. Suppose further that the vice had to be either cowardice or impatience. Which would you choose? I believe almost everyone would choose impatience without hesitation. There are sound moral as well as purely self-regarding reasons for despising cowardice, and to that extent our preference would be reasonable. If we say that a man who (...) is a coward is also compassionate, we know that his compassion cannot be relied upon in any circumstances where it must contend with fear, and if he has a sense of justice, that will be useless if oppression has to be resisted. We cannot even expect him to pursue his own good whenever he perceives that to be hazardous, and so even the self-regarding virtues are corrupted by his dominating vice. On the other hand, a pronounced impatience may seem to be compossible with abundant virtue. Those who are just but cannot patiently endure tyranny are perhaps the most formidable threat to tyranny, and people who boldly go out to seize their own good often fare rather better than those who patiently await its arrival. (shrink)

The experience of agency refers to the feeling that we control our own actions, and through them the outside world. In many contexts, sense of agency has strong implications for moral responsibility. For example, a sense of agency may allow people to choose between right and wrong actions, either immediately, or on subsequent occasions through learning about the moral consequences of their actions. In this study we investigate the relation between the experience of operant action, and responsibility for action outcomes (...) using the intentional binding effect as an implicit, quantitative measure related to sense of agency. We studied the time at which people perceived simple manual actions and their effects, when these actions were embedded in scenarios where their actions had unpredictable consequences that could be either moral or merely economic. We found an enhanced binding of effects back towards the actions that caused them, implying an enhanced sense of agency, in moral compared to non-moral contexts. We also found stronger binding for effects with severely negative, compared to moderately negative, values. A tight temporal association between action and effect may be a low-level phenomenal marker of the sense of responsibility. (shrink)

Any liberal democratic state must honour religious and cultural pluralism in its educational policies. To fail to honour them would betray ideals of freedom and toleration fundamental to liberal democracy. Yet if such ideals are to flourish from one generation to the next, allegiance to the distinctive values of liberal democracy is a necessary educational end, whose pursuit will constrain pluralism. The problem of political education is therefore to ensure the continuity across generations of the constitutive ideals of liberal democracy, (...) while remaining hospitable to a diversity of conduct and belief that sometimes threatens those very ideals. Creating Citizens addresses this crucial problem. In lucid and elegant prose, Professor Callan, one of the world's foremost philosophers of education, identifies both the principal ends of civic education, and the rights that limit their political pursuit. This timely new study sheds light on some of the most divisive educational controversies, such as state sponsorship and regulation of denominational schooling, as well as the role of non-denominational schools in the moral and political development of children. Oxford Political Theory presents the best new work in contemporary political theory. It is intended to be broad in scope, including original contributions to political philosophy, and also work in applied political theory. The series will contain works of outstanding quality with no restriction as to approach or subject matter. The series editors are David Miller and Alan Ryan. (shrink)

This timely and important book presents a compelling new theory of political education for liberal democracies. Amidst current concern over the need to encourage a morally sensitive and committed citizenry, Professor Callan's study provides a much-needed balanced discussion of the proper ends of education, as well as the moral rights of parents and children.

The question “Are you what you eat?” is ultimately a question about change. When we eat, are the nutrients from the food simply added to the biological complex we call the body or are the nutrients a product of substantial change? The scientific literature on digestion often describes the process in the former manner, which, if it were the only way to describe the data, would prove problematic to an Aristotelian and Thomist philosophy. However, the interpretation of the scientific data (...) is not so simple and can be understood within the framework of a broad range of philosophical perspectives. This paper is an attempt to show how it is possible to reconcile the scientific data of digestion with an Aristotelian-Thomistic natural philosophy. (shrink)

How does teaching veer? In what ways can we tell if a literature lesson veers constructively or otherwise? How do we determine its limits and the correlations between success or failure in our teaching when — individually or collectively — we veer in a novel, a short story or a poem? If veering, as Nicholas Royle argues, can offer us a more dynamic critical vocabulary for reading literary works by developing singular responses to risk, failure, uncertainty and difficulty, then surely (...) it can also be a profitable way to determine the peripheries of pedagogical practice, what we can and cannot expect from the experience of education. Using the example of the short story ‘Powder’ by Tobias Wolff, and the responses from a given class in the specific context of reading this story, this article examines moments of veering and the difficulties of responding responsibly to the vicissitudes of what I will call moments of unlearning. The questions are, can we veer from theories of literature to theories of teaching? Have critique and difficulty (critique as an experience and practice of difficulty) run aground in our current context? Is it time, consequently, to veer away from difficulty as the purpose of teaching and learning? And if so, what would that veering look like as a practical pedagogical action? (shrink)

What does it mean to be un? This is not my question; it’s Jacques Rancière’s. In what follows I assign myself the simple task of explaining this turbulent little prefix and of recounting what this un connotes in Jacques Rancière’s work. More specifically, I tease out what it means in view of his prodigious writings on the politics and practice of education, of what it means to teach, to learn, and to fail to do either, of the aftermath of knowing (...) what it means to know that one does not know what one is doing when one conscientiously engages in teaching and learning, and how that uncertain knowledge can initiate an emancipatory awareness of what is often referred to in Rancière’s work as... (shrink)

This paper is about how best to understand the notion of ‘public wrongs’ in the longstanding idea that crimes are public wrongs. By contrasting criminal law with the civil laws of torts and contracts, it argues that ‘public wrongs’ should not be understood merely as wrongs that properly concern the public, but more specifically as those which the state, as the public, ought to punish. It then briefly considers the implications that this has on criminalization.

This paper critically appraises the arguments that have been offered for what can be called ‘the expressive function of punishment’. According to this view, what distinguishes punishment from other kinds of non-punitive hard treatment is that punishment conveys a censorial/reprobative message about what the punished has done, and that this expressive function should therefore be accepted as part of the nature and definition of punishment. Against this view, this papers argues that the standard account of punishment, according to which punishment (...) is a kind of hard treatment that is imposed on an alleged offender in response to her alleged wrongdoing, can already properly account for punishment and distinguish it from other kinds of hard treatment when it is properly clarified and understood. Thus there is no need to accept the expressive function of punishment in addition to the standard account when it comes to the nature and definition of punishment. (shrink)

In sub-Saharan Africa, a nurse gives iron pills as placebos to terminally ill patients. She tells them, acting in what she believes is in their best interests, “these will make you feel better”. The patients believe it will help their AIDS and their well-being improves. Do the motive and the patient’s positive outcome in well-being make the deceit justifiable when other issues such as consent, autonomy and potential consequences regarding the patient and the wider community are considered? Is there a (...) difference between lying and non-lying deception when the end result is the same? The patients feel better, but at what cost if the deceit was found out? It will be argued that although the actions of the nurse are understandable and to some extent defensible, they are unethical. It is not ethically acceptable to take away the patient’s autonomy and risk the health of the community even though the risk of deceit being discovered is a small one. (shrink)

I did something yesterday, so it was true a thousand years ago that I was going to do it. Could I help it, then? Professor Ryle shows that I could; he also shows that a dilemma like this starts with a slender base - the question whether statements in the future can be true - and opens out before one notices it into questions like 'is it worthwhile learning to swim?' In his second demonstration Professor Ryle proves that Achilles will (...) after all overtake his tortoise and will not have to pursue it through all eternity. These two puzzles were classic if academic examples of the dilemmas Professor Ryle is concerned with. Common sense tells me that I can to some extent control my life; should I then, faced with an apparently logical argument for fatalism, reject common sense? Again, because I enjoy or dislike things, are all my actions due to the seeking of pleasure and the avoidance of pain? Because my eyes and ears tell me one set of things about the world and science tels me another, am I to think my senses less reliable or accurate than science? Professor Ryle's aim is to arbitrate between these pairs of theories which compete for our allegiance, and to show that the either/or which they seem to insist on is a false dilemma. It may lead to mere muddle, or to a more subtle confusion; either way these tugs-of-war between conflicting theories may bring the ordinary man either to confused or wrong action or to intellectual apathy. (shrink)

This collection of essays represents the work of fifteen scholars in four disciplines: philosophy, theology, sociology, and cultural studies. It offers an interdisciplinary reflection on the role and impact of technology in society, focusing on the i.

This article is designed to explore and examine the key components of communication that emerged during the interactional analysis of a role play that took place in the classroom. The ‘actors’ were nurses who perceived the interaction to reflect an everyday encounter in a hospital ward. Permission to tape the interaction was sought and given by all persons involved. The principal ‘players’ in the scenario were: the patient, a 70-year-old-woman who had been admitted with dementia, her son and daughter, and (...) the nurse in charge of the ward. The fundamental dynamics of the use of power and restriction, truth telling, family stress, interpersonal conflict, ageism, sexism, empathy and humanism surfaced during the analysis. The findings show that therapeutic communication should be the foundation on which nursing should stand. The article continues with an exploration of the theoretical frameworks that guided the analysis of interaction and concludes by suggesting tentatively some meaningful implications for nursing practice. It plans to furnish provocative new insights into the sometimes covert communication dynamics occurring within the nurse-patient relationship. Finally, it aims to generate discussion on this little-charted realm of human social interaction. (shrink)

The ways in which the decisions we make for others differ from the ones we make for ourselves has received much attention in the literature, although less is known about their relationship to our p...

Heisenberg’s explanation of how two coupled oscillators exchange energy represented a dramatic success for his new matrix mechanics. As matrix mechanics transmuted into wave mechanics, resulting in what Heisenberg himself described as …an extraordinary broadening and enrichment of the formalism of the quantum theory , the term resonance also experienced a corresponding evolution. Heitler and London’s seminal application of wave mechanics to explain the quantum origins of the covalent bond, combined with Pauling’s characterization of the effect, introduced resonance into the (...) chemical lexicon. As the Valence Bond approach gave way to a soon-to-be dominant Molecular Orbital method, our understanding of the term resonance, as it might apply to our understanding the chemical bond, has also changed. (shrink)

Autonomy is important to leading a good life but a common liberal instrumental construal of the way in which it contributes to the leading of a good life is defective. A one‐sided focus on the development of capacities for revision of conceptions of the good should be corrected by attention to the value of developing capacities permitting a rational adherence to a conception of the good. Exposing children to a diverse but shallow secular and consumer culture might not facilitate goodness‐enhancing (...) autonomy in a way that is superior to the more insular strategies of religious minorities whose child‐rearing practices are criticized by liberals. (shrink)

Eamonn Callan; McLaughlin on Parental Rights, Journal of Philosophy of Education, Volume 19, Issue 1, 30 May 2006, Pages 111–118, https://doi.org/10.1111/j.1467.