Background: Direct–to–consumer genetic testing (DTCGT) offers risk estimates for a variety of complex diseases and conditions, yet little is known about its impact on actual users, including their decisions about sharing the information gleaned from testing. Ethical considerations include the impact of unsolicited genetic information with variable validity and clinical utility on relatives, and the possible burden to the health care system if revealed to physicians. Aims: The qualitative study explored primary care patients’ views, attitudes, and decision making considerations regarding (...) DTCGT. This article focuses on the disclosure decisions participants made regarding participation, testing, and results of DTCGT, a topic which arose as a secondary aim of the study. Methods: Through four longitudinal interviews (pre–test, results, 3 and 12 months post–test) we examined twenty primary care patients’ decisions, expressed intentions, and actions regarding disclosure to immediate and extended family, friends and coworkers, and physicians about participation in and results of DTCGT. Individual interviews were analyzed using qualitative content analysis and a summative approach to describe the global themes. Results: Most participants disclosed to some immediate family; less than half disclosed to extended family; approximately half talked to friends. Most participants stated they would or might disclose to physicians about DTCGT and a few did. Conceptual themes that emerged from the data analysis include ambivalence about disclosure, consistency between intention and actual disclosure behavior and decisions, and conditional information sharing. Conclusions: Participants’ intentional and actual disclosure patterns offer insight into how they view DTCGT, weigh results, and the potential impact of DTCGT. (shrink)

I want to thank Paul Lieberman, Nancy Nyquist Potter, and Marilyn Nissim-Sabat for their very thoughtful and stimulating commentaries on my paper (Lieberman 2007; Potter 2007; Nissim-Sabat 2007). Each offers an interesting and distinct challenge to my work and I am happy for the opportunity to reply to the insights they bring to it. In this short response, I focus on what I take to be the most serious objections from each commentator, with the hopes of both clearing up some (...) ambiguities and loose ends present in my paper as well as elaborating some of my ideas in more detail. (shrink)

How the new conspiracists are undermining democracy—and what can be done about it Conspiracy theories are as old as politics. But conspiracists today have introduced something new—conspiracy without theory. And the new conspiracism has moved from the fringes to the heart of government with the election of Donald Trump. In A Lot of People Are Saying, Russell Muirhead and Nancy Rosenblum show how the new conspiracism differs from classic conspiracy theory, how it undermines democracy, and what needs to be done (...) to resist it. (shrink)

Most traditional accounts of Aristotle's theory of ethical education neglect its cognitive aspects. This book asserts that, in Aristotle's view, excellence of character comprises both the sentiments and practical reason. Sherman focuses particularly on four aspects of practical reason as they relate to character: moral perception, choicemaking, collaboration, and the development of those capacities in moral education. Throughout the book, she is sensitive to contemporary moral debates, and indicates the extent to which Aristotle's account of practical reason provides an alternative (...) to theories of impartial reason. (shrink)

This work examines the concept of trust in the light of virtue theory, and takes our responsibility to be trustworthy as central. Rather than thinking of trust as risk-taking, Potter views it as equally a matter of responsibility-taking. Her work illustrates that relations of trust are never independent from considerations of power, and that asking ourselves what we can do to be trustworthy allows us to move beyond adversarial trust relationships and toward a more democratic, just, and peaceful society.

It is proposed here that the Confucian li, norms of appropriate behavior, be understood as part of the dynamic process of moral self-cultivation. Within this framework li are multidimensional, as they have different functions at different stages in the cultivation process. This novel interpretation refocuses the issue regarding the flexibility of li, a topic that is still being debated by scholars. The significance of this proposal is not restricted to a new understanding of li. Key features of the various stages (...) of moral development in Confucian thought are also articulated. This account presents the picture of a Confucian paradigmatic person as critically self-aware and ethically sensitive. (shrink)

Skill and Mastery: Philosophical Stories from the Zhuangzi presents an illuminating analysis of skill stories from the Zhuangzi, a 4th century BCE Daoist text. In this intriguing text that subverts conventional norms and pursuits, ordinary activities such as swimming, cicada-catching and wheelmaking are executed with such remarkable efficacy and spontaneity that they seem like magical feats. An international team of scholars explores these stories in their philosophical, historical and political contexts. Their analyses’ highlight the stories’underlying conceptions of agency, character and (...) cultivation; and relevance to contemporary debates on human action and experience. The result is a valuable collection, opening up new lines of inquiry in comparative East-West philosophical debates on skill, cultivation and mastery, as well as cross-disciplinary debates in psychology, cognitive science and philosophy. (shrink)

James Bohman’s Democracy across borders: from demos to demoi is a rich and deep text. It is also deceptively short in length in comparison to those authors he engages and compactly reconstructs. Bohman puts forward strong normative arguments for a ‘reconstructed’ ideal of transnational democracy and provides models for realizing these ideals that also aim to meet standards of practicability. Bohman articulates the minimum necessary conditions for any democratic ideal in terms of freedom from domination and freedom to initiate and (...) engage in efficacious democratic deliberation across the borders of currently existing political communities. The argument charts a novel democratic ideal in terms of the global deliberative situation that is fundamentally different from the authors he discusses in light of existing facts about globalization, institutions, and the pluralism of demoi. In these comments I will focus on two main areas. (shrink)

ABSTRACT History of science and history of medicine are today largely organized as distinct disciplines, though ones widely recognized as interrelated. Attempts to evaluate the extent and nature of their relation have reached varying conclusions, depending in part on the historical period under consideration. This essay examines some characteristics of European medicine from the fifteenth to the early seventeenth century and considers their relevance for the history of science. Attention is given to the range of interests and activities of individuals (...) trained in or practicing medicine, to the impact of changes in natural philosophy, to the role of observation, description, and accumulation of information, and to the exchange of knowledge among the medical community. (shrink)

From the earliest photographic attempts to represent tropical hybrid races to depictions of disease in new tropical medicines, Picturing Tropical Nature offers ...

The Zhuangzi is noted for its advocacy of many different perspectives—chickens, cicadas, fish and the like. There is much debate in the literature about the implications of Zhuangzi’s pluralist inclinations. I suggest that Zhuangzi highlights the limitations of individual, perspectivally-constrained, knowledge claims. He also spurns the ‘view from nowhere’ and is sceptical about the possibility of an ideal observer. For him, wisdom consists in understanding the epistemological inadequacies of each perspective. I propose that Zhuangzi’s philosophy offers significant insights to an (...) increasingly globalized world characterized by a plurality of ethical and value commitments. It does not assume there will necessarily be universal agreement or a standardized answer. Most importantly, it is a position that seeks to augment self-understanding and enrich the self in dialogue with and response to others. (shrink)

Feminist philosophy has had a powerful impact not just on philosophy but on other disciplines as well. This imaginatively edited anthology enables readers to sample this literature widely and to trace the breadth and the depth of its influence.

In this research, we surveyed 214 college journalists to assess their attitudes toward a series of ethical dilemmas. Significant predictors of a nine-item index included years enrolled in college,...

ABSTRACT In this commentary, I delve into areas in which I agree as well as disagree with Glen Pettigrove’s interesting ideas. I am very much in agreement with his views about the limited use of the proportionality principle in attempting to explain what virtue adds to value. The main portion of his essay, however, lies in his treatment of three approaches purporting to explain how virtue adds to value: Hurka’s recursive theory; what Pettigrove calls the ‘response-dependent’ view; and his own (...) account, which he calls the ‘modus operandi’ view. Though I agree with his criticisms of the recursive theory, I express concerns about his treatment of the response-dependent view, as well as about Pettigrove’s own modus operandi account. (shrink)

A distinguishing characteristic of Confucianism is its emphasis on learning (xue), is a key element in moral self cultivation. This paper discusses why learning from the experiences of those in the past is important in Confucian learning.

This chapter sets out several views of empathy that draw not only on psychology's literature but on philosophical and psychiatric writings. Empathy is a set of complex concepts involving perception, emotion, attitudinal orientation, and other cognitive processes as well as an activity that expresses character traits and, hence, one of the virtues. In other words, an examination of the philosophical and clinical literature reveals empathy to be not one unified concept but instead a set of related characteristics and qualities needed (...) to be an ethical and therapeutically effective clinician. To this end, the chapter offers reasons as to why empathy is important to clinical work: empathy is both epistemically and ethically necessary to good social relations and, in particular, clinical relations. It then distinguishes empathy from a related concept called "world"-traveling and situates its relevance to therapeutic relations. Finally it brings these ideas together by highlighting Iris Murdoch's ideas of "just vision" and "loving attention.". (shrink)

Margaret Monahan Hogan; Catholic Health Care Institutions: Dinosaurs Awaiting Extinction or Safe Refuge in a Culture of Death, Christian bioethics: Non-Ecumenic.

Ever since David Hume, empiricists have barred powers and capacities from nature. In this book Cartwright argues that capacities are essential in our scientific world, and, contrary to empiricist orthodoxy, that they can meet sufficiently strict demands for testability. Econometrics is one discipline where probabilities are used to measure causal capacities, and the technology of modern physics provides several examples of testing capacities (such as lasers). Cartwright concludes by applying the lessons of the book about capacities and probabilities to the (...) explanation of the role of causality in quantum mechanics. (shrink)

ABSTRACT History of science and history of medicine are today largely organized as distinct disciplines, though ones widely recognized as interrelated. Attempts to evaluate the extent and nature of their relation have reached varying conclusions, depending in part on the historical period under consideration. This essay examines some characteristics of European medicine from the fifteenth to the early seventeenth century and considers their relevance for the history of science. Attention is given to the range of interests and activities of individuals (...) trained in or practicing medicine, to the impact of changes in natural philosophy, to the role of observation, description, and accumulation of information, and to the exchange of knowledge among the medical community. (shrink)

This essay undertakes a critique of recent trends in affect theory from the standpoint of the “human motor”: a trope that presupposes a thermodynamic psychophysiology distended between energy conservation and entropy. In the course of reanimating thermodynamic motifs in Marx's labor power metabolics and Freud's trauma energetics, the essay broaches entropics as a poetics of depletion that offsets affect theories promoting open-system metaphors. Open-system affect theory sometimes amalgamates emancipatory post-humanist gestures inherited from Gilles Deleuze and Félix Guattari with neuroscientific terms. (...) In the course of “liberating” affect from subject-oriented topoi, this “liberation-scientistic” admixture expropriates organic matter's degeneration over time. An “entropical” perspective also challenges Antonio Negri's Spinozaist affect conceived as a capacitating power that encounters obstacles but never limits. Both “liberation scientism” and “capacitation rhetoric” mimic capital's abstraction in infinitely expanding its potential to extract surplus value from finitely embodied labor. With enervation and deterioration at its crux, entropics illuminates how people might feel individuated by their respective struggles to safeguard scarce energy and forestall “heat death” while navigating simultaneous demands. The question is whether or not open-system motifs in affect theory can effectively register the political force of this struggle with depletion and present or imminent debilitation as its common ground. (shrink)

Eric Voegelin's _Israel and Revelation_ is the opening volume of his monumental _Order and History,_ which traces the history of order in human society. This volume examines the ancient near eastern civilizations as a backdrop to a discussion of the historical locus of order in Israel. The drama of Israel mirrors the problems associated with the tension of existence as Israel attempted to reconcile the claims of transcendent order with those of pragmatic existence and so becomes paradigmatic. According to Voegelin, (...) what happened in Israel was a decisive step, not only in the history of Israel, but also in the human attempt to achieve order in society. The uniqueness of Israel is the fact that it was the first to create history as a form of existence, that is, the recognition by human beings of their existence under a world-transcendent God, and the evaluation of their actions as conforming to or defecting from the divine will. In the course of its history, Israel learned that redemption comes from a source beyond itself. Voegelin develops rich insights into the Old Testament by reading the text as part of the universal drama of being. His philosophy of symbolic forms has immense implications for the treatment of the biblical narrative as a symbolism that articulates the experiences of a people's order. The author initiates us into attunement with _all_ the partners in the community of being: God and humans, world and society. This may well be his most significant contribution to political thought: "the experience of divine being as world transcendent is inseparable from an understanding of man as human.". (shrink)

I would say very simply that the function of the intellectual is this: to put at the disposal of others, to put in common, this greater set of critical analytical tools, to make those tools freely available, and this naturally demands being rooted in reality that is in movement, a reality in which the researcher herself puts certain choices into practice, in which she can deem some matters to be more crucial than others. And the hope is, depending on the (...) choices made by all of those who are today committed to transforming that which exists, that there effectively comes about the wide-ranging social transformation of which we are in need.Costa’s definition of the intellectual is both inspiring and radical. Her.. (shrink)

Sorti exsangue de la Seconde Guerre mondiale, le Japon s'est superbement redressé grâce à ses innovations techniques, d'abord destinées à améliorer le quotidien du peuple. Aujourd'hui, face à de nouveaux maux sociaux, dont l'inéluctable vieillissement rapide de la population et l'anxiété croissante face à un monde chamboulé, le recours à des solutions scientifiques et techniques est, pour les Japonais, une évidence. À tort ou à raison, les machines ne leur font pas peur. Mieux, elles les émerveillent. Et lorsque les Japonais (...) usent de moyens de télécommunications toujours plus puissants et omniprésents, ou fréquentent des mondes irréels, n'est-ce pas un moyen d'éviter la confrontation directe avec autrui ou soi-même, en choisissant la représentation virtuelle de l'être idolâtré ou en se recréant sous une forme idéalisée ?Out bloodless WWII, Japan has recovered superbly thanks to its technical innovations, all aimed at improving the lives of the people. Today, faced with new social ills, including the inevitable rapid aging of the population and the growing anxiety in a world turned upside down, the use of scientific and technical solutions is for the Japanese evidence. Wrongly or rightly, the machines do not scare them. Best, they all marveled. And when the Japanese wear of telecommunications increasingly powerful and ubiquitous, or attend unreal worlds, is not this a way to avoid direct confrontation with others or yourself, choosing the virtual representation of the be idolized or by recreating an idealized form? (shrink)

In part I of this paper, I argue that #MeToo testimony increases epistemic value for the survivor qua hearer when experiences like hers are represented by others; for society at large when false but dominant narratives about sexual violence and sexual harassment against women are challenged and replaced with true stories; and for the survivor qua teller when her true story is believed. In part II, I argue that the epistemic significance of #MeToo testimony compels us to consider the tremendous (...) and often unappreciated costs to the individual tellers, and the increased credibility they are owed in virtue thereof. (shrink)

El objetivo de este trabajo es analizar el impacto del aprendizaje adaptativo ante Covid-19 en la Facultad de Ciencias Económicas Administrativas de la Universidad Autónoma del Carmen.Para este estudio se realizó una revisión documental de los conceptos teóricos abordados y posteriormente se hizo un análisis descriptivo de una muestra de 291 estudiantes.Los resultados muestran que la mayoría de los estudiantes logró un desempeño satisfactorio, usando de manera preferente la plataforma Teams, aunque también se utilizaron otras plataformas como apoyo. Con esto (...) se concluye que la comunidad universitaria se adaptó rápidamente al entorno virtual impuesto por la pandemia. (shrink)

That Claudian imitates Virgil's Georgics in the De raptu Proserpinae is well known. Most of his allusions are restricted to Golden Age or Underworld imagery, largely from Books 1, 2, and 4. However, one imitation of the third Georgic that appears not to have been noted previously occurs at De raptu Proserpinae 1.82. The context is Claudian's famous description of Pluto enthroned: ipse rudi fultus solio nigraque uerendusmaiestate sedet: squalent inmania foedosceptra situ; sublime caput maestissima nubesasperat et dirae riget inclementia (...) formae;terrorem dolor augebat. I argue that this recalls the following passage in Virgil: optima quaeque dies miseris mortalibus aeuiprima fugit; subeunt morbi tristisque senectuset labor, et durae rapit inclementia mortis. Inclementia occurs some twenty times in extant classical and late antique Latin verse. Claudian himself uses it three other times. None the less, the construction of Claudian's line makes it clear that the line from the Georgics is being imitated here: the lines are metrically equivalent, and the sound-pattern and identical grammatical structure make the imitation unmistakable. (shrink)

Helen Longino argues that the way to ensure scientific knowledge is objective is to have a diversity of scientific investigators. This is the best example of recent feminist arguments which hold that the real value of diversity is epistemic, and not political, but it only partly succeeds. In the end, Longino's objectivity amounts to intersubjective agreement about contextually based standards, and while her account gives us a good reason for wanting diversity in our scientific communities, this reason turns out to (...) be political. (shrink)

Prologue -- Paris, August 1, 1990 -- What happened next -- Live in it -- Africa, 2008 -- Paris, revisited.

In this paper, I give an answer to the central epistemic question regarding the normative requirements for beliefs based on testimony. My suggestion here is that our best strategy for coming up with the conditions for justification is to look at cases where the adoption of the belief matters to the person considering it. This leads me to develop, in Part One of the paper, an interest-relative theory of justification, according to which our justification for a proposition p depends on (...) our evidence in favour of p in proportion to our interest in p, as signalled by the epistemic risk we take in believing that p is true. In Part Two, I argue that this theory shows that the reductivist view offers a better normative account for the epistemic status of beliefs based on testimony than the credulist one, but it is inaptly named; the view I develop here is better conceived of as The Dependence Account. (shrink)

This comprehensive introductory textbook to early Chinese philosophy covers a range of philosophical traditions which arose during the Spring and Autumn and Warring States periods in China, including Confucianism, Mohism, Daoism, and Legalism. It considers concepts, themes and argumentative methods of early Chinese philosophy and follows the development of some ideas in subsequent periods, including the introduction of Buddhism into China. The book examines key issues and debates in early Chinese philosophy, cross-influences between its traditions and interpretations by scholars up (...) to the present day. The discussion draws upon both primary texts and secondary sources, and there are suggestions for further reading. This will be an invaluable guide for all who are interested in the foundations of Chinese philosophy and its richness and continuing relevance. (shrink)

In their well-known paper, John Gardner and Stephen Shute (2000) propose a pure case of rape, in which a woman is raped while unconscious and the rape, for a variety of stipulated reasons, never comes to light. This makes the pure case a harmless case of rape, or so they argue. In this paper I show that their argument hinges on an outdated conception of trauma, one which conflates evaluative responses that arise in the aftermath of rape with the non-deliberative (...) somatic responses of a central nervous system to a threatening event. In the first part of this paper, I elaborate this objection by drawing on the neurobiological model of trauma. This gives me an opportunity to illustrate the different ways that rape harms its victims, including the central way, what I call ‘threat-circuitry harm.’ This discussion of trauma invites us to rethink the wrong of rape, and sets the groundwork for my argument, in the second part of the paper, that the wrong of rape consists in its central harm. (shrink)

The Zhuangzi, a 4th century BCE Chinese text, is optimistic about life unrestrained by entrenched values. This paper contributes to existing debates on Zhuangzian freedom in three ways. First, it reflects on how it is possible to enjoy the freedom envisaged in the Zhuangzi. Many discussions welcome the Zhuangzi’s picture of release from life shaped by canonical visions, without also giving thought to life without these driving visions. Consider this scenario: in a world with limitless possibilities, would it not be (...) fraught, not knowing how to interpret situations? I suggest that freedom in the Zhuangzi is possible only if one succeeds in reorienting herself to the new ‘normal’. Second, I introduce and develop the idea of working with constraints. This focuses on an agent's maximizing the fit between relevant conditions, on the one hand, and their capabilities, on the other. Finally, I propose that self-directed practice, an important expression of agency, is required for building capabilities that enable such freedom. I examine the idea of risk involved in these firsthand experiences, articulating an account of agency that sits at the heart of hard-won Zhuangzian freedom. (shrink)