Randomized controlled trial trial designs exist on an explanatory-pragmatic spectrum, depending on the degree to which a study aims to address a question of efficacy or effectiveness. As conceptualized by Schwartz and Lellouch in 1967, an explanatory approach to trial design emphasizes hypothesis testing about the mechanisms of action of treatments under ideal conditions, whereas a pragmatic approach emphasizes testing effectiveness of two or more available treatments in real-world conditions. Interest in, and the number of, pragmatic trials has grown substantially (...) in recent years, with increased recognition by funders and stakeholders worldwide of the need for credible evidence to inform clinical decision-making. This increase has been accompanied by the onset of learning healthcare systems, as well as an increasing focus on patient-oriented research. However, pragmatic trials have ethical challenges that have not yet been identified or adequately characterized. The present study aims to explore the views of key stakeholders with respect to ethical issues raised by the design and conduct of pragmatic trials. It is embedded within a large, four-year project that seeks to develop guidance for the ethical design and conduct of pragmatic trials. As a first step, this study will address important gaps in the current empirical literature with respect to identifying a comprehensive range of ethical issues arising from the design and conduct of pragmatic trials. By opening up a broad range of topics for consideration within our parallel ethical analysis, we will extend the current debate, which has largely emphasized issues of consent, to the range of ethical considerations that may flow from specific design choices. Semi-structured interviews with key stakeholders, across multiple jurisdictions, identified based on their known experience and/or expertise with pragmatic trials. We expect that the study outputs will be of interest to a wide range of knowledge users including trialists, ethicists, research ethics committees, journal editors, regulators, healthcare policymakers, research funders and patient groups. All publications will adhere to the Tri-Agency Open Access Policy on Publications. (shrink)

Discussion of partial grounds that aren't parts of full grounds; definition of full grounding in terms of partial grounding.

PurposePast research has documented a significant relationship between family violence and adolescent violence. However, much is unknown about the processes through which this association occurs, especially in the non-Western cultural context. To address this gap, we propose an integrated model encompassing multiple pathways that connect family violence to adolescent violence. Specifically, this study investigates how family violence is related to adolescent violence through violent peer association, normative beliefs about violence, and negative emotions.MethodWe tested the model using the two-wave survey data (...) collected from a probability sample of more than 1,100 adolescents residing in one of the largest metropolitan areas in China in 2015 to 2016.Results and ConclusionsThe results indicated that family violence predicted adolescent violence perpetration. Violent peer association, normative beliefs, and negative emotions, however, mediated much of the relationship between family violence and adolescent violence. (shrink)

The passage above comes from the opening pages of Merleau-Ponty’s essay on Edmund Husserl. It proposes a risky interpretive principle. The main feature of this principle is that the seminal aspects of a thinker’s work are so close to him that he is incapable of articulating them himself. Nevertheless, these aspects pervade the work, give it its style, its sense and its direction, and therefore belong to it essentially. As Martin Heidegger writes, in a passage quoted by Merleau-Ponty: " The (...) greater the work of a thinker – which in no way coincides with the breadth and number of writings – the richer is what is un-thought in this work, which means, that which emerges in and through this work as having not yet been thought. 2 " The goal of Merleau-Ponty’s essay, he says, is “to evoke this un-thought-of element in Husserl’s thought”. 3. (shrink)

I begin by examining a recent debate between John McDowell and Christopher Peacocke over whether the content of perceptual experience is non-conceptual. Although I am sympathetic to Peacocke’s claim that perceptual content is non-conceptual, I suggest a number of ways in which his arguments fail to make that case. This failure stems from an over-emphasis on the "fine-grainedness" of perceptual content - a feature that is relatively unimportant to its non-conceptual structure. I go on to describe two other features of (...) perceptual experience that are more likely to be relevant to the claim that perceptual content is non-conceptual. These features are 1) the dependence of a perceived object on the perceptual context in which it is perceived and 2) the dependence of a perceived property on the object it is perceived to be a property of. (shrink)

There you are at the opera house. The soprano has just hit her high note – a glassshattering high C that fills the hall – and she holds it. She holds it. She holds it. She holds it. She holds it. She holds the note for such a long time that after a while a funny thing happens: you no longer seem only to hear it, the note as it is currently sounding, that glass-shattering high C that is loud and (...) high and pure. In addition, you also seem to hear something more. It is difficult to express precisely what this extra feature is. One is tempted to say, however, that the note now sounds like it has been going on for a very long time. Perhaps it even sounds like a note that has been going on for too long. In any event, what you hear no longer seems to be limited to the pitch, timbre, loudness, and other strictly audible qualities of the note. You seem in addition to experience, even to hear, something about its temporal extent. (shrink)

Modes-of-being figure centrally in Heidegger's masterwork Being and Time. Testimony to this is Heidegger's characterisation of two of his most celebrated enquiries—the Existential analytic and the Zeug analysis—as investigations into the respective modes-of-being of the entities concerned. Yet despite the importance of this concept, commentators disagree widely about what a mode-of-being is. In this paper, I systematically outline and defend a novel and exegetically grounded interpretation of this concept. Strongly opposed to Kantian readings, such as those advocated by Taylor Carman (...) and Cristina Lafont, I interpret a mode-of-being as a universal that defines a district —that is, a natural class of entities that ought to be conceptualised in a special way. As such, every mode-of-being plays an important metaphysical and epistemic role: serving both to unify a natural class of a high degree of generality and as the interpretandum of an act yielding the basic-concepts pertaining to the entities therein. In explicating and arguing for this interpretation, I attribute a characteristically Aristotelian philosophical position to the early Heidegger, encompassing both metaphysical and epistemological realism and a conceptualist theory of universals. (shrink)

1. The philosophical problem of what we see My topic revolves around what is apparently a very basic question. Stripped of all additions and in its leanest, most economical form, this is the question: "What do we see?" But in this most basic form the question admits of at least three different interpretations. In the first place, one might understand it to be an epistemological question, perhaps one with skeptical overtones. "What do we see?", on this reading, is short for (...) something like "What things in the world are we justified in believing we see, given the possibility of evil demon scenarios and all the other impedimenta to genuine sight that have become the working tools of epistemologists over the last 350 years?" I shall not be concerned with the question in this skeptical sense. I intend the parenthetical addition to the question, "What do we see (when we do)?", along with the bald-faced assumption that the condition so specified at least sometimes obtains, to rule out discussion along these sorts of epistemological lines, at least for the purposes of this paper. Whether or not this condition in fact obtains, of course, will not effect the position I’m defending. (shrink)

We argue that heterophenomenology both over- and under-populates the intentional realm. For example, when one is involved in coping, one’s mind does not contain beliefs. Since the heterophenomenologist interprets all intentional commitment as belief, he necessarily overgenerates the belief contents of the mind. Since beliefs cannot capture the normative aspect of coping and perceiving, any method, such as heterophenomenology, that allows for only beliefs is guaranteed not only to overgenerate beliefs but also to undergenerate other kinds of intentional phenomena.

Current cognitive science models of perception and action assume that the objects that we move toward and perceive are represented as determinate in our experience of them. A proper phenomenology of perception and action, however, shows that we experience objects indeterminately when we are perceiving them or moving toward them. This indeterminacy, as it relates to simple movement and perception, is captured in the proposed phenomenologically based recurrent network models of brain function. These models provide a possible foundation from which (...) predicative structures may arise as an emergent phenomenon without the positing of a representing subject. These models go some way in addressing the dual constraints of phenomenological accuracy and neurophysiological plausibility that ought to guide all projects devoted to discovering the physical basis of human experience. (shrink)

Homer has a unique understanding of the body. On his view the body is that by means of which we are subject to moods, and moods are what attune us to our situation. Being attuned to a situation, in turn, opens us to the various ways things and people can be engaging. We agree with Homer that this receptivity is evident throughout our entire existence. It characterizes everything from our basic bodily skills for coping with objects and people to our (...) tendency to be immersed in and guided by moods such as the erotic or the agonistic – whole ways for a situation to matter. (shrink)

& How does neuronal activity bring about the interpretation of visual space in terms of objects or complex perceptual events? If they group, simple visual features can bring about the integration of spikes from neurons responding to different features to within a few milliseconds. Considered as a potential solution to the ‘‘binding problem,’’ it is suggested that neuronal synchronization is the glue for binding together different features of the same object. This idea receives some support from correlated- and periodic-stimulus motion (...) paradigms, both of which suggest that the segregation of a figure from ground is a direct result of the temporal correlation of visual signals. One could say that perception of a highly correlated visual.. (shrink)

The work of Alan Cowey and Petra Stoerig is often taken to have shown that, following lesions analogous to those that cause blindsight in humans, there is blindsight in monkeys. The present paper reveals a problem in Cowey and Stoerig's case for blindsight in monkeys. The problem is that Cowey and Stoerig's results would only provide good evidence for blindsight if there is no difference between their two experimental paradigms with regard to the sorts of stimuli that are likely to (...) come to consciousness. We show that the paradigms could differ in this respect, given the connections that have been shown to exist between working memory, perceptual load, attention, and consciousness. (shrink)

the world. ¹ Whereas the content of our beliefs, thoughts, and judgements necessarily involves "conceptualization" or "concept application", the content of our perceptual experiences is, according to Evans, "non-conceptual". Because Evans takes it for granted that we are often able to entertain thoughts about an object in virtue of having perceived it, a central problem in.

Both cognitive science and phenomenology accept the primacy of the organism-environment system and recognize that cognition should be understood in terms of an embodied agent situated in its environment. How embodiment is seen to shape our world, however, is fundamentally different in these two disciplines. Embodiment, as understood in cognitive science, reduces to a discussion of the consequences of having a body like ours interacting with our environment and the relationship is one of contingent causality. Embodiment, as understood phenomenologically, represents (...) the condition of intelligibility of certain terms in our experience and, as such, refers to one aspect of that background which presupposes our understanding of the world. The goals and approach to modeling an embodied agent in its environment are also fundamentally different dependent on which relationship is addressed. These differences are highlighted and are used to support our phenomenologically based approach to organism-environment interaction and its relationship to brain function. (shrink)

I begin by examining a recent debate between John McDowell and Christopher Peacocke over whether the content of perceptual experience is non-conceptual. Although I am sympathetic to Peacocke’s claim that perceptual content is non-conceptual, I suggest a number of ways in which his arguments fail to make that case. This failure stems from an over-emphasis on the “fine-grainedness” of perceptual content – a feature that is relatively unimportant to its non-conceptual structure. I go on to describe two other features of (...) perceptual experience that are more likely to be relevant to the claim that perceptual content is non-conceptual. These features are 1) the dependence of a perceived object on the perceptual context in which it is perceived and 2) the dependence of a perceived property on the object it is perceived to be a property of. (shrink)

This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation. Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray (...) the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent. A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale and The Social Cognition Object Relations Scale --that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions: * Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach? * What are the likely directions that transference parameters will take in the treatment? * What types of countertransference reactions are likely to be anticipated in a given patient? * Is medication likely to be helpful in making this adolescent more accessible for treatment? Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation. (shrink)

This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation. Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray (...) the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent. A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale and The Social Cognition Object Relations Scale --that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions: * Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach? * What are the likely directions that transference parameters will take in the treatment? * What types of countertransference reactions are likely to be anticipated in a given patient? * Is medication likely to be helpful in making this adolescent more accessible for treatment? Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation. (shrink)

I would like to begin by talking about General Education in America. General Education plays a very particular and interesting role in American Higher Education. A typical undergraduate at one of our colleges or universities is expected to satisfy a range of requirements in his or her major area of study (mathematics, economics, philosophy, etc.); and they will also take a range of electives – courses that are not required for graduation but in which the student might want to explore (...) a developing interest. In addition to both of these, however, most undergraduate institutions (though not all) require that students satisfy a range of general education requirements as well. These are the requirements that must be satisfied for the student to count – in the opinion of the institution – as generally educated. They are the requirements, in other words, that every student must fulfill regardless of their areas of interest or specialty in order to be prepared to enter the broader world and to aspire to live a good life in it. (shrink)

Previous research has showed that Chinese rural-to-urban migrant adolescents are at high risk for discrimination, negative emotions, and aggression. However, little is known about how discrimination, negative emotions, and aggression are interrelated and whether social support addressing the emotional needs of the adolescents would moderate the relationship of discrimination to aggression. This study attempts to fill these gaps. Based on prior research, it is proposed that perceived discrimination relates to reactive aggression by increasing negative emotions that foster aggressive responses to (...) stressful events. Considering the central role that negative emotions may play, it is also hypothesized that socioemotional support provided by family, friends, and community mitigates the impact of perceived discrimination on reactive aggression by reducing negative emotions. The results obtained from the analysis of two-wave survey data collected from a probability sample of 470 migrant students aged 11–17 in China supported these hypotheses. The findings indicate that perceived discrimination fosters negative emotions, which in turn increase reactive aggression. Additionally, socioemotional support reduces the adverse impact of perceived discrimination on reactive aggression by weakening the link between perceived discrimination and negative emotions. Practical and policy implications of these findings are discussed. (shrink)

The title of Andy Clark's book is, among other things, a reference to one of the central terms in Martin Heidegger's early work: "Dasein" (being there) is the word that Heidegger uses to refer to beings like ourselves. Clark is no Heidegger scholar, but the reference is deliberate; among the predecessors to his book he lists not only Heidegger himself, but also the American Heidegger scholar Hubert Dreyfus and the French Heideggerean phenomenologist Maurice Merleau-Ponty. This triumvirate has played an increasingly (...) important role in recent years among the "alternative" cognitive science set, owing largely to the influence of Dreyfus's 1979 book What Computers Can't Do (Cambridge, Mass.: MIT Press, 1979), which enlisted Heideggerian and Merleau-Pontean arguments in the fight against classical symbolic processing approaches to artificial intelligence. Clark's book fits squarely in this "alternative" tradition, and it is an important contribution to the existing literature. It surveys a large array of results in cognitive scientifically oriented fields ranging from robotics to developmental psychology, and it argues convincingly that these results should encourage us to embrace a radical new research paradigm in the cognitive sciences. The central claim is that mainstream cognitive scientists should, like their more revolutionary colleagues, learn to substitute for "the disembodied, atemporal intellectualist vision of mind ... the image of mind as a controller of embodied action" (p. 7). As a clear and brightly written account of this alternative movement in cognitive science, and perhaps even as a kind of mission statement for the new paradigm, Clark's book is one of the finest I have read. It is limited, however, by the fact that the interesting and well-described empirical work that forms the center of his presentation does not always provide sufficient resources for addressing the equally important philosophical problems lurking. (shrink)

Erving Goffman’s “Asylums” is a key text in the development of contemporary, community-orientated mental health practice. It has survived as a trenchant critique of the asylum as total institution, and its publication in 1961 in book form marked a further stage in the discrediting of the asylum model of mental health care. In this paper, some responses from a range of disciplines to this text, 50 years on, are presented. A consultant psychiatrist with a special interest in cultural psychiatry and (...) mental health legislation, two collaborating psychotherapists in adult and forensic mental health, a philosopher, and a recent medical graduate, present their varying responses to the text. The editors present these with the hope of encouraging further dialogue and debate from service users, carers, clinicians, and academics and researchers across a range of disciplines. (shrink)

This Handbook of Visual Communication explores the key theoretical areas and research methods of visual communication. With chapters contributed by many of the best-known and respected scholars in visual communication, this volume brings together significant and influential work in the discipline. The second edition of this already-classic text has been completely revised to reflect the metamorphosis of communication in the last 15 years and the ubiquity of visual communication in our modern mediated lifestyle. Thriteen major theories of communication are defined (...) by the top experts in their fields: perception, cognition, aesthetics, visual rhetoric, semiotics, cultural studies, ethnography, narrative, media aesthetics, digital media, intertextuality, ethics, and visual literacy. Each of these theory chapters is followed by an exemplar study or two in the area, demonstrating the various methods used in visual communication research as well as the research approaches applicable for specific media types. The Handbook of Visual Communication is a theoretical and methodological handbook for visual communication researchers and a compilation for much of the theoretical background necessary to understand visual communication. It is required reading for scholars, researchers, and advanced students in visual communication, and it will be influential in other disciplines such as advertising, persuasion, and media studies. The volume will also be essential to media practitioners seeking to understand the visual aspects of how audiences use media to contribute to more effective use of each specific medium. (shrink)

A quick mental survey of one's friends or acquaintances reveals an important difference between them. On the one hand, there are seemingly stoic people for whom emotional events (e.g., having a pap...

Defense of an account of intrinsic properties in terms of (what is now called) grounding rather than naturalness.

Using traditional meta-analytic techniques, we compile relevant research to enhance conceptual appreciation of ethical climate theory (ECT) as it has been studied in the descriptive and applied ethics literature. We explore the various treatments of ethical climate to understand how the theoretical framework has developed. Furthermore, we provide a comprehensive picture of how the theory has been extended by describing the individual-level work climate outcomes commonly studied in this theoretical context. Meta-analysis allows us to resolve inconsistencies in previous findings as (...) well as confirm the central tenets of the overall ethical climate framework. In addition, we consider the ethical climate relationships in the larger context of the␣theoretical framework, using path analysis to test the structural relationships. Overall, our results provide evidence of the relationships between ethical climate perceptions and individual-level work outcomes. Based on our analyses, we offer future research directions important for further development of ECT. (shrink)

If there is to be any progress in the debate about what sort of positive moral status Kant can give the emotions, we need a taxonomy of the terms Kant uses for these concepts. It used to be thought that Kant had little room for emotions in his ethics. In the past three decades, Marcia Baron, Paul Guyer, Barbara Herman, Nancy Sherman, Allen Wood and others have argued otherwise. Contrary to what a cursory reading of the Groundwork may indicate, Kant (...) thinks the emotions play an important role in the moral life. I want to extend the work of Baron, Guyer, Herman, Sherman and Wood in three ways. First, I will set out in a diagram Kant's taxonomy of feelings and emotions. Agreement on such a taxonomy should make it easier to evaluate debates about Kant and the emotions. Second, I will focus on a certain subclass of emotions – reason-caused affects – that have previously received little attention, even from these Kant scholars. Third, these scholars base much of their defence of Kant on his later works – especially the Metaphysics of Morals and the Anthropology – but Kant's fairly rich taxonomy of the emotions, including reason-caused affects, is clearly in place at least as early as the Critique of Judgment . I believe that the Critique of Judgment is an importantly ignored resource for understanding the moral role of the emotions for Kant. The third Critique makes positive, philosophically interesting claims about the emotions and morality. Kant emphasizes certain roles for emotions in this work that he develops to the same extent nowhere else. Nevertheless, the Critique of Judgment goes all but unmentioned by many who write on these issues. In what follows, I will defend as many of my claims as possible using the third Critique. (shrink)