Although typically implicit, clinicians face an inherent conflict between their roles as medical healers and as providers of technical biomedicine (Scott et al. in Philos Ethics Humanit Med 4:11, 2009). This conflict arises from the tension between the physicalist model which still predominates in medical training and practice and the extra-physicalist dimensions of medical practice as epitomised in the concept of patient-centred care. More specifically, the problem is that, as grounded in a "borrowed" physicalist philosophy, the dominant "applied scientist" model (...) exhibits a number of limitations which severely restrict its ability to underwrite the effective practice of care. Moreover, being structural in character, these problems cannot be resolved by piecemeal modifications of the existing model, nor by an appeal to evidence-based medicine (Miles in J Eval Clin Pract 15(6):887-890, 2009; Miles in Folia Med 55(1):5-24, 2013; Miles et al. in J Eval Clin Pract 14(5):621-649, 2008). Hence, the need for medical theorists to "partner with experts in the humanities to build a sui generis philosophy of medicine" (Whatley in J Eval Clin Pract 20(6):961-964, 2014, p. 961). In response, the present paper seeks to vindicate the merits of hermeneutically-informed template in providing the requisite grounding. While capable of correcting for the limitations of the applied scientist model, a hermeneutically-informed template is a "both/and" approach, which seeks to complement rather than exclude the physicalist dimension, and thereby aspires to reconcile technical mastery with patient-centred care, rather than eschew one in favour of the other. As such, it can provide a cogent philosophical template for current best practice, which does justice to the art as well as the science of medical care. (shrink)

No doubt this breezily written and informative volume will fill a gaping lacuna in most JSE readers' knowledge of evidence for psychokinesis generally and poltergeist phenomena in particular. It certainly did for me. Healy and Cropper survey 52 different Australian cases, spanning the years 1845-2002. The first eleven chapters cover the authors' 11 strongest cases in considerable detail. Chapter 12 describes the remaining 41 cases more briefly, and catalogues all 52 cases in chronological order. Chapter 13 purports to wrap (...) things up, but it's followed by three appendices introducing additional cases outside Australia and brief discussions of similar or at least potentially relevant physical mysteries-for example, some Asian fire poltergeist cases, ball lightning, UFOs, and reported rains of fishes. The authors rate their cases on a five-star scale, which they apply judiciously. Ratings begin at zero for apparent or proven hoaxes, and then range from half a star ("for questionable or very poorly documented cases" [p. 7]) to five stars. Healy and Cropper write: "With only two exceptions, we have reserved the four and five-star rating for very well documented cases where we were able to interview the eyewitnesses or in which we had some other personal involvement" (p. 7). The case they consider the strongest-the Mayanup case from 1955-2002-is the only one to earn five stars. Humpty Doo (1998)-possibly the most famous, or notorious-gets four and a half. Several cases earned between three and four stars, and quite a few get either zero stars or half a star. The two highest-rated cases are genuinely interesting. In the Humpty Doo case, many credible observers witnessed the phenomena under conditions which quite clearly seemed to rule out chicanery, and which conformed to poltergeist reports in other parts of the world. The phenomena included "showers of stones both indoors and out, dangerous objects thrown with great force but without causing injury, objects falling unnaturally slowly yet producing unnaturally loud sounds on impact, objects observed levitating, objects observed materializing in mid-air" (p. 48), the intense heat of apported objects, and more. (shrink)

Given its contribution to enhancing the inclusiveness, responsiveness, transparency and accountability of socio-political decision-making, the deliberative model has achieved considerable prominence in recent times as a basis for revitalizing democracy. But notwithstanding its strengths, it has also become clear that the deliberative proposal exhibits certain weaknesses that stand in need of correction if it is to realize its potential for revitalizing democracy in our contemporary pluralistic and multicultural world. Not surprisingly, then, there have been calls for significant modifications to the (...) core proposal. Of particular interest for present purposes is Iris Marion Young’s call for a ‘communicative’ reappropriation of the standard model with a view to rendering it more inclusive of and responsive to difference. While Young’s call for reconfiguring the deliberative template in a manner conducive to treating difference as a resource rather than as a barrier to unity is judicious and timely, the present article contends that her communicative proposal does not go far enough to achieve the envisaged outcomes. Instead, to enhance inclusiveness and responsiveness to difference in a manner conducive to promoting mutual understanding and potentially transformative learning, a thoroughgoing dialogical reappropriation is called for, along the lines defended here. Only in this way can the deliberative proposal live up to its pluralistic as well as inclusive intent. Moreover, far from being an external imposition, a dialogical reconfiguration of the requisite sort is rather a means of liberating potentials inherent in the deliberative proposal from the outset but typically suppressed by an undue emphasis on homogeneity, uniformity and consensus. (shrink)

This chapter contains sections titled: Loyalty in the Civic Sphere What is Loyalty? Loyalty and Identity What Makes Us Loyal? Loyalty and Schools Which Type of Loyalty Should Schools Aim At? Notes References.

Contemporary social-scientific research seeks to identify specific causal mechanisms for outcomes of theoretical interest. Experiments that randomize populations to treatment and control conditions are the “gold standard” for causal inference. We identify, describe, and analyze the problem posed by transformative treatments. Such treatments radically change treated individuals in a way that creates a mismatch in populations, but this mismatch is not empirically detectable at the level of counterfactual dependence. In such cases, the identification of causal pathways is underdetermined in a (...) previously unrecognized way. Moreover, if the treatment is indeed transformative it breaks the inferential structure of the experimental design. Transformative treatments are not curiosities or “corner cases,” but are plausible mechanisms in a large class of events of theoretical interest, particularly ones where deliberate randomization is impractical and quasi-experimental designs are sought instead. They cast long-running debates about treatment and selection effects in a new light, and raise new methodological challenges. (shrink)

Setting goals in the workplace can motivate improved performance but it might also compromise ethical behavior. In this paper, we propose that individual differences in the dispositional tendency to morally justify behavior moderate the effects of specific performance goals on unethical behavior. We conducted an experimental study in which working participants, who were randomly assigned to a specific goal condition or to a condition with a vague goal that lacked a specific target, completed two tasks in which they had the (...) opportunity to act unethically. In an ethical dilemma task, participants in the specific goal condition were more likely to advocate using unethical methods. However, in an anagram task, only those with high moral justification overstated their performance to a greater degree in the specific goal condition. As such, individuals may not be equally susceptible to the ‘dark side’ of goal-setting. (shrink)

The Health (Regulation of Termination of Pregnancy) Act 2018 was commenced on 01/01/2019 in Ireland. The Act provides for legal termination of pregnancy under defined circumstances including for any reason at < 12 weeks gestation; and where two doctors agree there is ‘a condition affecting the foetus that is likely to lead to the death of the foetus either before, or within 28 days of, birth’. As such, abortion for congenital anomaly (CA) can occur at a number of time points, (...) depending on the adjudged severity. Infants born with CAs frequently require significant medical intervention and account for a high proportion of admissions to paediatric intensive care units (PICUs). The purpose of this paper was to evaluate the number of infants with CAs admitted to an Irish PICU in the period before and after the implementation of the Act. All PICU admissions < 1 month of age to a single Irish paediatric hospital between 2012 and 2021 were analysed. CAs were recorded, and the periods before and after the commencement of the Act compared. We found a difference in admissions involving CAs, particularly those related to congenital heart disease involving single ventricle anatomy. It is plausible that this difference was as a result of improved access to abortion services following the implementation of the Act. This article explores the legal conditions related to the abortion of a foetus with a CA in Ireland, and the possible impact of the Independent Review of the Operation of the Health ( Regulation of Termination of Pregnancy) Act 2018. (shrink)

Upon what kind of moral order does capitalism rest? Conversely, does the market give rise to a distinctive set of beliefs, habits, and social bonds? These questions are certainly as old as social science itself. In this review, we evaluate how today's scholarship approaches the relationship between markets and the moral order. We begin with Hirschman's characterization of the three rival views of the market as civilizing, destructive, or feeble in its effects on society. We review recent work at the (...) intersection of sociology, economics, and political economy and show that these views persist both as theories of market society and moral arguments about it. We then argue that a fourth view, which we call moralized markets, has become increasingly prominent in economic sociology. This line of research sees markets as cultural phenomena and moral projects in their own right, and seeks to study the mechanisms and techniques by which such projects are realized in practice. (shrink)

The incredible achievements of modern scientific theories lead most of us to embrace scientific realism: the view that our best theories offer us at least roughly accurate descriptions of otherwise inaccessible parts of the world like genes, atoms, and the big bang. In Exceeding Our Grasp, Stanford argues that careful attention to the history of scientific investigation invites a challenge to this view that is not well represented in contemporary debates about the nature of the scientific enterprise. The historical record (...) of scientific inquiry, Stanford suggests, is characterized by what he calls the problem of unconceived alternatives. Past scientists have routinely failed even to conceive of alternatives to their own theories and lines of theoretical investigation, alternatives that were both well-confirmed by the evidence available at the time and sufficiently serious as to be ultimately accepted by later scientific communities. Stanford supports this claim with a detailed investigation of the mid-to-late 19th century theories of inheritance and generation proposed in turn by Charles Darwin, Francis Galton, and August Weismann. He goes on to argue that this historical pattern strongly suggests that there are equally well-confirmed and scientifically serious alternatives to our own best theories that remain currently unconceived. Moreover, this challenge is more serious than those rooted in either the so-called pessimistic induction or the underdetermination of theories by evidence, in part because existing realist responses to these latter challenges offer no relief from the problem of unconceived alternatives itself. Stanford concludes by investigating what positive account of the spectacularly successful edifice of modern theoretical science remains open to us if we accept that our best scientific theories are powerful conceptual tools for accomplishing our practical goals, but abandon the view that the descriptions of the world around us that they offer are therefore even probably or approximately true. (shrink)

The place of the emotions among the passions -- The analytic of the emotions I -- The analytic of the emotions II -- The dialectic of the emotions -- Pride, arrogance, and humility -- Shame, embarrassment, and guilt -- Envy -- Jealousy -- Anger -- Love -- Friendship -- Sympathy and empathy.

The Flint water crisis demonstrates the importance of adequate legal preparedness in dealing with complicated legal arrangements and multiple statutory responsibilities. It also demonstrates the need for alternative accountability measures when public officials fail to protect the public's health and explores mechanisms for restoring community trust in governmental public health.

Information and communications technology (ICT) is now used more by non-IT professional end-users than by IT professionals. A survey of 125 London-based organisations found that the majority had instituted codes of conduct designed to govern the use of ICT by their employees. However, the primary purpose of adopting such codes was to ensure the security and efficient operation of the organisation's information systems rather than for wider ethical considerations. Hence, few of the codes of conduct addressed issues relating to the (...) collection, storage and dissemination of data about individuals (personal data); this was especially the case with codes emanating from IT departments rather than senior management. In general, codes of conduct were found to be ineffective in influencing end-user behaviour in the organisations surveyed. Codes of conduct are a means by which organisations seek to exercise power, control and ownership, but their effectiveness is compromised by the nature of ICT itself as well as the attitudes of employees. The failure of well-publicised ethical policies to influence use of ICT by business studies students – the managers of tomorrow – suggests that these tensions are likely to remain unresolved. (shrink)

Motorcycle helmet laws are perceived to infringe upon individual rights even though they reduce mortality and health care costs. We describe proposed helmet legislation that protects individual rights and provides incentives for helmet use through a differential motorcycle registration fee that requires higher fees for those who wish to ride without a helmet.

This article contributes new insights to research on citizenship and young citizen subject formation in the context of the posthuman condition. Bringing a feminist materialist sensibility to bear, we explore citizenship as materially mobilised and produced. Considering the constitutive role that embodied and affective phenomena play in this production, we attend particularly to acts of citizenship. We show by way of vignettes how human subjects and material and natural objects ‘intra-act’ to produce civic capacities and bring citizen subjectivity into effect. (...) The forces by which these capacities are produced come into view inviting challenge to normative, human-centred framings of (youth) citizenship. The forces in question are various—affective, corporeal, temporal, spatial, spectral—but it is affect that provides the main impetus to action. Supplementing the more conventional frame of citizenship as belonging, we propose a framework of citizen becoming as a generative way to think and do citizenship in the posthuman present. The argument is made that analytic frames that attune to citizenship as an affective movement of becoming best address current conditions for producing citizen subjects and usefully extend individualised models of citizenship that have long influenced education. (shrink)

Elizabeth Lanphier and Uchenna E. Anani provide a powerful argument for the value of a trauma-informed approach to the ethics consultation, which acknowledges the perspectives of all stakeho...

An important theme in the philosophy of education community in recent years has been the way in which philosophy can be brought to illuminate and evaluate research findings from the landscape of policy and practice. Undoubtedly, some of these practices can be based on spurious evidence, yet have mostly been left unchallenged in both philosophical and educational circles. One of the newer practices creeping into schools is that of ‘No best friend’ policies. In some schools, this is interpreted as suggesting (...) that children should not have just one best friend but a group of good friends. In others, it is interpreted as suggesting that children should forgo having best friends altogether and be friends with everyone. What is common to both is that friendship is seen as somehow ‘dangerous’. This article offers a preliminary examination of what has been referred to as this ‘dark side’ of friendship. Whilst philosophers such as Patricia White have previously alluded to its existence, there has been little philosophical scrutiny in any broad terms elsewhere. I examine three common arguments commonly used to justify ‘No best friends’ practices: that children can be friends with everyone; that young children are developmentally incapable of ‘real’ friendship hence best friendship should be avoided until later age; that only good people can be good friends. I indicate why this unreflective adoption of practices matters so much and why we should be prepared to challenge these cases. I identify practices that we have good evidence to support as making a positive difference in this area. (shrink)

This piece comprises short presentations given by contributors to a symposium organized by the journal Ethics & Social Welfare on the theme of global ethics for social work. The contributors offer their reflections on the extent to which universally accepted international statements of ethical principles in social work are possible or useful, engaging with debates about cultural diversity, relativism and the relevance of human rights in non-Western countries.

The concept of normal is so familiar that it can be hard to imagine contemporary life without it. Yet the term entered everyday speech only in the mid-twentieth century. Before that, it was solely a scientific term used primarily in medicine to refer to a general state of health and the orderly function of organs. But beginning in the middle of the twentieth century, normal broke out of scientific usage, becoming less precise and coming to mean a balanced condition to (...) be maintained and an ideal to be achieved. In Normality, Peter Cryle and Elizabeth Stephens offer an intellectual and cultural history of what it means to be normal. They explore the history of how communities settle on any one definition of the norm, along the way analyzing a fascinating series of case studies in fields as remote as anatomy, statistics, criminal anthropology, sociology, and eugenics. Cryle and Stephens argue that since the idea of normality is so central to contemporary disability, gender, race, and sexuality studies, scholars in these fields must first have a better understanding of the context for normality. This pioneering book moves beyond binaries to explore for the first time what it does—and doesn’t—mean to be normal. (shrink)

As attested by Taylor, Calhoun and others, recognition is central to (cultural) identity and to a related sense of self-worth. In contrast, by denying the comparable worth of other cultures, non-recognition represents a potentially damaging mode of intercultural relations. Although not widely acknowledged, a related consideration has been at issue in the rationality debate, initiated by Peter Winch, throughout its several phases. Briefly stated, the problem is that the polarized alternatives of ethnocentric universalism and self-sealing relativism that have characterized this (...) debate serve either to preclude mutual recognition altogether or to promote 'invidious comparison' (Dascal). As will be apparent, these alternatives pose significant barriers to intercultural research and relations on terms of mutual recognition and respect. The present paper seeks to come to terms with this problem by developing an account of cultural rationality, and a concomitant account of the logic of cross-cultural inquiry, which can promote growth of understanding through intercultural learning, and so help to foster more productive modes of intercultural relations. Specifically, the intent is to identify the conditions that need to be fulfilled if this more productive mode of cross-cultural inquiry is to be possible. Throughout, appeal is made to core hermeneutic tenets to ground the viability of a conception of cross-cultural inquiry that can transcend the terms of reference of the original Winchian debate. Following elucidation of the requisite conditions, the paper concludes with a reflection on possible barriers to their acceptance and implementation. Key Words: culture • dialogue • intersubjectivity • learning • rationality • understanding. (shrink)

BackgroundDecision-making in initiating life-sustaining health technology is complex and often conducted at time-critical junctures in clinical care. Many of these decisions have profound, often irreversible, consequences for the child and family, as well as potential benefits for functioning, health and quality of life. Yet little is known about what influences these decisions. A systematic review of reasoning identified the range of reasons clinicians give in the literature when initiating technology dependence in a child, and as a result helps determine the (...) range of influences on these decisions.MethodsMedline, EMBASE, CINAHL, PsychINFO, Web of Science, ASSIA and Global Health Library databases were searched to identify all reasons given for the initiation of technology dependence in a child. Each reason was coded as a broad and narrow reason type, and whether it supported or rejected technology dependence.Results53 relevant papers were retained from 1604 publications, containing 116 broad reason types and 383 narrow reason types. These were grouped into broad thematic categories: clinical factors, quality of life factors, moral imperatives and duty and personal values; and whether they supported, rejected or described the initiation of technology dependence. The majority were conceptual or discussion papers, less than a third were empirical studies. Most discussed neonates and focused on end-of-life care.ConclusionsThere is a lack of empirical studies on this topic, scant knowledge about the experience of older children and their families in particular; and little written on choices made outside ‘end-of-life’ care. This review provides a sound basis for empirical research into the important influences on a child’s potential technology dependence. (shrink)