Considered together, Butler and Whitehead draw from a wide palette of disciplines to develop distinctive theories of becoming, of syntactical violence, and creative opportunities of limitation. The contributors of this volume offer a unique contribution to and for the humanities in the struggles of politics, economy, ecology, and the arts.

Saggar recalled a patient who … asked, “Doctor, do you really think I have COVID?” At that point, Saggar wasn’t sure. He told him they were being “extra cautious.” About 10 days later, the patient was dead. “That still haunts me,” Saggar said.Infectious disease specialist Dr. Suraj Saggar says he is “haunted”. We cannot tell precisely what haunts him: the death of his patient, or his in-ability, 10 days earlier, to say for certain whether the patient was infected with the (...) new coronavirus. Probably the two merge, so that for him the sadness and horror we all feel when a person we know suddenly dies is inseparable from the particular guilty grief he feels as a doctor, not simply for being unable to save a... (shrink)

By dying, after three hours of dithering, Hamlet has finally asserted his manhood…– John Lahr, “Indecision 2008” To be, or not to be….– William Shakespeare, HamletThe word decision (like the word i...

The victim’s upper brain is destroyed. He’s a living corpse, but his organs are alive and warm and happy until they can be taken out by the butchers at the Institute. Karen Ann Quinlan wasn’t dead. But, terrifyingly, she wasn’t fully alive, either. Maybe she was no longer human. A smear like “death panels” emerges and catches fire because it’s fundamentally interesting. You could write a great thriller . . . about death panels. As I write, a single phrase dominates (...) public discussion of health-care reform in the United States: “death panels.” Its power cannot lie in its referential accuracy or be diminished by arguing, even with irrefutable evidence, that it is a misrepresentation. The .. (shrink)

The relationships between socioeconomic and biogenetic reproduction are always socially constructed but not always acknowledged. These relationships are examined as they apply to an instance of infertility and assisted reproduction presented in a seventeenth-century English play, Thomas Middleton’s 1613 comedy, A Chaste Maid in Cheapside. Middleton’s satirization of the effects of secrecy on the category of reproductive disability is analyzed and its applicability to our own time considered. The discussion is in four parts, focusing on: the attribution of disabled status (...) to one member of the couple, the wife; the use of this attribution to protect the husband’s reputation for sexual and reproductive health; the concealment of the nature of assisted reproduction; and the interests of the child conceived with such assistance. (shrink)

This paper suggests that the purpose of humanities teaching within medical education should be primarily to teach and promote the informed, attentive, critical, and precise reading of the multiple texts that constitute medicine as a discursive field—in short, a poetics of medicine. This claim is illustrated by reconsidering Margaret Edson’s play Wit, not as it is often used in medical education, as a cautionary tale about unprofessional behavior or as a way to inculcate “humanistic skills,” but as an analysis of (...) the relationships between texts and feelings—or cognition and emotion, or science and art. This reading is illustrated by comparing the poetics of Wit with those of two other texts representing ovarian cancer: a scientific paper in Oncology and a clinical case conference in JAMA. (shrink)

Most countries appear to believe that their health system is in a state of semi-crisis with expenditures rising rapidly, with the benefits of many services unknown and with pressure from the public to ensure access to a comprehensive range of services. But whose values should inform decision-making in the health area, and should the influence of different groups vary with the level of decision-making? These questions were put to 54 members of the public and health professionals in eight focus groups. (...) Adopting a different perspective from other studies, participants were not asked if particular groups should be involved in decisions but rather through deliberation and discussion nominated their own potential decision makers. This delivered a clear message that participants saw a legitimate role for a broad range of stakeholders in priority-setting decisions so as to incorporate a diversity of expertise and opinion. Companion themes were the acknowledgment that decisions involve ethical judgments and are not purely technical, that the power of special interest groups (such as clinicians) should be kept in check, and that the process by which decisions are reached is important. The results suggest that qualitative methods of investigation have the potential to improve the legitimacy of policy decisions by contributing to a better understanding of the values of the public and health professionals, and by expanding the range of options available for further research. (shrink)

The study examined the question of who should make decisions for a National Health Scheme about the allocation of health resources when the health states of beneficiaries could change because of adaptation. Eight semi-structured small group discussions were conducted. Following focus group theory, interviews commenced with general questions followed by transition questions and ended with a ‘focus’ or ‘key’ question. Participants were presented with several scenarios in which patients adapted to their health states. They were then asked their views about (...) the appropriate role of the public, patients and health professionals in making social judgements of quality of life. After discussion and debate, all groups were asked the key question: ‘In light of adaptation, who should evaluate quality of life for the purpose of setting priorities in the allocation of health care?’ In all groups participants presented strong arguments for and against decision making by patients, the public and health professionals. However, most groups thought a representative body which included a range of perspectives should make the relevant judgements. This is at odds with the recommendations in most national pharmaceutical guidelines. The main conclusion of the paper is that health economists and other researchers should explore the possibility of adopting a deliberative, consensus-based approach to evaluating health-related quality of life when such judgements are to be used to inform priority setting in a public system. (shrink)

Robert Coles' sentiment characterizes well the moral tenor of medical education today. Indeed, medical educators are frequently “seized by spasms of genuine moral awareness,” as they try to cope with the massive social and economic problems that face medical schools and teaching hospitals. The perception among educators that we currently fail to adequately teach several core aspects of doctoring, including professional values and behavior, constitutes one such spasm. In this case, the proposed remedy has generated considerable enthusiasm, but whether the (...) “core competencies” curriculum will make a difference, or simply “accommodate to the prevailing rhythms of the world we inhabit,” remains to be seen. (shrink)

BackgroundThe boundaries between health-related research and practice have become blurred as initiatives traditionally considered to be practice increasingly use the same methodology as research. Further, the application of different ethical requirements based on this distinction raises concerns because many initiatives commonly labelled as “non-research” are associated with risks to patients, participants, and other stakeholders, yet may not be subject to any ethical oversight. Accordingly, we sought to develop a tool to facilitate the systematic identification of risks to human participants and (...) determination of risk level across a broad range of projects and health-related contexts. This paper describes the development of the Public Health Ontario Risk Screening Tool.MethodDevelopment of the PHO Risk Screening Tool included: preparation of a draft risk tool ; expert appraisal; internal stakeholder validation; external validation; pilot testing and evalution of the draft tool; and revision after 1 year of testing.ResultsA risk screening tool was generated consisting of 20 items organized into five risk domains: Sensitivity; Participant Selection, Recruitment and Consent; Data/Sample Collection; Identifiability and Privacy Risk; and Commercial Interests. The PHO Risk Screening Tool is an electronic tool, designed to identify potential project-associated risks to participants and communities and to determine what level of ethics review is required, if any. The tool features an easy to use checklist format that generates a risk score associated with a suggested level of ethics review once all items have been completed. The final score is based on a threshold approach to ensure that the final score represents the highest level of risk identified in any of the domains of the tool.ConclusionsThe PHO Risk Screening Tool offers a practical solution to the problem of how to maintain accountability and appropriate risk oversight that transcends the boundaries of research and practice. We hope that the PHO Risk Screening Tool will prove useful in minimizing the problems of over and under protection across a wide range of disciplines and jurisdictions. (shrink)

This book is a series of essays by distinguished scholars concerned with the improvement of primary, secondary, and tertiary studies, most especially in arts but also in mathematics and science. It is concerned with past ideas about education in Australia, most particularly with the traditions that have yielded an education that has proven most beneficial to Australia in terms of comparison with other countries; and it advocates and emphasises how this tradition can be maintained and improved in specific ways. Essays (...) focus on primary and secondary education in music, and art, mathematics, history and the classics, on the improvement of memory and vocabulary, but more particularly on university education, discussing the purpose of education, learning in general, the use of the seminar, the necessity of freedom of debate, the inadequacies and contradictions of French and Anglo-post modernism, the teaching of history, of philosophy, and its branch aesthetics, mathematics, equality in education, teaching at university and funding of the whole enterprise. The authors are all well known in their disciplines and some are experts, internationally recognised in their fields. This book features essays by: David Daintree, Karl Schmude, Simon Haines, Kevin Donnelly, Matthew Lesh, Chris Berg & Bella d'Abrera, David Furse-Roberts, Greg Melleuish, Steven Schwartz, Blaise Joseph, James Franklin, Christopher Allen, Richard Gill, Jeremy Bell, Barry Spurr, David Brooks, Natalie Kennedy, Sarah Williams, Sarah Lawrence, Ivan Francis Head. (shrink)

Word recognition is the Petri dish of the cognitive sciences. The processes hypothesized to govern naming, identifying and evaluating words have shaped this field since its origin in the 1970s. Techniques to measure lexical processing are not just the back-bone of the typical experimental psychology laboratory, but are now routinely used by cognitive neuroscientists to study brain processing and increasingly by social and clinical psychologists (Eder, Hommel, and De Houwer 2007). Models developed to explain lexical processing have also aspired to (...) be statements about the nature of human cognition (e.g., connectionist models, Plaut, McClelland, Seidenberg, and Patterson 1996). Words were convenient objects to study for cognitive psychologists because they are welldefined and their nature as alphabetic strings was a good fit to analysis with the computer programming languages of the 1970s and 1980s which excelled at string manipulation. But are words actually the privileged unit of mental representation and processing that all of this scientific attention makes them out to be? Like a growing number of other language researchers, our answer is no (see, e.g., (Bybee and Hopper 2001; Wray 2002). We propose that the mental representations for lexical structures form a continuum, from word combinations which have fossilized into single units (nightclub) to those that both exist as independent units and yet have bonds, varying in tightness, with the words with which they frequently co-occur (Harris 1998). The first line of support for this view is the simple observation that fluent speakers easily recognize the familiarity and cohesive quality of word combinations in their language. Examples in English include common noun compounds (last year, brand new), verb phrases (cut down, get a hold of, faced with) and other multi-word expressions such as common sayings and references to cultural concepts (saved by the bell, speed of light; Jackendoff 1995).. (shrink)

Depuis longtemps, les médecins se sont intéressés au phénomène de la menstruation, qui renvoie au mystère de l’» éternel féminin ». À la fin du XIXe siècle, le discours médical sur les règles recoupe encore sur bien des points les préjugés populaires, notamment en ce qui concerne l’impureté du sang menstruel. Les médecins toutefois ne sont pas unanimes : perçue par certains comme un garant de l’équilibre féminin, une « saignée naturelle » indispensable à la bonne santé de la femme, (...) la menstruation est stigmatisée par d’autres comme un état pathologique induisant chez la femme indisposée des troubles aussi bien physiologiques que psychologiques. La question des règles est ainsi révélatrice d’a priori qui sont tout autant masculins que médicaux, et le discours des médecins ne fait qu’apporter une caution qui se veut scientifique à la perception de la femme comme une éternelle malade, étroitement soumise à son destin biologique. (shrink)

In her final fragmentary novel Sanditon, Jane Austen develops a theme that pervades her work from her juvenilia onward: illness, and in particular, illness imagined, invented, or self-inflicted. While the “invention of odd complaints” is characteristically a token of folly or weakness throughout her writing, in this last work imagined illness is also both a symbol and a cause of how selves and societies degenerate. In the shifting world of Sanditon, hypochondria is the lubricant for a society bent on turning (...) health into a commodity. As a result, people’s rationality and their moral character come under attack. Catherine Belling’s recent subtle study, A Condition of Doubt: The Meanings of Hypochondria, unveils hypochondria’s discursive and cultural character. Running sharply against the tenor of Austen’s treatment, however, she argues in defense of the rationality of hypochondriacs; the notion that the condition may involve morally significant defects is not entertained; any connection to the commercialization of health care is muted. Here, I contrast Austen’s morally and epistemically negative rendering of her hypochondriacal characters in Sanditon with Belling’s efforts to create a sympathetic understanding of people with hypochondria. I will argue that, despite time gaps and genre differences, joint consideration of these texts can help bioethicists better appreciate how medicine can intensify, pathologize, and exploit anxieties about illness and death, thus adding to the challenges of living well in the face of mortality and morbidity. (shrink)

Although pragmatism and phenomenology have both contributed significantly to the genealogy of so-called “4E” – embodied, embedded, enactive and extended – cognition, there is benefit to be had from a systematic comparative study of these roots. As existing 4E cognition literature has tended to emphasise one or the other tradition, issues remain to be addressed concerning their commonalities – and possible incompatibilities. We begin by exploring pragmatism and phenomenology’s shared focus on contesting intellectualism, and its key assumption of mindedness as (...) representation. We then outline distinctive insights from both traditions regarding the nature and role of habits, in order to put forward a habit-based epistemology as an alternative to the Cartesian idea-based epistemology that has dominated modern philosophy. We pay particular attention to the work of classical pragmatist C.S. Peirce, arguing that his semiotics, which analyses sign-use as habit, shows how theorists of embodied cognition can break a certain false dichotomy between embodiment and logical or intellectual structure which has prevented them from fully theorising propositional knowledge. In this way, our work both augments and challenges the Dewey/Merleau-Ponty connection that has been much more extensively explored by the field. (shrink)

Early discussions of ?climate justice? have been dominated by economists rather than political philosophers. More recently, analytical liberal political philosophers have joined the debate. However, the philosophical discussion of climate justice remains in its early stages. This paper considers one promising approach based on human rights, which has been advocated recently by several theorists, including Simon Caney, Henry Shue and Tim Hayward. A basic argument supporting the claim that anthropogenic climate change violates human rights is presented. Four objections to this (...) argument are examined: the ?future persons? objection; the ?risk? objection; the ?collective causation? objection; and the ?demandingness? objection. This critical examination leads to a more detailed specification and defence of the claim that anthropogenic climate change violates human rights. (shrink)

This paper argues that we can acknowledge the existence of moral truths and moral progress without being committed to moral realism. Rather than defending this claim through the more familiar route of the attempted analysis of the ontological commitments of moral claims, I show how moral belief change for the better shares certain features with theoretical progress in the natural sciences. Proponents of the better theory are able to convince their peers that it is formally and empirically superior to its (...) rivals, and the better theory may be promoted to the status of the truth. Yet there is no 'decision-procedure' for ethics any more than there is for molecular biology. The betterness of true theories can be grasped through what I term 'undirectional narratives' of progress. And while there are true moral claims and perhaps numerous moral truths yet to be discovered, we should reject currently popular forms of moral realism with bivalence. Some moral claims lend themselves to the construction of fully reversible, bi-directional narratives and are likely neither true nor false. (shrink)

In this chapter, it is described and assessed how political scientists use rational choice theories to offer causal explanations. We observe that the ways in which rational choice theories are considered to be successful in political science differs, depending on the explanandum in question. Political scientists use empirical variants of rational choice theories to explain the political behavior of individual agents and analytical variants to explain the behavior of collective actors. Both variants are used for distinct explananda, which ask for (...) different modes of explanation that raise in turn different explanatory demands toward rational choice theories. We argue that when political scientists discuss the explanatory usefulness of rational choice theories, they should assess them in light of the demands they are supposed to meet. This would enable a more nuanced and problem-oriented appraisal of rational choice theories in political science. (shrink)

In his profound and deeply personal new book, New York Times bestselling author Rob Bell explores the endless dynamic questions and connections that have shaped his life to provide powerful insight into understanding your purpose and place in the world. Our home is a universe of endless dynamic connections that never stop inviting us to participate in the great mysterious love at the heart of it all. Everything is Spiritual is a brief history of how these ideas about creation, love, (...) and connection shaped the author--and can shape every one of us. In this book, Rob Bell explores the concept that what people really want, more than anything, is to understand their purpose here--so much so that it gives them an abiding sense of awe and wonder. And when you embrace where and who you come from and your wounds and pains and regrets, you will discover that there's an invitation lurking there in the mess of life: an invitation to expand just like the universe has been doing for 13 billions years. There is a space beyond all the parts and divisions and differences and polarization where you see that it's all one connected whole and it's all rigged in favor of your growth, expansion, and joy. (shrink)

I argue that trustworthiness is an epistemic desideratum. It does not reduce to justified or reliable true belief, but figures in the reason why justified or reliable true beliefs are often valuable. Such beliefs can be precarious. If a belief's being justified requires that the evidence be just as we take it to be, then if we are off even by a little, the belief is unwarranted. Similarly for reliability. Although it satisfies the definition of knowledge, such a belief is (...) not trustworthy. We ought not use it as a basis for inference or action and ought not give others to believe it. The trustworthiness of a belief, I urge, depends on its being backed by reasons—considerations that other members of the appropriate epistemic community cannot reasonably reject. Trustworthiness is intersubjective. It both depends on and contributes to the evolving cognitive values of an epistemic community. (shrink)

This chapter contains sections titled: Catherine Malabou : “Unbind Me” Judith Butler : What Kind of Shape Is Hegel's Body in? Catherine Malabou : What Is Shaping the Body? Judith Butler : A Chiasm between Us, but No Chasm.

Introduction -- 1. Problem of the New -- 2. Problem of Relations -- 3. Problem of Emergence -- 4. Problem of One and Many -- 5. Plato and the Third Man Argument -- 6. Bradley and the Problem of Relations -- 7. Moore, Russell and the Birth of Analytic Philosophy -- 8. Russell and Deleuze on Leibniz -- 9. On Problematic Fields -- 10. Kant and Problematic Ideas -- 11. Armstrong and Lewis on the Problem of One and Many -- (...) 12. Determinables and Determinates -- 13. The Limits of Representational Thought -- 14. Learning from a Cup of Coffee -- 15. Carnap and the Fate of Metaphysics -- 16. Truth and Relevance -- Conclusion. (shrink)

This paper contrasts the scholastic realisms of David Armstrong and Charles Peirce. It is argued that the so-called 'problem of universals' is not a problem in pure ontology (concerning whether universals exist) as Armstrong construes it. Rather, it pertains to which predicates should be applied where, issues which Armstrong sets aside under the label of 'semantics', and which from a Peircean perspective encompass even fundamentals of scientific methodology. It is argued that Peirce's scholastic realism not only presents a more nuanced (...) ontology (distinguishing existence and reality) but also illuminates why scholastic realism is a position worth fighting for. (shrink)

This issue of Philosophical Papers assembles eight essays that are part of the larger conversation on African philosophy and the analytic tradition. Several leading philosophers have contributed to this issue with provocative remarks, beginning with a three-way debate on the nature of philosophy itself as understood and practiced in the African context. It continues with essays on consensual democracy, authoritarianism, race and cultural identity, the cosmopolitan ideal, and belief and witchcraft.

Metaethics from a First Person Standpoint addresses in a novel format the major topics and themes of contemporary metaethics, the study of the analysis of moral thought and judgement. Metathetics is less concerned with what practices are right or wrong than with what we mean by 'right' and 'wrong.' Looking at a wide spectrum of topics including moral language, realism and anti-realism, reasons and motives, relativism, and moral progress, this book engages students and general readers in order to enhance their (...) understanding of morality and moral discourse as cultural practices. Catherine Wilson innovatively employs a first-person narrator to report step-by-step an individual's reflections, beginning from a position of radical scepticism, on the possibility of objective moral knowledge. The reader is invited to follow along with this reasoning, and to challenge or agree with each major point. Incrementally, the narrator is led to certain definite conclusions about 'oughts' and norms in connection with self-interest, prudence, social norms, and finally morality. Scepticism is overcome, and the narrator arrives at a good understanding of how moral knowledge and moral progress are possible, though frequently long in coming. Accessibly written, Metaethics from a First Person Standpoint presupposes no prior training in philosophy and is a must-read for philosophers, students and general readers interested in gaining a better understanding of morality as a personal philosophical quest."--Publisher's website. (shrink)

This paper addresses some apparent philosophical tensions between realism and enactivism by means of Charles Peirce’s pragmatism. Enactivism’s Mind-Life Continuity thesis has been taken to commit it to some form of anti-realist ‘world-construction’ which has been considered controversial. Accordingly, a new realist enactivism is proposed by Zahidi (_Phenomenology and the Cognitive Sciences,_ _13_(3), 461–475, 2014 ), drawing on Ian Hacking’s ‘entity realism’, which places subjects in worlds comprised of the things that they can successfully manipulate. We review this attempt, and (...) argue that whilst Zahidi rightly urges enactivists towards ‘internal realism’, he cannot sustain a non-negotiable aspect of realism that is crucial for scientific progress – the claim that multiple subjects inhabit _the same world_. We explore Peirce’s pragmatism as an alternative solution, foregrounding his distinction between existence and reality, and his inquiry-based account of cognition. These theoretical innovations, we argue, fruitfully generalize Zahidi’s _manipulation-based_ enactivist realism to a richer, _inquiry-based_ enactivist realism. We explore how this realism’s pan-species monism about truth encourages and supports the investigation of non-human animal cognition, and conclude by considering some implications of our discussion for long-standing realism debates within pragmatism. (shrink)

Virtues and Virtue Education in Theory and Practice explores questions about the locality versus the universality of virtues from a number of theoretical and practical perspectives. Written by leading international scholars in the field, it considers the relevance of these debates for the practice of virtue and character education. This volume brings together experts from education, philosophy, and psychology to consider how different disciplines might learn from each other and how insights from theory and practice can be integrated. It shows (...) that questions about virtue relativity or universality have not only theoretical significance but also important practical ramifications. The chapters explore different complexities of virtue ethics and different approaches to nurturing virtue and beyond, questioning how well virtues travel across geographical and cultural borders. By examining the philosophical literature and making links between theory and practice in an original way, the book offers scholarly research-informed suggestions for practice. It will be of great interest to researchers and academics and students in educational philosophy, character education, ethics, and psychology. (shrink)

Théologiens et philosophes chrétiens ont souvent minimisé, voire occulté, la dimension d'amour du judaïsme en l'assimilant à un pur légalisme. Cette thèse imprègne encore les mentalités modernes, fussent-elles déchristianisées. Ce livre n'est toutefois pas apologétique ; il se propose d'aborder la gravité de l'amour dans la philosophie et la spiritualité juives sans s'adapter au cadre théorique chrétien. Les penseurs juifs ont en effet profondément médité eux-mêmes la complexité théologique, spirituelle, morale et émotionnelle de l'amour. Le choix des questions abordées relève (...) de leur caractère impérieux face aux simplifications outrancières qui s'imposent de nos jours en matière de religion. La référence à des philosophes de périodes historiques différentes et à de grands commentateurs spirituels permet de poursuivre le dialogue avec eux et non de le clore. Il ne s'agit pas d'élaborer une thèse définitive sur l'amour de Dieu et du prochain dans le judaïsme, mais de se demander ce que sa gravité – son poids, son centre – signifie pour ceux qui désirent en témoigner. (shrink)

"Articulating a fresh vision for teaching, one that focuses on ensuring justice, believing people, and believing in people, this how-to offers evidence-based insights and draws from the author's own rich experiences as a professor to provide practical tips for reshaping syllabi, assessing student performance, and creating trust and belonging in the classroom"-Provided by publisher.