The zone of latent solutions hypothesis provides an alternative approach to explaining cultural patterns in primates and many other animals. According to the ZLS hypothesis, non-human great ape cultures consist largely or solely of latent solutions. The current competing hypothesis for ape culture argues instead that at least some of their behavioural or artefact forms are copied through specific social learning mechanisms and that their forms may depend on copying. In contrast, the ape ZLS hypothesis does not require these forms (...) to be copied. Instead, it suggests that several social learning mechanisms help determine the frequency of these behaviours and artefacts within connected individuals. The ZLS hypothesis thus suggests that increases and stabilisations of a particular behaviour’s or artefact’s frequency can derive from socially-mediated form reinnovations. Therefore, and while genes and ecology play important roles as well, according to the ape ZLS hypothesis, apes typically acquire the forms of their behaviours and artefacts individually, but are usually socially induced to do so. The ZLS approach is often criticized—perhaps also because it challenges the current null hypothesis, which instead assumes a requirement of form-copying social learning mechanisms to explain many ape behavioural forms. However, as the ZLS hypothesis is a new approach, with less accumulated literature compared to the current null hypothesis, some confusion is to be expected. Here, we clarify the ZLS approach—also in relation to other competing hypotheses—and address misconceptions and objections. We believe that these clarifications will provide researchers with a coherent theoretical approach and an experimental methodology to examine the necessity of form-copying variants of social learning in apes, humans and other species. (shrink)

In 2009, Tennie et al. proposed the theory of the Zone of Latent Solutions, defined as the range of behaviors an individual of a species can invent independently, i.e., which it can acquire without any form of social learning. By definition, species limited to their ZLS are unable to innovate and/or transmit behavioral traits outside their ZLS, i.e., they lack traits which go beyond the level of the individual—traits resulting from a gradual cultural evolution over successive transmission events [“cumulative culture”, (...) Boyd and Richerson ]. However, this does not exclude an influence of social learning on the population frequency of these behaviors: social learning can facilitate the acquisition of latent solutions and thus speed up and consolidate their spread within a population. Cultures—defined as behaviors at least influenced by social learning—are therefore still possible. Here, we elaborate on the ZLS account and relate it to the theories of Vygotsky who studied the role of social learning in human culture. We argue that the ZLS is a missing phylogenetic “baseline” of Vygotsky’s Zone of Actual Development. Vygotsky’s neglect of a need for a human “baseline ZAD” may have been due to his interpretation of Köhler’s work on great ape behaviors: Köhler used his observations on individual chimpanzees to draw conclusions about the chimpanzee species as a whole, stating that chimpanzees can only copy what they could have invented themselves, thus coming close to the ZLS concept. Vygotsky—studying the range of behaviors individuals could achieve independently—seemingly did not see that Köhler was suggesting a species “baseline”, upon which Vygotsky’s idea of an individual’s ZAD could develop. As a result, Vygotsky also did not see the need for a ZLS for his own study subjects: humans. Yet, there is no reason to assume that humans lack a ZLS, and in fact we present evidence for a human ZLS for tool-use behaviors. (shrink)

The critical examination of current hypotheses is one of the key ways in which scientific fields develop and grow. Therefore, any critique, including Haidle and Schlaudt’s article, “Where Does Cumulative Culture Begin? A Plea for a Sociologically Informed Perspective,” represents a welcome addition to the literature. However, critiques must also be evaluated. In their article, Haidle and Schlaudt review some approaches to culture and cumulative culture in both human and nonhuman primates. H&S discuss the “zone of latent solutions” hypothesis as (...) applied to nonhuman primates and stone-toolmaking premodern hominins. Here, we will evaluate whether H&S’s critique addresses its target. (shrink)

Previous research has suggested that individuals who identify as being more religious request more aggressive medical treatment at end of life. These requests may generate disagreement over life-sustaining treatment (LST). Outside of anecdotal observation, however, the actual role of religion in conflict over LST has been underexplored. Because ethics committees are often consulted to help mediate these conflicts, the ethics consultation experience provides a unique context in which to investigate this question. The purpose of this paper was to examine the (...) ways religion was present in cases involving conflict around LST. Using medical records from ethics consultation cases for conflict over LST in one large academic medical centre, we found that religion can be central to conflict over LST but was also present in two additional ways through (1) religious coping, including a belief in miracles and support from a higher power, and (2) chaplaincy visits. In-hospital mortality was not different between patients with religiously versus non-religiously centred conflict. In our retrospective cohort study, religion played a variety of roles and did not lead to increased treatment intensity or prolong time to death. Ethics consultants and healthcare professionals involved in these cases should be cognisant of the complex ways that religion can manifest in conflict over LST. (shrink)

Systematic study of the intersection of ethics consultation services and solid organ transplants and recipients can identify and illustrate ethical issues that arise in the clinical care of these patients, including challenges beyond resource allocation. This was a single-centre, retrospective cohort study of all adult ethics consultations between January 1, 2007, and December 31, 2017, at a large academic medical centre in the north-eastern United States. Of the 880 ethics consultations, sixty (6.8 per cent ) involved solid organ transplant, thirty-nine (...) (65.0 per cent) for candidates and twenty-one (35.0 per cent ) for recipients. Ethics consultations were requested for 4.3 per cent of heart, 4.9 per cent of lung, 0.3 per cent of liver, and 0.3 per cent of kidney transplant recipients over the study period. Nurses were more likely to request ethics consultations for recipients than physicians (80.0 per cent vs 20.0 per cent, p = 0.006). The most common reason for consultation among transplant candidates was discussion about intensity of treatment or goals of care after the patient was not or was no longer a transplant candidate. The most common reason for ethics consultation among transplant recipients was disagreement between transplant providers and patients/families/non-transplant healthcare professionals over the appropriate intensity of treatment for recipients. Very few consultations involved questions about appropriate resource allocation. Ethics consultants involved in these cases most often navigated communication challenges between transplant and non-transplant healthcare professionals and patients and families. (shrink)

ABSTRACTAs an introduction to the English translation of an article previously published by Jocelyn Maclure, in French, in Dialogue, I share my thoughts on Dialogue's bilingualism and the current context.

Critical care society guidelines recommend that ethics committees mediate intractable conflict over potentially inappropriate treatment, including Do Not Resuscitate status. There are, however, limited data on cases and circumstances in which ethics consultants recommend not offering cardiopulmonary resuscitation despite patient or surrogate requests and whether physicians follow these recommendations. This was a retrospective cohort of all adult patients at a large academic medical center for whom an ethics consult was requested for disagreement over DNR status. Patient demographic predictors of ethics (...) consult outcomes were analyzed. In 42 of the 116 cases, the patient or surrogate agreed to the clinician recommended DNR order following ethics consultation. In 72 of 74 of the remaining cases, ethics consultants recommended not offering CPR. Physicians went on to write a DNR order without patient/surrogate consent in 57 of those cases. There were no significant differences in age, race/ethnicity, country of origin, or functional status between patients where a DNR order was and was not placed without consent. Physicians were more likely to place a DNR order for patients believed to be imminently dying. The median time from DNR order to death was 4 days with a 90-day mortality of 88.2%. In this single-center cohort study, there was no evidence that patient demographic factors affected ethics consultants’ recommendation to withhold CPR despite patient/surrogate requests. Physicians were most likely to place a DNR order without consent for imminently dying patients. (shrink)

Linguistic meaning has an essential normative dimension that prima facie cannot be reduced to descriptive, non-normative, terms. Taking this point for granted, this paper however aims at proposing a naturalist view of semantics - inspired by Wilfrid Sellars' original works - focused on the way the constitutive normative aspects of meaning might be properly explained and accounted for, rather than eliminated.

Au cours des vingt dernières années, le champ de l’épistémologie s’est tellement élargi, en termes d’objets comme de méthodes, que les frontières qui distinguaient traditionnellement cette discipline d’autres domaines d’étude semblent avoir été abolies. La psychologie sociale, les sciences cognitives, la sociologie, l’histoire, les sciences politiques, l’anthropologie ou encore les études de genre, pour ne nommer que celles-ci, revendiquent toutes leur pertinence quand il s’agit de rendre compte de tout ou partie du phénomène de la connaissance humaine. Si pour certains (...) théoriciens, ces prétentions sont légitimes et même bienvenues, d’autres tiennent fermement à l’indépendance de l’épistémologie comme type d’approche et méthode d’analyse. En nous concentrant en particulier sur les récentes publications en français de Roger Pouivet et Pascal Engel, notre but est ici de rendre compte et discuter d’au moins certains des arguments qui animent ce débat. (shrink)

The COVID‐19 pandemic has placed extraordinary stress on frontline healthcare providers as they encounter significant challenges and risks while caring for patients at the bedside. This study used qualitative research methods to explore nurses and respiratory therapists' experiences providing direct care to COVID‐19 patients during the first surge of the pandemic at a large academic medical center in the Northeastern United States. The purpose of this study was to explore their experiences as related to changes in staffing models and to (...) consider needs for additional support. Twenty semi‐structured interviews were conducted with sixteen nurses and four respiratory therapists via Zoom or by telephone. Interviews were transcribed verbatim, identifiers were removed, and data was coded and analyzed thematically. Five major themes characterize providers' experiences: a fear of the unknown, concerns about infection, perceived professional unpreparedness, isolation and alienation, and inescapable stress and distress. This manuscript analyzes the relationship between these themes and the concept of moral distress and finds that some, but not all, of the challenges that providers faced during this time align with previous definitions of the concept. This points to the possibility of broadening the conceptual parameters of moral distress to account for providers' experiences of treating patients with novel illnesses while encountering institutional and clinical challenges. (shrink)

Résumé Cet article vise à restituer le contexte historique dans lequel la notion de donné a été introduite avant que Sellars n’en propose la critique systématique. À travers l’étude des textes fondateurs de C. I. Lewis et H. H. Price et des objections auxquelles ils se sont efforcés de répondre, on exposera la nature des débats à la fois métaphysiques et épistémologiques qu’a, dès les années 1930, suscité la thèse selon laquelle l’expérience fournirait à la connaissance un donné fondamental qui (...) seul permettrait d’en assurer la validité empirique. Parce que le donné pur, indépendant de tout ce que l’esprit peut lui adjoindre lorsqu’il lui applique ses concepts, semble devoir demeurer ineffable et inconnaissable pour nous, il était dès l’origine tout à fait problématique non seulement d’en reconnaître l’existence, mais encore plus de chercher à bâtir sur une telle base – comme bien des empiristes ont pourtant prétendu le faire au vingtième siècle – une conception réaliste des rapports entre l’esprit et le monde (insistant sur leur indépendance réciproque) et une conception fondationnaliste de la structure de la connaissance. C’est néanmoins à Sellars qu’il reviendra de démontrer la vacuité d’un tel projet. (shrink)

From a doctoral research based on the theoretical and methodological construction of the Feminist Sociology of Religion, the referent text presents a discussion about power and domination of gender in the Universal Church of the Kingdom of God. The study adopts the religion as a sociological problem in order to raise some discussion points from the construction process and articulation of the relationship between power and gender resistance in religion. The doctoral thesis researched three major Pentecostal churches and found that (...) in all of them the official discourse reproduces the view that the physical skills of becoming pregnant makes women physically unable to take positions and power activities in the church than men. This judgment strengthens the association between male domination and religious power because it reinforces the community's own complicity and thus continue tolerating that men benefit from this argument to legitimize their positions of power in the church. From the notion of "innate fragility of women" the church keeps women on the margins of competition for religious status. The founding elements of the "feminine nature ideology" show that men do not want to lose the attention and personal services that are still accustomed to receive from their mothers, wives or sisters. So, weaken this ideology would open the possibility of losing this style of women, because this empowerment process would allow women conquer spaces and rights usually enjoyed only by men. Therefore, this text aims to present some daily practices of resistance and insubordination to social relationships that insist on keeping the Pentecostal women to domestic and family sphere, in other words, distant from the pulpit and church spheres of power. (shrink)

While a significant literature has appeared discussing theoretical ethical concerns regarding COVID-19, particularly regarding resource prioritization, as well as a number of personal reflections on providing patient care during the early stages of the pandemic, systematic analysis of the actual ethical issues involving patient care during this time is limited. This single-center retrospective cohort mixed methods study of ethics consultations during the first surge of the COVID 19 pandemic in Massachusetts between March 15, 2020 through June 15, 2020 aim to (...) fill this gap. Results indicate that there was no significant difference in the median number of monthly consultation cases during the first COVID-19 surge compared to the same period the year prior and that the characteristics of the ethics consults during the COVID-19 surge and same period the year prior were also similar. Through inductive analysis, we identified four themes related to ethics consults during the first COVID-19 surge including (1) prognostic difficulty for COVID-19 positive patients, (2) challenges related to visitor restrictions, (3) end of life scenarios, and (4) family members who were also positive for COVID-19. Cases were complex and often aligned with multiple themes. These patient case-related sources of ethical issues were managed against the backdrop of intense systemic ethical issues and a near lockdown of daily life. Healthcare ethics consultants can learn from this experience to enhance training to be ready for future disasters. (shrink)

To support their claim for technical reasoning skills rather than imitation as the key for cumulative technological culture, Osiurak and Reynaud argue that chimpanzees can imitate mechanical actions, but do not have CTC. They also state that an increase in working memory in human evolution could not have been a key driver of CTC. We discuss why we disagree with these claims.

Philip Pettit ,Aude Bandini | : La démocratie signifie d’abord et avant toute chose l’idée d’un contrôle populaire, et ce par l’ensemble des moyens possibles. Ces moyens donnent lieu à la légitimité. Mais ces contrôles populaires, du moins tels qu’ils sont entendus dans de nombreuses discussions, ne donnent pas lieu à la légitimité espérée. Les théories de la démocratie ne partagent pas une même conception des choses à ce sujet, ce qui donne lieu à une pluralité d’approches. Dans cet article, (...) l’auteur soutient que la réponse la plus intéressante à cette question implique une réinterprétation de la notion de contrôle populaire. | : Democracy means popular control, by almost all accounts. And by almost all accounts democracy entails legitimacy. But popular control, at least as that is understood in many discussions, does not entail legitimacy. So something has got to give. Democratic theories divide on what this is, so that the question prompts a taxonomy of approaches. The most appealing answer, so the paper suggests, involves a reinterpretation of the notion of popular control. (shrink)

These photographs, essays, drawings, and original texts document the rich agit-art legacy of the Situationist International, a group of European artists and writers who emerged from such avant-garde movements as COBRA, Lettrisme, and the Imaginary Bauhaus and from the breakup of surrealism to launch a strategy of art as cultural critique.

We describe the structure, operation, and experience of the Massachusetts General Hospital ethics committee, formally called the Edwin H. Cassem Optimum Care Committee, from January 2007 through December 2013. Founded in 1974 as one of the nation’s first hospital ethics committees, this committee has primarily focused on the optimum use of life-sustaining treatments. We outline specific sociodemographic and clinical characteristics of consult patients during this period, demographic differences between the adult inpatient population and patients for whom the ethics committee was (...) consulted, and salient features of the consults themselves. We include three case studies that illustrate important consult themes during this period. Our findings expand knowledge about the structure and workings of hospital ethics committees and illustrate how one ethics committee has developed and utilized policies on end-of-life care. More generally, we model a sociological approach to the study of clinical ethics consultation that could be utilized to contextualize institutional practices over time. (shrink)

La critique sellarsienne du «mythe du donné» touche en son cœur le projet empiriste fondationnaliste, dont elle entend néanmoins sauvegarder les intuitions épistémologiques et ontologiques saines. Pour ce faire, les difficultés dirimantes soulevées par l’usage de la notion de donné doivent être d’abord clairement identifiées, puis désamorcées. Ceci aboutit à la fois à une redéfinition précautionneuse du donné comme un concept non épistémologique, et à une révision de la conception traditionnelle du rapport entre observation et théorie, connaissance directe et connaissance (...) inférentielle. View HTML Send article to KindleTo send this article to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle. Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service.Le mythe fondateur de l’empirisme : le donné épistémologiqueVolume 51, Issue 3AUDE BANDINI DOI: https://doi.org/10.1017/S0012217312000789Your Kindle email address Please provide your Kindle [email protected]@kindle.com Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Dropbox To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox. Le mythe fondateur de l’empirisme : le donné épistémologiqueVolume 51, Issue 3AUDE BANDINI DOI: https://doi.org/10.1017/S0012217312000789Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Google Drive To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive. Le mythe fondateur de l’empirisme : le donné épistémologiqueVolume 51, Issue 3AUDE BANDINI DOI: https://doi.org/10.1017/S0012217312000789Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Export citation Request permission. (shrink)