This paper argues that professionals who make boundary-related decisions should be guided by relationship-based practice. In our roles as service users and professionals, drawing from our lived experiences of professional relationships, we argue we need to move away from distance-based practice. This includes understanding the boundary stories and narratives that exist for all of us – including the people we support, other professionals, as well as the organisations and systems within which we work. When we are dealing with professional boundary (...) issues, we should centre relationship-building skills that are central to many other aspects of our work. Skills that foster relationships at all levels – between professionals, service users, and services – need to be revalued. Our final recommendation is to create, develop, and foster safer spaces within and outside of organisations, as well as inter-professionally, for the discussion and exploration of boundary-related issues and practice. We are interested in hearing from those with experiences of being marginalised by boundaries so that they can inform a reshaping of our collective ideas around boundary related practices. To foster relationship-based practices in organisations, we have outlined several recommendations here; however, we recognize that these do not go far enough, and that collective action is needed to inform systemic change. (shrink)

The perception of behavior as a moral or conventional concern can be influenced by contextual variables, including status and power differences. We propose that social processes and in particular social role enactment through the exercise of power will psychologically motivate moralization. Punishing or rewarding others creates a moral dilemma that can be resolved by externalizing causation to incontrovertible moral rules. Legitimate power related to structure and position can carry moral weight but may not influence the power holder’s perceptions of rules (...) and general norms of behavior. Social identity theory suggests moralization could be promoted by a concern for shared, defining values. However, the tendency to moralize another’s behavior can be injurious to shared identity. We explored white-collar employees’ perceptions of several categories of noxious or deviant workplace behaviors and regressed these perceptions on the tendency to use legitimate, referent, or reward and punish power; social identity; and the interaction of social identity and power, in particular legitimate power. Only the tendency to influence others through punishment or reward predicted moralization. Alternative causal explanations for the findings were addressed through the absence of any relationships between punishment and reward power and perceptions of deviant behaviors as wrong, upsetting, or requiring punishment. We discuss these results in the context of self and social processes, the social construction of morals and power, and the impact of managers’ behavior on group or organizational ethics. (shrink)

Ormerod and Chronicle reported that optimal solutions to traveling salesperson problems were judged to be aesthetically more pleasing than poorer solutions and that solutions with more convex hull nodes were rated as better figures. To test these conclusions, solution regularity and the number of potential intersections were held constant, whereas solution optimality, the number of internal nodes, and the number of nearest neighbors in each solution were varied factorially. The results did not support the view that the convex hull is (...) an important determinant of figural attractiveness. Also, in contrast to the findings of Ormerod and Chronicle, there were consistent individual differences. Participants appeared to be divided as to whether the most attractive figure enclosed a given area within a perimeter of minimum or maximum length. It is concluded that future research in this area cannot afford to focus exclusively on group performance measures. (shrink)

IntroductionHearing loss in adults has a pervasive impact on health and well-being. Its effects on everyday listening and communication can directly influence participation across multiple spheres of life. These impacts, however, remain poorly assessed within clinical settings. Whilst various tests and questionnaires that measure listening and communication abilities are available, there is a lack of consensus about which measures assess the factors that are most relevant to optimising auditory rehabilitation. This study aimed to map current measures used in published studies (...) to evaluate listening skills needed for oral communication in adults with hearing loss.MethodsA scoping review was conducted using systematic searches in Medline, EMBASE, Web of Science and Google Scholar to retrieve peer-reviewed articles that used one or more linguistic-based measure necessary to oral communication in adults with hearing loss. The range of measures identified and their frequency where charted in relation to auditory hierarchies, linguistic domains, health status domains, and associated neuropsychological and cognitive domains.Results9121 articles were identified and 2579 articles that reported on 6714 discrete measures were included for further analysis. The predominant linguistic-based measure reported was word or sentence identification in quiet. In contrast, discourse-based measures were used in 2.7% of the articles included. Of the included studies, 36.6% used a self-reported instrument purporting to measures of listening for communication. Consistent with previous studies, a large number of self-reported measures were identified, but 60.4% of these measures were used in only one study and 80.7% were cited five times or fewer.DiscussionCurrent measures used in published studies to assess listening abilities relevant to oral communication target a narrow set of domains. Concepts of communicative interaction have limited representation in current measurement. The lack of measurement consensus and heterogeneity amongst the assessments limit comparisons across studies. Furthermore, extracted measures rarely consider the broader linguistic, cognitive and interactive elements of communication. Consequently, existing measures may have limited clinical application if assessing the listening-related skills required for communication in daily life, as experienced by adults with hearing loss. (shrink)

Aim: Patients with advanced cancer need information about end-of-life treatment options in order to make informed decisions. Clinicians vary in the frequency with which they initiate these discussions.Patients and methods: As part of a long-term longitudinal study, patients with an expected 2-year survival of less than 50% who had advanced gastrointestinal or lung cancer or amyotrophic lateral sclerosis were interviewed. Each patient’s medical record was reviewed at enrollment and at 3 months for evidence of the discussion of patient wishes concerning (...) ventilator support, artificial nutrition and hydration , resuscitation and hospice care. A Kaplan–Meier analysis was also performed and 2-year survival calculated.Results: 60 cancer and 32 ALS patients were enrolled. ALS patients were more likely than cancer patients to have evidence of discussion about their wishes for ventilator support , ANH , DNR and hospice care . At 6 months, 91% of ALS patients were alive compared with 62% of cancer patients; at 2 years, 63% of ALS patients were alive compared with 23% of cancer patients .Conclusions: Cancer patients were less likely than ALS patients to have had documented advanced care planning discussions despite worse survival. This may reflect perceptions that ALS has a more predictable course, that advanced cancer has a greater number of treatment options, or differing views about hope. Nevertheless, cancer patients may be less adequately prepared for end-of-life decision-making. (shrink)

This long-awaited book replaces Hughes and Cresswell's two classic studies of modal logic: _An Introduction to Modal Logic_ and _A Companion to Modal Logic_. _A New Introduction to Modal Logic_ is an entirely new work, completely re-written by the authors. They have incorporated all the new developments that have taken place since 1968 in both modal propositional logic and modal predicate logic, without sacrificing tha clarity of exposition and approachability that were essential features of their earlier works. The book (...) takes readers from the most basic systems of modal propositional logic right up to systems of modal predicate with identity. It covers both technical developments such as completeness and incompleteness, and finite and infinite models, and their philosophical applications, especially in the area of modal predicate logic. (shrink)

Port-wine birthmarks (PWBs) are caused by somatic, mosaic mutations in the G protein guanine nucleotide binding protein alpha subunit q (GNAQ) and are characterized by the formation of dilated, dysfunctional blood vessels in the dermis, eyes, and/or brain. Cutaneous PWBs can be treated by current dermatologic therapy, like laser intervention, to lighten the lesions and diminish nodules that occur in the lesion. Involvement of the eyes and/or brain can result in serious complications and this variation is termed Sturge-Weber syndrome (SWS). (...) Some of the biggest hurdles preventing development of new therapeutics are unanswered questions regarding disease biology and lack of models for drug screening. In this review, we discuss the current understanding of GNAQ signaling, the standard of care for patients, overlap with other GNAQ-associated or phenotypically similar diseases, as well as deficiencies in current in vivo and in vitro vascular malformation models. (shrink)

In response to a commentary provided by Uttl and Morin regarding the recent study by Hughes and Nicholson, we evaluate their suggestion to modify our study’s design to reduce ceiling effects. Also, the commentators failed to take into account our data on reaction times, which help substantiate our conclusions regarding self-face and self-voice recognition. This rejoinder encourages readers to consider the relevance of the ecological validity of Hughes and Nicholson’s findings.

BackgroundConcerns about decision making related to resuscitation have led to two important challenges in the courts resulting in new legal precedents for decision-making practice. Systematic research investigating the experiences of doctors involved in decisions about resuscitation in light of the recent changes in law remains lacking.AimTo analyse the practice of resuscitation decision making on hospital wards from the perspectives of doctors.DesignThe data presented in this paper were collected as part of a wider research study of end-of-life care in an acute (...) hospital setting. Data collection comprised ethnographic non-participant observation on two acute hospital wards and individual interviews with patients, relatives and healthcare professionals caring for patients thought to be approaching the end of life. Data were analysed using a constructivist grounded theory approach.ResultsDiscussions and decision making about resuscitation present many challenges for those involved on acute medical wards. The data highlight the potential for multiple interpretations of legal precedents, creating misunderstandings that may impact patient care in less positive ways.ConclusionsThis paper provides unique insights into how doctors respond to the changing medico-legal culture and the subsequent effects on patient care. It demonstrates how the juridification of medical practice can occur. It highlights the potential benefit of a structure to support clinicians, patients and relatives in discussing and navigating decisions around care at the end of life in line with the patient’s wishes and preferences. Recommendations for future research are made and legal ramifications are discussed. (shrink)

The syllabus presented here is designed for use in the training of researchers and research ethics committee members throughout the European Union and beyond. It is intended to be accessible to scientific and lay readers, including those with no previous experience of ethical theory and analysis. The syllabus will cover key issues in the ethics of research involving human participants, including the ethical issues associated with new technologies.

At almost every election, Americans are inclined to say that this is the most consequential election in American history. 2020 is no exception. However, what is particularly remarkable about the No...

Successful interactions between people are dependent on rapid recognition of social cues. We investigated whether head direction – a powerful social signal – is processed in the absence of conscious awareness. We used continuous flash interocular suppression to render stimuli invisible and compared the reaction time for face detection when faces were turned towards the viewer and turned slightly away. We found that faces turned towards the viewer break through suppression faster than faces that are turned away, regardless of eye (...) direction. Our results suggest that detection of a face with attention directed at the viewer occurs even in the absence of awareness of that face. While previous work has demonstrated that stimuli that signal threat are processed without awareness, our data suggest that the social relevance of a face, defined more broadly, is evaluated in the absence of awareness. (shrink)

The theory of personal identity should illuminate and be illuminated by the theory of personality, of which it is a part. I believe that Locke's theory succeeds in this more than that of any other great philosopher, and the modifications which it may need are not fundamental ones. The problems raised by Butler and Flew can be made to disappear.

Critics have argued that behaviorism must necessarily be inadequate to account for complex human behavior whereas cognitive psychology is adequate to account for such behavior. Recently, Fodor has focused this criticism on certain situations in which humans choose among a set of alternatives. We argue that this criticism applies to forms of behaviorism that are reductionistic but not to non-reductionistic behaviorisms like that of Skinner. Non-reductionistic behaviorism can be used to interpret human choice situations of varying degrees of complexity. Such (...) interpretations run into difficulty in accounting for certain aspects of verbal behavior, but so do cognitive theories. Although nothing, in principle, prohibits either type of theory from accounting for complex human behavior, neither current behavioral theory nor current cognitive theory is developed enough at the present time to do so. (shrink)

In the spring of 1985, 272 upper?class and graduate students from four large journalism schools completed a questionnaire indicating their beliefs on issues relevant to media ethics. Respondents indicated a strong tendency to follow their audiences rather than their personal beliefs, when the two conflict, in making editorial judgments. They also placed high emphasis on audience research rather than on audience needs not fully appreciated by audience members. Contrary to what recent research literature suggests, those inclined to stress audience research (...) most tended to subscribe to a least common denominator mode, rather than an audience segmentation approach, when taking their audiences into account as prospective professional communicators. Results are considered in light of four postulates derived from recent literature on ethics. (shrink)

Extensive research has demonstrated that rs1360780, a common single nucleotide polymorphism within the FKBP5 gene, interacts with early-life stress in predicting psychopathology. Previous results suggest that carriers of the TT genotype of rs1360780 who were exposed to child abuse show differences in structure and functional activation of emotion-processing brain areas belonging to the salience network. Extending these findings on intermediate phenotypes of psychopathology, we examined if the interaction between rs1360780 and child abuse predicts resting-state functional connectivity (rsFC) between the amygdala (...) and other areas of the salience network. We analyzed data of young European adults from the general population (N = 774; mean age = 18.76 years) who took part in the IMAGEN study. In the absence of main effects of genotype and abuse, a significant interaction effect was observed for rsFC between the right centromedial amygdala and right posterior insula (p <.025, FWE-corrected), which was driven by stronger rsFC in TT allele carriers with a history of abuse. Our results suggest that the TT genotype of rs1360780 may render individuals with a history of abuse more vulnerable to functional changes in communication between brain areas processing emotions and bodily sensations, which could underlie or increase the risk for psychopathology. (shrink)

After precisely specifying the thesis of the causal theory of time, Grünbaum's program developed to support this thesis is examined. Four objections to his definition of temporal order in terms of a more primitive causal relation are put and held to be conclusive. Finally, the philosophical arguments that Grünbaum has proposed supporting the desirability of establishing a causal theory of time are shown to be either invalid or inconclusive.

Almost self-fulfilling, commonly held negative stereotypes about old age and memory can impair older adults’ episodic memory performance, due to age-based stereotype threat or self-stereotyping effects. Research studies demonstrating detrimental impacts of age stereotypes on memory performance are generally conducted in research laboratories or medical settings, which often underestimate memory abilities of older adults. To better understand the “real world” impact of negative age and memory stereotypes on episodic memory, the present research tested story recall performance of late middle-aged and (...) older adults following a naturalistic age stereotype manipulation, wherein every day, newspaper-style materials were either embedded with negative age and memory stereotype stimuli or neutral stimuli. Furthermore, all participants were tested in favorable, familiar environments. Potential moderators of the stereotype effects, e.g., metamemory beliefs, were assessed at baseline. Current memory evaluation and subjective age, as well as perceived stereotype threat and task-related anxiety, were assessed following the stereotype manipulation as potential mechanisms of the expected stereotype effects. Results suggested a contrast effect, as the stereotype group demonstrated superior story recall performance compared to the control group. Marginally significant moderation effects by age and perceived stereotype threat indicated that stereotype rejection was present for late middle-aged adults but not older adults, indicative of stereotype lift, and for individuals who reported low and average, but not high, levels of perceived stereotype threat. Additionally, a trend suggested more positive memory evaluation for those in the stereotype group who reported awareness of the stereotype stimuli than those who did not notice the stimuli. These results are consistent with other research demonstrating benefits to memory performance in adulthood based on motivational and contextual factors, such as using relevant memory materials and testing in favorable conditions. Moreover, the results of this study contribute to our understanding of individuals’ responses to different types of stereotype stimuli, and the differential impact of stereotype manipulations that are subtle versus blatant. Individuals were motivated to counteract negative stereotype effects when conditions were supportive, stereotype presentations were naturalistic, and personal beliefs were positive. (shrink)

On the day before Christmas, 1170, Robert de Broc, member of a family of royal servants that had taken up King Henry II's fierce opposition to Thomas Becket, seized a horse bringing goods to the archbishop and cut off its tail. The next day, Archbishop Thomas noted this incident after his Christmas sermon when renewing his excommunication of Robert and several others, and he discussed it again four days later in his initial meeting with the men who would shortly murder (...) him. The excision of the horse's tail appears in five of the biographies of the martyr and subsequently in the national chronicles of Roger of Howden and Ralph of Diceto. Why did a minor act of cruelty inflicted on a horse seem so noteworthy to contemporaries? The sources recording it resound with the rich Latin vocabulary of shame: “dedecus, contemptus, ignominia, dehonestatio, opprobrium.” Robert's highly symbolic act, part of a pattern of harassment by the Brocs, was designed not just to threaten Becket but also to humiliate him. (shrink)

The Editors’ Preface to the fourth edition of Wittgenstein's Philosophical Investigations is disparaging of the earlier editorial efforts of G. E. M. Anscombe and Rush Rhees and in particular of their inclusion and titling of the material in “Part II”. I argue, on both historical and philosophical grounds, that the Editors have failed to refute the editorial decisions of Rhees and Anscombe – a failure born both of a neglect of the historical circumstances and Wittgenstein's own expressed hopes and intentions (...) for his writings, and of a myopic understanding of his philosophy. Wittgenstein's legacy has not been well served by their interventions, which should be undone in future editions. (shrink)

This collection of essays, offered in honor of the distinguished career of prominent political philosophy professor Clifford Orwin, brings together internationally renowned scholars to provide a wide context and discuss various aspects of the virtue of “humanity” through the history of political philosophy.

This paper canvasses recent arguments in favor of commercial markets in human transplant kidneys, raising objections to those arguments on grounds of the role of injustice, exploitation, and coercion in compromising the autonomy of those most likely to sell a kidney, namely, the least well off members of society.

I have argued that forgiveness paradigmatically involves overcoming moral anger, of which resentment is the central case. I have argued, as well, that forgiveness may involve overcoming any form of anger so long as the belief that you have been wrongfully harmed is partially constitutive of it, and that overcoming other negative emotions caused by a wrongdoer's misdeed may, given appropriate qualifications, count as forgiveness. Those qualifications indicate, however, significant differences between moral anger and other negative emotions; differences which must (...) be taken into account when determining whether overcoming negative emotions other than moral anger count as forgiveness. I have proposed, too, that forgiveness requires neither overcoming all negative feelings (other than moral anger) nor the judgment that the offender is a wrongdoer.I must acknowledge that my analysis is incomplete, focusing as it does on the forgiver rather than on the person forgiven. After all, there are two sides to forgiveness. Not all forgiving involves a struggle to overcome negative feelings; sometimes it is a social transaction of a more casual sort that is effected by the simple speech act “I forgive you.” My analysis is incomplete insofar as it treats exclusively of forgiveness as a process and fails to offer an analysis of forgiveness as an act. Finally, a complete theory of forgiveness requires an account of the conditions under which forgiveness qualifies as a moral virtue, and such an account is beyond the scope of this essay. Though I have not offered a complete theory of forgiveness, my effort to clarify a dimension of what is involved in a common type of forgiveness may clear the way for answering related questions about it, and thereby lead to a fuller account of forgiveness as a moral phenomenon. (shrink)

A reasonable choice between Skinner's and Chomsky's theories requires reference to a conception of human nature. It is explained in detail why this is so, in the context of an analysis of what it is to ‘choose’ a theory. This account helps to explain the unity and coherence of the science, methodology, conception of science, object of scientific inquiry and views towards control of each of Skinner and Chomsky, and thereby explains the chasm which separates the parties to their respective (...) programs. The analysis given implies that, in a precise sense, the theory-choice is implicated in value-judgments. (shrink)

Their initial assumption, however, is mistaken. Augustine's worries were not linguistic ones, although to be fair to the recent critics his worries were exacerbated by some linguistic muddles. He knew perfectly well that he had no trouble talking about time. This he accepted as a fact. His problem was that, although he used temporal terms correctly very easily, he did not know to what they referred. He wanted to know whether time is a feature of the objective physical world, or (...) whether time is a subjective phenomenon; whether temporal relations are relations among physical events, or relations among private, mental events. Ordinary usage did not supply answers to these questions. Indeed, correct ordinary usage is compatible with temporal terms sometimes referring to features of the physical world, sometimes to subjective phenomena. He also wanted to know whether temporal discourse requires reference to specifically temporal entities, i.e., entities or moments which exist independently of things, or whether time is adequately accounted for in terms of the temporal relations among events; whether the measurement of time depends upon the measurement of specifically temporal objects, or whether it is accounted for in terms of features of physical processes. In the course of his inquiry Augustine repeatedly expressed bewilderment. This bewilderment is due not to his being unable to find other words to do the job of "time," but to the fact that the answers do not readily emerge from ordinary ways of talking about "time.". (shrink)

Most relational theories assert both that spatial discourse is reducible to talk about physical objects and their spatial relations, and that the relation of congruence derives from a non-metrical relation which intervals bear or possibly bear to measuring instruments. We have shown that there are serious logical difficulties involved in maintaining both these positions and the thesis of the continuity of space. We have also shown that Grünbaum's motivating argument for the reduction of congruence is unsound, and, moreover, that the (...) prospects of formulating the kind of definition which this reduction requires seem to rest upon a wholly vague notion of physical possibility. Alternatively, if congruence is taken as primitive, it seems plausible that spatial discourse can be reconstructed so that there is no ontological commitment to spatial objects other than physical objects. Whether or not this relational thesis is ultimately defensible requires more elaboration of the relational theory, and investigation of its role in the formalizations of current physical theories. It is odd, considering the wide currency of relational theories, that this work has never been done. (shrink)

I have argued that forgiveness paradigmatically involves overcoming moral anger, of which resentment is the central case. I have argued, as well, that forgiveness may involve overcoming any form of anger so long as the belief that you have been wrongfully harmed is partially constitutive of it, and that overcoming other negative emotions caused by a wrongdoer's misdeed may, given appropriate qualifications, count as forgiveness. Those qualifications indicate, however, significant differences between moral anger and other negative emotions; differences which must (...) be taken into account when determining whether overcoming negative emotions other than moral anger count as forgiveness. I have proposed, too, that forgiveness requires neither overcoming all negative feelings nor the judgment that the offender is a wrongdoer. (shrink)