Ethics consultation has become an integral part of the fabric of U.S. health care delivery. This article summarizes the second edition of the Core Competencies for Health Care Ethics Consultation report of the American Society for Bioethics and Humanities. The core knowledge and skills competencies identified in the first edition of Core Competencies have been adopted by various ethics consultation services and education programs, providing evidence of their endorsement as health care ethics consultation (HCEC) standards. This (...) revised report was prompted by thinking in the field that has evolved since the original report. Patients, family members, and health care providers who encounter ethical questions or concerns that ethics consultants could help address deserve access to efficient, effective, and accountable HCEC services. All individuals providing such services should be held to the standards of competence and quality described in the revised report. (shrink)

Does geometry constitues a core set of intuitions present in all humans, regarless of their language or schooling ? We used two non verbal tests to probe the conceptual primitives of geometry in the Munduruku, an isolated Amazonian indigene group. Our results provide evidence for geometrical intuitions in the absence of schooling, experience with graphic symbols or maps, or a rich language of geometrical terms.

Complex cognitive skills such as reading and calculation and complex cognitive achievements such as formal science and mathematics may depend on a set of building block systems that emerge early in human ontogeny and phylogeny. These core knowledge systems show characteristic limits of domain and task specificity: Each serves to represent a particular class of entities for a particular set of purposes. By combining representations from these systems, however human cognition may achieve extraordinary flexibility. Studies of cognition in (...) human infants and in nonhuman primates therefore may contribute to understanding unique features of human knowledge. 2020 APA, all rights reserved). (shrink)

The astute reviews by Hamlin and by Revencu and Csibra provide compelling arguments and evidence for the early emergence of moral evaluation, communication, and pedagogical learning. I accept these conclusions but not the reviewers' claims that infants' talents in these domains depend on core systems of moral evaluation or pedagogical communication. Instead, I suggest that core knowledge of people as agents and as social beings, together with infants' emerging understanding of their native language, support learning about people (...) as moral agents, moral patients, communicators, and teachers. These issues are open, however, and our competing views invite further testing. (shrink)

For many centuries, philosophers and scientists have pondered the origins and nature of human intuitions about the properties of points, lines, and figures on the Euclidean plane, with most hypothesizing that a system of Euclidean concepts either is innate or is assembled by general learning processes. Recent research from cognitive and developmental psychology, cognitive anthropology, animal cognition, and cognitive neuroscience suggests a different view. Knowledge of geometry may be founded on at least two distinct, evolutionarily ancient, core cognitive (...) systems for representing the shapes of large-scale, navigable surface layouts and of small-scale, movable forms and objects. Each of these systems applies to some but not all perceptible arrays and captures some but not all of the three fundamental Euclidean relationships of distance (or length), angle, and direction (or sense). Like natural number (Carey, 2009), Euclidean geometry may be constructed through the productive combination of representations from these core systems, through the use of uniquely human symbolic systems. (shrink)

The ascription of intentional states to the self involves knowledge, or at least claims to knowledge. Armed with the working definition of knowledge as 'the ability to do things, or refrain from doing things, or believe, or want, or doubt things, for reasons that are facts' [Hyman, J. Philos. Quart. 49:432—451], I sketch a simple competence model of acting and believing from knowledge and when knowledge is defeated by un-experienced changes of state. The model takes (...) the form of three concentric circles. The 'periphery' is analogous to Fodor's [(1983), The modularity of mind. MIT Press, Cambridge, MA] input systems. The 'core' contains copies of peripheral representations, and between these representations there is executive competition. At the 'nucleus', operations are performed on the core representations of, at least, negation and recursion. I argue that this provides a fruitful way in which to conceptualise why theory-of-mind tasks challenge pre-school children, how some degree of first-person authority is mental state attribution is possible, and how executive inhibition is achieved. (shrink)

Geometrical intuitions spontaneously drive visuo-spatial reasoning in human adults, children and animals. Is their emergence intrinsically linked to visual experience, or does it reflect a core property of cognition shared across sensory modalities? To address this question, we tested the sensitivity of blind-from-birth adults to geometrical-invariants using a haptic deviant-figure detection task. Blind participants spontaneously used many geometric concepts such as parallelism, right angles and geometrical shapes to detect intruders in haptic displays, but experienced difficulties with symmetry and complex (...) spatial transformations. Across items, their performance was highly correlated with that of sighted adults performing the same task in touch (blindfolded) and in vision, as well as with the performances of uneducated preschoolers and Amazonian adults. Our results support the existence of an amodal core-system of geometry that arises independently of visual experience. However, performance at selecting geometric intruders was generally higher in the visual compared to the haptic modality, suggesting that sensory-specific spatial experience may play a role in refining the properties of this core-system of geometry. (shrink)

While endorsing Gopnik's proposal that studies of the emergence and modification of scientific theories and studies of cognitive development in children are mutually illuminating, we offer a different picture of the beginning points of cognitive development from Gopnik's picture of "theories all the way down." Human infants are endowed with several distinct core systems of knowledge which are theory-like in some, but not all, important ways. The existence of these core systems of knowledge has implications for (...) the joint research program between philosophers and psychologists that Gopnik advocates and we endorse. A few lessons already gained from this program of research are sketched. (shrink)

Object individuation provides a test case for the claim that infants already have a prelinguistic language-of-thought (LOT). By 12 months, infants represent several sortal-kinds: Object, agent, animate, and perhaps artifact. Infants have also encountered many words for object kinds, animals, people, and artifacts, therefore it remains a viable hypothesis that language learning may play a causal role in the acquisition of sortal-kinds, contra Quilty-Dunn et al.

This paper discusses recent evidence that violations of core knowledge offer special learning opportunities for infants and young children. Children make predictions about the world from the youngest ages. When their fail to match observed data, they show an enhanced drive to seek and retain new information about entities that violated their expectations. Finally, the authors draw comparisons between children and adults, and with other species, to explore how surprise shapes thought more broadly.

We agree with White, Jankowski, and Shelton (2014) that professionalization of health care ethics practice requires serious consideration of a written examination to assess core knowledge competenc...

Spelke's book defends two hypotheses about human cognition. First, humans and other species are endowed with core knowledge systems—innate computational structures that use abstract concepts to represent various aspects of the environment. Second, humans, and only humans, acquire natural languages, whose syntax and compositional semantics allow them to construct new concepts by combining the outputs of core systems. We endorse the first hypothesis but doubt that language acquisition alone explains the productivity of human cognition. In particular, we (...) argue against the claim that infants use aspects of language to develop a new conception of other people. (shrink)

As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published (...) core knowledge competencies for many years that are accepted by experts as the prevailing standard. Probably any written examination will be based upon the ASBH core knowledge competencies. However, much remains to be done before any examination may be offered. In particular, it seems likely that a recognized examining board must create and validate examination questions and structure the examination so as to establish meaningful, defensible parameters after dealing with such challenging questions as: Should the certifying examination be multiple choice or short-answer essay? How should the test be graded? What should the pass rate be? How may the examination be best administered? To advance the field of health care ethics consultation, thought leaders should start to focus on the written examination possibilities, to date unaddressed carefully in the literature. Examination models—both objective and written—must be explored as a viable strategy about how the field of health care ethics consultations can grow toward professionalization. (shrink)

With rapid changes in technology, knowledge innovation has become more and more complex. Complex partners facilitate knowledge creation and innovation in complex problem-solving. Relying on R&D cooperation with forerunners, latecomers can acquire new knowledge factors and new ideas and use them to create new knowledge. This study demonstrated the knowledge innovation mechanism based on linkages between periphery knowledge and core knowledge with knowledge map theory and set methodology. A case of R&D (...) cooperation between latecomers and forerunners was introduced to verify this mechanism. The results show that latecomers could share forerunners’ periphery knowledge in R&D cooperation through formal and informal interaction and acquire the core knowledge factors in periphery knowledge based on the linkages between them. With these core knowledge factors, latecomers integrate them into their internal knowledge system and create new knowledge. By analyzing the linkages between periphery and core knowledge factors, this study creatively demonstrates the knowledge innovation mechanism in knowledge linkage perspective. It deepens the understanding of R&D cooperation between latecomers and forerunners and expands the focus of knowledge innovation theory. This study provides a new insight into latecomers effectively activating internal and external knowledge resources through R&D cooperation. (shrink)

Summer School in Cognitive Science: Minds and Societies. Communication par affiche dans un congrès, Montréal, 26 juin - 06 juillet 2008.

Many epistemologists think we can derive important theoretical insights by investigating the English word ‘know’ or the concept it expresses. However, fewer than six percent of the world’s population are native English speakers, and some empirical evidence suggests that the concept of knowledge is culturally relative. So why should we think that facts about the word ‘know’ or the concept it expresses have important ramifications for epistemology? This paper argues that the concept of knowledge is universal: it is (...) expressed by some word in every natural language. I also explore the implications of this thesis for philosophical methodology. (shrink)

I review recent work from armchair and cross-cultural epistemology on whether humans possess a knowledge concept as part of a universal “folk epistemology.” The work from armchair epistemology fails because it mischaracterizes ordinary knowledge judgments. The work from cross-cultural epistemology provides some defeasible evidence for a universal folk epistemology. I argue that recent findings from comparative psychology establish that humans possess a species-typical knowledge concept. More specifically, recent work shows that knowledge attributions are a central part (...) of primate social cognition, used to predict others’ behavior and guide decision-making. The core primate knowledge concept is that of truth detection (across different sensory modalities) and retention (through memory) and may also include rudimentary forms of indirect truth discovery through inference. In virtue of their evolutionary heritage, humans inherited the primate social-cognitive system and thus share this core knowledge concept. (shrink)

Spelke'sWhat babies knowdescribes the remarkably sophisticated mental lives of infants through the theoretical framework of core knowledge. To Spelke, young infants possess six independent core domains, two of which allow them to reason about the social world: the core agent and the core social being systems. Critically, Spelke argues that these core systems fail to communicate prior to 10 months, resulting in an inability to understand social goals. In this commentary, I review evidence that, (...) contrary to Spelke's claims, young infants show robust understanding of social goals and intentions, consistent with claims of an early emerging moral core. (shrink)

The underlying structures that are common to the world's languages bear an intriguing connection with early emerging forms of “core knowledge” (Spelke & Kinzler, 2007), which are frequently studied by infant researchers. In particular, grammatical systems often incorporate distinctions (e.g., the mass/count distinction) that reflect those made in core knowledge (e.g., the non-verbal distinction between an object and a substance). Here, I argue that this connection occurs because non-verbal core knowledge systematically biases processes of (...) language evolution. This account potentially explains a wide range of cross-linguistic grammatical phenomena that currently lack an adequate explanation. Second, I suggest that developmental researchers and cognitive scientists interested in (non-verbal) knowledge representation can exploit this connection to language by using observations about cross-linguistic grammatical tendencies to inspire hypotheses about core knowledge. (shrink)

The underlying structures that are common to the world's languages bear an intriguing connection with early emerging forms of “core knowledge”, which are frequently studied by infant researchers. In particular, grammatical systems often incorporate distinctions that reflect those made in core knowledge. Here, I argue that this connection occurs because non-verbal core knowledge systematically biases processes of language evolution. This account potentially explains a wide range of cross-linguistic grammatical phenomena that currently lack an adequate (...) explanation. Second, I suggest that developmental researchers and cognitive scientists interested in knowledge representation can exploit this connection to language by using observations about cross-linguistic grammatical tendencies to inspire hypotheses about core knowledge. (shrink)

Evidence from life science, cognitive science, and philosophy supports the hypothesis that knowledge is a central norm of the human practice of assertion. However, to date, the experimental evidence supporting this hypothesis is limited to American anglophones. If the hypothesis is correct, then such findings will not be limited to one language or culture. Instead, we should find a strong connection between knowledge and assertability across human languages and cultures. To begin testing this prediction, we conducted three experiments (...) on Koreans in Korean. In each case, the findings replicated prior results observed in Americans and were corroborated by key findings from new replication studies on Americans using materials back-translated from Korean. These findings support the theory that there is a core, cross-culturally robust human practice of assertion and that, according to the rules of this practice, assertions should express knowledge. (shrink)

This is an introduction to the structure of sentences in human languages. It assumes no prior knowledge of linguistic theory and little of elementary grammar. It will suit students coming to syntactic theory for the first time either as graduates or undergraduates. It will also be useful for those in fields such as computational science, artificial intelligence, or cognitive psychology who need a sound knowledge of current syntactic theory.

Despite the problems students often have with the theory of knowledge, it remains, necessarily, at the core of the philosophical enterprise. As experienced teachers know, teaching epistemology requires a text that is not only clear and accessible, but also capable of successfully motivating the abstract problems that arise.In Knowledge Puzzles, Stephen Hetherington presents an informal survey of epistemology based on the use of puzzles to illuminate problems of knowledge. Each topic is introduced through a puzzle, and (...) readers are invited to work their own ways toward a solution. Hetherington’s light and undogmatic style encourages class discussion and independent thought rather than the memorization of “book” answers.Covering all of the most important epistemological issues, informed by classical and contemporary literature, and rich in probing questions and suggestions for further readings, Knowledge Puzzles is a pedagogical breakthrough. Whether it is used as a main text or supplement, this lucid and engaging text will be welcomed by both teachers and students. (shrink)

According to Carey (2009), humans construct new concepts by abstracting structural relations among sets of partly unspecified symbols, and then analogically mapping those symbol structures onto the target domain. Using the development of integer concepts as an example, I give reasons to doubt this account and to consider other ways in which language and symbol learning foster conceptual development.

After the success of the hardback, students and academics will welcome the publication of this book in paperback. The aim of the book is to explore the connection between two perspectives that have had a profound effect upon contemporary thought: post–modernism and feminism. Through bringing together and systematically analysing the relations between these, Hekman is able to make a major intervention into current debates in social theory and philosophy. The critique of Enlightenment knowledge, she argues, is at the (...) class='Hi'>core of both post–modernism and feminism. Each also offers a basis for critical reflections about the other. In particular, post–modern philosophy provides a means of criticizing aspects of contemporary feminism and thus contributing to the development of a more sophisticated approach to current feminist issues. (shrink)

ABSTRACTDoes knowledge entail belief? This paper argues that the answer depends on how one interprets ‘belief’. There are two different notions of belief: belief as such and belief for knowledge. They often differ in their degrees of conviction such that one but not both might be present in a particular case. The core of the paper is dedicated to a defense of this overlooked distinction. The beginning of the paper presents the distinction. It then presents two cases (...) which are supposed to back up the claim that there is an important distinction here; I also offer some explanations concerning the structure of these cases. Finally, I add further considerations in support of the core thesis, and discuss objections. The distinction is important as such but also has interesting implications concerning the much discussed ‘entailment thesis’ according to which knowledge entails belief. It is argued here that even if knowledge entails belief-for-knowledge, it does not entail belief-as-such. This constitutes an interesting middle position and compromise in the philosophical debate about the entailment thesis. One further implication of this paper is that the discussion about the entailment thesis needs to take degrees of conviction seriously. Still another implication is that epistemic contextualists can deal very well with the relevant phenomena. (shrink)

Differences in mutation rates, transmission chain-length, phenotypic manifestations, or the relative complexity of the mental representations in which they are embedded do not distinguish between “core” (intramodular) and “developing” (intermodular) memes, as Atran suggests. Dividing memes into types seems premature when our knowledge of mental representation is as imprecise as the unit of biological inheritance was in Darwin's time.

This paper introduces an alternative approach to innovation: Emergent Innovation. As opposed to radical innovation Emergent Innovation finds a balance and integrates the demand both for radically new knowledge and at the same time for an organic development from within the organization. From a knowledge management perspective one can boil down this problem to the question of how to cope with the new and with profound change in knowledge. This question will be dealt with in the first (...) part of the paper. As an implication the alternative approach of Emergent Innovation will be presented in the second part: this approach looks at innovation as a socio-epistemological process of “learning from the future”. Keywords: Innovation, radical innovation, emergent innovation, knowledge creation, change. (shrink)

I reply to my critics in respect of my work on expertise. I define the 'core' of the multidisciplinary 'expertise studies'. I argue that those who have taken the work seriously could resolve their problems by paying more attention to the core. Each could have made good use of an aspect of the core.

This is a unique collection of new and recently-published articles which debate the merits of virtue-theoretic approaches to the core epistemological issues of knowledge and justified belief. The readings all contribute to our understanding of the relative importance, for a theory of justified belief, of the reliability of our cognitive faculties and of the individuals responsibility in gathering and weighing evidence. Highlights of the readings include direct exchanges between leading exponents of this approach and their critics.

La connaissances noyau de la géométrie euclidienne est liée au raisonnement déductif et non à la reconnaissance de motifs perceptuels.

For nearly two decades, E. D. Hirsch’s book _Cultural Literacy_ has provoked debate over whose knowledge should be taught in schools, embodying the culture wars in education. Initially developed to mediate against the multicultural "threat," his educational vision inspired the Core Knowledge curriculum, which has garnered wide support from an array of communities, including traditionally marginalized groups. In this groundbreaking book, Kristen Buras provides the first detailed, critical examination of the Core Knowledge movement and explores (...) the history and cultural politics underlying neoconservative initiatives in education. Ultimately, _Rightist Multiculturalism_ does more than assess the limitations and possibilities of Core Knowledge. It illuminates why troubling educational reforms initiated by neoconservatives have acquired grassroots allegiance despite criticism that their vision is culturally elitist. More importantly, Buras argues understanding that neoconservative school reform itself has become a multicultural affair is the first step toward fighting an alternative war of position—that is, reclaiming multiculturalism as a radically transformative project. (shrink)

The paper deals with the question of the structure of knowledge and the precise relationship between propositional "knowledge that" and dispositional "knowledge how." In the first part of my essay, I provide an analysis of the term 'knowing how' and argue that the usual alternatives in the recent epistemological debate – knowing how is either a form of propositional or dispositional knowledge – are misleading. In fact it depends on the semantic and pragmatic context of the (...) usage of this term whether 'knowing how' refers to a type of dispositional knowledge, to propositional knowledge, or to a hybrid form of both. Only in the first case, can one say that dispositional know how cannot be reduced to any form of propositional knowledge. Yet, this case is the most interesting one to consider in the investigation of the nature of knowledge, if one assumes that knowing that p presupposes "having found out that p." Having found something out, however, presupposes certain acts of epistemic inquiry and corresponding epistemic abilities. Examined more carefully, it is shown that the dispositional knowledge-how is a necessary condition for propositional knowledge-that, hence propositional knowledge-that is a species of the dispositional knowledge-how. Accordingly, dispositional knowledge has to be understood as being at the very core of our notion of knowledge, including propositional knowledge. (shrink)

BackgroundHealthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.MethodsThis was a cross sectional study conducted among resident doctors and ward nurses in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer’s V value was assessed (...) to ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05.ResultsOur study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath, Nuremberg code and Helsinki Declaration. A high percentage of respondents said that their major source of information on healthcare ethics were lectures, books, and journals. Attitude of doctors and nurses were significantly different in 9 out of 22 questions pertaining to different aspects of healthcare ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula,paternalistic attitude of doctor was disagreed more by doctors. Notably, only few doctors stood in support of physician-assisted dying.ConclusionsSignificant proportion of doctors and nurses were unaware of three major documents on healthcare ethics which are the core principles in clinical practice. Provided that a high percentage of respondents had motivation for learning medical ethics and asked for inclusion of medical ethics in the curriculum, it is imperative to avail information on medical ethics through subscription of journals and books on ethics in medical libraries in addition to lectures and training at workplace on medical ethics which can significantly improve the current paucity of knowledge on medical ethics. (shrink)

This study takes inquiry as the starting point for epistemological theorising. It uses this idea to develop new and systematic answers to some of the most fundamental questions in epistemology, including about the nature of core epistemic phenomena as well as their value and the extent to which we possess them.

Research on human infants, adult nonhuman primates, and children and adults in diverse cultures provides converging evidence for four systems at the foundations of human knowledge. These systems are domain specific and serve to represent both entities in the perceptible world (inanimate manipulable objects and animate agents) and entities that are more abstract (numbers and geometrical forms). Human cognition may be based, as well, on a fifth system for representing social partners and for categorizing the social world into groups. (...) Research on infants and children may contribute both to understanding of these systems and to attempts to overcome misconceptions that they may foster. (shrink)

Presented in an engaging lecture-style format, this anthology leads readers through a series of discussions on the basic issues and ideas in philosophy, with lectures supported by related readings from historically important sources. The discussions emphasize the logic of philosophical arguments—and in particular, how they relate to the content of scientific theories such as evolution. This five-part book, made up of “lectures” and readings, covers an introduction to philosophy; the philosophy of religion; theory of knowledge; philosophy of mind; and (...) ethics. For anyone looking for adequate answers to enduring questions. (shrink)

Collins (The Blackwell companion to natural theology, 2009) presents an argument he calls the ‘core fine-tuning argument’. In this paper, I show that Collins’ argument is flawed in at least two ways. First, the structure, depending on likelihoods, fails to establish anything about the posterior probability of God’s existence given fine-tuning. As an argument for God’s existence, this is a serious failing. Second, his analysis of what is appropriately restricted background knowledge, combined with the credences of a specially (...) chosen ‘alien’, do not allow him to establish the premise \( \Pr (LPU \mid NSU~ \& ~k') \ll 1\). (shrink)

Mathematics has always been a core part of western education, from the medieval quadrivium to the large amount of arithmetic and algebra still compulsory in high schools. It is an essential part. Its commitment to exactitude and to rigid demonstration balances humanist subjects devoted to appreciation and rhetoric as well as giving the lie to postmodernist insinuations that all “truths” are subject to political negotiation. In recent decades, the character of mathematics has changed – or rather broadened: it has (...) become the enabling science behind the complexity of contemporary knowledge, from gene interpretation to bank risk. Mathematical understanding is all the more necessary for future jobs, as well as remaining, as ever, a prophylactic against the more corrosive philosophical views emanating from the humanities. (shrink)