Background:Previous research has linked missed nursing care to nurses’ work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ethical climate is unknown.Research objectives:To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care.Research design:A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson’s correlation and analysis (...) of variance.Participants and research context:All nurses from relevant units in the Republic of Cyprus were invited to participate.Ethical considerations:The research protocol has been approved according to national legislation, all licenses have been obtained, and respondents participated voluntarily after they have received all necessary information.Findings:Response rate was 91.8%. Five types identified were as follows: caring ; law and code ; rules ; instrumental ; and independence. Reported overall missed care was M = 2.51, and this was positively related to instrumental and independence types and negatively related to caring, rules, and law and code.Discussion:The reported levels of missed care and the types of ethical climates present similarities and differences with the relevant literature. All types of ethical climate were related to the reported missed care.Conclusion:Efforts to reduce the influence of instrumental and independence types and fostering caring, law and code, and rules types might decrease missed nursing care. However, more robust evidence is needed. (shrink)

Background:In the face of scarcity, nurses may inevitably delay or omit some nursing interventions and give priority to others. This increases the risk of adverse patient outcomes and threatens safety, quality, and dignity in care. However, it is not clear if there is an ethical element in nursing care rationing and how nurses experience the phenomenon in its ethical perspective.Objectives:The purpose was to synthesize studies that relate care rationing with the ethical perspectives of nursing, and find the deeper, moral meaning (...) of this phenomenon.Research design:A systematic review and thematic synthesis of qualitative studies was used. Searching was based on guidelines suggested by Joana Brigs Institute, while the synthesis has drawn from the methodology described. Primary studies were sought from nine electronic databases and manual searches. The explicitness of reporting was assed using consolidated criteria for reporting qualitative research. Nine studies involving 167 nurse participants were included. Synthesis resulted in 35 preliminary themes, 14 descriptive themes, and four analytical themes. Discussion of relationships between themes revealed a new thematic framework.Ethical consideration:Every effort has been taken, for the thoroughness in searching and retrieving the primary studies of this synthesis, and in order for them to be treated accurately, fairly and honestly and without intentional misinterpretations of their findings.Discussion:Within limitations of scarcity, nurses face moral challenges and their decisions may jeopardize professional values, leading to role conflict, feelings of guilt, distress and difficulty in fulfilling a morally acceptable role. However, more research is needed to support certain relationships.Conclusions:Related literature is limited. The few studies found highlighted the essence of justice, equality in care and in values when prioritizing care—with little support to the ethical effects of rationing on nurses. Further research on ethical dimension of care rationing may illuminate other important aspects of this phenomenon. (shrink)

Because visual narratives demand complex inference abilities, they can potentially be used as a tool for developing inferential skills in other domains, like reading. The Inferential Language Comprehension (iLC) Framework proposes an approach to using visual narratives in educational settings to sponsor inference skills by building on cognitive, developmental, and language research.

Abstract I challenge the view that, in cases where time for deliberation is not an issue, instrumental rationality precludes myopic planning. I show where there is room for instrumentally rational myopic planning, and then argue that such planning is possible not only in theory, it is something human beings can and do engage in. The possibility of such planning has, however, been disregarded, and this disregard has skewed related debates concerning instrumental rationality.

When we fail to achieve our goals, procrastination is often the culprit. But how exactly is procrastination to be understood? This edited volume integrates the problem of procrastination into philosophical inquiry, exploring the relationship of procrastination to agency, rationality, and ethics--topics that philosophy is well-suited to address.

Name der Zeitschrift: Semiotica Jahrgang: 2014 Heft: 202 Seiten: 641-655.

A variety of strategies have been used to oppose the influential Humean thesis that all of an agent’s reasons for action are provided by the agent’s current wants. Among these strategies is the attempt to show that it is a conceptual truth that reasons for action are non-relative. I introduce the notion of a basic reason- giving consideration and show that the non-relativity thesis can be understood as a corollary of the more fundamental thesis that basic reason-giving considerations are generalizable. (...) I then consider the relationship between the generalizability thesis and the Humean thesis that all of an agent’s reasons for action are provided by the agent’s current wants. I argue that, contrary to a common assumption, there is a subtle and clearly motivated version of the Humean thesis that does not deny, and so is not threatened by, the generalizability thesis. (shrink)

It is commonly held that rational preferences must be acyclic. There have, however, been cases that have been put forward as counterexamples to this view. This paper focuses on the following question: If the counterexamples are compelling and rational preferences can be cyclic, what should we conclude about the presumed acyclicity of the “better than” relation? Building on some revisionary suggestions concerning acyclicity and betterness, I make a case for hanging on to the presumption that “better than” is acyclic even (...) if “is rationally preferred to” is not. As I explain, the divergence my view makes room for does not threaten to make “better than” judgments less relevant to choice than judgments about rational preference. To the contrary, it makes them more relevant. Toward the end of the paper, I extend my results to the relation “is morally better than” in light of the possibility that there might be moral preferability cycles. (shrink)

Dreadful and dreaded outcomes are sometimes brought about via the accumulation of individually trivial effects. Think about inching toward terrible health or toward an environmental disaster. In some such cases, the outcome is seen as unacceptable but is still gradually realized via an extended sequence of moves each of which is trivial in terms of its impact on the health or environment of those involved. Cases of this sort are not only practically challenging, they are theoretically challenging as well. For, (...) they raise puzzling complications concerning the assessment of conduct. In particular, given cases of this sort, we seem forced to conclude that, sometimes, each current doing in an extended sequence of moves can be correctly assessed as permissible (relative to a certain set of concerns) even though the sequence foreseeably leads to an outcome that is unacceptable (relative to that same set of concerns) and even though acceptable outcomes are available. And this seems paradoxical. I argue that this (apparent) puzzle glosses over complications associated with action individuation and units of agency. Reflection on these complications makes it clear that in cases of the sort that have given rise to the puzzle, there is an accurate way of seeing what is being done at various particular moments that clearly brings out the tight connection between a current doing and non-trivial damage that is to be expected (and is indeed bound to occur if the doing is completed without a hitch). (shrink)

Procrastination is frustrating. Because the procrastinator's frustration is self-imposed, procrastination can also be quite puzzling. I consider attempts at explaining, or explaining away, what appear to be genuine cases of procrastination. According to the position that I propose and defend, genuine procrastination exists and is supported by preference loops, which can be either stable or evanescent.

The core argument in favor of the view that immorality is a natural defect for human beings, which has been developed by Foot, assumes that if justice and compassion have important functions in human survival and reproduction, then injustice and cruelty are natural defects in human beings. But this ignores possibilities and results that cannot reasonably be ignored. Multiple and mixed naturally sound types can and do occur in nature. Moreover, research in the life sciences suggests that at least some (...) bad human behaviors, traits, or strategies are selected for and continue to have important survival-and-reproduction-related functions in human life. All this fits poorly with the position that immorality is a natural defect for human beings. Emerging as much more plausible is the competing view that, for human beings, natural soundness sometimes supports behaviors, traits, or strategies that conflict with (any ideal that can plausibly be called) moral goodness. (shrink)

It is often supposed that, given two potential objects of choice X and Y, a specific set of circumstances, and a specific choosing agent, one of the following must be true: (1) opting for X is a better choice than opting for Y, (2) opting for Y is a better choice than opting for X, or (3) opting for X and opting for Y are exactly equally good choices. My aim in this paper is to show how some philosophical insights (...) concerning color perception can illuminate the possibility of two options, X and Y, being such that, even given a specific set of circumstances and a specific choosing agent, none of (1), (2), or (3) holds, but X and Y are positively related to one another as “on a par.”. (shrink)

Sometimes a series of choices do not serve one's concerns well even though each choice in the series seems perfectly well suited to serving one's concerns. In such cases, one has a dynamic choice problem. Otherwise put, one has a problem related to the fact that one's choices are spread out over time. This survey reviews some of the challenging choice situations and problematic preference structures that can prompt dynamic choice problems. It also reviews some proposed solutions, and explains how (...) some familiar but potentially puzzling phenomena — including, for example, self-destructive addictive behavior and dangerous environmental destruction — have been illuminated by dynamic choice theory. (shrink)

I show, building on Warren Quinn's puzzle of the self-torturer, that destructive conduct with respect to the environment can flourish even in the absence of interpersonal conflicts. As Quinn's puzzle makes apparent, in cases where individually negligible effects are involved, an agent, whether it be an individual or a unified collective, can be led down a course of destruction simply as a result of following its informed and perfectly understandable but intransitive preferences. This is relevant with respect to environmental ethics, (...) since environmental damage is often the result of the accumulation of individually negligible effects. (shrink)

This paper explores the possibility of incomparability. It first focuses on a challenge to the small-improvement argument for incomparability and then turns to some seemingly more promising, “huge-improvement” variations on the argument. After considering an important complication, it is argued that, whether or not options can be strictly incomparable, there is room for cases beyond not just classic cases of trichotomous comparability but even beyond cases involving options that, though not trichotomously comparable, are still comparable as both positive, or both (...) negative, or, even if indeterminate, both fairly neutral. In the relevant further cases, at least one option that combines a positive feature and a negative feature is not positive, negative, neutral, or even fairly neutral. To the extent that comparability is revealed as applicable in such cases, skepticism about incomparability can persist, but its significance is reduced by the revelation of how little comparability requires. (shrink)

I examine current models of self-destructive addictive behaviour, and argue that there is an important place for Ulysses contracts in coping with addictive behaviour that stems from certain problematic preference structures. Given the relevant preference structures, interference based on a Ulysses contract need not involve questionably favouring an agent’s past preferences over her current preferences, but can actually be justified in terms of the agent’s current concerns and commitments.

Mental health has become a key concern within social discourse in recent years, and with it, the discussion about the lived experience of pain. In dealing with this experience there has been a shift away from merely relying on medical care towards more holistic approaches involving community support, public awareness, and social change. However, little if any attention has been paid in this context to the contribution of aesthetic experience engendered by art that expresses and publicly shares with others the (...) lived experience of pain. With reference to Phantom Limb, an art exhibition curated by Euan Grey and held at the Victoria Galleries and Museum Liverpool in 2016, I argue that aesthetic experience plays a crucial role in making sense of pain and suffering, thus breaking new ground in the appreciation of the significance of art for public mental health and holistic approaches towards patients. (shrink)

This paper draws a distinction between two closely related conceptions of 'preference' that is of great significance relative to a set of interrelated debates in rational choice theory. The distinction is particularly illuminating in relation to the idea that there is a rational defect inherent in individuals with intransitive preferences and, relatedly, in democratic collectives. I use the distinction to show that things are more complicated than they seem.

The puzzle of the self-torturer raises intriguing questions concerning rationality, cyclic preferences, and resoluteness. Interestingly, what makes the case puzzling has not been clearly pinpointed. The puzzle, it seems, is that a series of rational choices foreseeably leads the self-torturer to an option that serves his preferences worse than the one with which he started. But this is a very misleading way of casting the puzzle. I pinpoint the real puzzle of the self-torturer and, in the process, reveal a neglected (...) but crucial dimension of instrumental rationality. (shrink)

This paper focuses on a puzzling but familiar strategy for coping with procrastination that has not yet been analyzed in the literature on that topic. The strategy involves leveraging control. In employing the strategy, we take advantage of the possibility that poor self-control can be a local trait rather than a robust character trait.

It is natural to assume that we would not be willing to compromise the environment if the conveniences and luxuries thereby gained did not have a substantial positive impact on our happiness. But there is room for skepticism and, in particular, for the thesis that we are compromising the environment to no avail in that our conveniences and luxuries are not having a significant impact on our happiness, making the costs incurred for them a waste. One way of defending the (...) no-avail thesis fits neatly with what I will call the exalted view , according to which the key to human happiness lies in the mental (or spiritual) realm rather than in the material realm. After considering this familiar approach to defending the no-avail thesis, I sketch out a very different approach—one that will, I hope, appeal to those who have doubts about the familiar line of defense. The alternative and novel approach builds on a strand of empirical research on (self-reports concerning) happiness that suggests that we are, in a way, quite shallow, and that our happiness depends on whether we are keeping up with the Joneses. I call this view concerning happiness the worldly view . My reasoning suggests that even if the current rift between exalted pictures of human nature and happiness, on the one hand, and worldly pictures of human nature and happiness, on the other, cannot be repaired, it need not hinder agreement on the plausibility of the no-avail thesis; rather, with the rift come two different routes to the same thesis. I conclude that we should take the no-avail thesis very seriously, and that evidence that we are shallow materialists need not be bad news for the environment(alist). (shrink)

The soul is an elusive thing, and anyone who wants to describe it must do so with metaphors, painting it in a picture of words. The metaphors one chooses for this task will reflect the aspects one is most eager to promote of what it is to be a person, a living, breathing, thinking presence in the world. Popularly, the soul is often pictured as a little fellow inside one's head, a homunculus with whom one is in constant communication. Such (...) a picture lends color to the idea that to be a sentient being is to be in a condition of inner dialogue with oneself, reasoning things out, talking things over, and perhaps also being guided by one's conscience, an inner voice heard only by oneself. Notice that the soul so. (shrink)

Discussion of temptation has figured prominently in recent debates concerning instrumental rationality. In light of some particularly interesting cases in which giving in to temptation involves acting in accordance with one’s current evaluative rankings, two lines of thought have been developed: one appeals to the possibility of deviating from a well-grounded resolution, and the other appeals to the possibility of being insufficiently responsive to the prospect of future regret. But the current appeals to resolutions and regret and some of the (...) verdicts provided face some serious challenges. Building on recent work concerning instrumental rationality, and delving into some important complications concerning human psychology, I revisit the relevant cases of temptation and analyze them in a way that puts resolutions, rational failure, and regret in their proper places. In the process, I highlight and explain the significance of the neglected fact that resolutions can introduce effective anchor points, which can serve agents faced with temptation well, even if the resolutions are abandoned. (shrink)

My aim in this paper is to initiate and contribute to debate concerning the possibility of behavior that is both self-defeating and self-governed. In the first section of the paper, I review a couple of points that figure in the literature as platitudes about (the relevant notion of) self-governance. In the second section, I explain how these points give rise to what seems to be a dilemma that suggests that informed self-defeating behavior, wherein one is aware of the consequences of (...) each choice one makes, is impossible. In the third and fourth sections, I consider two types of cases that appear to be cases of informed self-defeating behavior and argue that one of the cases is a genuine case of self-defeating self-governance. I end with some remarks concerning self-governance, self-defeat, and dynamic choice. I suggest that the notion of self-defeat here employed provides a simple and compelling answer to the question “Are there any diachronic rationality constraints on agents?” The answer (or at least part of the answer) is “Yes, agents must avoid self-defeating behavior.” In section 5, I give reasons for thinking that all cases of diachronic irrationality are cases of self-defeating behavior in the relevant sense. As will become apparent, to the extent that the requirement to avoid self-defeating behavior calls for any cross-temporal coherence, it does so without endorsing a sort of conservatism that can interfere with personal growth and change. (shrink)

BACKGROUND: Reasoning biases have been suggested as risk factors for delusional ideation in both patients and non-clinical individuals. Still, it is unclear how these biases are longitudinally related to delusions in the general population. We hence aimed to investigate longitudinal associations between reasoning biases and delusional ideation in the general population. METHODS: We conducted an online cohort study with 1184 adults from the German and Swiss general population. Participants completed measures on reasoning biases (jumping-to-conclusion bias JTC, liberal acceptance bias LA, (...) bias against disconfirmatory evidence BADE, possibility of being mistaken PM) and delusional ideation at baseline, and delusional ideation 7 to 8 months later. RESULTS: A greater JTC bias was associated with a greater increase in delusional ideation over the following months. This association was better described by a positive quadratic relationship. Neither BADE, LA nor PM were associated with subsequent changes in delusional ideation. CONCLUSIONS: This study suggests that jumping-to-conclusions predicts delusional ideation in the general population but that this association may follow a quadratic trajectory. While no other associations turned significant, future studies with shorter temporal distances may shed further light on the role of reasoning biases as risk factors for delusional ideation in non-clinical samples. (shrink)

This edited volume starts in on the task of integrating the problem of procrastination into philosophical inquiry.

Late Antique Epistemology explores the techniques used by late antique philosophers to discuss truth. Non-rational ways to discover truth, or to reform the soul, have usually been thought inferior to the philosophically approved techniques of rational argument, suitable for the less philosophically inclined, for children, savages or the uneducated. Religious rituals, oracles, erotic passion, madness may all have served to waken courage or remind us of realities obscured by everyday concerns. What is unusual in the late antique classical philosophers is (...) that these techniques were reckoned as reliable as reasoned argument, or better still. Late twentieth century commentators have offered psychological explanations of this turn, but only recently had it been accepted that there might also have been philosophical explanations, and that the later antique philosophers were not necessarily deluded. (shrink)

That the analysis of a complex object into its elements yields knowledge of it is a fundamental article of philosophical faith, which motivates the “analytic” dimension of the philosophical enterprise . On par with it, however, there is also the belief that knowledge of a complex object involves grasping it as a totality, over and beyond its constituent parts . The paradigmatic object of philosophical speculation inviting both these approaches is, of course, the universe itself. Already in Plato’s Timaeus, we (...) encounter a fully elaborated philosophical exercise of this kind—the world is simultaneously dissected into its elements , and also explicitly conceived in terms of its totality .Plotinus engages with this cosmological tradition on many levels throughout his work, yet more systematically in the treatise II.1 , entitled On the Universe or On the Heaven . The treatise concentrates on the diachronic identity of the universe, and the. (shrink)

Of all the topics in the history of philosophy, the history of different forms of thinking and contemplation is one of the most important, and yet is also relatively overlooked. What is it to think philosophically? How did different forms of thinking--reflection, contemplation, critique and analysis--emerge in different epochs? This collection offers a rich and diverse philosophical exploration of the history of contemplation, from the classical period to the twenty-first century. It covers canonical figures including Plato, Aristotle, Descartes and Kant, (...) as well as debates in less well-known areas such as classical Indian and Islamic thought and the role of speculation in twentieth-century Russian philosophy. Comprising twenty-two chapters by an international team of contributors, the volume is divided into five parts: - Flourishing and Thinking from Homer to Hume - The Thinking of Thinking from Augustine to Gödel - Images and Thinking from Plotinus to Unger - Bodies of Thought and Habits of Thinking from Plato to Irigaray - The Efficacy of Thinking from Sextus to Bataille Thought: A Philosophical History is the first comprehensive investigation of the history of philosophical thought and contemplation. As such, it is a landmark publication for anyone researching and teaching the history of philosophy, and a valuable resource for those studying the subject in related fields such as literature, religion, sociology and the history of ideas. (shrink)

At the core of Plotinus’ exploration of human selfhood, lies a reference to the myth of Dionysus-Zagreus and his mirror, one of the toys the Titans used to seduce the young Dionysus. In interpreting the myth within this context, the mirror has been invariably regarded by scholars as a symbol for matter, an external surface on which the soul is projected and becomes embodied as a human individual by dispersing in the material depths. This paper challenges this established view and (...) advances a new interpretation of Plotinus’ allusion to the myth and its philosophical significance. It argues that the mirror is not a symbol for matter, but rather a symbol for the soul itself, for its power to transform itself and retain its identity in the process of becoming a human individual. The function of the mirror is thus both deceptive and protective. While the desire that the soul, deceived by the mirror, feels for its own image guides it to leave behind its original condition and unity, it is this same desire that keeps the soul within itself: protected by the Dionysian mirror, even the most dispersed soul cannot desire anything other than what it takes to be itself, hence rather than disappearing in the radical alterity of matter, soul reaffirms its identity as an individual human self. (shrink)

It is widely held that instrumental reasoning to a practical conclusion is parasitic on non-instrumental practical reasoning. This conclusion is based on the claim that when there is no reason to adopt a certain end, there is no reason to take the means (qua means) to that end. But, as will be argued, while there is a sense of reason according to which the previous statement is true, there is another sense according to which it is false. Furthermore, in both (...) of the relevant senses of reason, it is true that reasons are considerations that ground correct conclusions of practical deliberation and correct advice. It follows that instrumental reasoning to a practical conclusion is not invariably parasitic on non-instrumental practical reasoning. The view that it is results from combining the idea that when there is no reason to adopt a certain end, there is no reason to take the means (qua means) to that end, with the common but faulty assumption that considerations that ground correct conclusions of practical deliberation and correct advice are all reasons in a single sense (sometimes referred to as the normative sense of reason). The assumption in question is implicit in, for example, the work of John Broome, T. M. Scanlon, Christine Korsgaard, and Stephen Darwall.1 Given the common identification of normative reasons with considerations that ground correct conclusions of practical deliberation and correct advice, the position that will be defended in this paper can be expressed by saying that there is not one but two senses of reason for which it is true that reasons are normative.. (shrink)

There is a great deal of plausibility to the standard view that if one is rational and it is clear at the time of action that a certain move, say M1, would serve one’s concerns better than any other available move, then one will, as a rational agent, opt for move M1. Still, this view concerning rationality has been challenged at least in part because it seems to conflict with our considered judgments about what it is rational to do in (...) cases of temptation that share the structure of Warren Quinn’s self-torturer case. I argue that there is a way to accomodate our considered judgments about the relevant cases of temptation without giving up the standard view or dismissing, as in some way rationally defective, the concerns of the agents in the relevant cases. My reasoning relies on the idea that, at least in some cases, whether an action serves one’s concerns well depends on what action(s) or course(s) of action it is part of. In the final section of the paper, I explain how this idea sheds light on an important source of frustration in collective decision-making. (shrink)

I consider the implications of incommensurability for the assumption, in rational choice theory, that a rational agent’s preferences are complete. I argue that, contrary to appearances, the completeness assumption and the existence of incommensurability are compatible. Indeed, reflection on incommensurability suggests that one’s preferences should be complete over even the incommensurable alternatives one faces.

I argue that procrastination with respect to environmental preservation is in the class of procrastination problems that are particularly difficult to overcome because of the presence of factors that support second-order procrastination. If my reasoning is correct, then second-order procrastination can help explain the distressing fact — assuming it is a fact — that, despite widespread professions of serious concern, the issue of environmental preservation is not getting as much of our attention as it deserves. My reasoning also suggests that (...) improving our situation may require that some of the efforts now focused on promoting concern for environmental preservation be rerouted into tracking procrastination and deploying insights on how to cope with it. (shrink)

Is there a mode of sincere advice in which the standards of the adviser are put aside in favor of the standards of the advisee? I consider two sorts of cases that appear to be such that the adviser is evaluating things from within the advisee’s system of standards even though this system conflicts with her own; and I argue that these cases are best interpreted in ways that dissolve this appearance. I then argue that the nature of sincere advice (...) precludes an adviser’s putting aside her own system of standards in favor of a competing system of standards. It follows that, contrary to what some have suggested, it cannot be that practical reason judgments—which are concerned with what an agent has reason to do or not to do and which can figure as advice— evaluate actions from within the agent’s (as opposed to the judger’s) system of standards. (shrink)

1. It is commonly held that paternalism (invariably) involves ‘an assumption of superiority’, wherein the paternalizing agent assumes that – on top of any advan.

We seek to illuminate the prevalence of cooperation among biologically unrelated individuals via an analysis of agency that recognizes the possibility of bonding and challenges the common view that agency is invariably an individual-level affair. Via bonding, a single individual’s behavior patterns or programs are altered so as to facilitate the formation, on at least some occasions, of a larger entity to whom is attributable the coordination of the component entities. Some of these larger entities will qualify as agents in (...) their own right, even when the comprising entities also qualify as agents. In light of the many possibilities that humans actually enjoy for entering into numerous bonding schemes, and the extent to which they avail themselves of these possibilities, there is no basis for the assumption that cooperative behavior must ultimately emerge as either altruistic or self-interested; it can instead be the product of collective agency. (shrink)