We introduce a distinct type of choice that has yet to be addressed by self-control research: Choosing between activities that offer both delayed and immediate rewards. We describe when and why such mixed-reward choices pose challenges to self-control, and suggest that self-control in mixed-reward choices may be supported by delay discounting.

According to theological consensus at least from the thirteenth century, at the End of Times our body will be resurrected and reunited with our soul. The resurrected body, although numerically identical to our present one, will be quite different: it will possess clarity, agility, subtility, and the inability to suffer. It is the last of these characteristics that will be of most concern in the present article. There are two reasons why impassibility presents a problem in the medieval framework. The (...) first has to do with how to characterize impassibility more precisely; the second arises because at first it may seem that impassibility is not metaphysically possible at all. The article will look at three attempts to tackle these problems: those of Thomas Aquinas, Durand of St.-Pourçain, and Peter of Palude. As the article aims to show, looking at how causal powers work on the New Earth may shed some light on how medieval thinkers thought they worked on the present one. (shrink)

According to most medieval thinkers, whenever something causally acts on another thing, God also acts with it. Durand of St.-Pourçain, an early fourteenth-century Dominican philosopher, disagrees. This paper is about a fourteenth-century objection to Durand’s view, which I will call the Fiery Furnace Objection, as formulated by Durand’s contemporary, Peter of Palude. Although Peter of Palude is not usu- ally regarded as a particularly original thinker, this paper calls attention to one of his more interesting controversies with his fellow friar, (...) while it also clarifies how some medieval thinkers understood the broadly speaking Aristotelian conviction that causes and effects are necessarily related. (shrink)

This collection of essays, which includes a revised version of a famous article on the "male lesbian," addresses such issues as race, gender, and sexuality, and explores the body as a physical, psychological, and cultural construct.

This essay explores the criteria for lesbian identity attribution through the case study of "male lesbians": biological males who claim to be lesbians. I analyze such sex/gender identity attribution through the lens of postmodernism, which provides a workable theoretical framework for "male lesbian" identities. My conclusions explore the historicity and cultural constructedness of the body's sex/gender identities, revealing the limitations of both "the postmodernized body" and "the essentialized modernist body.".

Criminal law is one of the regulatory tools being used in the United States to influence risk behavior by people who have HIV/AIDS. Several different types of laws have been or could be used in this way These include:HIV-specific exposure and transmission laws — i.e., laws that explicitly mention and exclusively apply to conduct by people with HIV;public health statutes prohibiting conduct that would expose others to communicable diseases and/or sexually transmitted diseases ; andgeneral criminal laws governing attempted murder and (...) assault. (shrink)

Criminal law is one of the regulatory tools being used in the United States to influence risk behavior by people who have HIV/AIDS. Several different types of laws have been or could be used in this way These include:HIV-specific exposure and transmission laws — i.e., laws that explicitly mention and exclusively apply to conduct by people with HIV;public health statutes prohibiting conduct that would expose others to communicable diseases and/or sexually transmitted diseases ; andgeneral criminal laws governing attempted murder and (...) assault. (shrink)

The present text contains a critical edition of Peter of Palude’s question of divine concurrence, found in his Sentences commentary, book II, d. 1, q. 4. The question concerns whether God is immediately active in every action of a creature, and if yes, how we should understand this divine concurrence. Peter, just as elsewhere in his commentary, considers at length the opinions of other thinkers — especially those of Giles of Rome, Durand of St.-Pourçain, and Thomas Aquinas — and develops (...) his own answer as a response to theirs. Thus, while Giles maintained that God acts uniformly in every instance of natural causation just as the sun acts uniformly by giving the same light to everything, Peter (following Durand) argues that this is incompatible with the divine creation of multiple things. Second, while Durand maintained that God is only mediately active in the actions of creatures, Peter rejects this opinion because it cannot account for miracles contra naturam (such as the three young men in Nebuchadnezzar’s fire), and because he thinks that God’s immediate action follows from his immediate conservation of creatures. Third, Peter presents Aquinas’s position in detail, and defends it against Durand’s objections; according to this position, God immediately conserves and concurs with every creature, with an action that is numerically distinct from that of the secondary agent. Although as a result of his extensive borrowing, Peter’s text might not be regarded as immensely original, it provides an interesting case study of the Dominican reaction against Durand in the early 1300’s. (shrink)

The focus of this paper is Ockham's stance on the question of divine concurrence---the question whether God is causally active in the causal happenings of the created world, and if so, what God's causal activity amounts to and what place that leaves for created causes. After discussing some preliminaries, I turn to presenting what I take to be Ockham's account. As I show, Ockham, at least in this issue, is rather conservative: he agrees with the majority of medieval thinkers (including (...) Aquinas, Giles of Rome, Duns Scotus, and others) that both God and created agents are causally active in the causal happenings of the world. Then I turn to some texts that may suggest otherwise; I argue that reading Ockham as either an occasionalist or a mere conservationist based on these texts originates from a misunderstanding of his main concern. I conclude with raising and briefly addressing some systematic worries regarding Ockham's account of concurrence. (shrink)

In this commentary on Joyce Trebilcot's "Dyke Methods or Principles for the Discovery/Creation of the Withstanding," I discuss four areas of difficulty in Trebilcot's proposed methods: (1) an overly negative view of "the intention to persuade," (2) a tendency towards epistemological relativism and loss of cultural authorities, (3) a circularity in defining the proposed methods as dyke methods, and (4) a hint of repressive tolerance towards differences among lesbians by avoidance of painful confrontation involving those differences. Unlike Trebilcot, I make (...) a distinction between the abuse of persuasion and the art of persuasion, re-claiming the latter as a caring and challenging strategy, rather than an invasion of adversarial heteropatriarchal tactics. (shrink)

In the foundational piece in this issue of the journal, “Integrating Law and Social Epidemiology,” Burris, Kawachi, and Sarat present a model for understanding the relationship between law and health. This article uses the case of a specific health condition, the human immunodeficiency virus infection, as an opportunity to flesh out this schema and to test how the model “fits” the world of the HIV pandemic. In applying the model to this communicable disease, we hope to illustrate the multitude of (...) ways that laws affect the course of the pandemic as well as the course of an individual’s vulnerability or resilience to the disease, and how the complexities of an individual’s life dealing with the virus interface with the world of laws and legal institutions. (shrink)

In the foundational piece in this issue of the journal, “Integrating Law and Social Epidemiology,” Burris, Kawachi, and Sarat present a model for understanding the relationship between law and health. This article uses the case of a specific health condition, the human immunodeficiency virus infection, as an opportunity to flesh out this schema and to test how the model “fits” the world of the HIV pandemic. In applying the model to this communicable disease, we hope to illustrate the multitude of (...) ways that laws affect the course of the pandemic as well as the course of an individual’s vulnerability or resilience to the disease, and how the complexities of an individual’s life dealing with the virus interface with the world of laws and legal institutions. (shrink)

How we integrate the astounding advances that genetics makes possible into our language, our conceptions of health and disease, and our systems to collect, control, and protect health-related information is a key question facing health law and policy-makers this decade.For example, the prospect that all of us may harbor the genetic seeds of our own demise forces us to confront the blurring of the lines between “health,” “predisposition,” and “disease.” How will we modify our conceptions of health and disease in (...) response to this new distinction?That these questions must be answered using, at least in part, new approaches seems unassailable. Yet, we run the risk of becoming mired in an old debate—exceptionalism—in which we haggle over the precise nature and scope of the similarities and differences between genetic information and all other health-related information. (shrink)

How we integrate the astounding advances that genetics makes possible into our language, our conceptions of health and disease, and our systems to collect, control, and protect health-related information is a key question facing health law and policy-makers this decade.For example, the prospect that all of us may harbor the genetic seeds of our own demise forces us to confront the blurring of the lines between “health,” “predisposition,” and “disease.” How will we modify our conceptions of health and disease in (...) response to this new distinction?That these questions must be answered using, at least in part, new approaches seems unassailable. Yet, we run the risk of becoming mired in an old debate—exceptionalism—in which we haggle over the precise nature and scope of the similarities and differences between genetic information and all other health-related information. (shrink)

For theological reasons, medieval thinkers maintained that sacraments “effect what they figure”—that is, they are more than mere signs of grace; and yet, they also maintained that they are not proper causes of grace in the way fire is the proper cause of heat. One way to reconcile these requirements is to explicate sacramental causation in terms of sine qua non causes, which were distinguished from accidental causes on the one hand, and from proper efficient causes on the other hand. (...) This article traces the development of this concept, as discussed in the context of the sacraments, from Scotus and Auriol, via Ockham and Peter of Ailly, to Gabriel Biel. It shows how the discussion, in its later stages, opened up concerns about occasionalism, offering thereby a case study of how particular theological issues led to metaphysical ones in the fourteenth and fifteenth centuries. (shrink)

In this paper, I consider Richard Rufus’ account of generation and corrup- tion. This is a fundamental metaphysical question in the Aristotelian framework. Given that there are things that are corruptible (such as trees and cats and the human body), and things that are incorruptible (such as the celestial bodies and angels), what is it that makes one one, and the other the other? In other words, what is the ultimate explanation (in Rufus' terminology, the principle or principles) of corruptibility (...) and incorruptibility? Do corruptible and incorruptible things have the same principles – the same fundamental metaphysical constitution – or are their principles different? Richard Rufus was among the first ones lecturing on Aristotle’s _Metaphysics_ at the University of Paris. He addresses these questions in book 4 (Gamma), lectio 1, question 2 of his longer commentary on Aristotle’s work (the _Scriptum_), which will provide the main textual basis of this paper. The other textual basis is an anonymous commentary on Aristotle’s _On generation and corruption_, found in Oxford, Corpus Christi MS 119, whose treatment of these issues is remarkably similar to Rufus’. As I show, we can learn a great deal about Rufus’ general metaphysical commitments by looking at this particular question, especially concerning his view of prime matter and his view of the qualities of the resurrected bodies. (shrink)

This paper reflects on masculinist biases affecting scientific research on the Premenstrual Syndrome. Masculinist bias is examined on the level of observation language and in the choice of explanatory frameworks. Such bias is found to be further reinforced by the social construction of “the clinical body” as an object of medical interrogation. Some of the political implications of the medicalization of women's premenstrual changes are also discussed.

This review essay covers the lesbian writing of philosopher Jeffner Allen, contrasting her fiercely separatist earlier work with her more recent experimental writing. A quest for a separate ontic space-defining difference qua Lesbian and consistently characterized by Allen as "the open"-links her earlier work with her more recent atonalities richly coded with ritual, myth, memory, and play.

Feminist philosophical writing on sexuality is both concentrated in specific areas and dispersed throughout feminist philosophy. This is because feminist philosophers usually incorporate in their writing some notion of what sexuality is and its relevance to women's social oppression and liberatory projects. Feminist thinking on sexuality can also be found in many writings on sexual violence, reproductive and erotic rights, sexual ethics, sexual politics, sexual law, sexual harassment, sexual deviance, sexual practices, sexual commerce, sexual identity, and sexual pleasure. Additionally, feminist (...) thinking on sexuality appears in the critical rethinking of biological and social sciences and in a variety of new discourses seeking their interdisciplinary homes in women's studies, gender studies, queer theory, and cultural studies. To carve out from all of this a domain of feminist philosophical work on sexuality seems difficult if not perilous. (shrink)

This paper reflects on masculinist biases affecting scientific research on the Premenstrual Syndrome (PMS). Masculinist bias is examined on the level of observation language and in the choice of explanatory frameworks. Such bias is found to be further reinforced by the social construction of "the clinical body" as an object of medical interrogation. Some of the political implications of the medicalization of women's premenstrual changes are also discussed.

This paper reflects on masculinist biases affecting scientific research on the Premenstrual Syndrome. Masculinist bias is examined on the level of observation language and in the choice of explanatory frameworks. Such bias is found to be further reinforced by the social construction of “the clinical body” as an object of medical interrogation. Some of the political implications of the medicalization of women's premenstrual changes are also discussed.

Can researchers, interested in novel ways to assess HIV seroprevalence among populations which are otherwise hidden, collect condoms that have been discarded on the ground in a public sex environment and test them for HIV? Researchers, who use other types of abandoned samples, such as discarded syringes, hair or saliva samples, or excess biological samples, confront similar issues. This review evaluates whether such abandoned tissues can be studied based on U.S. Code of Federal Regulations and literature on related issues including: (...) research involving banked tissues, blinded seroprevalence studies, and property claims that individuals might make on the samples.It also addresses broader questions of potential for stigma and risk to individuals and communities. The article concludes that the research should be permitted legally because either it does not involve human subjects, or it satisfies the requirements for waiver of consent; and that the research should also be permitted because the ethical principal of avoiding harm to individuals is fully satisfied based on a careful reading of the lessons of the tissue bank, biological property rights, and blinded seroprevalence study debates, as well as a consideration of other potential harms that might be involved. (shrink)

Can researchers, interested in novel ways to assess HIV seroprevalence among populations which are otherwise hidden, collect condoms that have been discarded on the ground in a public sex environment and test them for HIV? Does the Code of Federal Regulations address this question, and if not, what areas of research ethics might provide guidance to an IRB considering such a study? These questions arose as part of a preliminary study to test the feasibility of collecting discarded condoms from a (...) public sex environment in Massachusetts, and testing contained semen for HIV. Although the methodology of this study is somewhat unusual, the questions raised are not. Researchers, who wish to use other types of abandoned samples such as discarded syringes, hair or saliva samples, or even excess biological samples, commonly confront similar issues, and the analysis utilized here could guide design and review of other studies. (shrink)

Historically critical reflection on whiteness in the United States has been a long-standing practice in slave folklore and in Mexican resistance to colonialism, Asian American struggles against exploitation and containment, and Native American stories of contact with European colonizers. Drawing from this legacy and from the disturbing silence on "whiteness" in postsecondary institutions, critical whiteness scholarship has emerged in the past two decades in U.S. academies in a variety of disciplines. A small number of philosophers, critical race theorists, postcolonial theorists, (...) social historians, and cultural studies scholars have revisited and reexamined questions of race and identity with an analysis that now focuses on historical studies of racial formation and the deconstruction of whiteness as an unmarked privilege-granting category and system of dominance. Collectively, the writings in this volume identify whiteness as a cultural disposition and ideology held in place by specific political, social, moral, aesthetic, epistemic, metaphysical, economic, legal, and historical conditions, crafted to preserve white identity and relations of white supremacy (Mills 2003). In this way, whiteness studies is a conscious attempt to think critically about how white supremacy continues to operate systemically, and sometimes unconsciously, as a global colonizing force. (shrink)

Historically critical reflection on whiteness in the United States has been a long-standing practice in slave folklore and in Mexican resistance to colonialism, Asian American struggles against exploitation and containment, and Native American stories of contact with European colonizers. Drawing from this legacy and from the disturbing silence on “whiteness” in postsecondary institutions, critical whiteness scholarship has emerged in the past two decades in U.S. academies in a variety of disciplines. A small number of philosophers, critical race theorists, postcolonial theorists, (...) social historians, and cultural studies scholars have revisited and reexamined questions of race and identity with an analysis that now focuses on historical studies of racial formation and the deconstruction of whiteness as an unmarked privilege-granting category and system of dominance. Collectively, these writings identify whiteness as a cultural disposition and ideology held in place by specific political, social, moral, aesthetic, epistemic, metaphysical, economic, legal, and historical conditions, crafted to preserve white identity and relations of white supremacy (Mills 2003). In this way, whiteness studies is a conscious attempt to think critically about how white supremacy continues to operate systemically, and sometimes unconsciously, as a global colonizing force. -/- We extended the notion of ‘reproduction’ to include practices of reading and cultural forms of reiteration, but shied away from making the special issue into a philosophically driven cultural studies volume. Our volume is interdisciplinary by necessity: it offers theoretical and philosophical perspectives grounded in a variety of disciplinary starting points, all of which illustrate how whiteness remains at the center of reproduction and social regulation. Our hope is that this volume will further open philosophical conversations on the ways white supremacy regulates gender by providing new ways of thinking through those histories and reproductive materialities that make whiteness simultaneously a centrally defining signifier of bodies, values, and meanings and a signifier coding the “normal,”“the pure” and “the real” in white supremacist thinking. -/- We have categorized the contributions to this collection into three major areas: Resistance, Genealogies, and Miscegenation and Purity. These serve as both a guide for the reader's pathway through the volume and as a way of interconnecting the essays, although the intertextuality of all these writings also provides a rich field of rhizomic offshoots and a deeper connectivity. (shrink)

The three books reviewed here concern some interrelated elements of Thomas Aquinas' metaphysics: his general theory of efficient causation, his metaphysics of the human act, and his theory of virtu...

Over two hundred years ago, Thomas Jefferson suggested the need for a broader legal curriculum. As the twenty-first century begins, the practice of law will increasingly demand interdisciplinary knowledge and collaboration — between those trained in law and a broad range of scientific and technical fields, including engineering, biology, genetics, ethics, and the social sciences. The practice of public health law provides a model for both the substantive integration of law with science, and for the way its practitioners work. In (...) addition, public health law also provides a model for interdisciphuy and integrative teaching. (shrink)

Over two hundred years ago, Thomas Jefferson suggested the need for a broader legal curriculum. As the twenty-first century begins, the practice of law will increasingly demand interdisciplinary knowledge and collaboration — between those trained in law and a broad range of scientific and technical fields, including engineering, biology, genetics, ethics, and the social sciences. The practice of public health law provides a model for both the substantive integration of law with science, and for the way its practitioners work. In (...) addition, public health law also provides a model for interdisciphuy and integrative teaching. (shrink)

Few now question that population health is significantly shaped by social ecology. Power, wealth, and social status clearly matter: Their enactment in daily life makes them fundamental social determinants of health. Important as it is that we accept the broad importance of social factors in health, it is not enough. Our current grasp of the importance of social factors in health has to be strengthened by research that more precisely delineates the workings of social health through social processes, and the (...) investment in research must in turn be vindicated by interventions that make a difference. The work presented in this issue of the Journal of Law, Medicine & Ethics is intended to advance the agenda for research and action.An ecological theory puts health everywhere. Population health is shaped in the hierarchies of the workplace, the neighborhood, and the home. (shrink)

No one questions the importance of protecting human subjects of research, but over the past few years dissatisfaction has surfaced with the manner in which the protection is conferred by the federal regulatory system referred to as “The Common Rule. ” Some of the criticism surfaces in print. Some bubbles out anecdotally in conversations among researchers, with complaints about the review process being virtually inevitable whenever the topic arises. Like those in other disciplines that differ more or less dramatically from (...) the world of clinical medical research around which the Common Rule was conceptualized, public health researchers, particularly those working in official public health agencies, have experienced some tension and difficulty in adapting to the rules. The Centers For Disease Control and Prevention has adopted guidelines that require Common Rule review for “research” but not “practice” activities. (shrink)

Schizophrenia is a severe and disabling mental illness, associated with persistent difficulties in social functioning. While gaining and retaining a job or staying socially integrated can be very difficult for the patients, the treatment of poor functionality remains challenging with limited options in pharmacotherapy. To address the limitations of medical treatment, several interesting and innovative approaches have been introduced in the field of psychotherapy. Recent approaches incorporate modern technology as well, such as virtual reality. A potential therapeutic benefit of virtual (...) reality is particularly significant when an interpersonal dimension of the problem needs to be addressed. One example is a Virtual Reality based Theory of Mind Intervention, a novel method, which enables patients to practice complex social interactions without the burden of real-life consequences. Our paper presents a case report showing promising results of VR-ToMIS. Ms. Smith is a 50- year-old patient who has been suffering from schizophrenia for 20 years. Although in her case there was no problem with compliance throughout the years, she had severe problems regarding social functionality. With VR-ToMIS, she improved in ToM and communicative-pragmatic skills. The effects of the intervention went beyond the increased scores of the tests. Before the intervention there was a risk of the patient becoming unemployed as she was unable to follow the main principles of communicative exchange. Usually, her contribution was more informative than was required. After the intervention her communication became more balanced and she could retain her job. This case suggests that VR-ToMIS may be a promising tool for treating social disfunction in schizophrenia. (shrink)