In Western countries, the ideal professional and ethical attributes of healthcare providers and the ideal patient-doctor relationship have been analysed in detail. Other cultures, however, may have different norms, arising in response to diverse healthcare needs, cultural values and offering alternative perspectives. In this paper, drawing a case study, we introduce the concept of Shinmi, used in Japan to describe a desirable approach to medical care. Shinmi means kind or cordial in Japanese. In the medical context, it refers to doctors (...) treating patients with a degree of emotional closeness as if they were the doctors’ own family. We analyse the concept of Shinmi, drawing on virtue ethics. We distinguish two different elements to a Shinmi-na attitude. As illustrated in our example, excessive Shinmi can be problematic for patients and doctors. Furthermore, elements of Shinmi may conflict with existing Western values (for example, norms that encourage emotional detachment and discourage doctors’ treatment of family members). However, if pursued appropriately, we argue that a balanced Shinmi-na approach can be conducive to the goals of medicine. The concept of Shinmi may be valuable for medical students, in Japanese and potentially other health care systems, and help them to cultivate a virtuous approach to meeting the emotional needs of patients. (shrink)

In their target article, Peterson et al. discuss the intriguing prospect of using psychedelics as a treatment for patients with Alzheimer’s Disease and Related Dementias (AD/ADRD) (Peterson et al....

Feminism and postcolonialism are allies, and the impressive selection of writings brought together in this volume demonstrate how fruitful that alliance can be. Reina Lewis and Sara Mills have assembled a brilliant selection of thinkers, organizing them into six categories: "Gendering Colonialism and Postcolonialism/Radicalizing Feminism," "Rethinking Whiteness," "Redefining the 'Third World' Subject," "Sexuality and Sexual Rights," "Harem and the Veil," and "Gender and Post/colonial Relations." A bibliography complements the wide-ranging essays. This is the ideal volume for any reader interested (...) in the development of postcoloniality and feminist thought. (shrink)

In a dynamic environment, even if an agent makes a plan to obtain a goal, the environment might change while the agent is executing the plan. In that case, the plan, which was initially valid when it was made, might later become invalid. Furthermore, in the process of replanning, it is necessary to take into account the side effects of actions already executed. Nowadays, HTN planning is becoming popular among agent researchers because its task decomposition algorithm is efficient and suitable (...) for joint planning in multi-agent systems. However, the dynamic replanning algorithm of HTN planning has not yet been established. In order to solve this problem, we have previously presented an agent life cycle that integrates HTN planning, action execution, knowledge updates, and plan modification. In that agent life cycle, the plans are always kept valid according to the most recent knowledge and situation. However, when one plan does not work and the agent starts using an alternative plan, it sometimes undoes some actions that do not have to be undone. The source of this problem lies in the need to have total-order plans. In other words, all the actions have to be sequentially ordered even when the order is not important in some parts of the plan. This paper extends our previous agent life cycle and presents new ways to avoid unnecessary action cancellation. This enables the agent to handle partial-order plans and to make use of two kinds of undoing actions: sequential undoing actions and concurrent undoing actions. (shrink)

9th and 10th Nov. 2013 at Kyoto University. Organizers: Takeshi Sato and Shunsuke Sugimoto.

Este trabajo quedó segundo en la IV Olimpiada de filosofía que organiza FICUM en la modalidad de secundaria y bachillerato para promocionar la filosofía entre los jóvenes.

It has been argued by Bernard Linsky and Edward Zalta, and independently by Timothy Williamson, that the best quantified modal logic is one that validates both the Barcan Formula and its converse. This requires that domains be fixed across all possible worlds. All objects exist necessarily; some – those we would usually consider contingent – are concrete at some worlds and non-concrete (but still existent) at others. Linsky and Zalta refer to such objects as ‘contingently non-concrete’. I defend the standard (...) usage of the word ‘exists’, and the view that many objects exist only contingently. I argue that the Linsky/Zalta analysis, and to a lesser extent Williamson’s, suffers not only from a peculiar ontology but also from two related formal difficulties. Their analysis gives either counter-intuitive or ad hoc results about essences, and it fails to accommodate contingently existing abstracta. (shrink)

The purpose of this study was to investigate the role of perceived vulnerability to disease, emotions (disgust, anger), and perceived norms in predicting moral judgments of anti-COVID-19-preventive behaviors in US and Japan. A total of 442 Japanese and 365 American participants completed an online survey. Disgust and anger mediated the link between perceived vulnerability to disease (germ aversion) and moral judgments of preventive behaviors across both cultures. Perceived social norms among friends and family were associated with harsh judgments of anti-preventive (...) behaviors for Japanese but not for American participants. Overall, our results suggest that effective strategies for promoting preventive behaviors may be culturally valid if they focus on the fear for infectious disease and related aversive affect. We also discussed the possibility that some strategies could be characteristic of collectivistic cultures, warranting further cross-cultural comparisons. (shrink)

Feminism and postcolonialism are allies, and the impressive selection of writings brought together in this volume demonstrate how fruitful that alliance can be. Reina Lewis and Sara Mills have assembled a brilliant selection of thinkers, organizing them into six categories: "Gendering Colonialism and Postcolonialism/Radicalizing Feminism," "Rethinking Whiteness," "Redefining the 'Third World' Subject," "Sexuality and Sexual Rights," "Harem and the Veil," and "Gender and Post/colonial Relations." A bibliography complements the wide-ranging essays. This is the ideal volume for any reader interested (...) in the development of postcoloniality and feminist thought. (shrink)

It has been argued that actualism – the view that there are no non-actual objects – cannot deal adequately with statements involving iterated modality, because such claims require reference, either explicit or surreptitious, to non-actual objects. If so, actualists would have to reject the standard semantics for quantified modal logic (QML). In this paper I develop an account of modality which allows the actualist to make sense of iterated modal claims that are ostensibly about non-actual objects. Every occurrence of a (...) modal operator involves the stipulation of a possible world, and nested modal operators require stipulation of nested possible worlds. I provide an actualistically acceptable (AA) semantics for QML wherein the nesting relation is irreflexive and intransitive and forms a tree. Despite these restrictions, AA models can beshown to be sound and complete for a wide variety of modal logics. (shrink)

Sir Arthur Conan doyle wrote fifty-six short stories and four novels about Sherlock Holmes, collectively known as the Canon. The following are all true facts about the Canon: It is true according to the Canon that Sherlock Holmes is a detective. It is true according to the Canon that Queen Victoria hired a private consulting detective, gave him an emerald tiepin, and offered him a knighthood which he refused. The Canon is about Sherlock Holmes. The Canon is about a brilliant (...) private detective who solves many crimes that baffle Scotland yard. The Canon is also about Queen Victoria .This paper argues that the truth of these and similar facts creates some tension for the theory that fictional characters are abstract objects. A proponent of this theory will have to treat sentences and as disanalogous, and to as similarly disanalogous, in a way that undercuts part of the motivation for accepting an ontology of fictional characters. (shrink)

The standard view of metaphysical necessity is that it is truth in all possible worlds, and therefore that the correct modal logic for metaphysical necessity is S5, in models of which all worlds are accessible from each other. I argue that S5 cannot be the correct logic for metaphysical necessity because accessibility is not symmetric: there are possible worlds that are accessible from ours but from which our world is not accessible. There are (or could be) some individuals who, if (...) they had not existed, could not have existed. Once the possibility of such individuals is lost, it is gone forever. (shrink)

This paper examines the logic of fictions within fictions. I argue that consistently nested consistent fictions must have certain formal characteristics. The most important is that they form a tree structure. Depending on one’s theory of fictional objects, additional constraints may apply regarding the appearance of a fictional object in two or more fictional universes. The background motivation for the paper is to use iterated fiction operators as a tool for making sense of iterated modal operators; I conclude by noting (...) briefly where the results about nested fictions can, and where they cannot, be extended to nested possible worlds. (shrink)

IntroductionDeep brain stimulation is an effective treatment for advanced Parkinson’s disease with the targeting bilateral subthalamic nucleus or globus pallidus internus. So far, detailed studies on the efficacy of unilateral STN-DBS for motor symptoms have been reported, but few studies have been conducted on unilateral GPi-DBS.Materials and MethodsSeventeen patients with Parkinson’s disease who underwent unilateral GPi-DBS were selected. We conducted comparison analyses between scores obtained 6–42 months pre- and postoperatively using the following measurement tools: the Movement Disorder Society Unified Parkinson’s (...) Disease Rating Scale part III, the Hoehn and Yahr stage, the presence/absence of dyskinesia, Mini-Mental State Examination, Frontal Assessment Battery, Geriatric Depression Scale, levodopa equivalent dose, and cerebral blood flow by single photon emission computed tomography. Patient backgrounds were compared between four cohorts with favorable and unfavorable postoperative outcome.ResultsSignificant improvement was observed postoperatively in the following: total MDS-UPDRS Part III scores during the off period, contralateral scores, ipsilateral scores, and axial scores. Similarly, the Hoehn and Yahr stages during the off period, and GDS also showed significant decrease. In contrast, LED, MMSE, and FAB remained unchanged while the number of patients who scored positive for dyskinesia decreased by 40%. Abnormal cerebral blood flow preoperatively seen in the cerebral cortex had normalized in the total score-based good responder cohort. In the ipsilateral score-based good responder cohort, cerebral blood flow increased in the contralateral frontal lobe including in the premotor cortex, contralateral to the DBS. Compared to the poor responders, postoperative good responders demonstrated significantly higher preoperative MMSE scores.DiscussionUnilateral GPi-DBS therapy was effective in improving contralateral, ipsilateral, and axial motor symptoms of patients with advanced PD; in particular, it was found to be especially beneficial in PwPD whose cognitive function was unimpaired; the treatment efficacy rivaled that of bilateral counterparts up till at least 6 months postoperatively. Finally, normalization of preoperative abnormalities in cerebral blood flow and increased cerebral blood flow in the contralateral frontal lobe indicated the beneficial potential of this therapy on ipsilateral motor symptoms. (shrink)

Drawing from research on moral judgment and affective dysfunction, we examined how trait psychopathy and alexithymia, which are characterized as empathic deficits, relate to utilitarian moral judgments in sacrificial dilemmas. As predicted, primary and secondary psychopathy traits and alexithymia were associated with reduced empathic concern. However, primary psychopathy and difficulty identifying feelings (one of three alexithymia traits), but not secondary psychopathy and other two alexithymia traits, were associated with utilitarian judgments. Moreover, hierarchical regression analysis showed that primary psychopathy, difficulty identifying (...) feelings, and empathic concern made unique contributions to the prediction of direct harm on the victim, whereas alexithymia traits made weaker contributions. Although the lack of affective empathy is found in psychopathy and alexithymia, the process through which the two traits lead to utilitarian judgment in sacrificial dilemmas may be distinct. The present findings add to the growing literature, contributing to a fuller picture of the relationship between empathy, trait psychopathy, and alexithymia. (shrink)

It has been alleged that actualism and quantified modal logic are incompatible. My aim in this dissertation is twofold: to defend thoroughgoing actualism with respect to possible objects, and to present a modified semantics for quantified modal logic that is compatible with such a position. The basic strategy is to draw on the parallels between fictions and possible worlds to develop a hierarchical system of worlds-within-worlds ;Actualists usually take first-order modal statements as being about the right objects, by stipulation. Any (...) actualistically acceptable semantics must extend this approach to higher-order modal statements. "I could have had a brother who was a banker but could have been a pianist" means: there is a first-order world in which I have a banker brother, and there exists within that world a second-order world in which that very brother is a pianist. This eliminates the troubling need to identify non-actual objects across worlds of the same order. ;The concept of worlds-within-worlds is analogous to that of consistent fictions-within-fictions. Independent investigations of each concept reveal that both nesting structures are treelike, irreflexive and intransitive. Despite these restrictions, AA models are relatively tractable, being derivable from Kripke models for by unraveling. They are sound and complete for normal propositional modal logics, and for the quantified modal logic Q1R as long as constants are excluded from the language. ;In Chapter 1, I argue for actualism and against some proposed responses to the iterated modality problem. I then present the idea of nested worlds as a solution. Chapter 2 examines the analogous concept of nested fictions, to shed some light on consistent nesting structures. Chapter 3 returns to modality proper; AA models are defined and defended for both propositional and quantified modal logic. Chapter 4 contains the soundness and completeness results, and ends with a somewhat surprising philosophical argument motivated by AA semantics: unless it is metaphysically necessary that all objects have sufficient essences, the correct logic for metaphysical necessity must be weaker than B. (shrink)

This paper is concerned with the different forms of pleasure and identification activated in the consumption of dominant and subcultural print media. It centres on an analysis of the lesbian visual pleasures generated through the reading of fashion editorial in the new lesbian and gay lifestyle magazines. This consideration of the lesbian gaze is contrasted to the lesbian visual pleasures obtained from an against the grain reading of mainstream women's fashion magazines. The development of the lesbian and gay lifestyle magazines, (...) in the context of the pink pound, produces a situation in which an eroticized lesbian visual pleasure is the overt remit of the magazine, rather than a clandestine pleasure obtained through a transgressive reading of dominant cultural imagery. In contrast to the polysemic free-play of fashion fantasy by which readers produce lesbian pleasure in the consumption of mainstream magazines, responses to the fashion content in the lesbian magazine Diva suggest that in a subcultural context readers deploy a realist mode of reading that demands a monosemic positive images iconography. The article uses the concept of subcultural competency to consider the different ways lesbians read mainstream and subcultural print media and suggests that the conflict over Diva‘s fashion spreads may be linked to changing patterns of identification and the use of dress for recognizability. (shrink)

This article proposes a methodological schema for engaging in a productive discussion of ethical issues regarding human brain organoids, which are three-dimensional cortical neural tissues created using human pluripotent stem cells. Although moral consideration of HBOs significantly involves the possibility that they have consciousness, there is no widely accepted procedure to determine whether HBOs are conscious. Given that this is the case, it has been argued that we should adopt a precautionary principle about consciousness according to which, if we are (...) not certain whether HBOs have consciousness—and where treating HBOs as not having consciousness may cause harm to them—we should proceed as if they do have consciousness. This article emphasizes a methodological advantage of adopting the precautionary principle: it enables us to sidestep the question of whether HBOs have consciousness and, instead, directly address the question of what kinds of conscious experiences HBOs can have, where the what-kind-question is more tractable than the whether-question. By addressing the what-kind-question, we will be able to examine how much moral consideration HBOs deserve. With this in mind, this article confronts the what-kind-question with the assistance of experimental studies of consciousness and suggests an ethical framework which supports restricting the creation and use of HBOs in bioscience. (shrink)

We associate with any game G another game, which is a variant of it, and which we call . Winning strategies for have a lower recursive degree than winning strategies for G: if a player has a winning strategy of recursive degree 1 over G, then it has a recursive winning strategy over , and vice versa. Through we can express in algorithmic form, as a recursive winning strategy, many common proofs of non-constructive Mathematics, namely exactly the theorems of the (...) sub-classical logic Limit Computable Mathematics [6], Hayashi and Nakata [7]). (shrink)

El niño como sujeto de derecho.--El derecho a la educación y el derecho a educar.--Laicidad.

El perfeccionismo es la exigencia personal, evaluando su propio valor en términos de productividad y logro. Se utiliza una metodología experimental y tiene como objetivo principal conocer si los niños/as de dos cursos de cuarto de primaria son perfeccionistas y proponer actividades utilizando el método REAPSES en la asignatura de Educación física. En conclusión, gracias a las actividades planteadas los alumnos/as afirman encontrarse más relajados y con una idea más clara del significado del estrés y cómo éste les afecta. Sin (...) embargo, en cierto modo, parte del estrés es causado por el nivel de exigencia por parte de las familias. (shrink)