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)

We explore how adding prosocial preferences to the canonical precaution model of accidents changes either the efficient damages rule or the harm from accidents. For a utilitarian lawmaker, making the potential injurer sympathetic to the victim of harm has no effect on either outcome. On the other hand, making injurers averse to harming others reduces the harm from accidents but has no effect on efficient damages. For an atomistic lawmaker — one who excludes prosocial preferences from social welfare — cultivating (...) a taste for either harm aversion or perfect sympathy can reduce efficient damages, though neither has any effect on the amount of harm from accidents. On the other hand, causing people to act as if they are averse to harm creation, such as out of habit or moral obligation, reduces both the efficient amount of damages and total harm. In general, encouraging either a distaste for, or moral commitment against, harm creation is useful while inculcating sympathy for victims of harm is not. (shrink)

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

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)

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)

This paper focuses on a water management project in the remote Aboriginal community of Milingimbi, Northern Australia. Drawing on materials and experiences from two distinct stages of this project, we revisit a policy report and engage in ethnographic storytelling in order to highlight a series of sensing practices associated with water management. In the former, a working symmetry between Yolngu and Western water knowledges is actively sought through the practices of the project. However, in the latter, recurrent asymmetries in the (...) research work continue to appear: a bilingual diagram of water usage is displayed but produces confusion; measuring a water hole for salinity, a member of the scientific team throws in a water meter, while a Yolngu elder prefers the telling of an ancestral story; a collaborative 3-D mapping exercise invites participation from community members but struggles to develop an outcome that differs from existing maps used by scientists and government staff. Focusing on these moments as subtle points of rupture, we suggest that attending to “seeing,” “telling,” and “mapping” in both stages of this water management project offers a way to explore the political work of crafting climate futures and beginning to interrogate differing means for “doing difference” within them. (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)

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)

Anime is exploding on the worldwide stage! Anime has been a staple in Japan for decades, strongly connected to manga. So why has anime become a worldwide sensation? A cursory explanation is the explosion of online streaming services specializing in anime, like Funimation and Crunchyroll. Even more general streaming services like Netflix and Amazon have gotten in on the game. Anime is exotic to Western eyes and culture. That is one of the reasons anime has gained worldwide popularity. This strange (...) aesthetic draws the audience in only to find it is deeper and more sophisticated than its surface appearance. Japan is an honor and shame culture. Anime provides a platform to discuss “universal” problems facing human beings. It does so in an amazing variety of ways and subgenres, and often with a sense of humor. The themes, characters, stories, plotlines, and development are often complex. This makes anime a deep well of philosophical, metaphysical, and religious ideas for analysis. International scholars are represented in this book. There is a diversity of perspectives on a diversity of anime, themes, content, and analysis. It hopes to delve deeper into the complex world of anime and demonstrate why it deserves the respect of scholars and the public alike. (shrink)

“Atsumori” is a Noh play composed by master playwright Zeami sometime before 1423, featuring characters from the Tales of the Heike. Although popular to this day, the philosophical significance of the play remains underdeveloped and underappreciated. Prima facie, it features a ghost who is liberated thanks to the sincere prayer of the priest who killed him. Simplistic reading would yield simplistic understanding of the characters and their dynamism, and would fail to appreciate, for instance, the agency of the ghost or (...) the liberation of the priest. Accordingly, some regard the play as falling short of the highest aesthetic value, insofar as its protagonist fails to attain liberation through his own effort. Some even contend that the ulterior purpose of the play is to portray ghosts as powerless and desperate so that vanquishers need not fear vengeful ghosts. While it is possible that Zeami indeed held such ulterior intention and regarded it as second rank for the protagonist’s lack of agency, I shall present a different reading that would yield a richer appreciation of the characters and their dynamism. I do so by regarding the “friendship of dharma” that occurs at the culmination of the play as “existential communion” as presented in Tanabe Hajime’s later philosophy. That is, the play need not be read as a story about a living priest saving a dead warrior—it can be read as about two lost souls saving each other, through mutual acceptance, mutual sacrifice, and collaborative mediation of the Absolute. For this purpose, the paper first delineates Tanabe’s later philosophy with a focus on the idea of existential communion. Then it introduces “Atsumori” and discusses its philosophical significance. An impasse due to the scope of the play will be identified, which I call “the problem of epistemic authority,” and to fill the gap I will introduce and discuss another spin-off story featuring Atsumori. The paper intends to offer a philosophically richer reading of the play to invite readers to think deeply and creatively about Noh. (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)

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)

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)

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)

In the preface to his new monograph, Tragic Beauty in Whitehead and Japanese Aesthetics, Steve Odin proposes to do two things: better understand Alfred N. Whitehead's "poetic vision of tragic beauty" through comparison with Japanese aesthetics, and thereby also suggest a "new religio-aesthetic vision of tragic beauty and its resolution in the supreme ecstasy of peace". He does more than that, though. Besides thoroughly discussing Whitehead's aesthetics throughout the latter's works, from An Enquiry Concerning the Principles of Natural Knowledge to (...) Modes of Thought, he enriches this aesthetics by discussing similar themes in American philosophy and literature, including Charles Peirce, John... (shrink)

Integrating different perspectives is a sophisticated strategy for developing constructive interactions in collaborative problem solving. However, cognitive aspects such as individuals’ knowledge and bias often obscure group consensus and produce conflict. This study investigated collaborative problem solving, focusing on a group member interacting with another member having a different perspective. It was predicted that mavericks might mitigate disadvantages and facilitate perspective taking during problem solving. Thus, 344 university students participated in two laboratory-based experiments by engaging in a simple rule-discovery task (...) that raised conflicts among perspectives. They interacted with virtual partners whose conversations were controlled by multiple conversational agents. Results show that when participants interacted with a maverick during the task, they were able to take others’ perspectives and integrate different perspectives to solve the problem. Moreover, when participants interacted in groups with a positive mood, groups with a maverick outperformed groups having several perspectives. (shrink)