Healthcare workers experience moral injury (MI), a violation of their moral code due to circumstances beyond their control. MI threatens the healthcare workforce in all settings and leads to medical errors, depression/anxiety, and personal and occupational dysfunction, significantly affecting job satisfaction and retention. This article aims to differentiate concepts and define causes surrounding MI in healthcare. A narrative literature review was performed using SCOPUS, CINAHL, and PubMed for peer-reviewed journal articles published in English between 2017 and 2023. Search terms included (...) “moral injury” and “moral distress,” identifying 249 records. While individual risk factors predispose healthcare workers to MI, root causes stem from healthcare systems. Accumulation of moral stressors and potentially morally injurious events (PMIEs) (from administrative burden, institutional betrayal, lack of autonomy, corporatization of healthcare, and inadequate resources) result in MI. Individuals with MI develop moral resilience or residue, leading to burnout, job abandonment, and post-traumatic stress. Healthcare institutions should focus on administrative and climate interventions to prevent and address MI. Management should ensure autonomy, provide tangible support, reduce administrative burden, advocate for diversity of clinical healthcare roles in positions of interdisciplinary leadership, and communicate effectively. Strategies also exist for individuals to increase moral resilience, reducing the impact of moral stressors and PMIEs. (shrink)

The organ donation and transplantation (ODT) system heavily relies on the willingness of individuals to donate their organs. While it is widely believed that public trust plays a crucial role in shaping donation rates, the empirical support for this assumption remains limited. In order to bridge this knowledge gap, this article takes a foundational approach by elucidating the concept of trust within the context of ODT. By examining the stakeholders involved, identifying influential factors, and mapping the intricate trust relationships among (...) trustors, trustees, and objects of trust, we aim to provide a comprehensive understanding of trust dynamics in ODT. We employ maps and graphs to illustrate the functioning of these trust relationships, enabling a visual representation of the complex interactions within the ODT system. Through this conceptual groundwork, we pave the way for future empirical research to investigate the link between trust and organ donation rates, informed by a clarified understanding of trust in ODT. This study can also provide valuable insights to inform interventions and policies aimed at enhancing organ donation rates. (shrink)

El conocimiento histórico –entendido como un proceso metacognitivo de asimilación constructiva sobre el pasado para explicar fenómenos– comporta un análisis del impacto y la transcendencia de determinados acontecimientos y procesos históricos, en cuya comprensión y valoración influye el concepto de relevancia histórica. Desde esta perspectiva es necesario implementar propuestas de evaluación sólidas, vinculadas al desarrollo competencial. El objetivo de este estudio es diseñar una guía de caracterización de los instrumentos evaluativos –actividades y ejercicios– más utilizados por el profesorado de Historia, (...) con el fin de optimizar los procesos de evaluación de esta competencia mediante una serie de descriptores estructurales, competenciales y transferenciales. Estos indicadores de pertinencia pueden marcar el camino de aquellos docentes que deseen perfeccionar su manera de evaluar lo históricamente determinante. En conclusión, este innovador planteamiento supone un proceso de formación continua del profesorado que contribuye a la mejora de la calidad educativa. (shrink)

When faced with adverse circumstances, there may be a tendency for individuals, agencies, and governments to search for a target to assign blame. Our focus will be on the novel coronavirus outbreak, where racial groups, political parties, countries, and minorities have been blamed for spreading, producing or creating the virus. Blame—here defined as attributing causality, responsibility, intent, or foresight to someone/something for a fault or wrong—has already begun to damage modern society and medical practice in the context of the COVID-19 (...) outbreak. Evidence from past and current pandemics suggest that this tendency to seek blame affects international relations, promotes unwarranted devaluation of health professionals, and prompts a spike of racism and discrimination. By drawing on social and cognitive psychology theories, we provide a framework that helps to understand the effect of blame in pandemics, when people blame, whom they blame, and how blame detrimentally affects the COVID-19 response. Ultimately, we provide a path to inform health messaging to reduce blaming tendencies, based on social psychological principles for health communication. (shrink)

This chapter provides a historical account of the transformation of pregnancy through philosophical theory and legal practice. What has remained seemingly consistent across history, though, is the lack of rights a pregnant woman can enjoy. Whilst it may manifest differently across time and place, unfortunately misogynistic attitudes persist, and this is reflected in the continual degrading of the gestator (and gestation), which is reinforced by certain philosophical theorising and technological advancement. We thus urge caution in making philosophical claims about the (...) epistemic transformation in pregnancy, given the epistemic (and other) injustices already faced by pregnant people. We recognise that there are transformations that occur because of pregnancy, but we argue that there ought not be with respect to the pregnant person's autonomy, agency, and control over their bodies. Through an analysis of legal cases, we can see that the practice falls out of line with the theory regarding how pregnant people are treated. But perhaps it is both the theory and the practice that need to change so as to bring them in line. How we theorise about pregnancy is intertwined with our cultural views, our technological advancements, and our medical and legal practices, requiring multi-disciplinary study for a more holistic overview. In this chapter, we contribute to this endeavour by bringing some such strands together, regarding the transformation that pregnancy is, that pregnancy makes, and that pregnancy has had historically, in philosophy, and in legal practice. (shrink)

We describe the ongoing citations to biomedical articles affected by scientific misconduct, and characterize the papers that cite these affected articles. The citations to 102 articles named in official findings of scientific misconduct during the period of 1993 and 2001 were identified through the Institute for Scientific Information Web of Science database. Using a stratified random sampling strategy, we performed a content analysis of 603 of the 5,393 citing papers to identify indications of awareness that the cited articles affected by (...) scientific misconduct had validity issues, and to examine how the citing papers referred to the affected articles. Fewer than 5% of citing papers indicated any awareness that the cited article was retracted or named in a finding of misconduct. We also tested the hypothesis that affected articles would have fewer citations than a comparison sample; this was not supported. Most articles affected by misconduct were published in basic science journals, and we found little cause for concern that such articles may have affected clinical equipoise or clinical care. (shrink)

The purpose of this study was to identify and describe published research articles that were named in official findings of scientific misconduct and to investigate compliance with the administrative actions contained in these reports for corrections and retractions, as represented in PubMed. Between 1993 and 2001, 102 articles were named in either the NIH Guide for Grants and Contracts (“Findings of Scientific Misconduct”) or the U.S. Office of Research Integrity annual reports as needing retraction or correction. In 2002, 98 of (...) the 102 articles were indexed in PubMed. Eighty-five of these 98 articles had indexed corrections: 47 were retracted; 26 had an erratum; 12 had a correction described in the “comment” field. Thirteen had no correction, but 10 were linked to the NIH Guide “Findings of Scientific Misconduct”, leaving only 3 articles with no indication of any sort of problem. As of May 2005, there were 5,393 citations to the 102 articles, with a median of 26 citations per article (range 0–592). Researchers should be alert to “Comments” linked to the NIH Guide as these are open access, and the “Findings of Scientific Misconduct’ reports are often more informative than the statements about the retraction or correction found in the journals. (shrink)

In early 2020, in-person data collection dramatically slowed or was completely halted across the world as many labs were forced to close due to the COVID-19 pandemic. Developmental researchers who assess looking time were forced to re-think their methods of data collection. While a variety of remote or online platforms are available for gathering behavioral data outside of the typical lab setting, few are specifically designed for collecting and processing looking time data in infants and young children. To address these (...) challenges, our lab developed several novel approaches for continuing data collection and coding for a remotely administered audiovisual looking time protocol. First, we detail a comprehensive approach for successfully administering the Multisensory Attention Assessment Protocol, developed by our lab to assess multisensory attention skills. The MAAP is administered from a distance by using Zoom, Gorilla Experiment Builder, an internet connection, and a home computer. This new data collection approach has the advantage that participants can be tested in their homes. We discuss challenges and successes in implementing our approach for remote testing and data collection during an ongoing longitudinal project. Second, we detail an approach for estimating gaze direction and duration collected remotely from webcam recordings using a post processing toolkit and demonstrate its effectiveness and precision. However, because OpenFace derives gaze estimates without translating them to an external frame of reference, we developed a machine learning approach to overcome this limitation. Thus, third, we trained a ML algorithm [] to classify gaze estimates from OpenFace with respect to areas of interest on the participant's screen. We then demonstrate reliability between this approach and traditional coding approaches. The combination of OpenFace and ML will provide a method to automate the coding of looking time for data collected remotely. Finally, we outline a series of best practices for developmental researchers conducting remote data collection for looking time studies. (shrink)

There are deep and pervasive disagreements today in universities and colleges, and popular culture in general, over the credibility and value of belief in God. This has given rise to an urgent need for a balanced, comprehensive, accessible resource book that can inform the public and scholarly debate over theism. While scholars with as diverse interests as Daniel Dennett, Terry Eagleton, Richard Dawkins, Jürgen Habermas, and Rowan Williams have recently contributed books to this debate, "theism" as a concept remains poorly (...) understood and requires a more thorough and systematic analysis than it has so far received in any single volume. _The Routledge Companion to Theism_ addresses this need by investigating theism's history as well as its relationship to inquiry in the sciences, social sciences, and humanities, and to its wider cultural contexts. The contents are not confined within the philosophy of religion or even within the more expansive borders of philosophy. Rather, _The Routledge Companion to Theism_ investigates its subject through the lens of a wide variety of disciplines and explores the ramifications of theism considered as a way of life as well as an intellectual conviction. The five parts of the volume indicate its inclusive scope: I. What is Theism?; II. Theism and Inquiry; III. Theism and the Socio-Political Realm; IV. Theism and Culture; V. Theism as a Way of Life. The result is a well ordered and thorough collection that should provide a wide spectrum of readers with a better understanding of a subject that's much discussed, but frequently misunderstood. As the editors note in their Introduction, while stimulating and informing the contemporary debate, a key aim of the volume is to open new avenues of inquiry into theism and thereby to encourage further research into this vital topic. Comprised of 54 essays by leading scholars in philosophy, history, theology, religious studies, political science, education and sociology, _The Routledge Companion to Theism_ promises to be the most useful, comprehensive resource on an emerging subject of interest for students and scholars. (shrink)

Emotional stimuli (e.g. words, images) are often remembered better than neutral stimuli. However, little is known about how memory is affected by an environmentally induced emotional state (without any overtly emotional occurrences) – the focus of this study. Participants were randomly assigned to discovery (n = 305) and replication (n = 306) subsamples and viewed a desktop virtual environment before rating their emotions and completing objective (i.e. item, temporal-order, duration) and subjective (e.g. vividness, sensory detail, coherence) memory measures. In both (...) samples, a Partial Least Squares Correlation analysis showed that an emotional state characterised by high negative emotion (i.e. threat, fear, anxiety) and arousal was reliably associated with better memory in both objective (i.e. item) and subjective (i.e. vividness and sensory detail) domains. No reliable associations were observed for any temporal memory measures (objective or subjective). Thus, an environmentally induced state of negative emotion corresponds with enhanced memory for indices of episodic memory pertaining to “what” happened, but not necessarily “when” it happened. (shrink)

How should judges decide which linguistic canons to apply in interpreting statutes? One important answer looks to the inside of the legislative process: Follow the rules that lawmakers contemplate. A different answer, based on the “ordinary meaning” doctrine, looks to the outside: Follow the rules that would guide an ordinary person’s understanding of the legal text. Empirical scholars have studied statutory interpretation from the inside—revealing what rules drafters follow—but never from the outside. We offer a novel framework for empirically testing (...) interpretive canons “from the outside,” recruiting 4,500 people from the United States, as well as a sample of U.S. law students, to evaluate hypothetical scenarios that correspond to each canon’s triggering conditions. -/- The empirical findings provide crucial evidence about which traditional canons “ordinary meaning” actually supports, and they carry several further implications. First, interpretive canons are not a closed set. We discovered new canons that are not yet reflected as legal canons, including one we term the “non-binary gender canon” and another the “quantifier domain restriction canon.” Second, the results support a new understanding of the ordinary meaning doctrine itself, as one focused on the ordinary interpretation of rules, as opposed to the traditional focus on “ordinary language” generally. Third, many of the canons reflect that ordinary people interpret rules with an intuitive anti-literalism. This anti-literalism finding challenges textualist assumptions about ordinary meaning, as well as offering a theme for researching other currently unrecognized canons. Most broadly, we hope the Essay initiates a new research program in empirical legal interpretation. If ordinary meaning is relevant to legal interpretation, interpreters should look to evidence of how ordinary people actually understand legal rules. We see our experiments as a first step in that new direction. (shrink)

El desarrollo de la tecnología y de la inteligencia artificial provocan desde hace años preguntas éticas y antropológicas. La Suma Teológica de Santo Tomás permite categorizar términos tecnológicos y establecer ontologías en clave filosófica. Con esta metodología de la Suma se va a estudiar aquí el término “metaverso” y sus implicaciones éticas. El artículo aporta además una revisión sistemática de literatura científica para elaborar un mapa de conocimiento desde un punto de vista cualitativo y cuantitativo que visibilice el impacto de (...) esta terminología emergente en la investigación. (shrink)

El artículo empieza con un recorrido por las ideas republicanas del 1848 francés en torno a la fraternidad como idea fundamental para combatir el individualismo e instaurar un nuevo orden social. No obstante, el ideal de fraternidad es rápidamente ignorado por el pensamiento político contemporáneo, contrariamente a o que ocurre con los dos otros dos términos de la divisa revolucionaria: la libertad y la igualdad. La autora se plantea si conviene recuperar el concepto de fraternidad y en qué sentido. ¿Es (...) una virtud en el sentido aristotélico? Pese a que hay filósofos contrarios a esa idea, se defiende la tesis de que es difícil que sin fraternidad pueda hacerse justicia y que, en consecuencia, la fraternidad no puede ser vista sino como una virtud o una obligación moral imprescindible como base de la cooperación social. (shrink)

En este artículo me dispongo a recuperar la experiencia de investigar la vida de seis profesores memorables de la Escuela de Educación Secundaria Nº19 de la ciudad de Mar del Plata, dando cuenta del giro sensorial que dio la investigación al tematizar la intimidad de quién la narra. Identificar las tramas que intervienen en la composición de la memorabilidad en las biografías de los profesores memorables, no fue un proceso directivo, desde arriba y a priori, sino que por el contrario (...) implicó una íntima relación de valorización entre la narradora y los profesores de nuestras prácticas docentes. En cuyo devenir pude reconocer las implicancias de mi propia biografía escolar y profesional, entrenando mi voz de investigadora se coló mi voz de profesora y de cantante, está última en analogía con el lenguaje musical posibilitó relatos consentidos con la intimidad de esta investigación. (shrink)

Image is said in many ways. In view of its equivocal nature, we could choose to clear its analytical path, replace its historical transit or give up. Instead, this paper proposes an alternative by reflecting on the temporal dimension of the image. For this reason, it makes use of two nodal reflections: the Benjaminian notion of dialectical image, and the link between image and emotions as explored contemporaneously by queer theory. The notion of dialectical image allows us to envision, even (...) beyond its author, another link between image and history, which allows us to understand it not only as a linguistic phenomenon, but also in its visual and audiovisual dimension. Queer theory in its affective turn has presented a possible link between images and affects that allows the composition of an ephemeral archive that declassifies our temporal categories (CVETKOVICH, 2018) and the ethical question about our primary responses in the face of the image (BUTLER, 2010). The journey through both notions addresses, ultimately, the temporality of images in its critical power, that old insistence on thinking of images that contain their own destruction. (shrink)

In this special issue, Steins and Edwards introduced the notion of nested platforms for resource use negotiation as a tool to facilitate collective action amongst multiple-users in complex common-pool resource management scenarios. Five discussion statements were put forward to aid the debate on multi-use platforms. This paper is a synthesis of the responses to these statements by the other contributors to this special issue. It aims to further stimulate the debate on the management of complex, multiple-use common-pool management scenarios.

The versatile construct of perfectionism has been heavily debated, e.g., its nature or measurement constituents, how it influences performances or, most importantly, our health. Conventional linear analyses seem inadequate to address such challenges. Hence, we used a latent variable and a person-centered approach to identify different patterns of perfectionism, and their relationships with psychological health as outcome among early adolescents (13-14 years) attending conventional or elite sports-/performance-oriented lower secondary schools (14 schools, 832 students, 53% girls). All students completed two perfectionism (...) scales, i.e., the Child-Adolescent Perfectionism Scale (CAPS) and the Frost Multidimensional Perfectionism Scale (FMPS). The criterion-related variables of psychological health included anxiety, depression, eating disorder problems, self-worth and resilience, respectively. Exploratory and confirmatory factor analyses yielded a four-factor representation of perfectionism. Using latent class analysis extracted five profiles of perfectionism, which were related to the criterion variables. Three profiles were clear indicators of either low or high perfectionism score patterns. Two profiles showed a mixed picture of high and low scores, whereas one represented a psychological healthy subgroup. About four of ten adolescents in the ordinary schools matched the two most debilitating perfectionism profiles compared to two of ten in the elite schools. How these results align with international findings is discussed along with the relevance for early interventions aimed at preventing the potential downsides of perfectionism. Longitudinal studies are needed to explore profile trajectories as well as possible health consequences. (shrink)

This book defends a novel view of mental representation—of how, as thinkers, we represent the world as being. The book serves as a response to two problems in the philosophy of mind. One is the problem of first-personal, or egocentric, belief: how can we have truly first personal beliefs—beliefs in which we think about ourselves as ourselves—given that beliefs are supposed to be attitudes towards propositions and that propositions are supposed to have their truth values independent of a perspective? The (...) other problem is how we can think about nonexistents given the widespread view that thought essentially involves a relation between a thinker and whatever is being thought about. The standard responses to this puzzle are either to deny that thought is essentially relational or to insist that it is possible to stand in relations to nonexistents. This book offers an error theory to the problem. The responses from this book arise from the same commitment: a commitment to treating talk of propositions—as the things towards which our beliefs are attitudes—as talk of entities that actually exist and that play a constitutive and explanatory role in the activity of thought. (shrink)

Recently, a number of philosophers have argued that, despite appearances, the success of Don Marquis's well-known future-like-ours argument against abortion does not turn, in an important way, on the metaphysics of identity. I argue that this is false. The success of Marquis's argument turns on precisely two issues: first, whether it is prima facie seriously wrong to deprive something of a future like ours; second, whether, in a counterfactual circumstance in which an abortion does not occur, the foetus is numerically (...) identical with something that, later on, experiences a life like ours. Since the former claim is plausible (albeit disputable), the success of Marquis's argument does turn on the metaphysics of identity in an important way. Before defending a positive argument for this position, I consider what I take to be the most promising way of challenging it. This involves a recent objection to Marquis by Tim Burkhardt (2021). Burkhardt claims that his objection floats free of the metaphysics of identity. I argue that it fails to do so, and that in fact it fails outright. I end by considering the relationship between my arguments and the question of what matters in survival. (shrink)

Generic sentences express generalizations about objects or situations in the world. The ways in which genericity can arise in natural language have long been of interest to semanticists. In some sentences, the source of the generalization is visible – the adverb often in (1a), for example. However, generic meaning can also arise in the absence of an overt marker, as in (1b), which, like (1a), expresses a generalization about Mary.

Freud tracked the psyche along the paths of sleep, following the “royal road” of dreams. For the ancient Greeks, too, the psyche was revealed in sleep, not through the semiotics of dreams but through the peculiar state of being we occupy while asleep. As a “borderland between living and not living”, sleep offered unique access to the psukhē, that element within the self unassimilable to waking consciousness. This paper examines how Greek philosophers theorized the sleep state and the somnolent psukhē, (...) focusing on Heraclitus, Plato, and Aristotle. Each of the three attempts to reclaim sleep for waking life and to join the sleeping soul to the philosophical self. But that attempt never fully succeeds. Instead sleep consistently emerges as a philosophical blindspot, a state that—unlike dreams—cannot be spoken by philosophy's logos nor fully illuminated by philosophical analysis. (shrink)

On its usual interpretation, the Barcan Formula—◊∃_xB_ → ∃_x_◊_B_—says that, if there could have been something that is such and such a way, then there is something that could have been that way. It is traditionally held that contingentist actualists should—indeed, must—reject the Barcan Formula. I argue that contingentist actualists should—indeed, must—endorse the Barcan Formula, at least assuming a standard, Tarskian conception of truth and truth preservation. I end by proposing a logic for contingentist actualists that validates the Barcan Formula. (...) This logic has the surprising feature of also validating the Converse Barcan Formula, □∀_xB_ → ∀_x_□_B_, while still invalidating related formulas—such as □∀_x_□∃_y x_ = _y_ (NNE)—that contingentist actualists should reject. It does this by employing models with fixed domains but assignments to the identity predicate that vary across worlds. (shrink)

Perdurantists hold that we persons—just like other ordinary objects—persist by perduring, by having temporal parts, or stages, located over time. Perdurantists also standardly endorse the B-theory of time. And, in light of this endorsement, they typically characterize our tensed beliefs as self-ascriptions of properties, made not by us but by our stages. For instance, for me to believe that Angela Merkel is currently the chancellor of Germany is for my now-located stage to self-ascribe the property of being simultaneous with Merkel’s (...) chancellorship. The problem with this way of understanding tensed belief is that it undermines—if not outright contradicts—the perdurantist’s best options for resisting the Too Many Thinkers objection. In what follows, I show why this is. I then consider what I take to be the perdurantist’s most promising alternative account of tensed belief. I argue that this alternative either leaves perdurantists no better off with respect to the Too Many Thinkers objection or, instead, leaves them vulnerable to another objection, one that they would otherwise have no problem resisting. (shrink)

Healthcare priority-setting institutions have good reason to want to demonstrate that their decisions are morally justified—and those who contribute to and use the health service have good reason to hope for the same. However, finding a moral basis on which to evaluate healthcare priority-setting is difficult. Substantive approaches are vulnerable to reasonable disagreement about the appropriate grounds for allocating resources, while procedural approaches may be indeterminate and insufficient to ensure a just distribution. In this paper, we set out a complementary, (...) coherence-based approach to the evaluation of healthcare priority-setting. Drawing on Rawls, we argue that an institutional priority-setter’s claim to moral justification can be assessed, in part, based on the extent to which its many normative commitments are mutually supportive and free from dissonance; that is, on the ability to establish narrow reflective equilibrium across the normative content of a priority-setter’s policy and practice. While we do not suggest that the establishment of such equilibrium is sufficient for moral justification, we argue that failure to do so might—like the proverbial canary in the coalmine—act as a generalised warning that something is awry. We offer a theoretical argument in support of this view and briefly outline a practical method for systematically examining coherence across priority-setting policy and practice. (shrink)