In 2001, leaders with palliative care convened to discuss the standardization of palliative care and formed the National Consensus Project for Quality Palliative Care. In 2004, the National Consensus Project for Quality Palliative Care produced the first edition of Clinical Guidelines for Quality Palliative Care. The Guidelines were developed by leaders in the field who examined other national and international standards with the intent to promote consistent, accessible, comprehensive, optimal palliative care through the health care spectrum. Within the guidelines there (...) are eight domains to the provision of palliative care. This article focuses on the last, but very significant Domain 8—Ethical and Legal Aspects of Care. (shrink)

Missouri, the "Show Me State," has become the epicenter of several important national public policy debates, including abortion rights, the right to choose and refuse medical treatment, and, most recently, early stem cell research. In this environment, the Center for Practical Bioethics (formerly, Midwest Bioethics Center) emerged and grew. The Center's role in these "cultural wars" is not to advocate for a particular position but to provide well researched and objective information, perspective, and advocacy for the ethical justification of policy (...) positions; and to serve as a neutral convener and provider of a public forum for discussion. In this article, the Center's work on early stem cell research is a case study through which to argue that not only the Center, but also the field of bioethics has a critical role in the politics of public health policy. (shrink)

The American Journal of Bioethics, Volume 11, Issue 6, Page 3-4, June 2011.

Sociology of Science: A Critical Canadian Introduction provides an overview of how sociology approaches science and, to a lesser extent, technology. It examines how science developed as a set of theories about both what we know and how we know. The book provides a succinct critical examination of the current state of science studies with a particular emphasis on research conducted by Canadian scholars. Hird illustrates that science studies offers useful perspectives on current and ongoing sociological debates, such as the (...) strengths and limitations of social constructionism, as well as popular public debates, such as the ethics of stem-cell research. Using examples from throughout history and with a focus on the Canadian context, the book provides students with an examination of influential science studies concepts, theories, and debates and situates these theories and debates within contemporary field of sociology. (shrink)

In Minimal Rationality, Christopher Cherniak boldly challenges the myth of Man the the Rational Animal and the central role that the "perfectly rational...

The extraordinary complexity of knowledge in today's world creates a paradox. On the one hand, its sheer volume and intricacy demand disciplinary specialization, even sub-specialization; innovative research or scholarship increasingly requires immersion in the details of one's disciplinary dialogue. On the other hand, that very immersion can limit innovation. Disciplinary specialization inhibits faculty from broadening their intellectual horizons - considering questions of importance outside their discipline, learning other methods for answering these questions and pondering the possible significance of other disciplines' (...) findings for their own work. This article seeks to understand more fully the factors that enhance and impede cross-disciplinary conversations and the possible longer-term effects of those conversations. Based on 46 interviews with a sample of seminar participants, it examines the experiences of faculty members who ventured (voluntarily) into multidisciplinary waters and its implications for the organization of disciplines and universities. (shrink)

Cultural ethical dilemmas occur when ethical research practices, as prescribed by the research ethics codes of Western research institutions, conflict with the cultural and social norms of non-Western researchers and their participants. Thus, insider-researchers working with participants from similar cultural backgrounds may experience ethical dilemmas that result in disconcerting cultural estrangement from their communities. Using reflexive narratives, the author identifies moments of cultural ethical dilemmas that necessitate a choice between two competing sets of values. Working out of a Western university, (...) the narratives reflect on cultural ethical dilemmas relating to non-coercion, confidentiality, and beneficence, encountered during interviews in the researcher’s community. Analyzed through the lens of Confucian social and ethical behavior, the paper asks whether there is a need for East–west polarization, or whether research ethics codes based on Western worldviews can be reconciled with Confucian worldviews. The paper suggests the “Middle Way” approach to reconciling and integrating the diverse worldviews of ethics, through the use of an ethical reflexive process that engenders trust in the research process and resolves cultural ethical dilemmas. (shrink)

This study takes inquiry as the starting point for epistemological theorising. It uses this idea to develop new and systematic answers to some of the most fundamental questions in epistemology, including about the nature of core epistemic phenomena as well as their value and the extent to which we possess them.

Feminist analyses have made important contributions to the sociocultural experiences of pregnancy, birth and breastfeeding. This article draws upon recent theorizing within science studies to focus on the mattering of these processes. Specifically, the article expands upon Mauss's notion of the ‘gift’, which Diprose develops through the idea of ‘corporeal generosity’. I am interested in corporeal generosity insofar as it circumvents descriptions of relationships in terms of a closed economy in which resources are exchanged without excess or remainder. Corporeal generosity (...) refers to the often missed but nevertheless inescapable debt that a body owes to other bodies. At the same time, this embodied ‘gifting’ is both unpredictable and intrusive – there is as much possibility of threatening the integrity of bodies as there is of opening new possibilities. (shrink)

The coherence objection to the doctrine of the Incarnation maintains that it is impossible for one individual to have both the attributes of God and the attributes of a human being. This article examines Thomas Aquinas’s answer to this objection. I challenge the dominant, mereological interpretation of Aquinas’s position and, in light of this challenge, develop and defend a new alternative interpretation of Aquinas’s response to this important objection to Christian doctrine.

Assertion is the central vehicle for the sharing of knowledge. Whether knowledge is shared successfully often depends on the quality of assertions: good assertions lead to successful knowledge sharing, while bad ones don't. In Sharing Knowledge, Christoph Kelp and Mona Simion investigate the relation between knowledge sharing and assertion, and develop an account of what it is to assert well. More specifically, they argue that the function of assertion is to share knowledge with others. It is this function that supports (...) a central norm of assertion according to which a good assertion is one that has the disposition to generate knowledge in others. The book uses this functionalist approach to motivate further norms of assertion on both the speaker and the hearer side and investigates ramifications of this view for other questions about assertion. (shrink)

Ten years after the publication of the special issue of Social Epistemology on feminist epistemology, this paper explores recent feminist interest in the inhuman. Feminist science studies, cultural studies, philosophy and environmental studies all build on the important work feminist epistemology has done to bring to the fore questions of feminist empiricism, situated knowledges and knowing as an intersubjective activity. Current research in feminist theory is expanding this epistemological horizon to consider the possibility of an inhuman epistemology. This paper explores (...) these developments through the subject of waste. Waste, as both an epistemological and material phenomenon, invites timely questions about possibilities for acknowledging an inhuman epistemology. These questions appear to be particularly urgent from an environmental perspective. (shrink)

Canada is the world’s highest per capita municipal solid waste producer. By 2000, Canadians produced more annual waste per person than Americans; and by 2005, Canada produced nearly twice as much garbage as Japan (Conference Board of Canada 2008). By 2006, Canadians produced over 1000 kg of waste per person; 35 million tons of waste in a single calendar year (Statistics Canada 2008). The bulk of this waste ended up in landfills (ibid). In 2010, thirty percent of existing Canadian landfills (...) reached or surpassed capacity. Over one million tons of waste were exported out of Canada in 2002, much of it headed from southern Ontario to rural regions of Canada or to the United States (Statistics Canada 2005). Some cities .. (shrink)

Highlights of a difficult history -- The preliminary identification of our topic -- Approaches -- Bradley's protest -- James's disjunctive theory -- The source of Bradley's dissatisfaction -- Behaviourism and after -- Heirs of Bradley in the twentieth century -- The underlying metaphysical issue -- Explanatory tactics -- The basic distinction -- Metaphysical categories and taxonomies -- Adverbialism, multiple realizability, and natural kinds -- Adverbialism and levels of explanation -- Taxonomies and supervenience relations -- Rejecting the process : first view (...) -- Supervenience-failure -- The modal commitments of the process : first view -- The interference argument : a putative problem for adverbialist accounts -- Cognitive unison -- The problem with attitude based adverbialism -- Gilbert Ryle and Alan White -- White's argument against disposition-based adverbialism -- The cognitive unison theory -- Tasks -- Cognitive processes -- Potential service of a task -- Superordinate tasks -- Some features of the theory -- Divided attention -- Degrees of attention and merely partial attention -- The causal life of attention -- Mental causation -- How to respond to mental causation objections -- The causal role of attention -- Attention as an enabling condition -- Counterfactuals -- The causal relevance of attention per se -- Counterfactuals and causally relevant properties -- Objections to counterfactual analysis of causation and of causal relevance -- The extrinsicness of unison -- The privative character of unison and the problem of absence causation -- Causal exclusion -- Consequences for cognitive psychology -- Psychology and metaphysics -- The metaphysical commitments of the process-identifying project -- The diverse explanatory construals of current psychological results -- Reasons for deflation -- Inductively unreliable properties -- Questions without answers -- The positive payoff -- Philosophical work for the theory of attention -- Putting attention to philosophical work -- Attention and reference -- Attention and consciousness -- Prospects for optimism. (shrink)

The ethics of autonomous cars and automated driving have been a subject of discussion in research for a number of years :28–58, 2016). As levels of automation progress, with partially automated driving already becoming standard in new cars from a number of manufacturers, the question of ethical and legal standards becomes virulent. For exam-ple, while automated and autonomous cars, being equipped with appropriate detection sensors, processors, and intelligent mapping material, have a chance of being much safer than human-driven cars in (...) many regards, situations will arise in which accidents cannot be completely avoided. Such situations will have to be dealt with when programming the software of these vehicles. In several instances, internationally, regulations have been passed, based on legal considerations of road safety, mostly. However, to date, there have been few, if any, cases of a broader ethics code for autonomous or automated driving preceding actual regulation and being based on a broadly composed ethics committee of independent experts. In July 2016, the German Federal Minister of Transport and Digital Infrastructure, Alexander Dobrindt, appointed a national ethics committee for automated and connected driving, which began its work in September 2016. In June 2017, this committee presented a code of ethics which was published in German and in English. It consists of 20 ethical guidelines. Having been a member of this committee, I will present the main ethical topics of these guidelines and the discussions that lay behind them. (shrink)

Nigel Clark’s ‘ex-orbitant globality’ concerns the incalculability of other-than-human forces we typically fail to acknowledge, yet which haunt all considerations of environmental change. This article considers Gaia theory as a useful heuristic to register the ubiquity of bacteria to environmental activity and regulation. Bacteria are Gaia theory’s fundamental actants, and through symbiosis and symbiogenesis, connect life and matter in biophysical and biosocial entanglements. Emphasizing symbiosis might invoke the expectation of a re-inscription of the human insofar as the ubiquitous inter-connectivity of (...) life ultimately connects everything to the human. I want to argue toward the opposite conclusion: that bacterial liveliness suggests a profound indifference to human life. As such, symbiosis does not efface difference, nor its vigorous refusal to be absorbed within human formulations of world-remaking, including environmental change. Bacterial indifference’s radical asymmetry suggests the need for non-human centred theories of globality. (shrink)

In this essay, I argue that a proper understanding of the historicity of love requires an appreciation of the irreplaceability of the beloved. I do this through a consideration of ideas that were first put forward by Robert Kraut in “Love De Re” (1986). I also evaluate Amelie Rorty's criticisms of Kraut's thesis in “The Historicity of Psychological Attitudes: Love is Not Love Which Alters Not When It Alteration Finds” (1986). I argue that Rorty fundamentally misunderstands Kraut's Kripkean analogy, and (...) I go on to criticize her claim that concern over the proper object of love should be best understood as a concern over constancy. This leads me to an elaboration of the distinct senses in which love can be seen as historical. I end with a further defense of the irreplaceability of the beloved and a discussion of the relevance of recent debates over the importance of personal identity for an adequate account of the historical dimension of love. (shrink)

This handbook article gives a critical overview of recent discussions of epistemic authority. It favors an account that brings into balance the dictates of rational deference with the ideals of intellectual self-governance. A plausible starting point is the conjecture that neither should rational deference to authorities collapse into total epistemic submission, nor the ideal of mature intellectual self-governance be conflated with (illusions of) epistemic autarky.

In Sex, Gender and Science , Myra Hird outlines the social study of science and nature, specifically in relation to sex, sex differences, and sexuality. She examines how Western understandings of sex are based less upon understanding material sex differences than on a discourse that emphasizes sex dichotomy over sex diversity and argues for a feminist engagement with scientific debate that embraces the diversity and complexity of nature.

Faced with declining fertility rates, media in Britain are reacting with anxiety about cultural annihilation. To look at how nationalism inflects concerns over biological and cultural reproduction, the authors analyze coverage of falling fertility and rising immigration in Great Britain in major newspapers in 2000-2. They find pronatalist appeals to be commonand especially directed at women but varying in how women’s duty to the nation is framed. Appeals characterized as begging, lecturing, threatening, and bribing express different relationships between individual interest (...) and the national good and offer positive and negative views of women. The political leanings of specific newspapers affect how they connect biological reproduction to the cultural threat seen in immigration. Even positive views of women as making rational reproductive choices are tainted by alarmist views of immigration as a threat to national survival. (shrink)

The women's movement in East Germany went through three phases—emergence, white-hot mobilization, and demobilization—in rapid succession. These stages are analyzed with regard to the resources, political opportunities, and personal meanings of feminism that activists had available. The postunification crisis of the movement is used to examine issues of collective identity between East and West, and to highlight challenges to dichotomies between public and private, capitalism and socialism posed by the movement.

In Five Fictions in Search of Truth, Myra Jehlen develops this idea through readings of works by Flaubert, James, and Nabokov.

Suppose you ask yourself whether your father's record collection includes a certain recording of The Trout and venture to find out. At that time, you embark on an inquiry into whether your father owns the relevant recording. Your inquiry is a project with a specific goal: finding out whether your father owns the recording. This fact about your inquiry generalizes: inquiry is a goal-directed enterprise. A specific inquiry can be individuated by the question it aims to answer and by who (...) aims to answer the question. Your inquiry into whether your father owns the recording differs from your inquiry into how many records your father owns because different questions are being asked. Your inquiry into whether your father owns the recording differs from my inquiry into whether he does because different people are inquiring. The goal of inquiry into a given question by an agent, α, can be characterized, neutrally, as α's having the answer to that question. I will here focus only on inquiries into whether questions and characterize the goal of inquiry into whether φ by α as α's having the answer to the question whether φ. (shrink)

Waste is a major global environmental issue that assembles socio-cultural and bio-geological processes in complex indeterminate relationships. Drawing on three case studies, this article explores the shifting environmental politics concerned with waste’s material, economic, political, and cultural ‘management’. The Canadian case studies – determining a new waste management technology in a mid-sized city in central Ontario, an open dump in a remote Nunavut community, and an abandoned gold mine in the Northwest Territories – suggest waste occasions particular material and political (...) mobilizations. Landfill leachate, colonialism, disinterested publics, freezing arsenic, global corporate investments, country food, land claims, neoliberal governance, permafrost, ravens, and a host of other socio-material forces both empower and thwart ‘management’ politics. Through these case studies, this article explores Isabelle Stengers’s assertion that participating citizenship is an ‘Empty Great Idea’, and a provocation to consider the contexts in which waste may generate acquiescent or objecting publics. (shrink)

This paper is built around a single, simple idea. It is widely agreed that there is a distinctive kind of awareness each of us has of his own bodily actions. This action-awareness is different from any perceptual awareness a subject may have of his own actions; it can exist in the absence of such perceptual awareness. The single, simple idea around which this paper is built is that the distinctive awareness that subjects have of their own mental actions is a (...) form of action-awareness. Subjects’ awareness of their own mental actions is a species of the same genus that also includes the distinctive awareness of bodily actions. More specifically, I claim. (shrink)

Christopher Hookway presents a series of essays on the work of Charles Sanders Peirce (1839-1913), the 'founder of pragmatism' and one of the most important and original American philosophers.

Myra Hird and Harlan Weaver have been invited by the editors of this special issue to enter into discussion with each other – to conduct a series of interchanges – because of the careful attention their research has paid to the ways in which transness as a lived reality is ontologized in humans, non-human animals, bacteria, and viruses. With this issue’s interchanges, we would like to further the conversation on critically approaching the consequences of merging transness with animality. In (...) the following series of four essay questions, we particularly invited each of these scholars to consider moments of classificatory tension in which taxonomies of human and non-human become inflected and redirected by the categories of race, gender, sexuality, class, ability, and geopolitical location. (shrink)