Efforts in Virginia highlight an emerging approach to improving health and well-being for the population — human-centered design intentionally focused on protecting health and improving well-being. This keynote emphasized a data-informed approach facilitated by multi-sectoral leadership that promotes alignment of community assets focused to result in system changes more likely to sustainably improve health and well-being.

The purpose of this paper is to re-examine the nature of “meaning” and “meaningfulness” in the context of instrumental music education. By doing so, I propose to expand the ways in which instrumental music educators conceive their mission and the ways in which we may instill meaning in people’s lives. Traditionally, pursuits of philosophical deliberation have claimed that meaningfulness comes from either personal happiness (e.g., Jeremy Bentham and John Stuart Mill) or an impersonal sense of duty (e.g., St. Augustine, St. (...) Thomas Aquinas, and Immanuel Kant). However, philosopher Susan Wolf (2010) criticizes these positions in favor of a broader perspective, one that arises from understanding that there is a third sort of value, namely “meaningfulness.” Rightly understanding meaningfulness may help us engage more fully with a greater sense and understanding of the full potentials of eudaimonia: a life of significance and value for oneself and one’s community. Therefore, this paper links meaningfulness to a 4-E (embodied, embedded, enacted, and extended) account of “sense-making” in/for instrumental music education. In doing so, I discuss the aims of public-school music education; aims that engage teachers and students in meaningfulness—a meaningfulness that is ethical, embodied, enacted, and extended—in, with, and through musics and, more directly, “instrumental” music making. (shrink)

We systematically reviewed contemporary literature to create an evidence-informed framework for research studies involving children and adolescents who can assent to participate. We searched seven citation indices to locate peer-reviewed research published in English language journals between 2000 and 2012. After screening 1,231 titles and abstracts for relevance, we assessed levels of evidence, extracted information, and analysed content from 87 articles. Most articles narrowly focused on paediatric assent barriers and facilitators for decision-making about research participation. No articles provided a single, (...) comprehensive ethical framework to guide the development and review of research assent protocols. We developed a 6-step framework that provides guidance to: prepare the child for the assent process; assess the child’s readiness to engage in decision making; discuss the elements of informed consent to the greatest extent possible; seek an initial assent decision; monitor and affirm assent; and respect the child’s role as a research participant. The PAeDS-MoRe framework also supports the creation of process models that address the unique, developmental needs of paediatric sub-groups, and guides the operationalization of jurisdictional requirements for ethical research involving children who are unable to provide free, informed and ongoing consent. (shrink)

In this paper, I discuss the development and use of images employed by the Dresden Royal Museum for Zoology, Anthropology and Ethnography to resolve debates about how to use visual representation as a means of making ethnographic knowledge. Through experimentation with techniques of visual representation, the founding director, A.B. Meyer, proposed a historical, non-essentialist approach to understanding racial and cultural difference. Director Meyer's approach was inspired by the new knowledge he had gained through field research in Asia-Pacific as well as (...) new forms of imaging that made highly detailed representations of objects possible. Through a combination of various techniques, he developed new visual methods that emphasized intimate familiarity with variations within any one ethnic group, from skull shape to material ornamentation, as integral to the new disciplines of physical and cultural anthropology. It is well known that photographs were a favoured form of visual documentation among the anthropological and ethnographic sciences at thefin de siècle. However, in the scholarly journals of the Dresden museum, photographs, drawings, tables and etchings were frequently displayed alongside one another. Meyer sought to train the reader's eye through organized arrangements that represented objects from multiple angles and at various levels of magnification. Focusing on chimpanzees, skulls and kettledrums from Asia-Pacific, I track the development of new modes of making and reading images, from zoology and physical anthropology to ethnography, to demonstrate how the museum visually historicized humankind. (shrink)

Grossmann proposes the “fearful ape hypothesis,” suggesting that heightened fearfulness in early life is evolutionarily adaptive. We question this claim with evidence that (1) perceived fearfulness in children is associated with negative, not positive long-term outcomes; (2) caregivers are responsive to all affective behaviors, not just those perceived as fearful; and (3) caregiver responsiveness serves to reduce perceived fearfulness.

The Journal of Aesthetics and Art Criticism, Volume 78, Issue 1, Page 105-108, Winter 2020.

El presente trabajo analiza la configuración de los personajes femeninos inmigrantes y transmigrantes en las obras “La han despedido de nuevo” de Claudia Hernández y La fila india de Antonio Ortuño y observa los mecanismos de adaptación, las estrategias y las dinámicas sociales de las que se basan como forma de auto protección o de cuidado mutuo. Proponemos una lectura de la representación de las mujeres migrantes como sujetos complejos, activos, dotados de agencia y transgresores como forma de contrarrestar los (...) imaginarios consolidados por narrativas anteriores en los que los sujetos femeninos no han tenido protagonismo en su representación o en su estudio. Palabras clave: Literatura salvadoreña, literatura mexicana, migración, violencia, género. (shrink)

The representational theory of measurement provides a collection of results that specify the conditions under which an attribute admits of numerical representation. The original architects of the theory interpreted the formalism operationally and explicitly acknowledged that some aspects of their representations are conventional. There have been a number of recent efforts to reinterpret the formalism to arrive at a more metaphysically robust account of physical quantities. In this paper we argue that the conventional elements of the representations afforded by the (...) representational theory of measurement require careful scrutiny as one moves toward such an interpretation. To illustrate why, we show that there is a sense in which the very number system in which one represents a physical quantity such as mass or length is conventional. We argue that this result does not undermine the project of reinterpreting the representational theory of measurement for metaphysical purposes in general, but it does undermine a certain class of inferences about the nature of physical quantities that some have been tempted to draw. (shrink)

In this paper, we develop a neo-Humean response to the problem of moral inclusion by bringing Humean moral philosophy into deep and serious dialogue with Latin American philosophy. Our argument for achieving this two-fold aim unfolds as follows. In section one, we elucidate Mia Sosa-Provencio’s conception of a mestiza ethics of care. We begin by highlighting its fundamental elements, especially its concern with what we refer to as the cultural embeddedness both of moral agents and of moral patients. We then (...) explain how this aspect of the mestiza ethic poses a distinctive challenge for Humean moral philosophy. In section two, we develop a neo-Humean response to this challenge. We begin by highlighting the strengths and limits of trying to develop a response by appealing to Hume’s conceptions of sympathy and humanity. We then present what we take to be the most plausible way for a neo-Humean conception of moral philosophy to offer a satisfactory reply to the challenge posed by the mestiza ethics of care, by appealing to two key concepts from outside the system of Hume’s moral philosophy: namely, sympathetic understanding and relational humility. (shrink)

While acknowledging the psychological experience of intimacy, evolutionary theory postulates proliferation as the underlying grounds for human relationships. Intimacy, according to evolutionary theory, is merely a psychological mechanism whereby sexual selection and parental investment are facilitated. Unfortunately, the assumption of an underlying evolutionary mechanism which governs human relationships including romantic love, jealousy, and parent–child bonds is fraught with problematic consequences. Unlike the evolutionary understanding of intimacy, the philosophy of E. Levinas offers an alternative conceptualization in which human relationships themselves constitute (...) the grounds of intimacy. This alternative conceptualization escapes the problematic consequences of evolutionary theory. Intimacy from this grounding is inextricably tied to the infinite obligation we take on in relation to others. Implications of this conceptualization are explored. 2012 APA, all rights reserved). (shrink)

In lieu of an abstract, here is a brief excerpt of the content:My Patient, TeacherMarissa BlumI remember meeting Beatriz about 12 years ago when security was called to her office visit room by the fellow doctor-in-training who was seeing her. She was yelling loudly about her pain medications, causing a terrific commotion. I stepped in to relieve the fellow and tried to calm her down and move the visit along without anyone getting hurt or further upset. And from then on, (...) Beatriz was moved to my schedule from the fellow's for her monthly visits for her knee pain and refills of fentanyl and oxycodone. She had terrible knees and walked with a cane, almost always accompanied by her son. At one point, she came to our clinic asking to be seen but couldn't, and then fell onto her knees and rolled onto her back in the wait-room, clutching and waiving her cane, expelling expletives and railing at anyone who wanted to help but denying them that privilege. It was as though she relished exposing her pain and a lifetime of hardship for all to confront. I came down from my office to talk with her and when I couldn't convince her to get up on her own, we called EMS to assist and they took her away in an ambulance.For the first few years, I recoiled seeing her name on my schedule each month. I knew I would have to endure a barrage of labile emotions and complaints not just about her constant pain and feelings of inadequacy of her pain medications, but also about her other doctors and how they don't respond to her, or about how the rest of her family shows no care for her. Initially, these visits were hard because they were unpredictable and Beatriz also had bipolar disorder and maybe borderline personality too. I never knew which type of Beatriz I would walk in to see: Angry, tearful, lamentful, and all of those faces were difficult for me. But we met every month for years. During those visits, which almost always were attended by her son, who quietly sat by to either gently rebuff or passively agree with her, I learned so much about her and her very hard life. She was left to raise two children alone, unskilled and ill with hepatitis C, which led to liver cancer, followed later by breast cancer. She chose not to pursue additional therapy for breast cancer, expressing a fatalistic view of her life and intimating she in some way deserved the ailments that she developed. She saw me for disabling knee and hip arthritis that took away her independence and ability to scale the outdoor steps to her second-floor apartment and required the assistance of her son to dress, bathe and care for her. Beatriz never knew this, and I didn't share [End Page 18] it with her, but on one of my early morning drives into North Philadelphia, I saw her on a sun-baked unfriendly street, struggling to move around with her walker. She had many reasons to be angry, and the 30 minutes I spent with her every month became a catharsis for her to unload all that she felt.During my medical training, I encountered hundreds of patients—mostly all in the hospital setting—who might be characterized as difficult and understandably; no one who is relegated to the hospital setting, acutely or chronically ill and requiring inpatient care, could possibly be in the best mood of their lives. Somehow, it was easier for me to care for patients in these snapshot encounters that I controlled. I dictated my time in the room and didn't necessarily have to encounter the same challenging patient longitudinally, which made certain encounters much easier to bear. I realize now I wasn't fully processing the burdens carried by these patients in a way that enabled me to be a compassionate and fully present physician to them. It was an adaptation to the fast-paced life of residency, where one just has to get the job done and move on to the next task without time to process or reflect on difficult patient interactions. This is a... (shrink)

With globalisation and neoliberalism as significant phenomena impacting the function and role of higher education institutions (Barnett, 2013), the discursive practices of such institutions as mani...

Disability is often defined as deviation from putative norms of physical, cognitive, or affective function. This definition is normatively laden, causing people with disabilities to be thought of as “different” and treated with pity. We address the predominant theme of this issue on “Disability Identity”: defining and imposing the category of “disability” and attempting to overcome it through medical intervention. The issue culminates in a call for courageous humility as the proper response to encounters with disability, providing medical professionals with (...) the disposition to resist medicine’s inherent drive to fix what is perceived to be broken—that which strays from the norm. We hope that this issue might act as a clarion call to medical professionals to reevaluate how they see and interact with “disability” as a category, and ultimately with people with disabilities, especially with respect to what may be owed to persons with disabilities from society. (shrink)

Medical interventions are usually categorized as “invasive” when they involve piercing the skin or inserting an object into the body. Beyond this standard definition, however, there is little discussion of the concept of invasiveness in the medical literature, despite evidence that the term is used in ways that do not reflect the standard definition of medical invasiveness. We interviewed psychiatrists, patients with depression, and members of the public without depression to better understand their views on the invasiveness of several psychiatric (...) electroceutical interventions (treatments that involve electrical or magnetic stimulation of the brain) for the treatment of depression. Our study shows that people recognize several kinds of invasiveness: physical, emotional, and lifestyle. In addition, several characteristics of therapies influence how invasive they are perceived to be; these include the perceived capacity of an intervention to result in harm; how localized the effects of the intervention are; the amount of control retained by the person receiving the intervention; how permanent its effects are perceived as being; and how familiar it seemed to participants. Our findings contribute to a small literature on the concept of invasiveness, which emphasizes that categorizing an intervention as invasive, or as noninvasive, evokes a variety of other normative considerations, including the potential harm it poses and how it compares to other potential therapies. It may also draw attention away from other salient features of the intervention. (shrink)

We analyze a frequent but undertheorized form of structural injustice, one that arises due to the difficulty of reaching numerically equitable representation of underrepresented subgroups within a larger group. This form of structural injustice is significant because it could occur even if it were possible to completely eliminate bias and overt discrimination from hiring and recruitment practices. The conceptual toolkit we develop can be used to analyze such situations and propose remedies. Specifically, based on a simple mathematical model, we offer (...) a new argument in favour of quotas, explore implications for policy-making, and consider the wider philosophical significance of the problem. We show that in order to reach more equitable representations, quota-based recruitment may often be practically unavoidable. Assuming that members of groups in statistical minority are more likely to quit due to their marginalization, their proportions can stabilize at a low level, preventing a shift towards more equal representation and conserving the minority status of the subgroup. We show that this argument has important implications for addressing, preventing, and remediating the structural injustice of unfair representation. (shrink)

We analyze a frequent but undertheorized form of structural injustice, one that arises due to the difficulty of reaching numerically equitable representation of underrepresented subgroups within a larger group. This form of structural injustice is significant because it could occur even if it were possible to completely eliminate bias and overt discrimination from hiring and recruitment practices. The conceptual toolkit we develop can be used to analyze such situations and propose remedies. Specifically, based on a simple mathematical model, we offer (...) a new argument in favour of quotas, explore implications for policy-making, and consider the wider philosophical significance of the problem. We show that in order to reach more equitable representations, quota-based recruitment may often be practically unavoidable. Assuming that members of groups in statistical minority are more likely to quit due to their marginalization, their proportions can stabilize at a low level, preventing a shift towards more equal representation and conserving the minority status of the subgroup. We show that this argument has important implications for addressing, preventing, and remediating the structural injustice of unfair representation. (shrink)

Řekni mi, Sókrate,1 máme si myslet, že teď mluvíš vážně, či že žertuješ? Jestliže totiž mluvíš vážně a to, co říkáš, je pravda, co říkáš, nebyl by pak lidský život převrácený a nedělali bychom pak, jak se zdá, všechno naopak než jak bychom měli? 2Kalliklés mluví se vší vážností a vyzývá Sókrata, aby činil stejně. Sókratés si už dost vyhrál, byl sofistikovanější než sofisté, nyní je však na čase, aby přestal bláznit. Jakožto znalec sofistů Kalliklés dobře ví, že otázka „myslíš (...) to vážně?“ nemá z jejich hlediska valný smysl. Vždyť by byla směšná tváří v tvář takovéto bravuře. (shrink)

The article examines the \'problem-resolution\' conception of moral philosophy. Parts I and II consider the underlying model of \'moral problem\'; III and IV exemplify its inadequacy through the \'traditional\' \'moral dilemma\' of lying. Part I criticises the assumed analogy between \'moral\' and a \'practical\' problem as something \'there\': a datum, and the connected view of moral effort as deliberation and decision seeking the problems resolution. I suggest that the very perception of something as problematic has epistemic and moral significance. Part (...) II considers the \'problematic\' through the śerious\'. It argues that its inherent unclarity and instability makes it untenable to view philosophy as addressing the śerious\' ordinary concerns; more strongly, that reflection may undermine the seriousness of some concerns and reveal that of others. A moral problem is thus not \'there\' for anyone to see and address, but something the very having of which reveals oneś moral character. Part III exemplifies this by suggesting that the órdinary\' would not just not recognise as serious the traditional philosophical dilemma of Lying, but would condemn on moral grounds one who seriously entertained it. I ask whether \'philosophy\' can reveal a seriousness missed by the órdinary\', and argue that, in its modern form, it does not. I suggest that if reflection on this issue is not to be fruitless, even corrupting, it must recognise that far from this being an órdinary\' moral problem, it could be only be one for an extraordinary man. Part IV questions the standard formulation of the dilemma partly to show that it begs moral questions, partly to show, through unpacking the ex hypothesi of its formulation, the philosophical and moral priority of examining the values recognised in having a moral problem over its resolution. (shrink)

In this paper, we elucidate an alternative conception of the “end of human life” that Germain Grisez considers but never develops. We then defend this conception against two key objections. We conclude by explaining a few ways that this alternative conception of the “end of human life” is particularly important both theologically (e.g., for interfaith discourse) and philosophically (e.g., for understanding the traditional Christian conception of human nature and, hence, of natural law).

Emotion understanding is a crucial skill for early social development, yet little is known regarding longitudinal development of this skill from infancy to early childhood. To address this issue, t...