Overdiagnosis is an emerging problem in health policy and practice: we address its definition and ethical implications. We argue that the definition of overdiagnosis should be expressed at the level of populations. Consider a condition prevalent in a population, customarily labelled with diagnosis A. We propose that overdiagnosis is occurring in respect of that condition in that population when the condition is being identified and labelled with diagnosis A in that population ; this identification and labelling would be accepted as (...) correct in a relevant professional community; but the resulting label and/or intervention carries an unfavourable balance between benefits and harms. We identify challenges in determining and weighting relevant harms, then propose three central ethical considerations in overdiagnosis: the extent of harm done, whether harm is avoidable and whether the primary goal of the actor/s concerned is to benefit themselves or the patient, citizen or society. This distinguishes predatory, misdirected and tragic overdiagnosis; the degree of harm moderates the justifiability of each type. We end with four normative challenges: methods for adjudicating between professional standards and identifying relevant harms and benefits should be procedurally just; individuals, organisations and states are differently responsible for addressing overdiagnosis; overdiagnosis is a matter for distributive justice: the burdens of both overdiagnosis and its prevention could fall on the least-well-off; and communicating about overdiagnosis risks harming those unaware that they may have been overdiagnosed. These challenges will need to be addressed as the field develops. (shrink)

BackgroundWhen conducting research with Indigenous populations consent should be sought from both individual participants and the local community. We aimed to search and summarise the literature about methods for seeking consent for research with Indigenous populations.MethodsA systematic literature search was conducted for articles that describe or evaluate the process of seeking informed consent for research with Indigenous participants. Guidelines for ethical research and for seeking consent with Indigenous people are also included in our review.ResultsOf 1447 articles found 1391 were excluded (...) ; 56 were relevant and included. Articles were categorised into original research that evaluated the consent process or publications detailing the process of seeking consent and guidelines for ethical research. Guidelines were categorised into international ; national and state/regional/local guidelines. In five studies based in Australia, Canada and The United States of America the consent process with Indigenous people was objectively evaluated. In 13 other studies interpreters, voice recording, videos, pictures, flipcharts and “plain language” forms were used to assist in seeking consent but these processes were not evaluated. Some Indigenous organisations provide examples of community-designed resources for seeking consent and describe methods of community engagement, but none are evaluated. International, national and local ethical guidelines stress the importance of upholding Indigenous values but fail to specify methods for engaging communities or obtaining individual consent. In the ‘Grey literature’ concerns about the consent process are identified but no solutions are offered.ConclusionConsultation with Indigenous communities is needed to determine how consent should be sought from the community and the individual, and how to evaluate this process. (shrink)

The consent and community engagement process for research with Indigenous communities is rarely evaluated. Research protocols are not always collaborative, inclusive or culturally respectful. If participants do not trust or understand the research, selection bias may occur in recruitment, affecting study results potentially denying participants the opportunity to provide more knowledge and greater understanding about their community. Poorly informed consent can also harm the individual participant and the community as a whole. Invited by local Aboriginal community leaders of the Fitzroy (...) Valley, the Kimberley, Western Australia, The Picture Talk project explores the consent process for research. Focus groups of Aboriginal community members were conducted to establish preferences for methods of seeking individual consent. Transcripts were analysed through NVivo10 Qualitative software using grounded theory with inductive and deductive coding. Themes were synthesised with quotes highlighted. Focus groups with Aboriginal community members were facilitated by a Community Navigator as a cultural guide and interpreter and a researcher. Participants were recruited from all main language groups of the Fitzroy Valley – Gooniyandi, Walmajarri, Wangkatjungka, Bunuba and Nikinya. Participants were aged ≥18 years, with 5 female groups and one male group. Themes identified include: Reputation and trust is essential; The Community Navigator is key; Pictures give the words meaning – milli milli versus Pictures; Achieving consensus in circles; Signing for consent; and Research is needed in the Valley. Aboriginal communities of the Fitzroy Valley recommend that researchers collaborate with local leaders, develop trust and foster a good reputation in the community prior to research. Local Aboriginal researchers should be employed to provide cultural guidance throughout the research process and interpret local languages especially for elders. Pictures are preferred to written text to explain research information and most prefer to sign for consent. The Fitzroy Valley welcomes research when collaborative and for the benefit of the community. Future research could include exploring how to support young people, promote health screening and improve understanding of medical knowledge. (shrink)

This book examines the distinctive and significant contribution of the great French philosopher, Paul Ricoeur to contemporary debates in ethics and philosophy of religion. James Carter argues that Ricoeur's later writings in particular offer a vision of ethical life that can be understood as a moral religion.

'Knowledge-First' constitutes what is widely regarded as one of the most significant innovations in contemporary epistemology in the past 25 years. Knowledge-first epistemology is the idea that knowledge per se should not be analysed in terms of its constituent parts (e.g., justification, belief), but rather that these and other notions should be analysed in terms of the concept of knowledge. This volume features a substantive introduction and 13 original essays from leading and up-and-coming philosophers on the topic of knowledge-first philosophy. (...) The contributors' essays range from foundational issues to applications of this project to other disciplines including the philosophy of mind, the philosophy of perception, ethics and action theory. Knowledge First: Approaches in Epistemology and Mind aims to provide a relatively open-ended forum for creative and original scholarship with the potential to contribute and advance debates connected with this philosophical project. (shrink)

At last, we have the scientific evidence that documents the many biological gender differences that influence learning. For instance, girls talk sooner, develop better vocabularies, read better, and have better fine motor skills. Boys, on the other hand, have better auditory memory, are better at three-dimensional reasoning, are more prone to explore, and achieve greater abstract design ability after puberty. In this profoundly significant book, author Michael Gurian synthesizes the current knowledge and clearly demonstrates how this distinction in hard-wiring and (...) socialized gender differences affects how boys and girls learn. Gurian presents a new way to educate our children based on brain science, neurological development, and chemical and hormonal disparities. The innovations presented in this book were applied in the classroom and proven successful, with dramatic improvements in test scores, during a two-year study that Gurian and his colleagues conducted in six Missouri school districts. (shrink)

As the Modernist dream of a world purged of archaic decor and ornamentaion recedes, we should remember that the diet of a raw, unmediated universe has always unsettled Homo sapiens. This book looks at some of these mediations".

This article draws on research undertaken by the authors as part of the Administrative Data Research Centre in England. Between 2014 and 2017, we conducted four case studies on government administrative data for education, transport, energy and health. The purpose of the research was to examine stakeholder perspectives about the sharing, linking and re-use of government administrative data. In relation to the role and nature of consent given by data subjects for re-use, our study revealed significant variations in data provider (...) and researcher attitudes. Although our study setting was England, we believe that the findings have wider resonance. Our analysis identified six factors which might account for the variations around consent: the specificities of the legislative framework governing the collection and processing of particular data; the type of data being collected and the relational context in which it is created; the broader information governance framework in which the data resides; the creating organization's approach to data release; the relative levels of risk aversity within the creating organization; and public perceptions and social attitudes. In conclusion, we consider whether consent is still the best mechanism available for data re-use, or whether a social contract model of data sharing should be developed. (shrink)

Epistemology and Relativism Epistemology is, roughly, the philosophical theory of knowledge, its nature and scope. What is the status of epistemological claims? Relativists regard the status of epistemological claims as, in some way, relative— that is to say, that the truths which epistemological claims aspire to are … Continue reading Epistemology and Relativism →.

In this remarkable and often dazzling book, Paul Carter explores the conditions for sociability in a globalized future. He argues that we make many assumptions about communication but overlook barriers to understanding between strangers as well as the importance of improvisation in overcoming these obstacles to meeting. While disciplines such as sociology, legal studies, psychology, political theory, and even urban planning treat meeting as a good in its own right, they fail to provide a model of what makes meeting (...) possible and worth pursuing: a yearning for encounter. The volume's central narrative-between Northern cultural philosophers and Australian societies-traverses the troubled history of misinterpretation that is characteristic of colonial cross-cultural encounter. As he brings the literature of Indigenous and non-Indigenous anthropological research into dialogue with Western approaches of conceptualizing sociability, Carter makes a startling discovery: that meeting may not be desirable and, if it is, its primary objective may be to negotiate a future of non-meeting. To explain the phenomenon of encounter, Carter performs it in differing scales, spaces, languages, tropes, and forms of knowledge, staging in the very language of the book what he calls "passages." In widely varying contexts, these passages posit the disjunction of Greco-Roman and Indigenous languages, codes, theatrics of power, social systems, and visions of community. In an era of new forms of technosocialization, Carter offers novel ways of presenting the philosophical dimensions of waiting, meeting, and non-meeting. (shrink)

Social and moral issues in business have drawn attention to a gap between theory and practice and fueled the search for a reconciling perspective. Finding and establishing an alternative remains a critical initiative, but a daunting one. In what follows, the assumptions of two prominent contenders are considered before introducing a third in the form of Aristotle’s ancient theory of virtue. Comparative case studies are used to briefly illustrate the practical implications of each paradigm. In the quest for a better (...) sense-making and sense-giving lens, this paper refines and encourages the search by highlighting some of the key features required of a worthy paradigmatic challenge. The author proceeds to identify a particular type of institutional community, and a promising champion, for the practical unification of strategic and normative excellence. (shrink)

The human is supposed to be top animal, but every one of these true stories shows how ridiculous that idea can be... As an RSPCA Inspector based in North Yorkshire in the 1980s, Carter Langdale found himself at the heart of rural life. Part doctor, part vicar, part undertaker - you name it, the locals decided that he was the man to help them and their animals. Each day brought a new, and often absurd, challenge. Whether he was rescuing (...) a cow stuck halfway down a ravine, a tortoise trying to cross the road, or being presented with an injured owl at his door, Carter never knew what was coming next. Evoking James Herriot's classic memoirs as well as My Family and Other Animals, Langdale's stories, some hilarious, some likely to bring a tear to the eye, are told with great humour and sympathy. For animal lovers, this is an absolute treat. (shrink)

Look around you. The world is more homogenous than you think. Far too often, distinctions among people, places, and things are matters of degree rather than kind. Many are illusory. As satire, Little House of Imaginary Distinctions is meant to complement Steven Carter's previous book, Little House of Oxymorons, published by Hamilton Books in 2010.

This is the third volume in a trilogy of fables by Steven Carter. Carter's butterflies are naive, worldly, sarcastic, philosophical, and very funny—in short, perfectly human!

Sexualized naked protest using young and attractive women's bodies have long featured in the repertoire of protest tools for interventions in public space. Antirape feminist groups and nonhuman-animal rights activist groups, in particular, have mobilized these bodies to attract attention to their causes. Contemporary debates have suggested that these sorts of protest are objectionable, and that they are entwined with contemporary rape culture. This article complicates these accounts by considering what happens when the naked body is presented as a grotesquery (...) in the service of these apparently emancipatory politics.Analyzing two instances of naked protest as case studies, this article examines what happens to naked protest when the bodies protesting are “ugly” or are rendered so. The analysis suggests that naked protest featuring bodies that are “ugly” harbors the possibility of mobilizing a transgressive politics beyond contemporary rape culture. This article has implications for better understanding how to mobilize protest in a way that is transgressive and bold without further enshrining rape culture as the normative background against which it takes place. (shrink)

The article argues that there are different ways of justifying suspension of judgement. We suspend judgement not only privatively, that is, because we lack evidence, but also positively, that is, because there is evidence that provides reasons for suspending judgement: suspension is more than the rational fallback position in cases of insufficient evidence. The article applies the distinction to recent discussions about the role of suspension for inquiry, Turri's puzzle about withholding, and formal representations of suspension.

When it comes to evolution, we've all heard about fossils and fruit flies, Darwin and Dawkins. But the idea of evolution is far more profound-and far-reaching. Today, a movement of visionary scientists, philosophers, and spiritual thinkers is forging a new understanding of evolution that honors science, reframes culture, and radically updates spirituality. Carter Phipps calls them Evolutionaries."--Page 4 of cover.

The aim of this paper is to propose a systematic classification of emotions which can also characterize their nature. The first challenge we address is the submission of clear criteria for a theory of emotions that determine which mental phenomena are emotions and which are not. We suggest that emotions as a subclass of mental states are determined by their functional roles. The second and main challenge is the presentation of a classification and theory of emotions that can account for (...) all existing varieties. We argue that we must classify emotions according to four developmental stages: 1. pre-emotions as unfocussed expressive emotion states, 2. basic emotions, 3. primary cognitive emotions, and 4. secondary cognitive emotions. We suggest four types of basic emotions (fear, anger, joy and sadness) which are systematically differentiated into a diversity of more complex emotions during emotional development. The classification distinguishes between basic and non-basic emotions and our multi-factorial account considers cognitive, experiential, physiological and behavioral parameters as relevant for constituting an emotion. However, each emotion type is constituted by a typical pattern according to which some features may be more significant than others. Emotions differ strongly where these patterns of features are concerned, while their essential functional roles are the same. We argue that emotions form a unified ontological category that is coherent and can be well defined by their characteristic functional roles. Our account of emotions is supported by data from developmental psychology, neurobiology, evolutionary biology and sociology. (shrink)

The philosophical case for extended cognition is often made with reference to ‘extended-memory cases’ ; though, unfortunately, proponents of the hypothesis of extended cognition as well as their adversaries have failed to appreciate the kinds of epistemological problems extended-memory cases pose for mainstream thinking in the epistemology of memory. It is time to give these problems a closer look. Our plan is as follows: in §1, we argue that an epistemological theory remains compatible with HEC only if its epistemic assessments (...) do not violate what we call ‘the epistemic parity principle’. In §2, we show how the constraint of respecting the epistemic parity principle stands in what appears to be a prima facie intractable tension with mainstream thinking about cases of propositional memory. We then outline and evaluate in §3 several lines of response. (shrink)

Wie bedeutsam ist die Unterscheidung zwischen den Philosophien von Leibniz und Wolff? Was hat Leibniz' China-Bild fur Folgen? Welchen Einfluss hatte die Theodizee-Rezeption auf die Ubersetzung der Wertheimer Bibel?

Die Leibniz-Rezeption ist vielfaltig, komplex, schwer uberschaubar; spezielle Untersuchungen eher selten. Dabei gibt es zahlreiche Fragen, deren Beantwortung fur die Philosophie- und Religionsgeschichte interessant ist: Welche Rolle spielte Leibniz als Vermittler zwischen den christlichen Konfessionen? Wie bedeutsam ist die Unterscheidung zwischen den Philosophien von Leibniz und Wolff? Was hat Leibniz' China-Bild fur Folgen? Welchen Einfluss hatte die Theodizee-Rezeption auf die Ubersetzung der Wertheimer Bibel? Was trug zur Popularisierung, was zur Banalisierung Leibnizens bei, wie wurden philosophische Sprache und die deutsche Klassik (...) durch ihn gepragt? Inwieweit hat Kant Leibniz' Philosophie missverstanden? Welche Wirkung hat Leibniz' Metaphysik auf Schelling und Krause? Wie gut kann Schopenhauer seine pessimistische Weltsicht gegen Leibniz rechtfertigen? Wie urteilt Feuerbach uber Leibniz? Renommierte Leibniz- und Idealismus-Forscher haben sich getroffen, um diesen und anderen spannenden Fragen nachzugehen. Entstanden ist ein wertvoller Einblick in das breite Spektrum der Rezeptions- und Wirkungsgeschichte der Philosophie von G.W. Leibniz im 18. und 19. Jahrhundert. (shrink)

A wide-ranging, collection focusing on the practical philosophy of Williams, with many chapters on politically relevant themes and many trying to assess the importance and influence of Williams. With contributions by Roman Altshuler, Mathieu Beirlaen, Thom Brooks, Jonathan Dancy, Jennifer Flynn, Lorenzo Greco, Chris D. Herrera, James Kellenberger, Colin Koopman, Stephen Leach, Esther Abin, Nancy Matchett, Jeff McMahan, Sarah Pawlett, Jonathan Sands-Wise, Robert Talisse, and Owen Ware.

A conspicuous oversight in recent debates about the vexed problem of the value of knowledge has been the value of knowledge-how. This would not be surprising if knowledge-how were, as Gilbert Ryle [1945, 1949] famously thought, fundamentally different from knowledge-that. However, reductive intellectualists [e.g. Stanley and Williamson 2001; Brogaard 2008, 2009, 2011; Stanley 2011a, 2011b] maintain that knowledge-how just is a kind of knowledge-that. Accordingly, reductive intellectualists must predict that the value problems facing propositional knowledge will equally apply to knowledge-how. (...) We show, however, that this is not the case. Accordingly, we highlight a value-driven argument for thinking that knowledge-how and knowledge-that come apart. (shrink)

In several recent publications, Craig A. Carter argues that classical theism is the only model of God that can consistently affirm the Christian doctrine of creatio ex nihilo. He claims that because competing models of God deny true transcendence of God they cannot affirm creatio ex nihilo. We argue that Carter’s claim is false and that his argument is both unclear and fallacious. We further argue that creatio ex nihilo is consistent with other models of God, and we (...) argue this by demonstrating the coherence between the doctrine and two competing models of God: neoclassical theism and open theism. (shrink)

A significant criticism of the anthropic principle as a scientific claim is that testable predictions cannot be derived from it. Brandon Carter has argued, however, that the principle can be used to predict on the one hand that the period of time biological evolution is intrinsically likely to require is very large, and on the other that the number of ‘critical steps’ that have occurred in the evolution of life on earth is related to the length of time life (...) can continue to evolve. I attempt to show that neither of Carter's arguments provides a convincing defence of the testability of the anthropic principle. (shrink)

In Bodies, Commodities, and Biotechnologies, Lesley A. Sharp probes the ideological assumptions underlying the transfer of body parts, the social significance of donors' deaths, and the medico-scientific desires surrounding complex forms of ...

Which intermediate propositional logics can prove their own completeness? I call a logic reflexive if a second-order metatheory of arithmetic created from the logic is sufficient to prove the completeness of the original logic. Given the collection of intermediate propositional logics, I prove that the reflexive logics are exactly those that are at least as strong as testability logic, that is, intuitionistic logic plus the scheme $\neg φ ∨ \neg\neg φ. I show that this result holds regardless of whether Tarskian (...) or Kripke semantics is used in the definition of completeness. I also show that the operation of creating a second-order metatheory is injective, thereby insuring that I am actually considering each logic independently. (shrink)

In this paper, I provide an account of the wrong that is done to women when everyday people fail to believe allegations of sexual assault made by women. I argue that an everyday person wrongs both the accuser and women causally distant from the accuser when they fail to believe the accuser’s allegation. First, I argue that there are responses that we, as everyday members of society, owe to victims of sexual assault. A condition enabling everyday people to respond in (...) the way owed to victims is that they have an outright belief that the accuser was assaulted. Actively suspending judgement about whether a crime occurred is in tension with the ability to respond to the victim in a way that supports and validates them. When an everyday person fails to have an outright belief in the truth of an allegation, they wrong the accuser because they risk failing to satisfy the conditions enabling them to fulfill their obligation to her. Second, I argue that everyday people wrong women who are causally distant from the accuser because in our social context, women are often treated in particular ways – especially in the sexual domain – because they are women. As a result, when women hear that an everyday person fails to believe a particular allegation, they easily project themselves into the accuser’s position and reasonably worry that if they were to be assaulted, they too would be met with doubt and disbelief by the people in their community. (shrink)

Contrary to the contemporary view that negation is a logical operation that modifies the mere content of a thought or judgment, but not the act of thinking or judging it, Kant maintains that negation is an act of logical apperception through which I exclude a thought or judgment from what ‘I think.’ In this paper, I argue against two interpretations of Kant’s account of logical negation. According to the first, negation is a subjective psychological act of excluding an erroneous judgment. (...) Against this, I will show that for Kant, negation is an operation of logical, not empirical apperception. The second interpretation views logical negation as an objective representation either of a relation of opposition or of non-being. I argue that, on the contrary, the logical function of negation is merely formal, not material, and therefore does not have semantic content. The paper’s final section develops a positive conception of logical negation as a formal function of judging. (shrink)

Is there anything wrong with publishing philosophical work which one does not believe (publishing without belief, henceforth referred to as ‘PWB’)? I argue that there is not: the practice isn’t intrinsically wrong, nor is there a compelling consequentialist argument against it. Therefore, the philosophical community should neither proscribe nor sanction it. The paper proceeds as follows. First, I’ll clarify and motivate the problem, using both hypothetical examples and a recent real-world case. Next, I’ll look at arguments that there is something (...) wrong with PWB, and show that none is sound. Then, I’ll give some reasons for thinking a norm against PWB is detrimental to the profession. Do I believe these arguments? If I’m right, it shouldn’t matter. (shrink)

Is consciousness merely an illusion, a by-product of our brain's workings, or is it, as the latest physics may suggest, the basis for all reality? Your perception of the world around you, your consciousness, should be the one thing you could talk about with absolute confidence. But nothing about consciousness is clear-cut and understanding it is perhaps the hardest problem facing modern science. But some extraordinary insights gathered by the latest research suggest that the answers are within our grasp. Building (...) on the success of her bestselling book MAPPING THE MIND, Rita Carter gathers these insights together to throw new light on consciousness, its nature, its origins and its purpose. (shrink)

Character strengths profiles in the specific setting of medical professionals are widely unchartered territory. This paper focused on an overview of character strengths profiles of medical professionals (medical students and physicians) based on literature research and available empirical data illustrating their impact on well-being and work engagement. A literature research was conducted and the majority of peer-reviewed considered articles dealt with theoretical or conceptually driven ‘virtues’ associated with medical specialties or questions of ethics in patient care (e.g., professionalism, or what (...) makes a good physician). The virtues of compassion, courage, altruism, and benevolence were described most often. Only a limited number of papers addressed character strengths of medical students or physicians according to the VIA-classification. Those articles showed that the VIA-character strengthsfairness, honesty,kindness, andteamworkwere considered most often by respondents to be particularly important for the medical profession. Available cross-sectional (time span: six years) and longitudinal (time span: three years) data regarding VIA-character strengths profiles of medical professionals were analyzed (N= 584 medical students, 274 physicians). These profiles were quite homogenous among both groups. The character strengthsfairness,honesty,judgment,kindness, andlovehad the highest means in both samples. Noteworthy differences appeared when comparing medical specialties, in particular concerning general surgeons and psychiatrists, with the former reporting clearly higher levels of e.g.,honesty(d= 1.02) orprudence(d= 1.19). Long-term results revealed significant positive effects of character strengths on well-being and work engagement (e.g.,perseveranceon physicians’ work engagement) but also significant negative effects (e.g.,appreciation of beauty and excellenceon students’ well-being). Further,hopewas significantly associated both positively with physicians’ well-being and negatively with students’ work engagement, possibly indicating specific issues concerning medical education or hospital working conditions. According to the modern-day physician’s pledge, medical professionals should pay attention to their own well-being and health. Therefore, promoting self-awareness and character building among medical professionals could be a beneficial strategy. (shrink)

Regulatory agencies vary widely in their classification of FMT, with significant impact on patient access. This article conducts a global survey of national regulations and collates existing FMT classification statuses, ultimately suggesting that the human cell and tissue product designation best fits FMT's characteristics and that definitional objectives to that classification may be overcome.

Previous research suggested a role of gaze in preference formation, not merely as an expression of preference, but also as a causal influence. According to the gaze cascade hypothesis, the longer subjects look at an item, the more likely they are to develop a preference for it. However, to date the connection between viewing and liking has been investigated predominately with self-paced viewing conditions in which the subjects were required to select certain items from simultaneously presented stimuli on the basis (...) of perceived visual attractiveness. Such conditions might promote a default, but non-mandatory connection between viewing and liking. To explore whether the connection is separable, we examined the evaluative processing of single naturalistic food images in a 2 x 2 design, conducted completely within subjects, in which we varied both the type of exposure (self-paced versus time-controlled) and the type of evaluation (non-exclusive versus exclusive). In the self-paced exclusive evaluation, longer viewing was associated with a higher likelihood of a positive evaluation. However, in the self-paced non-exclusive evaluation, the trend reversed such that longer viewing durations were associated with lesser ratings. Furthermore, in the time-controlled tasks, both with non-exclusive and exclusive evaluation, there was no significant relationship between the viewing duration and the evaluation. The overall pattern of results was consistent for viewing times measured in terms of exposure duration (i.e., the duration of stimulus presentation on the screen) and in terms of actual gaze duration (i.e., the amount of time the subject effectively gazed at the stimulus on the screen). The data indicated that viewing does not intrinsically lead to a higher evaluation when evaluating single food images; instead, the relationship between viewing duration and evaluation depends on the type of task. We suggest that self-determination of exposure duration may be a prerequisite for any influence from viewing time on evaluative processing, regardless of whether the influence is facilitative. Moreover, the purported facilitative link between viewing and liking appears to be limited to exclusive evaluation, when only a restricted number of items can be included in a chosen set. (shrink)