The decision-making environment in intensive care units (ICUs) is influenced by the transformation of intensive care medicine, the staffing situation and the increasing importance of patient autonomy. Normative implications of time in intensive care, which affect all three areas, have so far barely been considered. The study explores patterns of decision making concerning the continuation, withdrawal and withholding of therapies in intensive care. A triangulation of qualitative data collection methods was chosen. Data were collected through non-participant observation on a (...) surgical ICU at an academic medical centre followed by semi-structured interviews with nurses and physicians. The transcribed interviews and observation notes were coded and analysed using qualitative content analysis according to Mayring. Three themes related to time emerged regarding the escalation or de-escalation of therapies: influence of time on prognosis, time as a scarce resource and timing in regards to decision making. The study also reveals the ambivalence of time as a norm for decision making. The challenge of dealing with time-related efforts in ICU care results from the tension between the need to wait to optimise patient care, which must be balanced against the significant time pressure which is characteristic of the ICU setting. (shrink)

The contemporary view of the fundamental role of time in physics generally ignores its most obvious characteric, namely its flow. Studies in the foundations of relativistic mechanics during the past decade have shown that the dynamical evolution of a system can be treated in a manifestly covariant way, in terms of the solution of a system of canonical Hamilton type equations, by considering the space-time coordinates and momenta ofevents as its fundamental description. The evolution of the events, as (...) functions of a universal invariant world, or historical, time, traces out the world lines that represent the phenomena (e.g., particles) which are observed in the laboratory. The positions in time of each of the events, i.e., the time of their potential detection, are, in this framework, controlled by this universal parameter τ, the time at which they are generated (and may proceed in the positive or negative sense). We find that the notion of thestate of a system requires generalization; at any given τ, it involves information about the system at timest(τ) ≠ τ. The correlation of what may be measured att(τ) with what is generated at τ is necessarily quite rigid, and is related covariantly to the spacelike correlations found in interference experiments. We find, furthermore, that interaction with Maxwell electromagnetism leads back to a static picture of the world, with no real evolution. As a consequence of this result, and the requirement of gauge invariance for the quantum mechanical evolution equation, we conclude that electromagnetism is described by a pre-Maxwell field, whose τ-integral (or asymptotic behavior as τ → ∞) may be identified with the Maxwell field. We therefore consider the world of events in space time, interacting through τ-dependent pre-Maxwell fields, as far as electrodynamics is concerned, as the objective dynamical reality. Our perception of the world, through laboratory detectors and our eyes, are based onintegration over τ over intervals sufficiently large to obtain an aposteriori description of the phenomena which coincides with the Maxwell theory. Fundamental notions, such as the conservation of charge, rest on this construction. The decomposition of the common notion of time into two essentially different aspects, one associated with an unvarying flow, and the second with direct observation subject to dynamical modification, has profound philosophical consequences, of which we are able to explore here only a few. (shrink)

This dissertation explores the influence of time constraints on different research practices. The first two parts present case studies, which serve as a basis for discussing the epistemological and ethical implications of temporal limitations in scientific research. Part I is a case study on gravitational wave research, conducted by the LIGO Scientific Collaboration. This exemplifies fundamental research – without immediate societal applications, open-ended in terms of timeline and in terms of research goals. It is based, in part, on qualitative (...) interviews conducted with gravitational wave physicists. I show that considerations about time and speed play a role in every stage of research: goal setting, method design, and the evaluation and communication of results. Part II provides a case study on translational medicine, an approach explicitly dedicated to accelerating research in order to develop and implement new therapies. This epitomizes applied research with high social stakes, motivated by non-epistemic goals. Here, epistemic trade-offs between speed and reliability intersect with ethical trade-offs between different types of harms. In Part III, the insights from both of these case studies are used as the basis for a more general discussion concerning the pragmatic aspects of epistemic practices, especially in relation to current debates centered on the role of values in science. A particular focus is on the value of speed and the ability to generate reliable results, either via choice of methods, or via decisions about which goals to set, as well as decisions about when to stop further testing. The primary thesis of the dissertation is that pragmatic considerations stemming from limitations of resources are a necessary feature of the pursuit of epistemic aims, and that the epistemic is thus inherently pragmatic. (shrink)

At last his students and colleagues, his friends and his friendly critics, his fellow-scientist and fellow-philosophers, have the works of Milic Capek before them in one volume, aside from his books of course. Now the development of his interests and his thoughts, always led centrally by his concern to understand 'the philosophical impact of contemporary physics', becomes clear. In the nearly 90 essays and papers, and in his book on the philosophical impact as well as his classical restatement of process (...) philosophy in his Bergson and Modern Physics, Professor Capek establishes one of the fundamental alternatives to the comprehension of human experience, and thereby of the world. Capek is certainly to be seen with respect and admiration, for he has dealt with the deepest and toughest of scientific as well as metaphysical problems: his major efforts in the philosophy of mind focussed upon the time of experience, and in the philosophy of physics focussed upon continuity, causality and again the temporal, now in the world-picture. (shrink)

In his vigorous defense of the reality of time, Capek champions a tradition of process philosophy that includes such figures as Bergson, James, and Whitehead, against both philosophers and physicists that subordinate time to some lower status in reality or regard it as a peculiar dimension of space. This is, in fact, the point of his last essay in this volume, "Time-Space Rather than Space-Time," where he argues, contrary to standard interpretations, that relativity physics does not (...) necessitate a frozen "block universe" that includes preexisting future events. (shrink)

I would like to present a partial account of an investigation into scientifically and philosophically significant changes which quantum physics has made necessary in our views of time. In some cases, these changes resulted from discoveries of new aspects of time, as illustrated by the so-called “T.C.P. Theorem” due to Schwinger, Pauli and Lüders. Their finding determines the transformation of the quantum state of any physical system resulting from a reversal of the direction of time, followed (...) by a reorientiation of the dimensions of space and the replacement of each particle in the system with its antiparticle. A relativistic interpretation of the T.C.P. Theorem in Section III will show that it amounts to the universal interrelatedness of time, space and matter. In other cases, the changes in the scientific concept of time follow from the availability of new methods provided by quantum physics rather than from discoveries of unknown aspects of time. These methods may be applied to issues which bothered philosophers and physicists obsessed with the enigma of time long before Planck’s quantum of action started our century. The quantum approach of von Neumann, Pauli, Fierz and Lüdwig to the second law of thermodynamics and the associated irreversibility or asymmetry of time illustrate the use of the new methods for the solution of old problems of time. The relevance of quantum physical methods to the problem of reality of time will be shown in the last section of this paper. (shrink)

The aim of this paper is to present a new perspective under which branching-time semantics can be viewed. The set of histories (maximal linearly ordered sets) in a tree structure can be endowed in a natural way with a topological structure. Properties of trees and of bundled trees can be expressed in topological terms. In particular, we can consider the new notion of topological validity for Ockhamist temporal formulae. It will be proved that this notion of validity is equivalent (...) to validity with respect to bundled trees. (shrink)

We consider three possible reasons why humans might accord a privileged status to emotional information when mentally traveling backward or forward in time. First, mental simulation of emotional situations helps one to make adaptive decisions. Second, it can serve an emotion regulation function. Third, it helps people to construct and maintain a positive view of the self.

Heidegger's phenomenological approach, as exhibited in Being and Time, provides a conceptual background to discussions in role?theory. His work was not meant as an empirical contribution to sociology, nor does he assimilate sociology to conceptual inquiry. Heidegger's contention is, rather, that if we understand the way in which human beings exist (the nature of Dasein) we shall understand why empirical role?theoretical inquiries are possible. Without experience, without paying attention to the facts of human life, there could be no phenomenological (...) enterprise. But by eliciting the fundamental structure of Dasein Heidegger has pointed to what makes the empirical data ultimately intelligible. The enterprise is a transcendental one, in the Kantian sense. (shrink)

Originally published in 1940, this book contains a succinct introduction to Boethius, the influential medieval philosopher who was writing during the final days of the Western Roman Empire. Barrett keeps the general reader in mind as she explains Boethius' philosophy and his role in keeping Greek thinking available to his fellow Romans even as they were being conquered by the Ostrogoths. This book will be of value to anyone with an interest in ancient thought and in Late Antique philosophy.

The most obvious cases of ego-involvement in conscious life are those which Husserl calls conscious acts or cogitationes.[2] They are the most obvious cases because they are the ones in which the ego explicitly involves himself in some way ; they exhibit the character of being engaged in by the ego or having been engaged in by him. This ego-quality or character belongs demonstrably to every conscious process in which the ego engages or lives. In the ego's conscious life, the (...) life to which his, her, or its acts belong, there also occur mental or intentive processes in which the ego does not or did not engage, and these Husserl calls passive or non-actional processes as contrasted with the active or actional processes characterized by egoengagement. (shrink)

Although most aspects of world and self-consciousness are inherently subjective, neuroscience studies in humans and non-human animals provide correlational and causative indices of specific links between brain activity and representation of the self and the world. In this article we review neuroanatomic, neurophysiological and neuropsychological data supporting the hypothesis that different levels of self and world representation in vertebrates rely upon i) a 'basal' subcortical system that includes brainstem, hypothalamus and central thalamic nuclei and that may underpin the primary (...) (or anoetic) consciousness likely present in all vertebrates; and ii) a forebrain system that include the medial and lateral structures of the cerebral hemispheres and may sustain the most sophisticated forms of consciousness (e.g. noetic (knowledge based) and autonoetic, reflective knowledge). We posit a mutual, bidirectional functional influence between these two major brain circuits. We conclude that basic aspects of consciousness like primary self and core self (based on anoetic and noetic consciousness) are present in many species of vertebrates and that, even self-consciousness (autonoetic consciousness) does not seem to be a prerogative of humans and of some non-human primates but may, to a certain extent, be present in some other mammals and birds. (shrink)

Statistical mechanics attempts to explain the behaviour of macroscopic physical systems in terms of the mechanical properties of their constituents. Although it is one of the fundamental theories of physics, it has received little attention from philosophers of science. Nevertheless, it raises philosophical questions of fundamental importance on the nature of time, chance and reduction. Most philosophical issues in this domain relate to the question of the reduction of thermodynamics to statistical mechanics. This book addresses issues inherent in this (...) reduction: the time-asymmetry of thermodynamics and its absence in statistical mechanics; the role and essential nature of chance and probability in this reduction when thermodynamics is non-probabilistic; and how, if at all, the reduction is possible. Compiling contributions on current research by experts in the field, this is an invaluable survey of the philosophy of statistical mechanics for academic researchers and graduate students interested in the foundations of physics. (shrink)

The purpose of the paper is to explore different aspects of the covariance of non-relativistic quantum mechanics. First, doubts are expressed concerning the claim that gauge fields can be 'generated' by way of imposition of gauge covariance of the single-particle wave equation. Then a brief review is given of Galilean covariance in the general case of external fields, and the connection between Galilean boosts and gauge transformations. Under time-dependent translations the geometric phase associated with Schrödinger evolution is non-invariant, (...) and the significance of this result is briefly analysed. The covariance properties of Schrödinger dynamics are then brought to bear on certain versions of the modal interpretation of quantum mechanics. The conclusion that it is only relational properties that can be considered coordinate- or gauge-independent elements of reality is reinforced by appeal to the theory of quantum reference frames due to Aharonov and Kauffher. , Cambridge University Press ; pp. 45-70.). (shrink)

Hope is an attitude with a distinctive epistemological dimension: it is incompatible with knowledge. This chapter examines hope as it relates to knowledge but also to probability and inductive considerations. Such epistemic constraints can make hope either impossible, or, when hope remains possible, they affect how one’s epistemic situation can make hope rational rather than irrational. Such issues are especially relevant to when hopefulness may permissibly figure in practical deliberation over a course of action. So I consider cases of second-order (...) inductive reflection on when one should, or should not, be hopeful for an outcome with which one has a long record of experience: in other words, what is the epistemology behind when one should, if ever, stop hoping for outcomes which have failed one many times in the past? (shrink)

An important aspect of the debate between the A-theory and the B-theory of time relates to the supposed implications of each for some of the most basic human attitudes and stances. The asymmetry in our attitudes towards past and future events in our life (pleasant and unpleasant), and towards the temporal limits of our existence, that is, toward birth and death, is supposedly considered differently by the two theories. I argue that our attitudes are neither justified nor discredited by (...) anything which is in debate between the A-Theory and the B-theory, and therefore that neither theory of time is supported by the asymmetry in our attitudes. (shrink)

1. The most important aspect of touch is its relation to time and space, a relation which is established by the movement of touching itself. Referring to the ideas of E. Straus, the distinction between touching and being touched is elaborated in light of experiments done by us with animals. 2. Touching is: being in one's own limits and at the same time going beyond these limits, a situation in which the touched object is felt at the same (...) time as a "Gegenstand" and as "Mit-seiend." "Pour le tactile, c'est l'être à deux qui se place au premier rang" . The awareness of being by the sense of touch is particularly poignant in the case of touching oneself, which is an exceptional unity of the active and the passive state of mind. 3. The tactile recognition of form also presents a dialectic of activity and passivity, a dialectic which takes place in the form of a development which conquers time, and this after a scheme produced during the act of grasping itself. We refer to the studies of V. von Weizsäcker on the "Gestaltkreis." We must also remember the basic restlessness of the hand, which becomes lasting in the play of the hand with an object. 4. The hand can hold an object. In doing so a schematic tactile image is given, an image which functions as a hypothesis or as an organizing principle of the proleptic development of further tactile exploration. The phenomenological analysis of touch with the hand appears as a prefiguration of thought by synthetic judgments. Thus, it is true, as Herder remarked, and as Gold-stein and Merleau-Ponty confirmed, that perception by man and spiritual existence are identical. 5. Referring to the research of Révèsz and Palagyi, the real nature of the tactile world is anlyzed. Tactile exploration is done according to a real development, during which take place anticipatory and retrospective determinations which assure the continuity of the event and its meaning. Tactile perception permits description of the continuous unity of the discontinuous phases which we can state objectively "as if" expectation and memory, preliminary judgments and their checking, conceptual fixations and corrections had been put to work. 6. Important is the affective and emotional aspect of tactile impressions and their connection with inter-human relationships. 7. By touch, man establishes in a "feeling" way a personal relationship with the matter of things, which is hidden to the distance senses. This participation has a double aspect. It is like the birth of a "mood," of a "Befindlichkeit," but at the same time it is the active point of departure of a "feeling," of an "understanding," of an "inner grasp," of a being moved, of a being struck by the touched object which is then in our presence as a real "quale," as a material object, as a being in itself. We remember the proper nature of the caress, by which the "being together" of the caressed object complements that of the active caresser. The usual concepts by means of which, in practical and gnostic life, the most important tactile qualities are indicated intend to refer us to the characteristics of the things which take up space in the geometric world and in objectively measurable space, and on which is founded our natural orientation. We remember von Hornborstel's research on the intermodal characteristics of tactile impressions. These show us how a "knowledge" which accompanies perception can change an impression of feeling. The affective relationship, determined by a shaded "knowledge" and by a system of values, changes tangible reality, the substantiality of the body, of the "flesh." This affective change of matter, this "phenomenal transsubstantiation," easily becomes a reality in connection with objects of which we know that they belong or did belong to someone. The meaning which a thing has changes the matter of the object, an object which precisely by the touch is present "in the flesh." This is illustrated more precisely by the phenomena of fetishism, and by simple experiences of daily life. If we look for an anthropological point of view from which touch, of which the hand realizes the point of view will have to be attempted starting from the unimaginable certitude that the ontological unity of nature and spirit is in man the reality of a possible participation, a participation which, in our existence, is only indicated. The "restlessness" of the hand, never fulfilled and always searching, which we noted, is the human token of our concrete existence. Thus touch shows us what Valery remarked about the mind: "The mind is at the mercy of the body, as the blind are at the mercy of the seeing.". (shrink)

In the context of changing paradigms of human thinking, secularization of social consciousness, scientific and technological and information revolution, social and environmental cataclysms, Christian preaching seeks to answer the "challenge of time", seeking and offering man such spiritual foundations of life that will help him to "find himself" in the changing in the modern world.

Psychologists are ethically obligated to obtain informed consent to psychotherapy "as early as is feasible" (American Psychological Association, 2002, p. 1072). However, the range of topics to be addressed includes both information that may be immediately and uniformly applicable to most clients via policy or rule, as well as information that is not immediately presentable because it varies widely across clients or emerges over time. In this study, licensed psychologists were surveyed regarding the earliest feasible point at which they (...) could provide information regarding specific aspects of psychotherapy. Results indicate that, although psychologists believe that they are capable of presenting some information, such as payment and confidentiality policies, at the outset, they believe that a discussion of more substantive issues, such as psychotherapy duration, goals, orientation, and activities, can take place only after some therapy has transpired. Implications are discussed regarding the process and event models of informed consent. (shrink)

The evaluation of whether an animal has a life worth living (LWL) has been suggested as a useful concept for farm animal policymaking. But there are a number of different ways in which the concept could be applied. This paper attempts to identify and evaluate candidate ethical principles based on the concept. It suggests that an appropriate principle by which to apply the concept is one that (1) is framed in terms of preventing an animal having a life worth avoiding (...) (LWA), rather than ensuring they have LWL, (2) is based on a prospective, rather than retrospective, concept of a life’s worth, and (3) relates to both the perpetuation and creation of an animal at all times during its life. The paper concludes by endorsing an overarching principle that no animal should be unreasonably caused to be, or allowed to remain, in a position of having a prospective LWA. (shrink)

Time is fascinating and important to everyone. This book does two things: it reviews a great range of images of time, that is, theories of time, from a diversity of perspectives: historical, religious, biological, mathematical, and scientific. In addition to a wide-ranging discussion of many aspects of time, the book shows how a spreadsheet can be used easily to explore various aspects of time such as time travel and light cones in relativity. (...) But it goes further. It introduces the concept of generalized proposition, which can be used by the reader to distinguish those images of time that are metaphysical (which means they cannot be scientifically validated) and those that could in principle be put to empirical test. This is of particular importance in this day and age, when we are flooded by a plethora of competing images of time. Many of these have no scientific basis, empirical support, or content but are presented as if they do. (shrink)

Time has a highly unstable place between the objective and the subjective. On the one side, there are very well known philosophical arguments trying to show that time has only a subjective reality, even that it is merely a subjective epiphenomenon. On the other side, we are compelled to take points of view as non dispensable elements of reality, at least of a reality capable of containing beings like us. And points of view offer a world of temporal (...) entities existing in an objective way. Moreover, points of view themselves appear to be temporal entities among other temporal entities. We analyse both aspects of time. Our main focus will be McTaggart’s arguments against the reality of a fluent time, what he called temporal series of kind A. We will distinguish three very different arguments in McTaggart works. We analyse them in detail. And we reject their conclusive character. Our final target is to maintain that there is a room for fluent time in what is internal to points of view but external to the subjects adopting those points of view. (shrink)