Background More than one in 10 of all prisoners in England and Wales are Foreign Nationals. This article discusses whether the research applications to one London prison are aimed at understanding a prisoner population characterised by significant multinational and multilingual complexity. Methods We studied all accessible documents relating to research undertaken at a women's prison between 2005 and 2009 to assess the involvement of Foreign National prisoners and women with limited English. The source of information was prison research applications and (...) protocols. We also looked at available final research reports and journal articles. Results Two key findings emerged from this study. First, studies at this prison frequently excluded Foreign National prisoners and women with limited English. Second, Foreign National prisoners were often clustered as a homogeneous category in the research reports reviewed. This is despite their diverse cultural backgrounds, their variable immigration status and their differing competence in English, all of which affect their lives. Conclusions The failure to include and/or identify social subgroups of the population can undermine the value of research, including, in the case of the study prison, funded health research. This can compromise associated needs assessments and service delivery, particularly important in already disadvantaged populations; this may encourage and/or perpetuate a range of health inequalities. There is a pressing need to examine cultural exclusion in other health and criminal justice settings, to assess the ways in which—and the extent to which—such exclusion may compromise the merit of proposed and completed health and social research. (shrink)

Background Genuine uncertainty on superiority of one intervention over the other is called equipoise. Physician-investigators in randomized controlled trials need equipoise at least in studies with more than minimal risks. Ideally, this equipoise is also present in patient-participants. In pediatrics, data on equipoise are lacking. We hypothesize that 1) lack of equipoise at enrolment among parents may reduce recruitment; 2) lack of equipoise during participation may reduce retention in patients assigned to a less favoured treatment-strategy. Methods We compared preferences of (...) parents/patients at enrolment, documented by a questionnaire, with preferences developed during follow-up by an interview-study to investigate equipoise of child-participants and parents in the BeSt-for-Kids-study. This trial in new-onset Juvenile Idiopathic Arthritis-patients consists of three strategies. One strategy comprises initial treatment with a biological disease-modifying-antirheumatic-drug, currently not standard-of-care. Semi-structured interviews were conducted with 23 parents and 7 patients, median 11 months after enrolment. Results Initially most parents and children were not in equipoise. Parents/patients who refused participation, regularly declined due to specific preferences. Many participating families preferred the biological-first-strategy. They participated to have a chance for this initial treatment, and would even consider stopping trial-participation when not randomized for it. Their conviction of superiority of the biological-first strategy was based on knowledge from internet and close relations. According to four parents, the physician-investigator preferred the biological-first-strategy, but the majority stated that she had no preferred strategy. In phase 2, preferences tended to change to the treatment actually received. Conclusions Lack of equipoise during enrolment did not reduce study recruitment, mainly due to the fact that preferred treatment was only available within the study. Still, when developing a trial it is important to evaluate whether the physicians’ research question is in line with preferences of the patient-group. By exploring so-called ‘informed patient-group’-equipoise, successful recruitment may be enhanced and bias avoided. In our study, lack of equipoise during trial-participation did not reduce retention in those assigned to a less favoured option. We observed a change for preference towards treatment actually received, possibly explained by comparable outcomes in all three arms. (shrink)

Dürziler, gerek itikadi açıdan gerekse de hukuki prensipleri bağlamında Osmanlı-Hanefi ideolojisi dışında kalan bir cemaatti. Bununla birlikte Dürzi liderler 19. Yüzyılın başlarına kadar devletin Cebel-i Lübnan’daki idari tem-silcileri olarak siyasi otoriteyi ellerinde tutmayı başardılar. Bunun yanı sıra geleneksel hukuklarını da koruyan Dürziler, Osmanlı Devleti’nin sosyal yapısını oluşturan Millet Sistemi içinde farklı bir pozisyonda kimlik edindiler. Tanzimat reformlarının Cebel-i Lübnan’da uygulanmaya başlaması ise Dürzilerin kimlik tanımlarında siyasi paradigmaların dışına çıkmalarına sebep olmuş, Osmanlı kimliğini İslami terminolojiyle tamamlamak adına hareket eden cemaat, hukuki (...) statülerini bir meşruiyet aracı olarak kullanmaya başlamış ve devletin değişen reformist duruşu karşısında farklı bir hukuki yer edinmeye çalışmışlardı. Bu çalışma, Cebel-i Lübnanlı Dürzilerin Osmanlı Devleti’nin son zamanlarında ortaya çıkan kimlik problemine bakışlarını ele almakta, cemaatin meşruiyet kaygılarına karşı aldığı tedbir ve devletin hukuk politikasını incelemektedir. Araştırmada kendi kaynaklarında ve Osmanlı arşivinde yer alan bazı Dürzi davalarından örnekler verilerek cemaatin iç hukukuna değinilmiş, ayrıca devletin mezhep siyasetinde izlediği yöntemin Dürziler üzerindeki etkisi analiz edilmiştir. (shrink)

Değer felsefesindeki önemli ayrımlardan birisi özsel değer ve araçsal değer ayrımıdır. Bu ayrıma göre bazı şeyler dışsal ilişkilerinden bağımsız şekilde, kendi doğası itibariyle, özsel şekilde değerli iken bazı şeyler, böyle olmayıp ancak özsel şekilde değerli olan başka bir şeye araç olması itibariyle değerlidir. Bu ayrım üzerinden ilerlediğimiz zaman önümüze çıkan temel sorulardan birisi hangi şeylerin özsel şekilde değerli olduğu sorusudur. Hedonizm bu soruya sadece hazzın özsel şekilde değerli olduğu ve haz dışındaki her şeyin sadece hazza götürmesi veya haz vermesi sayesinde, (...) araçsal olarak değerli olduğu cevabını verir. Fakat hedonizmin bu temel iddiası yeteri kadar temellendirilmiş midir? Bu temel tez lehinde yeteri kadar sağlam veya güçlü argümanlar var mıdır? Yine bu temel tez aleyhinde sağlam veya güçlü argümanlar var mıdır? Bu çalışmada bu sorulara cevap bulmaya çalıştık. Daha spesifik olarak da çalışmamızda, hedonizmin lehinde sunulan yaygın argümanların yeteri kadar güçlü olmadığını, genelde, yaygın olarak başvurulan argümanların öncüllerinin doğruluğunun yeteri kadar açık veya temellendirilmiş olmamasından hareketle göstermeye çalıştık. Diğer yandan hedonizmin aleyhindeki, onun tutarsızlığına veya temel tezinin makul olmadığına işaret eden karşı argümanları sunduk. Böylece hedonizmin lehindeki argümanların yetersiz olduğu ve onun aleyhinde çok sayıda ikna edici argümanın bulunduğu gerekçelerinden hareketle hedonizmin felsefi açıdan temellendirilmiş, sağlam bir yaklaşım olmadığını savunmaya çalıştık. (shrink)

J. F. C. Harrison has written that ‘for each age there is a new view of Mr Owen’, which is proof of the fertility and continuing relevance of his ideas. Not just in Britain and America but today around the world anti-poverty campaigners, birth-controllers, collectivists, communitarians, co-operators, ecologists, educationalists, environmentalists, feminists, humanitarians, internationalists, paternalistic capitalists, secularists, campaigners for social justice, trade unionists, urban planners, utopians, welfare reformers can all find something to admire and inspire in the treasure trove that is (...) the thought and actions of Robert Owen. Owen was a creative genius of global significance, a radical writer and activist of international reputation and reach who has inspired those seeking to change human society for the better. The contributors to this volume include not only many of the recognized experts on the life, work and legacy of Owen, but also work from younger scholars or scholars coming to the field afresh. The volume presents the most recent and original research on Owen. Owen notoriously (and impressively) dabbled in many spheres, and this is reflected in the its breadth of content. The unifying themes are Owen’s profile in his own time, and the relevance of his ideas for the generations that followed. His importance for educational and social philosophy, for political economy and for the political theory of socialism are all discussed, as are his contribution as a philanthropic employer, his political activities and the specificities of his historical context. (shrink)

Western societies today are coming unmoored in the face of an earth-shaking ethical and cultural paradigm shift. At its core is the question of what it means to be human and how we are meant to live. The old answers are no longer accepted; a dizzying array of options are offered in their stead. Underpinning this smorgasbord of lifestyles is a thicket of unquestioned assumptions, such as the separation of gender from biological sex, which not so long ago would have (...) been universally rejected as radical notions. In the spring of 2019, a group of Orthodox Christian scholars drawn from a wide variety of academic disciplines met together to offer responses to the moral crisis our generation faces, elaborating upon its various forms and facilitating a fuller understanding of some of its theological and philosophical foundations. In doing so they offer support to all those who question the claims that are so forcefully insisted upon today--a clarity that will aid them in standing up and resisting trends that have already shown to be the cause of great suffering and unhappiness. (shrink)

Early in World War I, Virginia Woolf wrote these words: ‘The future is dark, which is on the whole, the best thing the future can be […]’. It is tempting to assume that darkness simply hides the unknown and the threatening. It is more challenging to think of it as Woolf did: rich with possibility in even the most desperate times.We live in what many would readily describe as dark times. These times have brought (among much else) a once-in-a-century public (...) health crisis, the continued redemption of toxic white supremacy, declining trust in and support for public institutions, and growing evidence of impending climate devastation. ‘Dark Futures’ will consider some of the scenes of this devastation and mine them for insights into our predicaments and our prospects. (shrink)

El presente artículo se propone abordar la obra de Adam Smith con el objeto de identificar una posible “teoría sobre la igualdad” en el corpus del filósofo escocés. Nuestro planteamiento cuestiona el ideario colectivo en torno a este autor, según el cual se lo caracteriza como cercano al anti-igualitarismo de ciertas corrientes liberales. Basándonos en investigaciones hechas en los últimos años por algunos estudiosos de Smith, expondremos argumentos e ideas presentes en su obra que se pueden asociar a posiciones igualitaristas (...) y que muestran que su postura sobre este tema es más compleja de lo que se cree. En esta línea, con el fin de evidenciar la posición de Smith acerca de la igualdad, presentaremos su concepción sobre el surgimiento de la desigualdad y ciertas ideas plasmadas en La Riqueza de las Naciones y en Teoría de los Sentimientos Morales relevantes para la discusión. En esta tarea, tomaremos como principal referente el trabajo de Samuel Fleischacker, cuya interpretación de Smith -que será complementada con análisis propios- tenemos también el objeto de difundir. (shrink)

What is compassion? I suggest that it is, as Adam Smith and David Hume once argued, a moral sentiment that is subject to a great many constraints and variations but is nonetheless “natural.” I also consider Nietzsche's rather vehement attack on Mitleid and current social psychological literature on empathy.

There seems to be no end to moralizing about the vices, but there is too little appreciation of them as mere human foibles and an essential part of the “human circus.” There are also serious questions about whether some of the so-called deadly sins are sinful at all.

Too often, since the 19th century, sensitivity is dismissed as mere “sentimentality” in philosophy and in literature. It is charged that sentimentality is distorting, self-indulgent, self-deceptive. I argue that all of these charges are misplaced or themselves distorted and betray a suspicion of emotions and the tender sentiments that is unwarranted.

Do we love for reasons? Most romantics would insist not. In fact, we love despite good reasons not to love. I argue that love necessarily involves reasons. I discuss the problem of loving someone for his or her looks and what I call Plato's Problem, loving only the properties of a person. I end by discussing some dubious and perverse reasons for love.

Spirituality is often dismissed as mere sentimentality. It is also often opposed to science and the scientific worldview, as if the one is anathema to the other. I suggest that spirituality has distinct advantages over religion and is not at all opposed to science or scientific thinking.

Basic Cartesian intuitions are directed at simple natures, not truths; but intuitions are also a foundation for propositional knowledge. There are two basic objectives of this chapter: to show how Descartes gets from intuitions to propositional knowledge, and to show how his solution to this problem structures his thinking on the main issues in Cartesian epistemology. I maintain that the solution to is to be found in the principle if we perceive the presence of an attribute A, there must be (...) an actually existing substance to which A is attributed. This principle gets its clearest expression in the Principles of Philosophy but also appears in the Rules for the Direction of the Mind and in the Meditations where, I argue, it appears in the form of the Rule of Truth. I show how this principle is derived from the cogito, understood both as inference and as intuition, how this principle plays a role in Descartes theory of consciousness and self‐knowledge, in the case for substance dualism, and in the theory of clear and distinct ideas. (shrink)

The leading idea of this chapter is that, for Descartes, intellectual ideas make it obvious what metaphysical category the properties they disclose to the mind fall into but not whether they are actually exemplified; sensations make it obvious whether the properties they disclose to the mind are exemplified but not what their metaphysical category is. This idea is worked out through a discussion of three stages in the development of Descartes's doctrine of the material falsity of sensory ideas, the core (...) concept of his error explanation of the senses. Material falsity is a set of three defects that sensations have in comparison with intellectual ideas, ideas that fully discharge the role, which Descartes assigns to ideas in his philosophical system. The first stage, reflected in Meditation III, identifies material falsity with two defects: nonrepresentation and misrepresentation ; the second stage, reflected in the Reply to Arnauld, identifies material falsity with obscure ideas ; the third stage, reflected in the Principles of Philosophy I, sees the terminology of material falsity disappear and the terminology of clear but not distinct ideas appear. Other topics discussed include a special application of the rule of truth and skepticism. (shrink)

How can a Cartesian idea represent ordinary physical objects? One possibility is that Descartes holds a theory of natural signs according to which ideas, including sensations, represent states of the external world that are correlated with them. I deny that Descartes has a theory of natural signs in this sense, arguing, instead, that our perception of ordinary physical objects is achieved not through ideas, properly speaking, but through a special act of the mind which projects its sensations onto objects in (...) the external world, objects truly represented by ideas of primary qualities alone. This ”projection” comprises referral judgments that account for the characteristic phenomenology of experience of the physical world but in a way that misleads us to think that our ideas bear a resemblance to the underlying metaphysical reality of the physical world. Other issues discussed include Descartes's taxonomy of ideas. (shrink)

Cartesian epistemology comprises three main divisions: an a priori theory, discussed in Chs. 1–3, a psychological theory of error explanations in judgment induced by features of our sense experience discussed in Chs. 4, 5 and 7, and a theory of natural reasons, discussed here. The theory of natural reasons, based on Descartes's notion of natural inclinations, is expressed here in terms of a series of warrant principles of which there are two main kinds: those that warrant action and those that (...) warrant claims for what is true. This chapter traces Descartes's epistemically ambivalent attitude to cognitive dispositions from the early treatment in the Rules for the Direction of the Mind through to the final treatment in The Passions of the Soul. The chapter focuses special attention on the appearance of one kind of natural reason, reasons of truth, in the proof of the external world in Meditation VI and the striking absence of same in the proof of the external world in the Principles of Philosophy II. The chapter also considers whether natural reasons apply to particular aspects of corporeal things, concluding with a discussion of the Cartesian Circle. (shrink)

Louis Bautain (1796–1867) has been described as the “French Newman” because of the resemblances between their lives and writings. This essay compares three aspects of the thought of Newman and Bautain: their respective understanding of faith, reason, and development. Both thinkers understood faith and reason in relation to conversion and the realities of life and viewed faith and reason as functioning in tandem with doctrinal development.

In 1839 and 1840, Newman preached four Oxford University Sermons, which critiqued the evidential apologetics advocated by John Locke (1632-1704) and William Paley (1743-1805) and subsequently restated by Richard Whately (1787-1863). In response, Newman drew upon Whately’s earlier works on logic and rhetoric to develop an alternative account of the reasonableness of religious belief that was based on implicit reasoning from antecedent probabilities. Newman’s argument was a creative response to Whately’s contention that evidential reasoning is the only safeguard against superstition (...) and infidelity. (shrink)

Local food systems can have economic and social benefits by providing income for producers and improving community connections. Ongoing global climate change and the acute COVID-19 pandemic crisis have shown the importance of building equity and resilience in local food systems. We interviewed ten stakeholders from organizations and institutions in a U.S. midwestern city exploring views on past, current, and future conditions to address the following two objectives: 1) Assess how local food system equity and resilience were impacted by the (...) COVID-19 pandemic, and 2) Examine how policy and behavior changes could support greater equity and resilience within urban local food systems. We used the Community Capitals Framework to organize interviewees’ responses for qualitative analyses of equity and resilience. Four types of community capital were emphasized by stakeholders: cultural and social, natural, and political capital. Participants stated that the local food system in this city is small; more weaknesses in food access, land access, and governance were described than were strengths in both pre- and post-pandemic conditions. Stakeholder responses also reflected lack of equity and resilience in the local food system, which was most pronounced for cultural and social, natural and political capitals. However, local producers’ resilience during the pandemic, which we categorized as human capital, was a notable strength. An improved future food system could incorporate changes in infrastructure (e.g., food processing), markets (e.g., values-based markets) and cultural values (e.g., valuing local food through connections between local producers and consumers). These insights could inform policy and enhance community initiatives and behavior changes to build more equitable and resilient local food systems in urban areas throughout the U.S. Midwest. (shrink)

In 2011 the English Court of Protection ruled that it would be unlawful to withdraw artificial nutrition and hydration from a woman, M, who had been in a minimally conscious state for 8 years. It was reported as the first English legal case concerning withdrawal of artificial nutrition and hydration from a patient in a minimally conscious state who was otherwise stable. In the absence of a valid and applicable advance decision refusing treatment, of other life-limiting pathology or excessively burdensome (...) suffering, the judgement makes it clear that the obligation on health professionals falls strongly in favour of preserving life. Although the Court sought to limit the judgement as closely as possible to the facts of the case, it is likely to have a significant impact on life-sustaining treatment decisions for people in states of low awareness. This paper outlines the main legal features of the judgement. (shrink)

The use of platelet rich plasma as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produced several overarching themes: conservatism versus experimentalism in medical attitudes; therapy perspectives divergence; conflicting versions of appropriate evidence; subcultures; community beliefs/practices; and negotiation of medical decision-making. The contested evidence base for the efficacy of PRP is presented (...) in the context of a broader professional shift towards evidence based medicine within sports medicine. Many of the participants while accepting this shift are still committed to casuistic practices where clinical judgment is flexible and does not recognize a context-free hierarchy of evidentiary standards to ethically justifiable practice. We also discuss a tendency in the data collected to consider the use of deceptive, placebo-like, practices among the clinician participants that challenge dominant understandings of informed consent in medical ethics. We conclude that the complex relation between evidence and ethics requires greater critical scrutiny for this emerging specialism within the medical community. (shrink)

We study the computational complexity of the universal and quasi-equational theories of classes of bounded distributive lattices with a negation operation, i.e., a unary operation satisfying a subset of the properties of the Boolean negation. The upper bounds are obtained through the use of partial algebras. The lower bounds are either inherited from the equational theory of bounded distributive lattices or obtained through a reduction of a global satisfiability problem for a suitable system of propositional modal logic.

Tacitus writes that, by insisting that legionary legates who had not so far held the praetorship should immediately proceed to that office, Asinius Gallus ‘altius penetrare et arcana imperii temptari’. In C.Q. N.S. xvi , 327, I suggested that this demand of Gallus’ was probably probing dangerously deeply into and perhaps threatening to wreck the carefully worked-out imperial promotions system, the working of which has been examined by Birley. It is the purpose of this note to look at a number (...) of examples of such irregularity, which, though not as early as the debate during the course of which Gallus made his suggestion, do at least illustrate the process later in the Julio-Claudian era. (shrink)