Although much recent social science and humanities work has been a revolt against simplification, this volume explores the contrast between simplicity and complexity to reveal that this dichotomy, itself, is too simplistic. John Law and Annemarie Mol have gathered a distinguished panel of contributors to offer—particularly within the field of science studies—approaches to a theory of complexity, and at the same time a theoretical introduction to the topic. Indeed, they examine not only ways of relating to complexity but complexity _in (...) practice._ Individual essays study complexity from a variety of perspectives, addressing market behavior, medical interventions, aeronautical design, the governing of supranational states, ecology, roadbuilding, meteorology, the science of complexity itself, and the psychology of childhood trauma. Other topics include complex wholes in the sciences, moral complexity in seemingly amoral endeavors, and issues relating to the protection of African elephants. With a focus on such concepts as multiplicity, partial connections, and ebbs and flows, the collection includes narratives from Kenya, Great Britain, Papua New Guinea, the Netherlands, France, and the meetings of the European Commission, written by anthropologists, economists, philosophers, psychologists, sociologists, and scholars of science, technology, and society. _Contributors._ Andrew Barry, Steven D. Brown, Michel Callon, Chunglin Kwa, John Law, Nick Lee, Annemarie Mol, Marilyn Strathern, Laurent Thévenot, Charis Thompson. (shrink)

The future is kid stuff -- Sinthom-osexuality -- Compassion's compulsion -- No future.

Mental toughness (MT) is a key psychological variable related to achievement in performance domains and perseverance in challenging circumstances. We sought to understand the lived experiences of mentally tough high-altitude mountaineers, focusing primarily upon decisions to persevere or abort summit attempts. Phenomenological interviews were conducted with 14 mountaineers including guides, expedition leaders, and doctors (Mage = 44 years). A content analysis was employed to identify key themes in the data. Participants emphasized the importance of MT in extreme environments and described (...) rational, flexible, and vigilant decision-making. Turning around without summiting was the toughest decision reported, with recognition of the thin line between persevering and overstretching. In contrast to much MT literature, mountaineers accepted limits, demonstrated restraint, and sacrificed personal goals to aid others. Costly perseverance was also reported with some mountaineers described as “too tough”: overcompetitive, goal-obsessed, and biased decision-makers. These findings revealed both benefits and dangers of MT in mountaineering. (shrink)

Rae Langton and Caroline West famously argued that pornography operates like a language game, in that it introduces certain views about women into the common ground via presupposition accommodation. While this pragmatic model explains how pornography has the potential to change its viewers’ beliefs, it leaves open how pornography changes people’s desires. Our aim in this paper is to show how Langton and West’s discourse theoretic account of pornography can be refined to close this lacuna. Using tools from recent developments (...) in discourse theory, we propose that pornography issues implicit directives, and thereby introduces bouletic components into the discourse. (shrink)

In this paper, I defend fictional creationism, the view that fictional objects are abstract artifacts, from the objection that the apparent truth of fictional negative existentials, such as “Sherlock Holmes does not exist,” poses a serious problem for creationism. I develop a sophisticated version of the pragmatic approach by focusing on the inconsistent referential intentions of ordinary speakers: the upshot would be that creationism is no worse —perhaps even in a better position— than anti-realism, even if we restrict our linguistic (...) data to fictional negative existentials. (shrink)

A famous mathematical theorem says that the sum of an infinite series of numbers can depend on the order in which those numbers occur. Suppose we interpret the numbers in such a series as representing instances of some physical quantity, such as the weights of a collection of items. The mathematics seems to lead to the result that the weight of a collection of items can depend on the order in which those items are weighed. But that is very hard (...) to believe. A puzzle then arises: How do we interpret the metaphysical significance of this mathematical theorem? I first argue that prior solutions to the puzzle lead to implausible consequences. Then I develop my own solution, where the basic idea is that the weight of a collection of items is equal to the limit of the weights of its finite subcollections contained within ever-expanding regions of space. I show how my solution is intuitively plausible and philosophically motivated, how it reveals an underexplored line of metaphysical inquiry about quantities and locations, and how it elucidates some classic puzzles concerning supertasks. (shrink)

Let a smooth experience be an experience with perfectly gradual changes in phenomenal character. Consider, as examples, your visual experience of a blue sky or your auditory experience of a rising pitch. Do the phenomenal characters of smooth experiences have continuous or discrete structures? If we appeal merely to introspection, then it may seem that we should think that smooth experiences are continuous. This paper (1) uses formal tools to clarify what it means to say that an experience is continuous (...) or discrete, and (2) develops a discrete model of the phenomenal characters of smooth experiences. As a result, I'll argue that introspection leaves open whether smooth experiences are continuous or discrete. Yet I’ll also argue—perhaps surprisingly—that the discrete theory may better fit our introspective evidence. (shrink)

To be conscious—according to a common metaphor—is for the “lights to be on inside.” Is this a good metaphor? I argue that the metaphor elicits useful intuitions while staying neutral on controversial philosophical questions. But I also argue that there are two ways of interpreting the metaphor. Is consciousness the inner light itself? Or is consciousness the illuminated room? Call the first sense subjectivity (where ‘consciousness’ =def what makes an entity feel some way at all), and the second sense phenomenal (...) character (where ‘consciousness’ =def what it feels like to be an entity). I use this distinction—as well as the metaphor of the inner light—to clarify some philosophical questions about whether consciousness comes in degrees, whether consciousness is multidimensional, and whether there are borderline cases of consciousness. (shrink)

In recent years, the science and the philosophy of consciousness has seen growing interest in structural questions about consciousness. This is the Editorial Introduction for a special volume for Philosophy and the Mind Sciences on “Structuralism in Consciousness Studies.”.

I develop and defend "metaethical experientialism," the thesis that phenomenal facts explain certain kinds of value facts. I argue, for example, that anyone who knows what it’s like to feel extreme pain is in a position to know that that kind of experience is bad. I argue that metaethical experientialism yields genuine counterexamples to the principle that no ethical conclusion can be derived from purely descriptive premises. I also discuss the prospects for a pluralistic metaethics, whereby different metaethical theories hold (...) for different classes of ethical facts. (shrink)

Intelligent design, though unnecessary in the study of biological evolution, is essential to the study of cultural evolution. However, the intelligent designers in question are not deities or aliens but rather humans going about their lives. The role of intentionality in cultural evolution can be elucidated through the addition of signaling theory to the framework outlined in the target article. (Published Online November 9 2006).

Is A & C sufficient for the truth of ‘if A were the case, C would be the case’? Jonathan Bennett thinks not, although the counterexample he gives is inconsistent with his own account of counterfactuals. In any case, I argue that anyone who accepts the case of Morgenbesser's coin, as Bennett does, should reject Bennett’s counterexample. Moreover, I show that the principle underlying his counterexample is unmotivated and indeed false. More generally, I argue that Morgenbesser’s coin commits us to (...) the sufficiency of A & C for the truth of the corresponding counterfactual. (shrink)

Several attempts have recently been made to explain moral systems and moral sentiments in light of evolutionary biological theory. It may be helpful to modify and extend this project with the help of a theory of communication developed by ethologists. The core of this approach is the idea that signals are best seen as attempts to manipulate others rather than as attempts to inform them. This addition helps to clarify some problematic areas in the evolutionary study of morals, and it (...) generates new, testable predictions about moral statements. (shrink)

cuted actions. It has been applied to several challenge problems in the theory of commonsense knowledge. We study the relationship between this formalism and other work on nonmonotonic reasoning and knowl-.

Falk's contribution to a continuity theory of the origins of language would be complemented by an account of the origins of displaced reference, a key characteristic distinguishing human language from animal signaling systems. Because deception is one situation in which nonhumans may use signals in the absence of their referents, deception may have been the starting point for displaced reference.

Recent years have seen a growing interest in Buddhist thought as a potential source of alternative conceptions of the nature of the mind and the relation between the mental and the physical. There is a long tradition in the West to regard Buddhism as a philosophy. This tradition was started by Enlightenment philosophers (those who like rational thinking so much) who saw in Buddhism an ancient religion which fit their ideal of a rational way of life. Buddhists assume that mental (...) states can be both reportable events in phenomenal consciousness and have a background causal influence on our experience and behaviour of which we are not immediately aware but need meditation and reflection to uncover. The book offers comprehensive studies and critical approaches on contemporary Buddhism to new directions in Buddhist Studies all over the world. It examines the historical, doctrinal, literary, social, political, developments that have formed contemporary versions of Buddhism, East and West. In all this Buddhism is predicated as an inhabited and relevant action-influencing worldview. This Monograph will investigate what the nature of mental states must be like to admit these possibilities and will examine whether Buddhist philosophies of mind are adequate to the task. The text has been conceived as an interdisciplinary discussion for the analysis and critical evaluation of the contribution of Buddhism to the emergence of a global culture. It will promote enquiry into and critical reflection upon the historical, doctrinal and political developments formative of contemporary Buddhism; the recent appropriations of the Buddhist traditions in Asia and the West; the self-understanding of these traditions and their mutual relations; and the dialogue between Buddhism and other world spiritual traditions. At the same time it develops a careful, probing analysis of the nature and practical dynamics of Buddhist ethics in both its unifying themes and in the particularities of different Buddhist traditions. The book applies Buddhist ethics to a range of issues of contemporary concern. This book is aimed at anyone interested in Buddhism, including students, scholars and general readers. (shrink)

The number of ethical issues that demand a response from Christians today is almost dizzying. How can Christians navigate such matters? With an unflinching yet irenic approach, this volume invites engagement with the biggest ethical issues by drawing on real-life experiences and offering a range of responses to some of the most challenging moral questions confronting the church today.

"In an era of economic devastation, ongoing legacies of colonization and imperialism, climate change and habitat loss, there is a call for a new understanding of the meaning and relevance of ethics. These essays on otherness, responsibility, and hospitality raise urgent questions about the state of ethics in tumultuous times. Contributors range from prominent theorists-including Levinas, Michel Foucault, Jacques Derrida, and Giorgio Agamben-to more recent theorists including Judith Butler, Enrique Dussell, and Rosi Braidotti. Perhaps most crucially, this reader emphasizes the (...) always vulnerable status of a radically different Other, even as it questions what responsibility to that Other might mean."-Provided by publisher. (shrink)

Exploring the intimate tie between body movement and space and time, Lee begins with the position that body movement generates space and time and explores the ethical implications of this responsibility for the situations one’s body movements generate. Whiteness theory has come to recognize the ethical responsibility for situations not of one’s own making and hence accountability for the results of more than one’s immediate personal conscious decisions. Because of our specific history, whites have developed a particular embodiment and body (...) movement that generates places that can only be characterized as more comfortable and more enabling to whites. (shrink)

I reply to Ahmed’s rejection (2011) of my argument (Walters 2009) that all counterfactuals with true antecedents and consequents are themselves true.

Religion inspires honesty. The love of money incites dishonesty. Religious and monetary values apply to all religions. We develop a formative theoretical model of monetary wisdom, treat religiosity (God) and the love of money (mammon), as two yoked antecedents—competing moral issues (Time 1), and frame the latent construct in good barrels (performance or humane contexts, Time 2), which leads to (dis)honesty (Time 3). We explore the direct and indirect paths and the model across genders. Our three-wave panel data (411 participants) (...) show that religious and monetary values are negatively correlated. Directly, religiosity consistently curbs dishonesty; surprisingly, the love of money has no impact on dishonesty. In the performance context, the two mediation effects reduce dishonesty. Across genders, this mediation effect is nonsignificant for males but significantly excites females' honesty. In the humane context, the two mediation effects are nonsignificant. Across genders, for the love of money, males passively curb dishonesty by omission, and females actively engage in honesty by commission. Decision-makers must challenge people's moral issues, frame them in good barrels, and help people become good apples, choice architects, and moral and ethical decision-makers, promoting the Matthew effect in religion. We offer practical implications to individuals and organizations. (shrink)

This essay analyzes two types of patient‐experience data to broaden and deepen understanding of trust in health care. Analysis of patients’ open‐ended comments shows a close connection between patients’ feelings of trust and their intent to recommend providers and provider organizations—a global measure to evaluate patients’ perceptions of care experiences. Patients’ comments also reveal the bidirectional building of trust between the patient and the caregiver. Trust gets built when patients perceive their caregivers to trust their knowledge of their bodies as (...) well as when caregivers demonstrate caring behaviors that earn the patients’ trust. Patients’ ratings of a closed‐ended survey item on “confidence in provider” create the greatest differentiation for the global measure of patient experience—whether patients did or did not recommend a practice or provider. The essay also discusses related findings on pre‐visit friction and the use of humor by the caregiver to expand understanding of trust. (shrink)

What assumptions are built into the claim that experience has “phenomenal properties,” and could these assumptions turn out to be false? I consider the issue specifically for the similarity relations between experiences: for example, experiences of different shades of red are more similar to each other than an experience of red and an experience of green. It is commonly thought that we have a special kind of epistemic access to experience that is more secure than our access to the external (...) environment. In the first part of the paper, I argue than one way of elucidating this claim is especially plausible—that systematic error, of the kind subjects make about the external environment in traditional “skeptical” scenarios, is not conceivable for introspection of experience, including for our knowledge of similarity relations. I argue that focusing on similarity relations gives us a more interesting version of the argument than for other forms of experiential introspection. Then in the second part of the paper I describe an example, inspired by a similar case due to Sydney Shoemaker, in which a subject, despite being fully rational and attentive, apparently is systematically mistaken about the character of their experience in a surprising way. I argue that the example calls into question whether there are properties of experience satisfying the epistemic access constraint, and therefore whether experience has “phenomenal properties” in the intuitive sense. (shrink)

Modern warfare cannot be conducted without civilians being killed. In order to reconcile this fact with the principle of discrimination in just war theory, the principle is applied through the doctrine of double effect. But this doctrine is morally inadequate because it is too permissive regarding the risk to civilians. For this reason, Michael Walzer has suggested that the doctrine be supplemented with what he calls the idea of double intention: combatants are not only to refrain from intending to harm (...) civilians; they are also to take precautions to reduce risk to civilians, even at the expense of increasing risk to themselves. The article develops the idea of double intention by addressing two questions: What does it mean to intend to reduce civilian risk, and how much should civilian risk be reduced? The results of this discussion are then used to consider a moral issue that arises in technologically asymmetric warfare, namely, the extent to which the use of precision-guided munitions, which allow more accurate targeting, can by itself bear the moral burden imposed by the principle of discrimination. (shrink)

Bio-heteronormative conceptions of the family have long reinforced a nuclear ideal of the family as a heterosexual marriage, with children who are the genetic progeny of that union. This ideal, however, has also long been resisted in light of recent social developments, exhibited through the increased incidence and acceptance of step-families, donor-conceived families, and so forth. Although to this end some might claim that the bio-heteronormative ideal is not necessary for a social unit to count as a family, a more (...) systematic conceptualization of the family—the kind of family that matters morally—is relatively underexplored in the philosophical literature. This paper makes a start at developing and defending an account of the family that is normatively attractive and in line with the growing prevalence of non-conventional families and methods of family-formation. Our account, which we call a constitutive-affirmative model of the family, takes the family to be constituted by an ongoing process of relevant affective and affirmative relations between the putative family members. (shrink)

For the first time, the revised Common Rule specifies that public health surveillance activities are not research. This article reviews the historical development of the public health surveillance exclusion and implications for other foundational public health practices.

In the literature of environmental philosophy, the single most potent argument that has been made against the claim that nature may possess intrinsic value in any objective sense is the Humean thesis of projectivism and its associated view that human consciousness is the source of all values. Theorists, in one way or another, have to face up to this challenge. For instance, J. Baird Callicott upholds this Humean foundation to modern Western philosophy. However, by distinguishing between the source and locus (...) of value, he makes it possible to argue that nature is the locus of intrinsic value without at the same time compromising the thesis that human consciousness is the source of all values. On the other hand, Holmses Rolston, III, another eminent environmental philosopher, criticizes the distinction as well as challenges the Humean foundation itself. In this article, I attempt to resolve the disagreement between Callicott and Rolston over this particular distinction, thereby doing justice to the insights which each theorist, undoubtedly, has brought to bear on the issue of intrinsic value, at least as far as individual organisms is concerned. However, I am also critical of both for having failed to draw out the full implications behind certain crucial distinctions that should be made about the notion of intrinsic value itself. (shrink)

There are a wide variety of potential applications of artificial intelligence (AI) in Defence settings, ranging from the use of autonomous drones to logistical support. However, limited research exists exploring how the public view these, especially in view of the value of public attitudes for influencing policy-making. An accurate understanding of the public’s perceptions is essential for crafting informed policy, developing responsible governance, and building responsive assurance relating to the development and use of AI in military settings. This study is (...) the first to explore public perceptions of and attitudes towards AI in Defence. A series of four focus groups were conducted with 20 members of the UK public, aged between 18 and 70, to explore their perceptions and attitudes towards AI use in general contexts and, more specifically, applications of AI in Defence settings. Thematic analysis revealed four themes and eleven sub-themes, spanning the role of humans in the system, the ethics of AI use in Defence, trust in AI versus trust in the organisation, and gathering information about AI in Defence. Participants demonstrated a variety of misconceptions about the applications of AI in Defence, with many assuming that a variety of different technologies involving AI are already being used. This highlighted a confluence between information from reputable sources combined with narratives from the mass media and conspiracy theories. The study demonstrates gaps in knowledge and misunderstandings that need to be addressed, and offers practical insights for keeping the public reliably, accurately, and adequately informed about the capabilities, limitations, benefits, and risks of AI in Defence. (shrink)

In this article, I argue that various epistemic challenges associated with eating disorders (EDs) can negatively affect the care of already marginalized patient groups with various EDs. I will first outline deficiencies in our understanding of EDs—in research, healthcare settings, and beyond. I will then illustrate with examples cases where discriminatory misconceptions about what EDs are, the presentation and treatment of EDs, and who gets EDs, instantiate obstacles for the treatment of various ED patient groups.

Female-biased parental investment is unusual but not unknown in human societies. Relevant explanatory models include Fisher’s principle, the Trivers-Willard model, local mate and resource competition and enhancement, and economic rational actor models. Possible evidence of female-biased parental investment includes sex ratios, mortality rates, parents’ stated preferences for offspring of one sex, and direct and indirect measurements of actual parental behavior. Possible examples of female-biased parental investment include the Mukogodo of Kenya, the Ifalukese of Micronesia, the Cheyenne of North America, the (...) Herero of southern Africa, the Kanjar of south Asia, the Mundugumor of New Guinea, contemporary North America, and historical Germany, Portugal, and the United States. (shrink)

For many, Thomas Beauchamp and James Childress have elaborated moral reasoning by using the four principles whereby all substantive problems of medical ethics (and of ethics more generally) can be properly analysed and cogent philosophical solutions for the problems can be found. It seems that their ‘principlism’ gets updated, with better features being added during the course of the six editions of Principles of Biomedical Ethics. Nonetheless, Beauchamp and Childress seem to have been losing their way when it comes to (...) the common-morality justification, which is the epistemological (and perhaps metaphysical) backbone of their method, and this is shown more vividly in their most recent (2009) edition of Principles of Biomedical Ethics. The author points out what he calls the problem of ‘thick in status, thin in content’ in principlism. The problem exists because principlism cannot adequately explain how the prescriptive sense of common morality it supports is consistent with the existence of what Beauchamp and Childress call the ‘legitimate moral diversity in the world’. Because of this problem, first, the practical end that principlism allegedly accomplishes (ie, providing practical moral guidelines in a relatively ‘thick’ content, based on common morality) is frustrated, and, second, principlism makes itself the method of common morality de jure and of moral pluralism de facto. (shrink)

The Organization of Economic Co-operation and Development’s (OECD) global governance of education has been gradually increasing. Its field of interest is currently expanding from educational evaluation through the Program for International Student Assessment (PISA) to curriculum reform through the Education 2030 project. Here, it is interesting to note that the nature of the terms the OECD has been creating reveals a ‘humanistic turn’. This shows up well in the frequent occurrence of terms such as ‘well-being’, ‘attitudes and values’, ‘inclusiveness’, ‘responsibility’, (...) and ‘sustainability’ in the ongoing Education 2030 project. Perhaps this new humanistic discourse increases the likelihood of the smooth adoption of the OECD’s proposed curriculum redesign in more countries. If the OECD’s new discourse captures and transforms contemporary people’s ways of thought and practice about education, then this is related to the problem of colonialism in our era. It is also worth noting that language plays a vital role in colonization. In particular, the need for translation between different languages serves as a useful means for colonization. Conversely, it is also seen as having a potential decolonizing power. In this context, I would like to examine the new language the OECD has adopted, specifically regarding student experience and the nature of knowing. Next, I shall attempt to criticize the underlying educational assumptions in the OECD’s pronouncements. Following this, I shall explore how the OECD’s new discourse has been translated in South Korea, taking this as an example of wider experience in the East Asian context and possibly elsewhere. Finally, I shall conclude by considering the direction of curriculum decolonization in terms of translation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Casting a Vote for Subordination Using a SlurDuckkyun Lee1. IntroductionIn this paper, I develop an account of slurs focusing on their two underappreciated features. The first underappreciated feature is what I call their "communal nature." Slurs are communal. The meaning of a slur depends on the existence of a significant number of people who are bigoted against the target. When this condition is not satisfied, a slur loses its (...) power to offend. This can be seen when we consider how philosophers choose examples of slurs to avoid offending people. For example, Williamson, in his essay "Reference, Inference and the Semantics of Pejoratives," uses a slur for Germans as his main example. What makes the slur for Germans a safe example to use is the fact that there is no widespread bigotry against Germans in any Anglophone country. Had there been strong enmity between Germans and the people in the Anglophone countries, even if Williamson had chosen an outdated slur, his example would not have been such a safe choice. Slurs are words that bigots use to offend and harm the people they are bigoted against. When there are no bigots, neither are there slurs.The focus on the communal nature of slurs leads to the second underappreciated feature of slurs. A bigot does not use a slur just to express his beliefs or feelings, but to subordinate his target. To subordinate others, a bigot needs to cooperate and coordinate with other bigots. In this paper, I will propose a mechanism for how slurs work as a tool for coordinating subordination. To account for the communal and subordinating nature of slurs, I turn to speech act theory and explain what kind of illocutionary act is performed when one uses a slur.1My proposal is to understand utterances made using a slur, or slurring,2 as an act of casting a vote for ranking the target as socially inferior. On this [End Page 37] view, a slur is a conventional tool used to cast a vote demanding the subordination of its target. The considerations that motivate this view are as follows: First, the uses of a slur are the results of consciously choosing it over its neutral counterpart. By explicitly avoiding a neutral counterpart term, one can show their support for fellow bigots and the willingness to participate in whatever activity they do. Second, the point of using a slur does not seem to be exhausted by its role of expressing the bigot's negative beliefs about the target. We can see this when we consider that the way to fight a slur is to impose strict prohibitions against its use, not by objecting to the content of the slurring utterance. This can be better explained when we understand the slur as a conventional tool for the performance of a certain type of action, rather than a word that has distinctive descriptive content different from the descriptive content of its neutral counterpart. Finally, the point of some speech acts is not just expressing the state of the mind of the speaker. The point of some speech acts is to change what is the case in society. To make an utterance using a slur seems to fall into this latter category of speech acts. What would bigots be up to if they were not engaged in the project of creating a society where their target was inferior to them? This consideration suggests that making an utterance using a slur might fall into the kind of speech act Searle calls declaration (Taxonomy 361–68). As a declaration, slurring is an attempt to change society such that the target is subordinated.Insofar as an election is understood as a process within which people collectively decide on what should be the case in society by indicating their stance for or against a proposal, slurring can be understood as a casting of a vote in the election bigots' proposal to subordinate their target. I argue that this account can better explain why a slur cannot function as a slur without there being a significant number of bigots, and how it is used to coordinate the bigots' effort of subordinating their target.The paper... (shrink)

The mechanism underlying action potentials is routinely used to explicate the mechanistic model of explanation in the philosophy of science. However, characterisations of action potentials often fixate on neurons, mentioning plant cells in passing or ignoring them entirely. The plant sciences are also prone to neglecting non-neuronal action potentials and their role in plant biology. This oversight is significant because plant action potentials bear instructive similarities to those generated by neurons. This paper helps correct the imbalance in representations of action (...) potentials by offering an overview of the mechanism for plant action potentials and highlighting their similarity to those in neurons. Furthermore, it affirms the role of plant action potentials in discovering the evolution and function of mechanisms of action potentials more broadly. We stress the potential of plants for producing generalisations about action potentials and the possible role of plants as experimental organisms. (shrink)

Background Nurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading to moral distress. However, existing quantitative studies have examined moral distress using instruments that address general clinical situations rather than those specific to end-of-life care. Furthermore, qualitative studies have often been limited to participants from a single unit or those experiencing moral distress-induced circumstances. A comprehensive and integrated understanding of the overarching process of moral distress is vital to discern the unique circumstances surrounding (...) end-of-life care and its consequential impacts. Research objectives To explore the moral distress experiences of nurses who are frequently involved in caring for patients with end-of-life or terminal illnesses and apply it to two existing theories: the model of moral distress and the ecological model. Research design A qualitative descriptive approach was employed. Participants and research context Seven focus group interviews involving 30 nurses were performed. The subsequent transcriptions underwent rigorous content analysis. Ethical considerations We obtained Institutional Review Board approval from a university. Focus group interviews were conducted with nurses who agreed to participate and signed the consent form. Findings The moral distress-inducing factors and nurses’ perceived impact of moral distress were identified and categorized based on moral distress theories and ecological models. A total of 15 categories and 30 subcategories across the following 4 domains were derived: (1) intrapersonal, (2) interpersonal, (3) organizational, and (4) structural factors. Conclusions End-of-life-specific circumstances induced moral distress among nurses, with both negative and positive impacts identified. Effective organizational and policy support is essential to manage conflicts, form a healthy organizational culture, provide training, and prevent unnecessary expenses due to the negative consequences of moral distress. (shrink)

A concern central to virtually all full-blooded instances of religious ethics is how persuasively to represent a world central to our fulfillment that far exceeds our normal understanding. The treatment of three kinds of language in an early Daoist text, the Zhuangzi (Chuang Tzu), contains an especially profound discussion and expression of such persuasive presentations in religious ethics. This study examines it and concludes by viewing Dante's Commedia through the perspectives Zhuangzi's ideas and practices present.

Robert Brandom argues for a “pragmatic phenomenalist account” of knowledge. On this account, we should understand our notion of justification in accordance with a Sellarsian social practice model, and there is nothing more to the phenomenon of knowledge than the proprieties of takings-as-knowing. I agree with these two claims. But Brandom's proposal is so sketchy that it is unclear how it can deal with a number of much-discussed problems in contemporary epistemology. The main purpose of this article is to develop (...) and defend a pragmatic phenomenalist account of knowledge by resolving those problems. I argue, in particular, that this account can accommodate both the lesson of the Gettier problem and the lesson of reliabilism simultaneously. -/- RÉSUMÉ: Robert Brandom soutient une «théorie pragmatique et phénomenaliste» de la connaissance. Selon cette théorie, nous devons comprendre notre notion de justification d'après un modèle sellarsien de la pratique sociale, et il n'y a rien d'autre dans phénomène de connaissance que la pertinence de «prendre-pour-connaître». Je suis tout à fait d'accord avec ces deux opinions. Mais la thèse de Brandom est si sommaire qu'il n'est pas évident de savoir comment elle peut trailer les nombreux problèmes discutés en épistémologie contemporaine. Le but principal de cet article est de développer et défendre une théorie pragmatique et phénomenaliste de la connaissance en résolvant ces problèmes. Je soutiens, en particulier, que cette théorie peut s'accorder en même temps à lerçon du problème de Gettier et au «fiabilisme». (shrink)

Recent attempts to provide a viable account of decision making under normative uncertainty through the use of voting procedures seem promising, but incomparable options pose a challenge. This paper focuses on the so-called Borda approach to decision making under normative uncertainty (MacAskill, Mind 125(500):967–1004, 2016 ; MacAskill et al., Moral uncertainty, Oxford University Press, 2020 ) and illustrates how an extended version of it aimed at accommodating incomplete preference orderings associated with normative theories fails. I propose a different account for (...) proponents fond of the voter-theoretic approach that is grounded by _approval voting_, which sufficiently addresses the problem of option incomparability and is pragmatically compelling due to its simpler structure. (shrink)