Medical students lack opportunities to have authentic conversations with patients with cancer in busy hospitals. An improved understanding of what such communication might look like may provide a framework for end-of-life curricula. The authors performed thematic analysis using written correspondence between patient and student participants in the University of California, San Francisco’s Firefly Program whose letters discussed death or dying. Four themes emerged: (1) turmoil, (2) grief, (3) making peace, and (4) past, present, and future. Medical students expressed a fifth (...) theme: unmet student expectations. The study provides educators with a unique perspective to help inform curriculum development and patient care. (shrink)

Post-communist Eastern and Central Europe has witnessed a rise in ethnonationalism. The struggle of identity formation has often involved a re/turn to traditional, or even fundamentalist, religious practices that are authoritarian and patriarchal. Faith communities within such a sway often undermine the organs of society that ideally in a democracy negotiate between the government and the citizenry, the domain of civil society.Since the end of the civil war of 1992-1995, Bosnia and Herzegovina (BiH) has struggled under the constraints of the (...) Dayton Peace Agreement, which institutionalized a tri-partite government along ethno-national lines. Today this country lags behind every successor state of Yugoslavia (measured by GDP per capita), and political instability continues to thwart hopes for EU ascension. A civil society that fosters a critical citizenry offers hope for support of constitutional amendments that would recreate and support a functioning multiethnic state. Despite the common association of faith communities and ethno-nationalism, some work, usually “on the ground,” to create a civil society that engages both the political and religious hierarchies.The representatives of faith communities considered here, in BiH and Croatia, who must maintain a lower profile politically, receive, consequently, less attention in the international arena. Yet, their work provides crucial support for European integration and open societies in the region and deserves special attention now, when the threat to their work is on the rise. (shrink)

Narratives surrounding ionizing radiation have often minimized radioactivity’s impact on the health of human and non-human animals and the natural environment. Many Cold War research policies, practices, and interpretations drove nuclear technology forward by institutionally obscuring empirical evidence of radiation’s disproportionate and low-dose harm—a legacy we still confront. Women, children, and pregnancy development are particularly sensitive to exposure from radioactivity, suffering more damage per dose than adult males, even down to small doses, making low doses a cornerstone of concern. Evidence (...) of compounding generational damage could indicate increased sensitivity through heritable impact. This essay examines the existing empirical evidence demonstrating these sensitivities, and how research institutions and regulatory authorities have devalued them, willingly sacrificing health in the service of maintaining and expanding nuclear technology. Radiation’s disproportionate impacts should now be the research and policy focus, as society is poised to make crucial and long-lasting decisions regarding climate change mitigation and future energy sources. (shrink)

Foucault’s later writings continue his analyses of subject-formation but now with a view to foregrounding an active subject capable of self-transformation via ascetical and other self-imposed disciplinary practices. In my essay, I engage Foucault’s studies of ancient Greco-Roman and Christian technologies of the self with a two-fold purpose in view. First, I bring to the fore additional continuities either downplayed or overlooked by Foucault’s analysis between Greco-Roman transformative practices including self-writing, correspondence, and the hupomnemata and Christian ascetical and epistolary practices. (...) Second, I add exegetical support to recent arguments denying Foucault’s advocacy for the death of the subject per se. In fact, my analyses show that Foucault’s ethico-aesthetic turn and its corresponding concern with self-transformation and self-(re)constitution via ascetical practices assumes a subject with rational and volitional capacities. Without these capacities, the art of living Foucault describes is not possible. (shrink)

Previous research indicates that students in engineering self-report cheating in college at higher rates than those in most other disciplines. Prior work also suggests that participation in one deviant behavior is a reasonable predictor of future deviant behavior. This combination of factors leads to a situation where engineering students who frequently participate in academic dishonesty are more likely to make unethical decisions in professional practice. To investigate this scenario, we propose the hypotheses that (1) there are similarities in the decision-making (...) processes used by engineering students when considering whether or not to participate in academic and professional dishonesty, and (2) prior academic dishonesty by engineering students is an indicator of future decisions to act dishonestly. Our sample consisted of undergraduate engineering students from two technically-oriented private universities. As a group, the sample reported working full-time an average of six months per year as professionals in addition to attending classes during the remaining six months. This combination of both academic and professional experience provides a sample of students who are experienced in both settings. Responses to open-ended questions on an exploratory survey indicate that students identify common themes in describing both temptations to cheat or to violate workplace policies and factors which caused them to hesitate in acting unethically, thus supporting our first hypothesis and laying the foundation for future surveys having forced-choice responses. As indicated by the responses to forced-choice questions for the engineering students surveyed, there is a relationship between self-reported rates of cheating in high school and decisions to cheat in college and to violate workplace policies; supporting our second hypothesis. Thus, this exploratory study demonstrates connections between decision-making about both academic and professional dishonesty. If better understood, these connections could lead to practical approaches for encouraging ethical behavior in the academic setting, which might then influence future ethical decision-making in workplace settings. (shrink)

Black and Wilensky (1979) have made serious methodological errors in analyzing story grammars, and in the process they have committed additional errors in applying formal language theory. Our arguments involve clarifying certain aspects of knowledge representation crucial to a proper treatment of story understanding.Particular criticisms focus on the following shortcomings of their presentation: 1) an erroneous statement from formal language theory, 2) misapplication of formal language theory to story grammars, 3) unsubstantiated and doubtful analogies with English grammar, 4) various non (...) sequiturs concerning the generation of non‐stories, 5) a false claim based on the artificial distinction between syntax and semantics, and 6) misinterpretation of the role of story grammars in story understanding.We conclude by suggesting appropriate criteria for the evaluation of story grammars. (shrink)

The studies of mind and language have traditionally been linked to one another. Indeed, theories of reference have over time brought more and more mind into meaning. Here I argue that the links must be made far stronger still if we are to understand either. I offer some criticism of the causal-functionalist theories of reference on this ground, and present some ideas for improvements. The upshot will be that intentionality is largely internal and very real indeed, that it provides a (...) genuine distinction between systems that have it and ones that do not, and that it hinges on internal complexities of a specifiable sort, ones that are tied to the detection of error. What is meaning, what is it good for, and what is a naturalist account of how it works? In this paper. I will argue that first two of these questions should be answered primarily in terms of processes inside the mind/brain, contrary to most recent thinking on this. In the sequel paper, I will argue that a key aspect of this is the physical body of the meaning agent, and propose a way in which this might work and how an external notion of reference can be recaptured from internal processes. (shrink)

When certain formal symbol systems (e.g., computer programs) are implemented as dynamic physical symbol systems (e.g., when they are run on a computer) their activity can be interpreted at higher levels (e.g., binary code can be interpreted as LISP, LISP code can be interpreted as English, and English can be interpreted as a meaningful conversation). These higher levels of interpretability are called "virtual" systems. If such a virtual system is interpretable as if it had a mind, is such a "virtual (...) mind" real? This is the question addressed in this "virtual" symposium, originally conducted electronically among four cognitive scientists: Donald Perlis, a computer scientist, argues that according to the computationalist thesis, virtual minds are real and hence Searle's Chinese Room Argument fails, because if Searle memorized and executed a program that could pass the Turing Test in Chinese he would have a second, virtual, Chinese-understanding mind of which he was unaware (as in multiple personality). Stevan Harnad, a psychologist, argues that Searle's Argument is valid, virtual minds are just hermeneutic overinterpretations, and symbols must be grounded in the real world of objects, not just the virtual world of interpretations. Computer scientist Patrick Hayes argues that Searle's Argument fails, but because Searle does not really implement the program: A real implementation must not be homuncular but mindless and mechanical, like a computer. Only then can it give rise to a mind at the virtual level. Philosopher Ned Block suggests that there is no reason a mindful implementation would not be a real one. (shrink)

I argue that consciousness is an aspect of an agent's intelligence, hence of its ability to deal adaptively with the world. In particular, it allows for the possibility of noting and correcting the agent's errors, as actions performed by itself. This in turn requires a robust self-concept as part of the agent's world model; the appropriate notion of self here is a special one, allowing for a very strong kind of self-reference. It also requires the capability to come to see (...) that world model as residing in its belief base , while then representing the actual world as possibly different, i.e., forming a new world-model. This suggests particular computational mechanisms by which consciousness occurs, ones that conceivably could be discovered by neuroscientists, as well as built into artificial systems that may need such capabilities. Consciousness, then, is not an epiphenomenon at all, but rather a key part of the functional architecture of suitably intelligent agents, hence amenable to study as much as any other architectural feature. I also argue that ignorance of how subjective states could be essentially functional does not itself lend credibility to the view that such states are not essentially functional; the strong self-reference proposal here is one possible functional explanation of consciousness. (shrink)

ABSTRACT Although much effort has been expended by researchers in trying to maintain a consistent belief base in formalizing commonsense reasoning, there is some evidence that the nature of commonsense reasoning itself brings inconsistencies with it. I will outline a number of sources of such inconsistencies, and discuss why they appear unavoidable. I will also suggest that, far from being a roadblock to effective commonsense, (detected) inconsistencies are often a reasoner's best guide to what to do next.

The studies of mind and language have traditionally been linked to one another. Indeed, theories of reference (meaning, intentionality, content) have over time brought more and more mind into meaning. Here I argue that the links must be made far stronger still if we are to understand either. I offer some criticism of the causal-functionalist theories of reference on this ground, and present some ideas for improvements. The upshot will be that intentionality is largely internal and very real indeed, that (...) it provides a genuine distinction between systems that have it and ones that do not, and that it hinges on internal complexities of a specifiable sort, ones that are tied to the detection of error. What is meaning, what is it good for, and what is a naturalist (non-intentional) account of how it works? In this paper (part I of a two-part work). I will argue that first two of these questions should be answered primarily in terms of processes inside the mind/brain, contrary to most recent thinking on this. In the sequel paper (part II), I will argue that a key aspect of this is the physical body of the meaning agent, and propose a way in which this might work and how an external notion of reference can be recaptured from internal processes. (shrink)

Bojadziev has taken issue with my distinction between strong and weak self-reference, in saying that it is reference in general and not simply self-reference, that either is strong or weak. I agree completely. Here I clarify how I intend those notions and why I think that the strong case of self-reference is worthy of special attention. In short, I argue that all forms of referring involve a kind of self-referring.

ABSTRACT Certain problems in commonsense reasoning lend themselves to the use of non-standard formalisms which we call active logics. Among these are problems of objects misidentification. In this paper we describe some technical issues connected with automated inference in active logics, using particular object misidentification problems as illustrations. Control of exponential growth of inferences is a key issue. To control this growth attention is paid to a limited version of an inference rule for negative introspection. We also present some descriptive (...) statistics for comparison with earlier active-logic approaches. (shrink)

The process of rationally revising beliefs in the light of new information is a topic of great importance and long-standing interest in artificial intelligence. Moreover, significant progress has been made in understanding the philosophical, logical, and computational foundations of belief revision. However, very little research has been reported with respect to the revision of other mental states, most notably propositional attitudes such as desires and intentions. In this paper, we present a first attempt to formulate a general framework for understanding (...) the revision of mental states. We develop an abstract belief-desire-intention model of agents, and introduce a notion of rationality for this model. We then present a series of formal postulates characterizing the processes of adding beliefs, desires, and intentions, updating costs and values, and removing beliefs, desires, and intentions. We also investigate the computational complexity of several problems involving the abstract model and comment on algorithms for revision. (shrink)

In this paper we provide an account of the structural underpinnings of self-awareness. We offer both an abstract, logical account.

In this paper, we present a meta-cognitive approach for dropping and reconsidering intentions, wherein concurrent actions and results are allowed, in the framework of the time-sensitive and contradiction-tolerant active logic.

This commentary suggests an alternate definition for metacognition, as well as an alternate basis for the relation in representation. These together open the way for an understanding of mindreading that is significantly different from the one advocated by Carruthers.

This volume is a comprehensive survey of contemporary thought on a wide range of issues and provides students with the basic background to current debates in metaphysics.

BackgroundTranscranial magnetic stimulation (TMS) is an FDA approved treatment for major depression, migraine, obsessive compulsive disorder, and smoking addiction. TMS has gained popular media support, but media coverage and commercial reporting of TMS services may be contributing to the landscape of ethical issues.MethodsWe explore the differences between the academic and print media literature portrayals of TMS to evaluate their ethical impact for the public. We performed a comprehensive literature review using PubMed and NexisUni databases to evaluate the literature available on (...) TMS from 2014 to 2019. Our sample consisted of 1632 academic articles and 468 print media articles for a total of 2100 articles. We then coded each article for seven specific top-level codes: (1) type of source, (2) year of publication, (3) purpose of TMS application, (4) age of subjects, (5) population, (6) overall tone, and (7) specification of TMS parameters. We also made some additional notes of the TMS parameters where specified and the breakdown of mental health applications.ResultsOur results indicated several discrepancies between the academic and the print media reporting about TMS technology, particularly with regards to tone and specificity. Namely, the academic sample was largely neutral and specific about the parameters under which TMS was being applied, while the print media sample was heavily optimistic and presented the application of TMS with far less specificity. There was some convergence between the two samples, such as the focus of both on therapy as the predominant TMS application.ConclusionsWe call upon the academic community to increase scrutiny of TMS services in order to ensure that people’s knowledge of health technologies is not unduly influenced by sensational claims and a general lack of adequate information. (shrink)

The volume also extends the debate about emergence by considering the independence of chemical properties from physical properties, and investigating what would ...

Wexler and Specker Sullivan (2023) note that, “unbridled speculation can imperil the credibility of neuroethics, generate unrealistic expectations amongst different stakeholders, take up time that...

Donepezil, an acetylcholinesterase inhibitor used in the treatment of Alzheimer's disease, has been widely cited in media and bioethics literature on cognitive enhancement (CE) as having the potential to improve the cognitive ability of healthy individuals. In both literatures, this claim has been repeatedly supported by the results of a small study published by Yesavage et al. in 2002 on non-demented pilots (30-70 years old). The factors contributing to this specific interpretation of this study's results are unclear.

Advance directives are critically important for capable individuals who wish to avoid the burdens of life-prolonging interventions in the advanced stages of dementia. However, this paper will argue that advance directives should have less application to questions about feeding patients during the clinical course of dementia than often has been presumed. The argument will be framed within the debate between Ronald Dworkin and Rebecca Dresser regarding the moral authority of precedent autonomy to determine an individual’s future end-of-life care plan. We (...) will use a brief analysis of the positions taken in two important papers that come out of the Dworkin/Dresser debate and a hypothetical patient, John, who will be followed from diagnosis of dementia to death, to show how advance directives should apply to key points in the progression of his disease, particularly in relation to food and nutrition. (shrink)

Abstract: When things go badly, we notice that something is amiss, figure out what went wrong and why, and attempt to repair the problem. Artificial systems depend on their human designers to program in responses to every eventuality and therefore typically don’t even notice when things go wrong, following their programming over the proverbial, and in some cases literal, cliff. This article describes our work on the Meta-Cognitive Loop, a domain-general approach to giving artificial systems the ability to notice, assess, (...) and repair problems. The goal is to make artificial systems more robust. (shrink)