We suggest that in the particular context of medical education, ethics can be considered in a similar way to other kinds of knowledge that are categorised and shaped by academics in the context of wider society. Moreover, the study of medical ethics education is translational in a manner loosely analogous to the study of medical education as adjunct to translational medicine. Some have suggested there is merit in the idea that much as translational research attempts to connect the laboratory scientist's (...) work to its implications for patient care, translational ethics focuses on bringing ethics scholarship into the sphere of personal and public action. We distinguish the term ‘translational ethics’ (the study of ethics being translated between academy, classroom and clinic) from other prominent definitions in the bioethics literature. To do this, we build off a notion of knowledge translation that focuses on the nonlinear movement of information that comes to professionals through multiple competing sources. We suggest that this knowledge, and particularly knowledge about ethics, becomes embodied by the individual. It is through a reflective practice that internally embedded ethics knowledge might be modified, and this work might be best carried out with a moral community that maintains a sense of practical wisdom. Applying this translational approach to the study of medical ethics education can be both academically relevant and practically useful. This view of translation can help bridge the evident, multidirectional relationships between research, education and performance. It might also create further opportunities to develop medical ethics education theory. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Fallout from Government-Sponsored Radiation ResearchCarol Mason Spicer (bio)On December 28, 1993, Energy Secretary Hazel R. O'Leary publicly appealed to both the executive and legislative branches of the United States Government to consider compensation for individuals who were harmed by their exposure to ionizing radiation while enrolled in government-sponsored studies conducted between 1940 and the early 1970s.1 The call for compensation was issued three weeks after Secretary O'Leary disclosed (...) that radiation experiments involving humans, sometimes without their consent, had occurred under the auspices of the Atomic Energy Commission (AEC), a forerunner of the Department of Energy (DOE). Secretary O'Leary directed her department to investigate the nature and extent of the experiments, report on their medical and ethical acceptability, and locate the research subjects or their families.Background to the Federal Advisory CommitteeDespite the fact that the existence of many government-sponsored radiation experiments was not a secret—much of the research was reported at the time in scientific journals, and in 1986, Representative Edward J. Markey (D-MA) conducted congressional hearings on such radiation research—Secretary O'Leary's disclosure of the AEC experiments and her call for compensation made the experiments common knowledge and sparked a swift and complex governmental response involving both the executive and legislative branches.It is curious that the "radiation experiments" have garnered so much attention now, since they were virtually ignored in the wake of the 1986 hearings. Secretary O'Leary's disclosure of the radiation studies grew out of a general reassessment of secrecy in government. In April 1993, the Clinton administration set out to review the system of government secrecy that evolved during the Cold War, and in May 1993, DOE began reviewing and declassifying files pertaining to nuclear weapons research. When Dan Reicher, a top aide to Secretary O'Leary, informed her in November of the impending publication of an Albuquerque Tribune investigative report (Welsome 1993) on an experiment conducted between 1945 and 1947 in which 18 subjects were injected with plutonium, [End Page 147] the topic of questionable research involving the exposure of human subjects to radiation was added to the DOE list of information to be disclosed. At the time, it was thought to be but one small part of a massive quantity of DOE information to be made public.As part of its effort to investigate the radiation experiments, DOE established a toll-free telephone hot line for individuals who thought they might have been the subjects of radiation exposure experiments. The hot line, originally staffed by three people to handle the anticipated few dozen calls per day, received more than 2,000 calls in the first week. By early January the hot line was flooded with 6,000 to 10,000 calls daily, and its staff had increased more than ten-fold. Although many of the calls were deemed not to be candidates for further investigation, the extent of the radiation-related experiments, sponsored not only by AEC, but also by the military and other government departments and agencies, took officials by surprise.On December 30, the Department of Defense, the Department of Veterans Affairs, and the National Aeronautics and Space Administration all announced that they were initiating thorough reviews of their files to determine the extent and nature of any radiation experiments conducted under their auspices.2 In January, the CIA and the Department of Health and Human Services, including the National Institutes of Health, followed suit.The White House publicly entered the arena in late December announcing that it would hold a meeting on January 3, 1994, to help coordinate the government's investigative effort. At the same time, Senator Edward M. Kennedy (D-MA) called for a mid-January congressional hearing to investigate experiments conducted between 1946 and 1956 in which mentally retarded boys at the Fernald State School in Massachusetts were fed radioactive iron supplements or milk containing radioactive calcium to enable researchers to trace the absorption of those nutrients. Senator Kennedy's hearing, conducted by the Subcommittee on Health of the Senate Committee on Labor and Human Resources, was the first of a number of congressional hearings held earlier this year to investigate the... (shrink)

Philosophers concerned with the question ‘ what is a person?’ have often appealed to the claim that persons are essentially rational beings. Those who make this appeal, though, tend to develop it by spelling out the key notion of rationality in terms of practical rationality: to be a person, one must be able to deliberate, choose a course of action and intentionally act according to one's chosen course. In this book, Simon Evnine argues that epistemic rationality is essential to being (...) a person: personhood requires that one must possess certain logical concepts and live up to certain epistemic norms. This is a novel suggestion – one that I am sure many theorizers about personhood would agree with, but which has not been worked out in this level of detail before. The book promises, then, to be a valuable addition to the literature on personhood, and also promises to be an interesting read – weaving a set of interesting connections between our notion of a person and logical and epistemic notions and norms. In fact, though, the book does not live up to its promise, for reasons I will elaborate later in this review. Getting into more detail, Evnine argues that it …. (shrink)

In this paper I examine the way appeals to pretheoretic intuition are used to support epistemological theses in general and the thesis of epistemic contextualism in particular. After outlining the sceptical puzzle and the contextualist's resolution of that puzzle, I explore the question of whether this solution fits better with our intuitive take on the puzzle than its invariantist rivals. I distinguish two kinds of fit a theory might have with pretheoretic intuitions--accommodation and explanation, and consider whether achieving either kind (...) of fit would be a virtue for a theory. I then examine how contextualism could best claim to accommodate and explain our intuitions, building the best case that I can for contextualism, but concluding that there is no reason to accept contextualism either in the way it accommodates nor the way it explains our intuitions about the sceptical puzzle. (shrink)

_Not exercising as much as you should? Counting your calories in your sleep? Feeling ashamed for not being happier? You may be a victim of the wellness syndrome._ In this ground-breaking new book, Carl Cederström and André Spicer argue that the ever-present pressure to maximize our wellness has started to work against us, making us feel worse and provoking us to withdraw into ourselves. The Wellness Syndrome follows health freaks who go to extremes to find the perfect diet, corporate (...) athletes who start the day with a dance party, and the self-trackers who monitor everything, including their own toilet habits. This is a world where feeling good has become indistinguishable from being good. Visions of social change have been reduced to dreams of individual transformation, political debate has been replaced by insipid moralising, and scientific evidence has been traded for new-age delusions. A lively and humorous diagnosis of the cult of wellness, this book is an indispensable guide for everyone suspicious of our relentless quest to be happier and healthier. (shrink)

Multi-stakeholder initiatives have become a vital part of the organizational landscape for corporate social responsibility. Recent debates have explored whether these initiatives represent opportunities for the “democratization” of transnational corporations, facilitating civic participation in the extension of corporate responsibility, or whether they constitute new arenas for the expansion of corporate influence and the private capture of regulatory power. In this article, we explore the political dynamics of these new governance initiatives by presenting an in-depth case study of an organization often (...) heralded as a model MSI: the Forest Stewardship Council. An effort to address global deforestation in the wake of failed efforts to agree a multilateral convention on forests at the Rio Summit in 1992, the FSC was launched in 1993 as a non-state regulatory experiment: a transnational MSI, administering a global eco-labeling scheme for timber and forest products. We trace the scheme’s evolution over the past two decades, showing that while the FSC has successfully facilitated multi-sectoral determination of new standards for forestry, it has nevertheless failed to transform commercial forestry practices or stem the tide of tropical deforestation. Applying a neo-Gramscian analysis to the organizational evolution of the FSC, we examine how broader market forces and resource imbalances between non-governmental and market actors can serve to limit the effectiveness of MSIs in the current neo-liberal environment. This presents dilemmas for NGOs which can lead to their defection, ultimately undermining the organizational legitimacy of MSIs. (shrink)

Behavioral genetics and cultural evolution have both revolutionized our understanding of human behavior – largely independent of each other. Here, we reconcile these two fields under a dual inheritance framework, offering a more nuanced understanding of the interaction between genes and culture. Going beyond typical analyses of gene–environment interactions, we describe the cultural dynamics that shape these interactions by shaping the environment and population structure. A cultural evolutionary approach can explain, for example, how factors such as rates of innovation and (...) diffusion, density of cultural subgroups, and tolerance for behavioral diversity impact heritability estimates, thus yielding predictions for different social contexts. Moreover, when cumulative culture functionally overlaps with genes, genetic effects become masked, unmasked, or even reversed, and the causal effects of an identified gene become confounded with features of the cultural environment. The manner of confounding is specific to a particular society at a particular time, but a WEIRD (western, educated, industrialized, rich, and democratic) sampling problem obscures this boundedness. Cultural evolutionary dynamics are typically missing from models of gene-to-phenotype causality, hindering generalizability of genetic effects across societies and across time. We lay out a reconciled framework and use it to predict the ways in which heritability should differ between societies, between socioeconomic levels, and other groupings within some societies but not others, and over the life course. An integrated cultural evolutionary behavioral genetic approach cuts through the nature–nurture debate and helps resolve controversies in topics such as IQ. (shrink)

What is the relationship between perception and action, between an organism and its environment, in explaining consciousness? These are issues at the heart of philosophy of mind and the cognitive sciences. This book explores the relationship between perception and action from a variety of interdisciplinary perspectives, ranging from theoretical discussion of concepts to findings from recent scientific studies. It incorporates contributions from leading philosophers, psychologists, neuroscientists, and an artificial intelligence theorist. The contributions take a range of positions with respect to (...) the view that perception is an achievement by an agent acting in a complex environment in which sensorimotor dynamics constitute an essential ingredient to perceptual experience. A key focus of the book is on the debate about action-oriented theories of visual perception versus the dual-visual systems hypothesis The former champions the role of sensorimotor dynamics in perceptual awareness while the latter favours a functional dichotomy between perception and action. At least on the surface, these two approaches are in conflict. Where one emphasizes the interdependence of action and perception, the other suggests that action and perception are functionally distinct. The dialogue between these two approaches brings out wider theoretical issues underlying the research paradigm of cognitive sciences and philosophy of mind. Exploring one of the major debates in the philosophy and psychology, this book is fascinating reading for all those in the cognitive sciences and philosophy of mind. (shrink)

This Handbook offers much-needed insights into the ethics of primary healthcare. Topics range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients, from contexts connected with teaching and learning, to issues in relation to justice and resources.

Next SectionMany jurisdictions require cyclists to wear bicycle helmets. The UK is currently not one of these. However, an increasing number of interest groups, including the British Medical Association, want to change the status quo. They argue that mandatory cycle helmet laws will reduce the incidence of head injuries and that this will be both good for cyclists (because they will suffer fewer head injuries) and good for society (because the burden of having to treat cyclists suffering from head injuries (...) will be reduced). In this paper we argue against this position. We suggest that cycle helmets may not be especially effective in reducing head injuries and we suggest that the imposition of such a restrictive law would violate people's freedom and reduce their autonomy. We also argue that those who accept such a restrictive law would be committed to supporting further legislation which would force many other groups – including pedestrians – to take fewer risks with their health. We conclude that cycle helmet legislation should not be enacted in the UK unless, perhaps, it is restricted to children. (shrink)

This book is an interdisciplinary exploration of the relationship between perception and action, with a focus on the debate about the dual visual systems hypothesis, against action oriented theories of perception.

This Special Issue commemorates the 60th anniversary of Business & Society with nine rigorous literature reviews that address important societal problems and provide opportunities for theory development in the business and society field; in this introduction we present an overview of the Special Issue. With the theme “Building on Its Past,” the nine articles address a host of contemporary issues, including climate change, wicked problems, business and human rights, human health, certifications standards, the governance of artificial intelligence, stakeholder engagement, stakeholder (...) theory, and corporate political activity. Together, these reviews offer a wealth of suggested themes, theories and approaches that can drive our research forward for the next decades in business and society research and practice. Using the lens of a miner-prospector continuum to categorize the diversity of articles within this special issue, a common theme emerges across the portfolio of reviews: they all call for a more systemic and integrative perspective toward studying the complex interactions that link business and society actors and issues. Building on these findings, we encourage future scholars to fill long-standing researched gaps through a more open systems approach, which supports both contextually sensitive and multi-level and multi-disciplinary approaches to address grand societal challenges. We conclude with specific suggestions as to how business and society scholars might use an open systems approach, including embracing methodologies to address complex causal pathways, theorizing with a view towards spanning external and internal elements of an organization, and reflecting on the temporal and spatial dynamics of complex systems. (shrink)

The relationship between animal ownership and owners' health has received increasing attention in the recent human-companion animal literature. This article considers a new aspect of the human-companion animal relationship, that of compatibility between pet and owner. Compatibility is viewed as the fit between the animal and the owner on physical, behavioral, and psychological dimensions. A postal survey was used to test the hypothesis that compatibility has influences on physical and mental health that are independent of those due to owners' level (...) ofpet attachment and human social support. A sample group of 176 pet owners completed a questionnaire containing a new measure of compatibility as well as standard measures of pet attachment, human social support, and mental and physical health. Results of multiple regression analyses indicated that people who are relatively more compatible with their pets report better mental health overall and fewer physical symptoms. Social support was positively associated with mental health. Pet attachment was also positively associated with mental health, but negatively with physical health. (shrink)

In this important study D. M. Armstrong offers a comprehensive system of analytical metaphysics that synthesises but also develops his thinking over the last twenty years. Armstrong's analysis, which acknowledges the 'logical atomism' of Russell and Wittgenstein, makes facts the fundamental constituents of the world, examining properties, relations, numbers, classes, possibility and necessity, dispositions, causes and laws. All these, it is argued, find their place and can be understood inside a scheme of states of affairs. This is a comprehensive and (...) rigorously this-worldly account of the most general features of reality, argued from a distinctive philosophical perspective, and it will appeal to a wide readership in analytical philosophy. (shrink)

Among the results of recent investigation of epistemic intuitions by experimental philosophers is the finding that epistemic intuitions show cultural variability between subjects of Western, East Asian and Indian Sub-continent origins. In this paper I ask whether the finding of this variation is evidence of cross-cultural variation in the folk-epistemological competences that give rise to these intuitions—in particular whether there is evidence of variation in subjects’ explicit or implicit theories of knowledge. I argue that positing cross-cultural variation in subjects’ implicit (...) theories of knowledge is not the only possible explanation of the intuitions, and I suggest other explanations, including the hypothesis that each subject’s implicit theory of knowledge might contain a heterogeneous set of heuristics for ascribing knowledge. Variation in intuitions, then, might be the result of within-subject heterogeneity rather than across-subject heterogeneity. (shrink)

In this article, we examine the inter-relationship between moral theory and the unpredictable and complex world of primary health care, where the values of patient and doctor, or groups of patients and doctors, may often clash. We introduce complexity science and its relevance to primary care; going on to explore how it can assist in understanding ethical decision making, as well as considering implications for clinical practice. Throughout the article, we showcase aspects and key concepts using examples and a case (...) study developed from our day-to-day experience working as clinical practitioners in primary care. (shrink)

I propose that the emphasis on "authentic" norms in the ISCT literature does not encompass the possibility of community norms that facilitate and maintain corrupt behavior. To fill this gap, I build on the normalization of corruption literature to present a typology of community norms that distinguishes between authentic, behavioral, and aspirational norm types as well as between illegitimate, authentic norms and illegitimate, behavioral norms. By refining the terminology used to evaluate community norms, I propose that ISCT can be more (...) easily applied to cases of systemic corruption. (shrink)

The 29 commentaries amplified our key arguments; offered extensions, implications, and applications of the framework; and pushed back and clarified. To help forge the path forward for cultural evolutionary behavioral genetics, we (1) focus on conceptual disagreements and misconceptions about the concepts of heritability and culture; (2) further discuss points raised about the intertwined relationship between culture and genes; and (3) address extensions to the proposed framework, particularly as it relates to cultural clusters, development, and power. These commentaries, and the (...) deep engagement they represent, reinforce the importance of integrating cultural evolution and behavioral genetics. (shrink)

There are a number of strands to the knowledge we have of our own minds; two strands are these: we often know with ease what we are thinking and we often know with ease what it is we believe. This paper concerns the knowledge of what we are thinking; it pursues questions as to what kind of judgment subjects make about their own thoughts, how those judgments are formed and why they constitute knowledge; it also asks how these judgments relate (...) to the judgments subjects make about their own beliefs when they know with ease what they believe. It focuses on the account developed by Tyler Burge as part of his project of reconciling externalism about thought content with privileged self-knowledge. Burge's account is well known and influential; as such it is a fitting target for examination and criticism. (shrink)

ism is compatible with privileged access. it is in some sense direct, or that it is non-.

In our everyday psychologising, emotions figure large. When we are trying to explain and predict what a person says and does, that person’s emotions are very much among the objects of our thoughts. Despite this, emotions do not figure large in our philosophical reconstruction of everyday psychological practice—in philosophical accounts of the rational production and control of behaviour. Barry Smith has noted this point: We frequently mention people’s emotional sates when assessing how they behave, when trying to understand why they (...) say and do the things they say and do, and when deciding how to deal with them. A large part of our awareness of others and our ability to make sense of them depends on their emotional make-up and our appreciation of how this affects their thoughts and actions. All of this is missing from the standard accounts of folk psychology, and the key question is why? (2002, 111-2). Before beginning to answer to Smith’s question, I want to say more to characterise the approach in philosophical psychology which he is questioning. There are many detailed philosophical accounts of the rational production and control of behaviour. My aim here isn’t to examine these details, but to characterise a certain species of philosophical psychology—one which holds that one can explain the rational production and control of behaviour in terms of a narrow set of mental state types: belief, desire (and perhaps a few others: perception or intention). Hence my label for this species: ‘Humean psychology’. The orthodox Humean view is that rational agency can be explained adequately by appeal to the agent’s beliefs and desires. So, to borrow an example from Davidson (1978), we can explain a person’s adding salt to the stew by citing her desire that the will stew taste better and her belief that if.. (shrink)

Philosophers concerned with the question ‘ what is a person?’ have often appealed to the claim that persons are essentially rational beings. Those who make this appeal, though, tend to develop it by spelling out the key notion of rationality in terms of practical rationality: to be a person, one must be able to deliberate, choose a course of action and intentionally act according to one's chosen course.In this book, Simon Evnine argues that epistemic rationality is essential to being a (...) person: personhood requires that one must possess certain logical concepts and live up to certain epistemic norms. This is a novel suggestion – one that I am sure many theorizers about personhood would agree with, but which has not been worked out in this level of detail before. The book promises, then, to be a valuable addition to the literature on personhood, and also promises to be an interesting read – weaving a set of interesting connections between our notion of a person and logical and epistemic notions and norms. In fact, though, the book does not live up to its promise, for reasons I will elaborate later in this review.Getting into more detail, Evnine argues that it …. (shrink)

Epistemologists, like other philosophers, sometimes try to convince us of the truth of their claims about the nature of knowledge by appeals to our epistemic intuitions. Sometimes intuitions are gathered and deployed against an epistemological theory: as, for example, when our intuitive judgement that the subject in a Gettier case fails to know what he justifiably and truly believes is used to undermine the view that knowledge is justified true belief. Othertimes intuitions are gathered and deployed in support of an (...) epistemological theory: as, for example, when the same intuition about the Gettier case is used to support the view that knowledge is true belief that could not easily have been wrong. In a more sophisticated way (which I shall describe in more detail), contextualists about knowledge have made appeal to epistemic intuitions a central part of the arguments they offer in support of their view. Appeals to intuition, then, are central to the current methodology of epistemology. (shrink)

This paper looks at how neo-descriptivism grew out of Kripke's anti-descriptivist arguments and examines two arguments for neo-descriptivism: one from Frank Jackson and one from Christian Nimtz. The former argument is that neo-descriptivism best explains how we are able to judge the referent of a term at a possible world when presented with a description of that world; the second argument is that only neo-descriptivism can account for our ability to gain new knowledge from testimony. The paper concludes that neither (...) argument is successful. (shrink)

This article is an exploration of Apple’s iPhone 4 as both a technology and an object of marketing. This analysis looks at the FaceTime app and how its marketing created a visual hand-phone-face Deleuzian assemblage while playing on affective connections of parenthood and long-distance caring labor. This is connected to the ways in which mobile telephony creates divided attention between home and labor and the mobile phone and car while driving. This analysis is especially concerned with technological transparency and how (...) it creates divided attention in the home and in the car. (shrink)

This article is an exploration of Apple’s iPhone 4 as both a technology and an object of marketing. This analysis looks at the FaceTime app and how its marketing created a visual hand-phone-face Deleuzian assemblage while playing on affective connections of parenthood and long-distance caring labor. This is connected to the ways in which mobile telephony creates divided attention between home and labor and the mobile phone and car while driving. This analysis is especially concerned with technological transparency and how (...) it creates divided attention in the home and in the car. (shrink)

Primary health care is characterised by timely and appropriate health care access, delivered continuously over time to a specific population, providing a comprehensive service, with coordination of care for those that need it. Practitioners deal with a multiplicity of clinical issues within longitudinal relationships, embedded in the context of families and communities. We propose that these aspects of primary care have a bearing on how matters of decision making are considered and implemented. Further, the standard account of autonomous decision making (...) is not wholly adequate when applied to clinician–patient encounters in primary care. We add considerations of the impact of illness (however defined) and self-identity as also relevant to a more measured and full account. The context of primary care is quite different from that of secondary care. Although there are generalists who work in hospitals, we argue that this aspect and the other attributes of primary care generate special ethical considerations. One of these is how autonomy, or more fully, how respect for the principle of autonomy is considered and operationalised in community practice. In this study, we describe some theoretical aspects of autonomy and seek to apply, and challenge, these aspects in the context of clinical work in primary care. In doing so we will review the descriptors of primary care: why in essence it is different from other contexts of clinical work. (shrink)