Mountaineering is a dangerous activity. For many mountaineers, part of its very attraction is the risk, the thrill of danger. Yet mountaineers are often regarded as reckless or even irresponsible for risking their lives. In this paper, we offer a defence of risk-taking in mountaineering. Our discussion is organised around the fact that mountaineers and non-mountaineers often disagree about how risky mountaineering really is. We hope to cast some light on the nature of this disagreement – and to argue that (...) mountaineering may actually be worthwhile because of the risks it involves. Section 1 introduces the disagreement and, in doing so, separates out several different notions of risk. Sections 2–4 then consider some explanations of the disagreement, showing how a variety of phenomena can skew people's risk judgements. Section 5 then surveys some recent statistics, to see whether these illuminate how risky mountaineering is. In light of these considerations, however, we suggest that the disagreement is best framed not simply in terms of how risky mountaineering is but whether the risks it does involve are justified. The remainder of the paper, sections 6–9, argues that risk-taking in mountaineering often is justified – and, moreover, that mountaineering can itself be justified (in part) by and because of the risks it involves. (shrink)

Packed with ideas designed to help children learn to sing, this booklet offers criteria for selecting songs, strategies to bring out the best in children's voices, and suggestions for games, ideas, and resources.

In part I of this paper I argue that on his theory of the mind as the idea of an actually existing body Spinoza is unable to account for the ability of the mind to have adequate knowledge, and I suggest that his theory of the eternity of the mind can be viewed as his solution to this problem. In part II I deal with the question of the meaning of ‘eternity’ in Spinoza, in regard both to God and the (...) human mind, and I sketch a line of thought which I believe may have provided him with further motivation for his theory that a part of the mind is eternal. (shrink)

Two nurses diagnosed with opioid addiction launched legal action after being found guilty of unprofessional conduct due to addiction‐related behaviors. When covered by the media, their cases sparked both public and legal controversies. We are curious about the broader discursive framings that led to these strong reactions, and analyze the underlying structures of knowledge and power that shape the issue of opioid addiction in the profession of nursing through a critical discourse analysis of popular media, legal blogs and hearing tribunals. (...) We argue that addiction in nursing is framed as personal choice, as a failure in the moral character of the nurses, as decontextualized from addiction as disease arguments, and as an individualized issue devoid of contextual factors leading to addiction. Our investigation offers a critical case study of a nursing regulatory body that upheld popular assumptions of addiction as an autonomous, rational choice replete with individual‐based consequences – a framing that is inconsistent with evidence‐based practice in health‐care. We put forth this critical interrogation to open up possibilities for counterdiscourses that may promote more nuanced and effective responses to the issue of addiction in nursing. (shrink)

Formalizing shared ethical standards is an activity of scientific societies designed to achieve a collective goal of promoting ethical conduct. A scientist who is faced with the choice of becoming a “whistleblower” by exposing misconduct does so in the context of these ethical standards. Examination of ethics policies of scientific societies which are members of the Council of Scientific Society Presidents (CSSP) shows a breadth of purpose and scope in these policies. Among the CSSP member societies, some ethics policies chiefly (...) present the ethical culture of the community in an educational context and do not have enforcement procedures. Other policies are more comprehensive and include standards for certification, procedures for addressing ethical issues, and established sanctions. Of the 36 member societies of CSSP that have developed a code or adopted a code of another professional society, 18 specifically identified a responsibility to expose ethical misconduct, demonstrating an acknowledgment of the possible critical role of the whistleblower in addressing ethical issues. Scientific societies may revise their ethics codes based upon experience gained in addressing cases of ethical misconduct. In most cases, the action of a whistleblower is the initial step in addressing an ethics violation; the whistleblower may either be in the position of an observer or a victim, such as in the case of someone who discovers that his or her own work has been plagiarized. The ethics committee of a scientific society is one of several possible outlets through which the whistleblower can voice a complaint or concern. Ethical violations can include falsification, fabrication, plagiarism and other authorship disputes, conflict of interest and other serious violations. Commonly, some of these violations may involve publication in the scientific literature. Thus addressing ethical issues may be intertwined with a scientific society’s role in the dissemination of new scientific results. For a journal published by a scientific society, the editor can refer at some point to the ethics committee of the society. Whereas, in the case of a journal published by a commercial publisher, the editor may be without direct support of the associated scientific community in handling the case. The association of a journal with a scientific society may thus direct a whistleblower towards addressing the issue within the scientific community rather than involving the press or talking to colleagues who may gossip. A formal procedure for handling ethics cases may also discourage false accusers. Another advantage of handling complaints through ethics committees is that decisions to contact home institutions or funding agencies can be made by the ethics committee and are not the responsibility of the whistleblower or the editor of the journal. The general assessment is that the establishment of ethics policies, especially policies covering publication in society journals, will promote a culture supportive of whistleblowers and discouraging to false accusers. (shrink)

This article compares the social movement mobilization that led to reforms in police and judicial handling of battering in the United States to the movement ideology, organization, and tactics that resulted in analogous policy reform in the processing of dowry burnings and beatings in India. Using field notes and secondary sources from both countries, the article examines how both movements redefined violence against women in families as a public issue, then looks at how movement demands affected policy reform in each (...) country. The analysis questions the current conceptualization of social movement success. Social movements theory assumes that entry into the polity of liberal, democratic states constitutes success in the sense of social change. Yet the cases analyzed suggest that assumptions about the gender neutrality of state response to movements prevents researchers from critically examining the outcomes of social movement mobilization. Moreover, institutionalization of women's movement demands and organization may diminish the capacity of such movements to control the social construction of domestic violence against women by providing protection without empowerment. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Addressing Alterity:Rhetoric, Hermeneutics, and the Nonappropriative RelationDiane DavisTeaching is not reducible to maieutics; it comes from the exterior and brings me more than I contain.—Emmanuel Levinas, Totality and InfinityThere is always the matter of a surplus that comes from an elsewhere and that can no more be assimilated by me, than it can domesticate itself in me. A teaching that may part ways with Heidegger's motif of our being (...) able to learn only what we already understand—when does learning take place? what do we already understand?—the Conversation belongs, as ethical relation, to the effort of thinking the infinite, the transcendent, the Stranger. None of this amounts to thinking an object.—Avital Ronell, DictationsFrom Rhetorical Power to Reception Histories Steven Mailloux has brilliantly performed and explicated a "rhetorical hermeneutics" that demonstrates the "practical inseparability of interpretation and language use and thus of the discourses that theorize those practices, hermeneutics and rhetoric" (1998, 3). Many rhetoricians have challenged the specifics of Mailloux's various arguments and have more generally objected that "rhetorical hermeneutics" leans too far toward the hermeneutical, reducing rhetoric to an analytic or critical art and giving its productive (political) function the squeeze.1 Yet within these lively debates, very few have challenged his basic premise that rhetoric and hermeneutics are inextricably intertwined: the question has not been whether they are indissociable but which side of the production-reception coin rhetorical studies ought to emphasize.2 Michael Leff, for example, flipped Mailloux's adjective-noun relation to spotlight production, promoting a "hermeneutical rhetoric" that focuses more on political than literary texts; nonetheless, he agrees that "all interpretive work involves participation in a rhetorical exchange, and that every rhetorical exchange involves some interpretive work" (1997, 197-98). [End Page 191] Rosa Eberly goes further in Citizen Critics, offering a hermeneutical rhetoric that is less interested in "already-written discourses" than in spotlighting "rhetoric's power as an art productive of discourses and subjectivities for the present and the future" (2000, 34). Yet Eberly, too, affirms Mailloux's basic premise, which was nudged in the direction of conflation in the introduction to the 1997 collection Rhetoric and Hermeneutics in Our Time, in which the editors, Walter Jost and Michael Hyde note in passing that their title can "be understood as virtually tautological."And there is of course no doubt that rhetoric has a hermeneutic dimension; or, more carefully, that rhetoric constitutes the hermeneutic dimension. If "hermeneutics" indicates "the art of understanding," as Friedrich Schleirmacher wanted, then interpretation clearly depends upon production.3 "Rhetoric not only has its place within the sphere of objects surveyed by hermeneutics," as Werner Hamacher puts it, "but also constitutes an integral component of every hermeneutic operation. Every step in an interpretation corresponds to a rhetorical—or grammatical—figure" (1996, 70). Put more bluntly: intelligibility, including self-intelligibility, is a tropological product; cognition itself is a trope that can in no way be secured. Hermeneutics—as it's being used here—is completely dependent on, even absorbed by, rhetoric.4 I have no problem with this. Nor with Mailloux's suggestion that the reverse is also true:In some ways rhetoric and interpretation are practical forms of the same extended human activity: Rhetoric is based on interpretation; interpretation is communicated through rhetoric. Furthermore, as a reflection on practice, hermeneutics and rhetorical theory are mutually defining fields: hermeneutics is the rhetoric of establishing meaning, and rhetoric the hermeneutics of problematic linguistic situations.(Mailloux 1998, 4)I don't disagree: As the production and appropriation of meaning, rhetoric and hermeneutics are an indissociable team; together, they complete understanding's circle. I take this as a given.However, I want to suggest that there is also a non-hermeneutical dimension of rhetoric that has nothing to do with meaning-making, with offering up significations to comprehension. This dimension is reducible neither to figuration nor to what typically goes by the name persuasion; it is devoted to a certain reception, but not to the appropriation of meaning. Preceding and exceeding all hermeneutic interpretation, it deals not in signified meaning but in the address itself, in the exposure to the other; it deals not... (shrink)

How much responsibility ought a professional engineer to have with regard to supporting basic principles of sustainable development? While within the United States, professional engineering societies, as reflected in their codes of ethics, differ in their responses to this question, none of these professional societies has yet to put the engineer’s responsibility toward sustainability on a par with commitments to public safety, health, and welfare. In this paper, we aim to suggest that sustainability should be included in the paramountcy clause (...) because it is a necessary condition to ensure the safety, health, and welfare of the public. Part of our justification rests on the fact that to engineer sustainably means among many things to consider social justice, understood as the fair and equitable distribution of social goods, as a design constraint similar to technical, economic, and environmental constraints. This element of social justice is not explicit in the current paramountcy clause. Our argument rests on demonstrating that social justice in terms of both inter- and intra-generational equity is an important dimension of sustainability (and engineering). We also propose that embracing sustainability in the codes while recognizing the role that social justice plays may elevate the status of the engineer as public intellectual and agent of social good. This shift will then need to be incorporated in how we teach undergraduate engineering students about engineering ethics. (shrink)

Nursing prides itself on a commitment to caring for patients and their families. Daily, nurses support patients and their families as they face life-threatening disease and injury and help them through the painful decisions to initiate or remove ventilators, artificial nutrition and hydration, and other life-sustaining technology.The opinions of the Second and Ninth Circuit Courts of Appeals, in Compassion in Dying v. State of Washington and Quill v. Vauo, strike at the heart of the nursing value system. If the United (...) States Supreme Court upholds either opinion, physicians will be legally allowed to help patients die, and nurses will be called on to assist with this process, just as nurses have assisted with electroconvulsive treatment, abortion, and other controversial procedures. Advanced practice nurses, who are licensed to prescribe drugs, may also be allowed by law to assist patients to end their own lives. (shrink)

Nursing prides itself on a commitment to caring for patients and their families. Daily, nurses support patients and their families as they face life-threatening disease and injury and help them through the painful decisions to initiate or remove ventilators, artificial nutrition and hydration, and other life-sustaining technology.The opinions of the Second and Ninth Circuit Courts of Appeals, in Compassion in Dying v. State of Washington and Quill v. Vauo, strike at the heart of the nursing value system. If the United (...) States Supreme Court upholds either opinion, physicians will be legally allowed to help patients die, and nurses will be called on to assist with this process, just as nurses have assisted with electroconvulsive treatment, abortion, and other controversial procedures. Advanced practice nurses, who are licensed to prescribe drugs, may also be allowed by law to assist patients to end their own lives. (shrink)

Garrett Hardin's 'lifeboat ethics' is examined in the light of historical evidence which may be applied in part and with moderation to avoid both Hardin's predicted catastrophe and the inevitable guilt for survivors. If the metaphor of the lifeboat is re-examined, and slightly modified by including examples of real open boat passages, a scheme for implementing lifeboat ethics may be supported. In a case where some or all of the victims outside the lifeboat may be safely rescued, it is the (...) moral obligation of those in the boat to do so. The goal of any lifeboat situation, actual or metaphorical, is to secure the rescue of the greatest number of victims. The wrecks of both Endurance, on an exploratory voyage to Antarctica, and Essex, a whaling voyage, give insight into the application of lifeboat ethics. (shrink)

In the present context of aging populations, the question of how to support older workers who want to stay in employment longer is of particular importance, especially from a social justice perspective with regards to income. The challenges faced by organizations and governments are unprecedented. Interesting conclusions can be drawn from our research with regard to these challenges. First of all, the perception of retirement appears more or less unchanged over the years and remains very positive. Consequently, one of the (...) barriers to the employment of older workers may be the image of retirement itself, since it is still perceived as a gift or a right. Secondly, our results confirm that forcing people to stay longer in the labour market is a largely unpopular measure. Consequently, if public retirement plans offer limited income, governments and organizations should adopt a more voluntary approach to encourage older workers to stay in employment longer for a better income. Our results highlight the importance of the sector and type of job in the measures or incentives that could encourage older workers to stay in employment longer. Consequently, governments and organizations will probably have to adopt a contingent approach; i.e., all incentives do not necessarily fit all jobs or all sectors and social justice would require this be taken into account. We identified three sets of measures that could encourage older workers to stay in employment longer, and thus have access to better economic security: the reduction of working time, the flexibility of working time, and the individualization of retirement options and working time. The progressive reduction of their working time appears most interesting to our respondents. These measures appear to favour social justice in terms of income and right to employment at the end of active careers. (shrink)

Digital health includes applications for smartphones and smart speakers as well as more traditional ways to access health information electronically, such as through your health care provider's online web‐based patient portal. As the number of digital health offerings—such as smartphone health trackers and web‐based patient portals—grows, what benefit do ethics, or bioethics, perspectives bring to digital health product development? For starters, the field of bioethics is concerned about issues of social justice, including equitable benefit and minimization and fair distribution of (...) the burden of harms. Researchers who employ user‐centered design methods should consider what digital health applications and products would look like if issues like equity and accessibility were foregrounded throughout design and development. One group whose needs are often neglected in the design of digital health products is older adults. Many people anticipate that the digital divide among older adults will close as the current generation of tech‐savvy consumers ages up. But since technology is constantly evolving, this divide may be constantly recreated. As bioethics moves ever further into the technology era, I want it to be mindful of the creation of digital health care disparities. (shrink)

Discussions about real knowledge contained in grand theories and models seem to remain an active quest in the academic sphere. The most fervent of these defendants is Rosemarie Parse with her Humanbecoming School of Thought (1981, 1998). This article first highlights the similarities between Parse's theory and Blumer's symbolic interactionism (1969). This comparison will act as a counterargument to Parse's assertions that her theory is original ‘nursing’ material. Standing on the contemporary philosophy of science, the very possibility for discovering specific (...) nursing knowledge will be questioned. Second, Parse's scientific assumptions will be thoroughly addressed and contrasted with Blumer's more moderate view of knowledge. It will lead to recognize that the valorization of the social nature of existence and reality does not necessarily induce requirements and methods such as those proposed by Parse. According to Blumer's point of view, her perspective may not even be desirable. Recommendations will be raised about the necessity for a distanced relationship to knowledge, being the key to the pursuit of its improvement, not its circular contemplation. (shrink)

This essay shows that Jean-Luc Nancy's reconceptualization of corporeality in such texts as L'Intrus and Corpus can be an important ally to feminist theories of body. I introduce Nancy's ontology and argue that his rejection of the unified, integrated body of humanist discourses in favor of dis-integrated bodies constituted by multiple alterities and his consequent reinterpretation of body as a "being-exscribed" begin the task of thinking bodies beyond traditional dualisms and their ahistorical and rationalist frameworks. I then address three potential (...) criticisms of Nancy's work and suggest that though there may be reasons to move cautiously in adopting the framework he provides, his work harbors resources directly beneficial to critiques of prevailing forms of gender normativity. (shrink)

Uncertainty regarding potential disciplinary action may give physicians pause when considering whether to accept a chronic pain patient or how to treat a patient who may require long-term or high doses of opioids. Surveys have shown that physicians fear potential disciplinary acrion for prescribing controlled substances and that physicians will, in some cases, inadequately prescribe opioids due to fear of regulatory scrutiny. Prescribing opioids for long-term pain management, particularly noncancer pain management, has been controversial; and boards have investigated and, in (...) some cases, disciplined physicians for such prescribing. While in virtually all of these cases the disciplinary actions were successfully appealed, news of the success was not often as well-publicized as news of the disciplinary actions, leaving some physicians confused about their potential liability when prescribing opioids for pain. The confusion has perhaps increased as a result of two relatively recent cases, one where a physician was successfully disciplined by a state medical board for undertreatment of his patients’ pain, and another where the physician was successfully sued for inadequate pain treatment. (shrink)

GREAT EMPIRES may come and go, but, like the tides, they leave behind a tangled assortment of treasures and trash. In the case of the British Empire, this included much that one might admire, but also a British Protestant morality that was codified in laws that persist to this day. Section 377 of the colonial Penal Code is a striking example. It classed consensual oral and anal sex as “carnal intercourse against the order of nature” and made it a crime (...) punishable with imprisonment for life. When the British administrators withdrew, they took their soldiers, but left their law books behind. Section 377 was recently repealed in India, but it is still very much on the books in Bangladesh. (shrink)

How does sign language compare with gesture, on the one hand, and spoken language on the other? Sign was once viewed as nothing more than a system of pictorial gestures without linguistic structure. More recently, researchers have argued that sign is no different from spoken language, with all of the same linguistic structures. The pendulum is currently swinging back toward the view that sign is gestural, or at least has gestural components. The goal of this review is to elucidate the (...) relationships among sign language, gesture, and spoken language. We do so by taking a close look not only at how sign has been studied over the past 50 years, but also at how the spontaneous gestures that accompany speech have been studied. We conclude that signers gesture just as speakers do. Both produce imagistic gestures along with more categorical signs or words. Because at present it is difficult to tell where sign stops and gesture begins, we suggest that sign should not be compared with speech alone but should be compared with speech-plus-gesture. Although it might be easier to blur the distinction between sign and gesture, we argue that distinguishing between sign and gesture is essential to predict certain types of learning and allows us to understand the conditions under which gesture takes on properties of sign, and speech takes on properties of gesture. We end by calling for new technology that may help us better calibrate the borders between sign and gesture. (shrink)

This essay shows that Jean-Luc Nancy's reconceptualization of corporeality in such texts as L'Intrus and Corpus can be an important ally to feminist theories of body. I introduce Nancy's ontology and argue that his rejection of the unified, integrated body of humanist discourses in favor of dis-integrated bodies constituted by multiple alterities and his consequent reinterpretation of body as a "being-exscribed" begin the task of thinking bodies beyond traditional dualisms and their ahistorical and rationalist frameworks. I then address three potential (...) criticisms of Nancy's work and suggest that though there may be reasons to move cautiously in adopting the framework he provides, his work harbors resources directly beneficial to critiques of prevailing forms of gender normativity. (shrink)

This article addresses issues in the philosophy of fiction from the perspective of a relevance theoretic approach to communication: first, how should we understand the notion of ‘voice’ as it is used in the analysis of free indirect style narratives; and, second, in what sense can the person responsible for free indirect representations of fictional characters' thoughts be regarded as a communicator? The background to these questions is the debate about the roles of pretence and attribution in free indirect style. (...) I argue that the role of expressives in sustaining the illusion that fictional characters speak their inner thoughts suggests that ‘voice’ should be understood in two distinct ways. On the one hand, there are cases in which the use of expressive devices leads to the formation of thoughts which are understood to resemble other (attributed) thoughts. On the other hand, there are other cases in which expressives are used as a means of simulating a fictional character's behaviour or style. At the same time, I argue that in order to accommodate free indirect thought representation in a relevance theoretic model of communication, the responsibility for ensuring that the effort of processing the text will be rewarded by optimal relevance must be decoupled from the point of view that is being represented. While the (constructed) author is responsible for orchestrating our interpretation of free indirect thought representations so that the effort of processing will result in optimal relevance, the reader does not necessarily assume this function is being performed by someone who intends to communicate their own thoughts: the relevance of the act of narration may instead lie in the sense of mutuality achieved between reader and character. (shrink)

People value highly the digital technologies that are so pervasive in everyday life and work, certainly as measured by economists. Yet there are also evident harms associated with them, including the likelihood that they are affecting political discourse and choices. The features of digital markets mean they tend toward monopoly, so great economic and political power lies in the hands of a small number of giant companies. While tougher regulation may be one way to tackle the harms they create, it (...) does not get at the structural problem, which is their advertising-driven business model. The hunt for people's attention drives algorithmic promotion of viral content to get ever-more clicks. An alternative policy intervention to reclaim public space would be to create a public service competitor that could drive competition along other dimensions. Online space must be reclaimed as a public space from the privately-owned US and Chinese digital giants. (shrink)

In this paper, we provide a new framework for understanding infant-feeding-related maternal guilt and shame, placing these in the context of feminist theoretical and psychological accounts of the emotions of self-assessment. Whereas breastfeeding advocacy has been critiqued for its perceived role in inducing maternal guilt, we argue that the emotion women often feel surrounding infant feeding may be better conceptualized as shame in its tendency to involve a negative self-assessment—a failure to achieve an idealized notion of good motherhood. Further, we (...) suggest, both formula-feeding and breastfeeding mothers experience shame: the former report feeling that they fail to live up to ideals of womanhood and motherhood, and the latter transgress cultural expectations regarding feminine modesty. The problem, then, is the degree to which mothers are vulnerable to shame generally, regardless of infant feeding practices. As an emotion that is less adaptive and potentially more damaging than guilt, shame ought to be the focus of resistance for both feminists and breastfeeding advocates, who need to work in conjunction with women to oppose this shame by assisting them in constructing their own ideals of good motherhood that incorporate a sense of self-concern. (shrink)

While climate change involves spatial, epistemological, social, and temporal remoteness, each type of distance can be bridged with strategies unique to it that can be borrowed from analogous moral problems. Temporal, or intergenerational, distance may actually be a motivational resource if we look at our natural feelings of hope for the future of the world, via Kant’s theory of political history, and for our children. Kant’s theory of hope also provides some basis for including future generations in a theory of (...) justice. (shrink)

Mountaineering is a dangerous activity. For many mountaineers, part of its very attraction is the risk, the thrill of danger. Yet mountaineers are often regarded as reckless or even irresponsible for risking their lives. In this paper, we offer a defence of risk-taking in mountaineering. Our discussion is organised around the fact that mountaineers and non-mountaineers often disagree about how risky mountaineering really is. We hope to cast some light on the nature of this disagreement – and to argue that (...) mountaineering may actually be worthwhile because of the risks it involves. Section 1 introduces the disagreement and, in doing so, separates out several different notions of risk. Sections 2–4 then consider some explanations of the disagreement, showing how a variety of phenomena can skew people's risk judgements. Section 5 then surveys some recent statistics, to see whether these illuminate how risky mountaineering is. In light of these considerations, however, we suggest that the disagreement is best framed not simply in terms of how risky mountaineering is but whether the risks it does involve are justified. The remainder of the paper, sections 6–9, argues that risk-taking in mountaineering often is justified – and, moreover, that mountaineering can itself be justified by and because of the risks it involves. (shrink)

The emergence of queer ideas has unsettled other forms of exploring gender and sexuality, in particular feminism. In response, feminists have been significant critics of queer ideas. This book, through the contribution of important US and UK writers, seeks to explore the debates between feminist and queer theorizing in order to seek out interconnections between the two; they identify new directions in thinking about sexuality and gender that may emerge out of and at the interface.

The quality of end-of-life care in this country is often poor. There is abundant literature indicating that dying individuals do not receive adequate pain medication or palliative care, are tethered to machines and tubes in a way that challenges their dignity and autonomy, and are not helped to deal with the emotional grief and psychological angst that may accompany the dying process. While this is true for individuals in many settings, it seems to be especially true for individuals in nursing (...) homes. This is somewhat puzzling given that considerable resources have been devoted to bringing public attention to this problem, we have the knowledge and expertise to provide such care, and we have a government-financed benefit that covers this type of care - the Medicare hospice benefit.While utilization of hospice care has increased during the last decade, there is considerable evidence that hospice care remains underutilized particularly in the long term care setting. (shrink)

The quality of end-of-life care in this country is often poor. There is abundant literature indicating that dying individuals do not receive adequate pain medication or palliative care, are tethered to machines and tubes in a way that challenges their dignity and autonomy, and are not helped to deal with the emotional grief and psychological angst that may accompany the dying process. While this is true for individuals in many settings, it seems to be especially true for individuals in nursing (...) homes. This is somewhat puzzling given that considerable resources have been devoted to bringing public attention to this problem, we have the knowledge and expertise to provide such care, and we have a government-financed benefit that covers this type of care - the Medicare hospice benefit.While utilization of hospice care has increased during the last decade, there is considerable evidence that hospice care remains underutilized particularly in the long term care setting. (shrink)

This article examines the influence of race/ethnicity and gender identity on the politics of American Indian and Hispanic women leaders. The data are drawn from personal interviews with 50 public officials and grassroots leaders active in state, local, or tribal politics in New Mexico. Borrowing from Tolleson Rinehart's model of “gender consciousness,” the author creates a classification scheme for assessing the role that race/ethnicity and gender play in the political ideology and motives of the leaders. The findings reveal that racial/ethnic (...) identity is generally more important to Native leaders and grassroots activists, while gender identity is somewhat more salient for Hispanic leaders and public officials. Her classification system for measuring racial/ethnic and gender identity is useful for analyzing qualitative data and may be helpful to other researchers. (shrink)

Sagoff critiqued the exclusion of cultivated plants and animals from much of the body of work in ecology. However, there is a history of attempting to incorporate cultivated landscapes in ecology that goes back at least two decades, particularly in urban ecology. The subdiscipline of urban ecology has received relatively little attention in philosophy, although some of its methodologies, such as coupled human-natural systems research, have been critiqued. Here I will attempt to explicitly address the conceptual limitations in ecology for (...) studying cultivated ecosystems and evaluate these limitations in the context of coupled human-natural systems and socioecological research, urban ecosystem services frameworks, and actor-network theory. I argue that the history of cultivated organisms is highly germane to their ecology, necessitating the incorporation of human agency into ecological theory. However, human agency and nonhuman nature exist along a continuum of nature vs. culture. As a result, dualistic approaches to studying the role of human agency in ecosystem processes, such as socioecology and ecosystem services assessments—which explicitly separate humans from nature—have had limited success in cultivated landscapes. More fully integrated frameworks such as actor-network theory may better address ecological research questions in cultivated landscapes. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:What’s God Got to Do with It? A Response to Claire KatzDiane PerpichThe original context for the remarks that follow was a book session at the annual meeting of the Society for Phenomenology and Existential Philosophy in October 2009.1 Somewhat surprisingly, both sets of comments at the session focused on what it might mean that the Jewish philosopher Emmanuel Levinas—variously identified by key terms like revelation and creation, by (...) God, or by reference to Levinas’s confessional writings and the texts of the Jewish tradition—appeared to be absent from my book, The Ethics of Emmanuel Levinas. Now admittedly, these texts and terms and their relation to Levinas’s main philosophical works is not explicitly discussed in the book, but the fact that both respondents focused almost exclusively on this absence raises the question of whether one needs to invoke religious terms in a discussion of Levinas’s reflections on ethics and ethical life. In effect, can a reading of Levinas’s ethical thought succeed without referring to God or the texts of the Jewish tradition? While in one sense, this question is quite beside the point of what I was trying to do in the book, in another, it touches quite closely on a central concern of that work; namely, what if anything justifies or provides a warrant for the exorbitant sort of responsibility that Levinas talks about throughout his writings, philosophical and confessional alike?I will return to this point momentarily in the context of a more detailed discussion of Claire Katz’s remarks, but allow me to begin by expanding briefly on the point of departure for the analysis of Levinas offered in my book. When I first read Levinas, the two features of his thought that struck me as [End Page 118] completely fascinating and utterly perplexing were the account of an alterity so absolute that it defied conceptuality and the notion of a responsibility so infinite that it rendered “me,” the ego, a hostage to the other. What could these two phrases—“absolute alterity” and “infinite responsibility”—mean? Clearly, neither phrase could be meant literally. There simply is nothing that is wholly immune to concepts; and as Levinas himself learned from the study of Henri Bergson, even “nothingness” is, and thus ontology and conceptuality, hand in hand, seem to be fundamental. Similarly, if responsibility is infinite, where infinity is reasonably thought to designate the scope of one’s obligation, the notion becomes incoherent. If I literally cannot do something, then in what sense ought I to do it? A responsibility for everything and everyone is seemingly just the same as having no responsibility at all. And what is most perplexing in all of this is that this inconceivable alterity is said to bring about, in some manner, this impossible responsibility. Let me add that it seemed to me on that first reading (and it still does) to be completely unhelpful to identify “God” either with absolute alterity or with the force of the command that renders us infinitely responsible to the other. To substitute God for alterity, or to claim that God commands our responsibility, explains nothing; it may well be one way of admitting or signaling that explanation has come to an end, but it does not necessarily add anything to that admission. Given the perplexities that beset my first reading of Levinas, it seemed to me that the first task for anyone writing about Levinas and ethics would be to work out the relation between alterity (or transcendence, or the other) and responsibility (as infinite, irrecusable, and asymmetrical). That, effectively, is what the book sets out to do.A second set of motivations for the book intersects with this first set of problems, though in this case, it is less a problem internal to Levinas’s thought and more a problem that arises in connection with certain habits of reading that have become entrenched in the secondary literature. There is a line of interpretation about Levinas’s thought that for many years went largely unchallenged. This “standard” reading begins with the idea that, for Levinas, ethics is not one branch of philosophy among others, rather it is... (shrink)

Nurses may, and often do, experience moral distress in their careers. This is related to the complicated work environment and the complex nature of ethical situations in everyday nursing practice. The outcomes of moral distress may include psychological and physical symptoms, reduced job satisfaction and even inadequate or inappropriate nursing care. Moral distress can also impact retention of nurses. Although research has grown considerably over the past few decades, there is still a great deal about this topic that we do (...) not know including how to deal well with moral distress. A critical key step is to develop a deeper understanding of relational practice as it pertains to moral distress. In this article, exploration of the experience of moral distress among nurses is guided by the key elements of relational ethics. This ethical approach was chosen because it recognizes that ethical practice is situated in relationships and it acknowledges the importance of the broader environment on influencing ethical action. The findings from this theoretical exploration will provide a theoretical foundation upon which to advance our knowledge about moral distress. (shrink)

Belief in free will is widespread. The present research considered one reason why people may believe that actions are freely chosen rather than determined: they attribute randomness in behavior to free will. Experiment 1 found that participants who were prompted to perform a random sequence of actions experienced their behavior as more freely chosen than those who were prompted to perform a deterministic sequence. Likewise, Experiment 2 found that, all else equal, the behavior of animated agents was perceived to be (...) more freely chosen if it consisted of a random sequence of actions than if it consisted of a deterministic sequence; this was true even when the degree of randomness in agents’ behavior was largely a product of their environments. Together, these findings suggest that randomness in behavior—one’s own or another’s—can be mistaken for free will. (shrink)

This is a reply to Vincent Carraud/René Verdon « Remarques circonspectes sur la mort de Descartes » (published in Revue du dix-septième siècle, n° 265, 2014/4, pp. 719-726, online: http://www.cairn.info/revue-dix-septieme-siecle-2014-4-page-719.htm, containing a critique of my "L'énigme de la mort de Descartes" Paris, 2011). I discuss the fatal illness and the death of Descartes, arguing that Descartes was very probably the victim of arsenical poisoning. The suspected murderer is a French priest, François Viogué, living with Descartes in 1650 at the French (...) embassy in Stockholm who may have seen in Descartes an obstacle to the hoped for conversion of queen Christina of Sweden. As against Carraud/Verdon I stress the medical facts, in particular the fact that Descartes himself seems to have suspected poisoning, since he asked for an emetic shortly before his death. (shrink)

I contend that “philosophos” is meant to carry the connotation of a Pythagorean: Euenus is a native from Paros which had a strong Pythagorean community down to the end of the fifth century. Moreover, “philosophos” was used to refer to the Pythagoreans, as can be seen from the story related by Cicero from Heraclides Ponticus (Tusc. Disp. V, iii, 7-8; cp. DL, 1.12; 8.8). I argue (against Burkert) that even if this story is part of the lore surrounding Pythagoras and, (...) hence, without historical value as for Pythagoras, it may still be used as evidence for the use of “philosophos” among latter-day Pythagoreans. (shrink)

The study used critical discourse analysis (CDA) to elucidate normative structures of ethical behavior in university research administration which may be useful for knowledge transference to future studies of research integrity. Research administration appears to support integrity in the research environment through four very strong normative domains: (1) respect for authority structures; (2) respect for institutional boundaries; (3) professionalism; and (4) a strong sense of virtue. The strong norm structure of research administration, however, appears to be threatened by the fifth (...) domain, (5) political power, which is inhabited by prestigious faculty with tenure, top-down authority misalignment, and the power for some institutional members to circumvent the system. The strong normative structure also appears threatened by the overall consequentiality of the regulatory environment, and shifting contexts that threaten personal virtue. In the end, the normative structure is fluid, politically acquiescent to power, and ambiguous. Although the professional core of the norm structure is strong, the strengths and weaknesses in the overall system can be connected to poorly constructed elements of the institutional environment. (shrink)

This thesis is concerned with explaining how a subject can acquire a priori knowledge of arithmetic. Every account for arithmetical, and in general mathematical knowledge faces Benacerraf's well-known challenge, i.e. how to reconcile the truths of mathematics with what can be known by ordinary human thinkers. I suggest four requirements that jointly make up this challenge and discuss and reject four distinct solutions to it. This will motivate a broadly Fregean approach to our knowledge of arithmetic and mathematics in general. (...) Pursuing this strategy appeals to the context principle which, it is proposed, underwrites a form of Platonism and explains how reference to and object-directed thought about abstract entities is, in principle, possible. I discuss this principle and defend it against different criticisms as put forth in recent literature. Moreover, I will offer a general framework for implicit definitions by means of which - without an appeal to a faculty of intuition or purely pragmatic considerations - a priori and non-inferential knowledge of basic mathematical principles can be acquired. In the course of this discussion, I will argue against various types of opposition to this general approach. Also, I will highlight crucial shortcomings in the explanation of how implicit definitions may underwrite a priori knowledge of basic principles in broadly similar conceptions. In the final part, I will offer a general account of how non-inferential mathematical knowledge resulting from implicit definitions is best conceived which avoids these shortcomings. (shrink)

Avalanche studies have undergone a transition in recent years. Early research focused mainly on environmental factors. More recently, attention has turned to human factors in decision making, such as behavioural and cognitive biases. This article adds a social component to this human turn in avalanche studies. It identifies lessons for decision making by groups of skiers from the perspective of social choice theory, a sub-field of economics, decision theory, philosophy and political science that investigates voting methods and other forms of (...) collective decision making. In the first part, we outline the phenomenon of wisdom of crowds, where groups make better decisions than their individual members. Drawing on the conceptual apparatus of social choice theory and using idealised scenarios, we identify conditions under which wisdom of crowds arises and also explain how and when deciding together can instead result in worse decisions than may be expected from individual group members. In the second part, we use this theoretical understanding to offer practical suggestions for decision making in avalanche terrain. Finally, we make several suggestions for risk management in other outdoor and adventure sports and for outdoor sports education. (shrink)

Throughout their history, symbolic interactionism and critical perspective have been viewed as divergent theoretical perspectives with different philosophical underpinnings. A review of their historical and philosophical origins reveals both points of divergence and areas of convergence. Their underlying philosophies of science and views of human freedom are different as is their level of focus with symbolic interactionism having a micro perspective and critical perspective using a macro perspective. This micro/macro difference is reflected in the divergence of their major concepts, goals (...) and basic tenets. While their underlying philosophies are different, however, they are not necessarily contradictory and areas of convergence may include the concepts of reference groups and looking glass self within symbolic interactionism and ideological hegemony within critical perspective. By using a pragmatic approach and combining symbolic interactionism and critical perspectives, both micro and macro levels come into focus and strategies for change across individual and societal levels can be developed and applied. Application of both symbolic interactionism and critical perspective to nursing research and scholarship offers exciting new opportunities for theory development and research methodologies. In nursing education, these two perspectives can give students added insight into patients' and families' problems at the micro level while, at the same time, giving them a lens to see and tools to apply to problems at the macro level in health care. In nursing practice, a combined symbolic interactionism/critical perspective approach assists nurses to give high-quality care at the individual level while also working at the macro level to address the manufacturers of illness. New research questions emerge from this combination of perspectives with new possibilities for theory development, a transformation in nursing education, and the potential for new practice strategies that can address individual client and larger system problems through empowerment of clients and nurses. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:By Way of Interruption: Levinas and the Ethics of CommunicationDiane DavisBy Way of Interruption: Levinas and the Ethics of Communication by Amit Pinchevski Pittsburgh, PA: Duquesne University Press, 2005. 299 pp. $28.00, paper.The rush of interference that produces gaps and unsettles cognition must be seen as a force that weighs in performatively and must be read. The interruptive moment of interference itself calls for a reading.Avital Ronell, StupidityCommunity (...) is made of the interruption of singularities, or of the suspension that singular beings are. … Communication is the unworking of work that is social, economic, technical, and institutional.Jean-Luc Nancy, The Inoperative CommunityEmmanuel Levinas maintains a crucial distinction between the Said (le Dit) and the Saying (le Dire): whereas the Said names the realm of conceptual forms, themes, ideas—signified meaning—the Saying indicates a nonreferential performative intrusion that institutes, produces, transforms. Communication studies focuses almost exclusively on the Said, on the content of addressed language, but the Saying names the address as such, the opening toward the Other. When you address me, "you" simultaneously [End Page 289] give a said to be interpreted and withdraw from the interpretive context, breaking with the already said and exposing a gap or lacuna in the totalizing synchrony of representation and thematization. What is communicated in this interruption of meaningful exchange—this "rhetorical rupture," as Michael Hyde has put it—is communicability itself: a signification of signifyingness and so an exposure to exposedness. This interruption plays a critical role in the diverse philosophies of Heidegger, Derrida, Lacan, Bataille, and Blanchot, to name just a few. And for Levinas, it is the very opening of ethics. According to him, the interruption in meaning and identification involves an encounter with the Other as other (Autrui), with a surplus of alterity that I can neither appropriate nor abdicate and that therefore calls my self-sufficiency and spontaneity into question. Levinas: "We name this calling into question of my spontaneity by the presence of the Other ethics" (1969, 43).In By Way of Interruption, Amit Pinchevski offers a meticulous explication and application of Levinas's notion of the ethical relation in order to spotlight communication's nonhermeneutic, ethical dimension; he offers, that is, a rhetoric of the Saying. His book is a welcome addition to rhetorical studies and to communication theory more broadly, one that is well worth the read for anyone concerned with the intersections of communication and ethics.Noting that most every major theory of ethical communication bases itself on the presumption that better communication ("understood as the exchange of ideas, knowledge and information") leads to more understanding, which leads to "greater harmony" (6), Pinchevski instead proposes, alongside Levinas, that "the ethical possibilities in communication do not ultimately lie in its successful completion but rather in its interruption":Communication understood as the ability to reproduce meanings and effects from one mind into another is in essence an assault against the integrity of another as a distinct and singular being, as an Other. Thus, what introduces a problem for perfect communication may, in fact, be an opening for ethics insofar as there exists the possibility of encountering another as an Other.(7)Pinchevski argues that in focusing exclusively on the Said, communication studies has effectively ignored the ethical dimension of communication. It is "when there is a risk of misunderstanding, lack, and refusal of communication," he writes, that there can be "an event of communication truly worth the name." It is in the breakdown of meaningful exchange that "a [End Page 290] relation of a different kind" can expose itself, a relation "based neither on reciprocity nor on commonality, but instead on the irreducible difference between self and Other." Interruption, Pinchevski boldly states, is the "positive condition for communication" and "marks the beginning rather than the end of generosity and compassion" (7).After establishing the basic tenets of Levinasian ethics in the introduction, Pinchevski devotes the first two chapters to further explicating his specific disciplinary context (chapter 1) and to translating Levinas's ethical lexicon into this communicational framework, pointing up the ethical significance of interruption (chapter 2). In chapter 1, "The Biases of Communication," he offers a... (shrink)

In this paper I argue that Leibniz' (L.) concept of entelechy, though L. himself believes to have derived it directly from Aristotle, does not correspond exactly to the Aristotelian concept. The main difference between the Aristotelian and the Leibnizian concept may be explained as follows: Whereas Aristotle uses "entelecheia" to designate a property possessed by living organisms, L. takes it to be a generic term for souls and other monads. It is further argued that Aristotle's somewhat intricate argument in De (...) Anima II 1 has contributed to the misunderstanding of the Aristotelian term, a misunderstanding starting already with the Aristotelian commentators Themistius, Philoponus and Simplicius. L. took his concept from the tradition of the commentators which he knew through the Italian humanist Ermolao Barbaro. (shrink)

In this paper, I take my start from certain distinctions Aristotle made use of in his analysis of prudence (phronesis) in the Nicomachean Ethics, but I then move away from Aristotle’s claims, in particular because I find fault with Aristotle’s exclusion of technical achievements from the realm of prudence. It is not the type of action which serves as a criterion to differentiate prudent acts from merely skilful ones, since in building a house you may act skilfully as well as (...) prudently; yet whereas in acting skilfully you look not farther than to the intended aim of the action, in acting prudently you take options and possible aims into account which are beyond the aim of the actual action. (shrink)

The text at Phaedo 100a is a well-known crux: Socrates seems to claim as for his use of a hypothesis: whatever does not follow from my hypothesis, I put down as not true (hos ouk alethe). Since there may be pairs of contradictory propositions, both of which do not follow from his hypothesis, Socrates would have to claim that both are false, although of two contradictory propositions only one can be false. I argue, using a reading already proposed by Henricus (...) Aristippus, that Plato had Socrates claim: (...) I do not put down as true (ouch hos alethe). (shrink)

This essay reviews three books—Histories of the Electron: The Birth of Microphysics, Flash of the Cathode Rays: A History of J. J. Thomson's Electron, and The Science of Energy: A Cultural History of Energy Physics in Victorian Britain—broadly concerned with the history of discovery in the physical sciences, two of which focus on the history of the discovery of the electron. The author finds that discovery is a difficult concept at best for contemporary historians of science, and suggests a broader (...) view of discovery may be more productive of useful historical analysis. -/- Review of: Histories of the Electron: The Birth of Microphysics, edited by Jed Z. Buchwald and Andrew Warwick (Cambridge, MA: MIT Press, 2001); Flash of the Cathode Rays: A History of J. J. Thomson's Electron by Per F. Dahl (Bristol and Philadelphia: Institute of Physics Publishing, 1997); The Science of Energy: A Cultural History of Energy Physics in Victorian Britain by Crosbie Smith (Chicago: University of Chicago Press, 1998). -/- . (shrink)

This paper theorizes the relationship between women's studies and gender studies and will explore the increasing use of the category 'gender' to analyse sexual divisions and the related growth of gender studies courses. It will also examine the creation of 'men's studies' courses and an increasing emphasis on the deconstruction of masculinity within social theory. A number of questions are raised around these shifts and changes. Should we welcome them because they broaden the scope of theoretical enquiry, encompassing both female (...) and male experience, and further the institutionalization of gender issues within the academy? Or should we be critical of such developments because they may lead to a narrower political and theoretical agenda in terms of analyses of women's experience? (shrink)

As Josie's physicians, we developed trusting relationships with the family, relationships based on honesty. When their daughter passed away a week after the conversation described, at least we had not sheltered them from that possibility but prepared them for it. We continue to wonder, however, what words parents are hearing that we do not intend for them to hear. In addition, we wonder what words they are hearing that do not truly mean what they imply? How can health care providers (...) caring for patients and families recognize that simple words like “good,” “stable,” and “quiet” may be misinterpreted and may affect the trust families place in our communication? As for us, we choose our words more carefully now. (shrink)

In Rhetoric as a Posthuman Practice, Casey Boyle—or rather, the habitual practice referred to as Casey Boyle—participates in rhetorical studies' recurring concern with relations between humanism and posthumanism. Boyle's posthumanist project crafts another space within the field to think about what rhetoric is, what it does, and what it may become. Rhetoric as a Posthuman Practice recalls the purpose of rhetorical education in the Isocrates and Quintilian traditions—"to become a certain kind of person", but with a posthuman return: Whereas classical (...) rhetorical education aimed at ethically stable character formation—the humanist subject—Boyle's posthuman practice enacts character as in-formation... (shrink)

This paper argues that some words are so highly charged with meaning by a community that they may prevent a discussion during which each participant is on an equal footing. These words are indeed either unanimously accepted or rejected. The presence of these adjectival groups pushes the antagonist to find rhetorical strategies to circumvent them. The main idea we want to develop is that some propositions are not easily debatable in context because of some specific value-bearing words, and one of (...) the goals of this paper is to build a methodological tool for finding and classifying these VBWs. Our study echoes the importance of “cultural keywords” in argument, but is rather based on a German approach developed by,, and about “Miranda” and “Anti-Miranda” words that is expanded and refined here. In particular, our study tries to understand why some statements, fueled by appreciative or evaluative adjectives, have such rhetorical effects on a pragmatic level in the particular context of a vote on the Swiss popular initiative called “for more affordable housing”. This context is fruitful since two parties offer reasons for two opposing policy claims: namely, to accept or to reject an initiative. When one party uses arguments containing such universally unassailable adjectival groups to defend a “yes” vote, the opposing party cannot use a symmetrical antonym while pleading for the “no” vote. The methodological tool that is proposed here could shed light on the use of certain rhetorical and referential strategies in conflicting policy proposition contexts. (shrink)

As the millennium approaches, the United States is on the verge of major health care reform. While swallowing scarce national resources, our health care system produces unenviable results and major inconsistencies. In 1992, $838.5 billion were spent on health care, biting more than 14 percent out of our gross national product. From 35 to 37 million Americans, or approximately 14 percent of the populationn, are uninsured. Our health care system is inherently inconsistent: We have the highest birthweight-specific survival rate of (...) any country in the world, yet we rank 19th worldwide in infant mortality rate, i.e., state-of-the-art medical technology allows us to save a 500-gram infant, yet the mother of that infant may not have had access to basic, minimal prenatal care. (shrink)

As the millennium approaches, the United States is on the verge of major health care reform. While swallowing scarce national resources, our health care system produces unenviable results and major inconsistencies. In 1992, $838.5 billion were spent on health care, biting more than 14 percent out of our gross national product. From 35 to 37 million Americans, or approximately 14 percent of the populationn, are uninsured. Our health care system is inherently inconsistent: We have the highest birthweight-specific survival rate of (...) any country in the world, yet we rank 19th worldwide in infant mortality rate, i.e., state-of-the-art medical technology allows us to save a 500-gram infant, yet the mother of that infant may not have had access to basic, minimal prenatal care. (shrink)