Objective: To pilot informed consent materials developed for Aboriginal parents in a vaccine trial, and evaluate their design and the informed consent process.Methods: Cross sectional quantitative and qualitative survey of 20 Aboriginal and 20 non-Aboriginal women in Alice Springs. Information about the proposed research was presented to Aboriginal participants by an Aboriginal researcher, using purpose designed verbal, visual, and written materials. Non-Aboriginal participants received standard materials developed by the sponsor. Questionnaires were used to evaluate recall and understanding immediately and five (...) days later. Qualitative analysis of Aboriginal participants’ interviews was performed.Results: There were no differences between the groups in understanding of diseases prevented by the vaccine, the potential risks of participating, or the voluntary nature of participation. Most Aboriginal participants had difficulty with the concept of a “licensed” versus “unlicensed” vaccine. The non-Aboriginal group had a good understanding of this. Aboriginal participants identified the use of the flipchart, along with a presentation by a doctor and Aboriginal health worker, as preferred delivery modes. Group presentations were preferred rather than one-on-one discussions. The use of the questionnaire posed considerable methodological difficulties.Conclusions: A one-off oral presentation to Aboriginal participants is unlikely to produce “informed consent”. Key but unfamiliar concepts require identification and particularly considered presentation. (shrink)

Since the discovery of incommensurability in ancient Greece, arithmeticism and geometricism constantly switched roles. After ninetieth century arithmeticism Frege eventually returned to the view that mathematics is really entirely geometry. Yet Poincaré, Brouwer, Weyl and Bernays are mathematicians opposed to the explication of the continuum purely in terms of the discrete. At the beginning of the twenty-first century ‘continuum theorists’ in France (Longo, Thom and others) believe that the continuum precedes the discrete. In addition the last 50 years witnessed the (...) revival of infinitesimals (Laugwitz and Robinson—non-standard analysis) and—based upon category theory—the rise of smooth infinitesimal analysis and differential geometry. The spatial whole-parts relation is irreducible (Russell) and correlated with the spatial order of simultaneity. The human imaginative capacities are connected to the characterization of points and lines (Euclid) and to the views of Aristotle (the irreducibility of the continuity of a line to its points), which remained in force until the ninetieth century. Although Bolzano once more launched an attempt to arithmetize continuity, it appears as if Weierstrass, Cantor and Dedekind finally succeeded in bringing this ideal to its completion. Their views are assessed by analyzing the contradiction present in Grünbaum’s attempt to explain the continuum as an aggregate of unextended elements (degenerate intervals). Alternatively a line-stretch is characterized as a one-dimensional spatial subject, given at once in its totality (as a whole) and delimited by two points—but it is neither a breadthless length nor the (shortest) distance between two points. The overall aim of this analysis is to account for the uniqueness of discreteness and continuity by highlighting their mutual interconnections exemplified in the nature of a line as a one-dimensional spatial subject, while acknowledging that points are merely spatial objects which are always dependent upon an extended spatial subject. Instead of attempting to reduce continuity to discreteness or discreteness to continuity, a third alternative is explored: accept the irreducibility of number and space and then proceed by analyzing their unbreakable coherence. The argument may be seen as exploring some implications of the view of John Bell, namely that the “continuous is an autonomous notion, not explicable in terms of the discrete.” Bell points out that initially Brouwer, in his dissertation of 1907, “regards continuity and discreteness as complementary notions, neither of which is reducible to each other.”. (shrink)

The ability to extrapolate essential gist through the analysis and synthesis of information, prediction of potential outcomes, abstraction of ideas, and integration of relationships with world knowledge is critical for higher-order learning. The present study investigated the efficacy of cognitive training to elicit improvements in gist-reasoning and fact recall ability in 556 public middle-school students (grades seven and eight), versus a sample of 357 middle school students who served as a comparison group, to determine if changes in gist-reasoning and fact (...) recall were demonstrated without cognitive training. The results showed that, in general, cognitive training increased gist-reasoning and fact recall abilities in students from families in poverty as well as students from families living above poverty. However, the magnitude of gains in gist-reasoning varied as a function of gender and grade-level. Our primary findings were that seventh and eighth grade girls and eighth grade boys showed significant increases in gist-reasoning after training regardless of socioeconomic status. There were no significant increases in gist-reasoning or fact recall ability for the 357 middle school students who served in the comparison group. We postulate that cognitive training in middle school is efficacious for improving gist-reasoning ability and fact recall in students from all socioeconomic levels. (shrink)

PurposeIn Western society, the measurement of weight is prioritized over a person’s bodily experience. Hermeneutic philosopher Gadamer warned against the emphasis on measurement, rather than experience, in the medical sciences. An examination of the complexity of the experience of weight provides the opportunity to shift focus from quantifying the connection between health and weight to the experience of the person being weighed.MethodsThis qualitative hermeneutic study aims to understand people’s experiences of weight from the interviews of professionals and lay experts. Interviews (...) were analyzed using an interpretive hermeneutic method.ResultsThe interviews revealed that weight was experienced as a number imbued with meaning and bias, as a number that could be manipulated, and as a constant and anticipated bodily change. Weight change was expected and often unwelcomed, despite weight being a quality of the body that is always in flux. External measures of weight meant to monitor wellness and health inadvertently became an unhealthy fixation that prevented some participants from fully participating in life events and appreciating the stages their bodies were in.ConclusionWeight change is a necessary condition of being human, and bodies are and will be constantly changing. To achieve health and harmony, one must fit together the acceptance of change and their bodily experience of weight. It is often the preoccupation with weight, not weight itself, that gets in the way of living. (shrink)

Peter Abelard (1079–1142 ce) was the most wide‐ranging philosopher of the twelfth century. He quickly established himself as a leading teacher of logic in and near Paris shortly after 1100. After his affair with Heloise, and his subsequent castration, Abelard became a monk, but he returned to teaching in the Paris schools until 1140, when his work was condemned by a Church Council at Sens. His logical writings were based around discussion of the “Old Logic”: Porphyry's Isagoge, aristotle'S Categories and (...) On Interpretation and boethius'S textbook on topical inference. They comprise a freestanding Dialectica (“Logic”; probably c.1116), a set of commentaries (known as the Logica [Ingredientibus], c. 1119) and a later (c. 1125) commentary on the Isagoge (Logica Nostrorum Petititoni Sociorum or Glossulae). In a work Abelard called his Theologia, issued in three main versions (between 1120 and c.1134), he attempted a logical analysis of trinitarian relations and explored the philosophical problems surrounding God's claims to omnipotence and omniscience. The Collationes (“Debates,” also known as “Dialogue between a Christian, a Philosopher and a Jew”; probably c.1130) present a rational investigation into the nature of the highest good, in which the Christian and the Philosopher (who seems to be modeled on a philosopher of pagan antiquity) are remarkably in agreement. The unfinished Scito teipsum (“Know thyself,” also known as the “Ethics”; c.1138) analyses moral action. (shrink)

Portraits of Wittgenstein is a major collection of memoirs and reflections on one of the most influential and yet elusive personalities in the history of modern philosophy, Ludwig Wittgenstein. Featuring a wealth of illuminating and profound insights into Wittgenstein's extraordinary life, this unique collection reveals Wittgenstein's character and power of personality more vividly and comprehensively than ever before. With portraits from more than seventy-five figures, Portraits of Wittgenstein brings together the personal recollections of philosophers, students, friends and acquaintances, including Bertrand (...) Russell, G. E. Moore, F. R. Leavis, A. J. Ayer, Karl Popper, Friedrich von Hayek, G. H. von Wright, Rush Rhees, Freeman Dyson, G. E. M. Anscombe, Iris Murdoch, Mary Midgley and Mary Warnock. These authors testify to the life-long influence Wittgenstein had on the lives of those he met. Their fascinating memoirs, reflections and commentaries, often at odds with each other, reveal Wittgenstein's kindness, and how much genuine friendship meant to him, as well as his suffering and despair. They show too how the philosopher's ruthless honesty and uncompromising integrity often resulted in stern advice and harsh rebukes to friends and foes alike. Now available in a single, revised and updated volume, Portraits of Wittgenstein includes new selections, revised contributions, photographs, maps and introductory overviews that provide historical context to Wittgenstein's relationships with his intellectual and social circle. This collection of valuable and hard-to-find material is an indispensable resource for scholars and students of the life and work of Ludwig Wittgenstein. (shrink)

This paper offers a critical examination of Fischer and Ravizza's attempt in Responsibility and Control to give a comprehensive account of the kind of control that grounds moral responsibility (RC, 14). The kind of control required for moral responsibility, they argue, is not some form of regulative control that involves alternate possibilities. What is required is guidance control, which is compatible with causal determinism (RC, 34). Guidance control has 'two separate dimensions' that Fischer and Ravizza aim to articulate and defend. (...) The first of these is that the mechanism that actually issues in the relevant conduct must be moderately reasons-responsive. The second is that the mechanism concerned must be the agent's own. The arguments that Fischer and Ravizza provide in defence of this overall position are carefully articu- lated and imaginatively defended. It is impossible not to admire this book. It will receive and deserves to receive a considerable amount of attention and discussion from all those who have an interest in the free will problem. I am confident that this work will prove to be of lasting influence and importance. My own discussion shows that I am not persuaded by the particular arguments that Fischer and Ravizza have given to support the two basic components of guidance control. How- ever, if my own experience is anything to judge by, readers will find this book challenging, stimulating, and highly rewarding. It sets a high standard by which to evaluate and assess other work and theories in the field. (shrink)

Machine generated contents note: -- Series Editors' PrefaceAcknowledgementsNotes on ContributorsHow Things Are Elsewhere; W. Schwarz Information Change and First-Order Dynamic Logic; B.Kooi Interpreting and Applying Proof Theories for Modal Logic; F.Poggiolesi & G.Restall The Logic(s) of Modal Knowledge; D.Cohnitz On Probabilistically Closed Languages; H.Leitgeb Dogmatism, Probability and Logical Uncertainty; B.Weatherson & D.Jehle Skepticism about Reasoning; S.Roush, K.Allen & I.HerbertLessons in Philosophy of Logic from Medieval Obligations; C.D.Novaes How to Rule Out Things with Words: Strong Paraconsistency and the Algebra of Exclusion; (...) F.Berto Lessons from the Logic of Demonstratives; G.RussellThe Multitude View on Logic; M.Eklund Index. (shrink)

The ability to differentiate between what is just and what is unjust may be considered as the precondition to demand one's own rights. Starting from this point, this research was carried out to describe the level of awareness of patients concerning their rights. The main hypothesis was: the higher the socioeconomic and cultural level of patients, the higher is their awareness of their rights. This research was conducted in one of the state hospitals in Turkey in 1998. It is a (...) descriptive study carried out on 128 inpatients in medical and surgical wards. The data were collected by a questionnaire, which included questions on the rights of patients and gave sample cases. The sample cases were designed by referring to the World Health Organization Declaration on the Promotion of Patients' Rights in Europe. Only 23% of the participants were able to recognize patient rights, while 32% could not; the majority (45%) were undecided in recognizing patient rights. The awareness scores were statistically significantly different for educational level categories (F = 5.84; p<0.001). A continuously declining trend was observed for patient rights awareness scores from the highest educational level to the lowest. This partly proves the hypothesis of the research. However, the awareness scores were not significantly different for the other background variables (p>0.05). Most strikingly, 38% of the patients had no idea about their diagnosis and 63% of those who had undergone surgery did not know why they had had the operation. (shrink)