This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in (...) the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

In the context of long waiting time to access rehabilitation services, a large majority of settings use referral prioritization to help manage waiting lists. Prioritization practices vary greatly between settings and there is little consensus on how best to prioritize referrals. This paper describes the prioritization processes for physiotherapy services in Québec and its potential implications in terms of equity in access to services. This is a secondary analysis of a survey of outpatient physiotherapy departments (n=98; proportion of participation was (...) 99%) conducted in 2015 across publicly funded hospitals in Québec. In many settings, persons with acute orthopaedic conditions were prioritized while chronic conditions were given a lower priority. There were 72 different combinations of prioritization criteria used in outpatient physiotherapy departments. Variability was also observed in the type of personnel involved in the prioritization process, the number of priority levels used to rank the referrals and the source of information used to prioritize referrals. These results highlight potential issues regarding equity in access to physiotherapy services: the prioritization of persons with acute conditions to the detriment of those with chronic conditions, the lack of consensus on a fair prioritization process and the importance to adequately assess patients’ needs for treatment. Further research and interventions on prioritization criteria and processes are needed to ensure equitable access to physiotherapy services, especially in the public sector. (shrink)

In the context of long waiting time to access rehabilitation services, a large majority of settings use referral prioritization to help manage waiting lists. Prioritization practices vary greatly between settings and there is little consensus on how best to prioritize referrals. This paper describes the prioritization processes for physiotherapy services in Québec and its potential implications in terms of equity in access to services. This is a secondary analysis of a survey of outpatient physiotherapy departments conducted in 2015 across publicly (...) funded hospitals in Québec. In many settings, persons with acute orthopaedic conditions were prioritized while chronic conditions were given a lower priority. There were 72 different combinations of prioritization criteria used in outpatient physiotherapy departments. Variability was also observed in the type of personnel involved in the prioritization process, the number of priority levels used to rank the referrals and the source of information used to prioritize referrals. These results highlight potential issues regarding equity in access to physiotherapy services: the prioritization of persons with acute conditions to the detriment of those with chronic conditions, the lack of consensus on a fair prioritization process and the importance to adequately assess patients’ needs for treatment. Further research and interventions on prioritization criteria and processes are needed to ensure equitable access to physiotherapy services, especially in the public sector. (shrink)

Contains the author's responses to comments by the three named authors on her book, 'A Metaphysics for Freedom'.

Photographs are commonly taken of children in medical and research contexts. With the increased availability of photographs through the internet, it is increasingly important to consider their potential for negative consequences and the nature of any consent obtained. In this research we explore the issues around photography in low-resource settings, in particular concentrating on the challenges in gaining informed consent.

Why should the work of the ancient and the medievals, so far as it relates to nature, still be of interest and an inspiration to us now? The contributions to this enlightening volume explore and uncover contemporary scholarship's debt to the classical and medieval past. Thinking About the Environment synthesizes religious thought and environmental theory to trace a trajectory from Mesopotamian mythology and classical and Hellenistic Greek, through classical Latin writers, to medieval Christian views of the natural world and our (...) relationship with it. The work also offers medieval Arabic and Jewish views on humanity's inseparability from nature. The volume concludes with a study of the breakdown between science and value in contemporary ecological thought. Thinking About the Environment will be a invaluable source book for those seeking to address environmental ethics from a historical perspective. (shrink)

The nature of poetic truth, and of the belief claimed by poetry, has become for many thinkers a question of keener interest through the discussions of Dr. I. A. Richards. In a recent article in this Journal,1 Dr. Helen Wodehouse has expressed her own view, elicited in relation to that of Dr. Richards, concerning truth in poetry. She urges that “a great poem seems sometimes centrally to be showing us the full measure and nature of some aspect of the (...) actual world.” Our response involves essentially an element of belief in something revealed as rooted in reality, laying necessity upon the poet; even though that belief may not attach to all that the poet accepted as fact, and though we may be unable to formulate in reflective terms the nature of the truth discerned. (shrink)

Whipple disease is a rare, infectious, disease first described from a single case by Whipple in 1907. As well as characterising the clinical and pathological features of the condition, Whipple made two suggestions regarding its aetiology. These were either than the disease was caused by an infectious agent, or that it was of metabolic origin. As the disease is now thought to be caused by infection with the bacterium Tropheryma whipplei, historical reviews of the history of the disease typically mention (...) only the first of these suggestions. In this paper, we therefore revisit Whipple’s other theory. We argue that a diverse and often successful research programme was developed around this mechanism of disease causation which gave rise to many useful findings on the condition. In the later parts of this article, we then turn to discuss the surprising neglect of this period of Whipple disease research in the current literature, and conclude by offering a brief reconstruction of this early history suitable for use in a technical context. (shrink)

Humans and other animals have an evolved ability to detect discrete magnitudes in their environment. Does this observation support evolutionary debunking arguments against mathematical realism, as has been recently argued by Clarke-Doane, or does it bolster mathematical realism, as authors such as Joyce and Sinnott-Armstrong have assumed? To find out, we need to pay closer attention to the features of evolved numerical cognition. I provide a detailed examination of the functional properties of evolved numerical cognition, and propose that they (...) prima facie favor a realist account of numbers. (shrink)

BackgroundIn this article, the sources and features of moral distress as experienced by acute psychiatric care nurses are explored.Research designA qualitative design with 16 individual in-depth interviews was chosen. Braun and Clarke’s six analytic phases were used.Ethical considerationsApproval was obtained from the Norwegian Social Science Data Services. Participation was confidential and voluntary.FindingsBased on findings, a somewhat wider definition of moral distress is introduced where nurses experiencing being morally constrained, facing moral dilemmas or moral doubt are included. Coercive administration of (...) medicines, coercion that might be avoided and resistance to the use of coercion are all morally stressful situations. Insufficient resources, mentally poorer patients and quicker discharges lead to superficial treatment. Few staff on evening shifts/weekends make nurses worry when follow-up of the most ill patients, often suicidal, in need of seclusion or with heightened risk of violence, must be done by untrained personnel. Provision of good care when exposed to violence is morally challenging. Feelings of inadequacy, being squeezed between ideals and clinical reality, and failing the patients create moral distress. Moral distress causes bad conscience and feelings of guilt, frustration, anger, sadness, inadequacy, mental tiredness, emotional numbness and being fragmented. Others feel emotionally ‘flat’, cold and empty, and develop high blood pressure and problems sleeping. Even so, some nurses find that moral stress hones their ethical awareness.ConclusionMoral distress in acute psychiatric care may be caused by multiple reasons and cause a variety of reactions. Multifaceted ethical dilemmas, incompatible demands and proximity to patients’ suffering make nurses exposed to moral distress. Moral distress may lead to reduced quality care, which again may lead to bad conscience and cause moral distress. It is particularly problematic if moral distress results in nurses distancing and disconnecting themselves from the patients and their inner selves. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Arrows of Apollo BROOKE CLARK To Aachchi If thou beest he; But O how fallen, how changed From him who in the happy realms of light Clothed with transcendent brightness didst outshine Myriads though bright— —Milton, Paradise Lost i. Today, slumped at my desk, I glimpsed the sun. I wasn’t certain how long I had sat facing my own face’s dim reflection in my computer screen—chin ringed with (...) fat, the sharp-lined contours of my youth long gone, my cheekbones hidden, my bright gaze gone flat— and then—there—on the left side of my face a glow my slightest movement would erase. How that stippling brought me back to life: I felt like I was walking once again through woods where sunlight touched the trees in leaf. I felt warmth prickle up beneath my skin as though the flesh responded to the brief caress of light which brought hope rushing in, as though Apollo had reached down and laid his brilliant fingertips on what he’d made. A sharp, metallic rattle cut the air; Helen had stood up to close the blinds— Helen, too devoid of soul to care that some of us might greet the sun as friends. Her only comment was, “Jeez, what a glare!” arion 27.2 fall 2019 Sweet moments often come to such harsh ends: some people are too coarse for fragile joys, and spoil light with darkness, peace with noise. Helen was such a woman: lumpy, heavy, seemingly formed exclusively of fat, barely mobile yet constantly sweaty, like some malevolent Buddha, she sat and meditated acts of petty cruelty; each time she closed the blinds I heard, “Take that!” in their harsh snap, and felt as if she knew I longed for light, so wouldn’t let it through. Another bitter, desk-bound endomorph (although she would have seemed an Aphrodite to those who carved the Venus of Willendorf), and fated by her own obesity to be struck down and swiftly carried off by a sudden, massive coronary, in line at some all-you-can-eat buffet— she wasn’t worth my notice anyway, although she kept impinging on my sight, but then I caught the slight trace of a smirk when I turned back towards the vanished light (instead of going quietly back to work) and said, “The blinds were fine—it’s not too bright for me—without a window, it feels dark.” Helen snorted: “No thanks—too hot out there. I’m roastin’ like a turkey over here.” Who would not hate the court from which there lies no avenue or hope for an appeal? Her desk was on the coveted window side while mine sat boxed against an inside wall, and that gave Helen power over blinds and sunlight—that was office protocol. 64 the arrows of apollo I longed to feel Apollo’s fingertips but this slug-goddess ruled in grim eclipse. I felt like Milton’s Satan when he fell, plumbing so great a depth from such a height and measuring the lowest pits of Hell, prostrate, near dead—I sat, deprived of light, walled in by my grey-sided cubicle, and sank beneath my own despair’s dead weight. But why should Helen have the power to plunge me into darkness? I deserved revenge— revenge for all the time I’d wasted here, revenge for every hope that slowly died, revenge for every minute of every year, revenge for every bold attempt untried, revenge for every lonely, bitter tear I’d swallowed, choked back, or held in, uncried. Helen became, in that one poisoned moment, the symbol and the source of all my torment. Brooke Clark 65 ii. Boredom was my soul mate; the days slid by unused and empty; I sat and watched them go, hardly recalling that once even I had clung to aspirations—but it was so uncomfortably easy to let them die. I’d turned into a man I didn’t know: in youth, I’d never compromise or settle— so it seemed now—but memory gilds the nettle. Instead of working, I listened to the flies that mobbed the windows, struggling to get out; freedom stretched away... (shrink)

The multifaceted work of the late Susan Leigh Star is explored through a selection of her writings and essays by friends and colleagues. Susan Leigh Star (1954–2010) was one of the most influential science studies scholars of the last several decades. In her work, Star highlighted the messy practices of discovering science, asking hard questions about the marginalizing as well as the liberating powers of science and technology. In the landmark work Sorting Things Out, Star and Geoffrey Bowker revealed the (...) social and ethical histories that are deeply embedded in classification systems. Star's most celebrated concept was the notion of boundary objects: representational forms—things or theories—that can be shared between different communities, with each holding its own understanding of the representation. Unfortunately, Leigh was unable to complete a work on the poetics of infrastructure that further developed the full range of her work. This volume collects articles by Star that set out some of her thinking on boundary objects, marginality, and infrastructure, together with essays by friends and colleagues from a range of disciplines—from philosophy of science to organization science—that testify to the wide-ranging influence of Star's work. Contributors Ellen Balka, Eevi E. Beck, Dick Boland, Geoffrey C. Bowker, Janet Ceja Alcalá, Adele E. Clarke, Les Gasser, James R. Griesemer, Gail Hornstein, John Leslie King, Cheris Kramarae, Maria Puig de la Bellacasa, Karen Ruhleder, Kjeld Schmidt, Brian Cantwell Smith, Susan Leigh Star, Anselm L. Strauss, Jane Summerton, Stefan Timmermans, Helen Verran, Nina Wakeford, Jutta Weber. (shrink)

This paper is part of a symposium discussing Helen Steward's A METAPHYSICS FOR FREEDOM. Steward argues for what she calls Agency Incompatibilism: agency itself is incompatible with determinism. This paper examines what Steward presents as her main argument for Agency Incompatibilism and finds it wanting.

Traits like simplicity and explanatory power have traditionally been treated as values internal to the sciences, constitutive rather than contextual. As such they are cognitive virtues. This essay contrasts a traditional set of such virtues with a set of alternative virtues drawn from feminist writings about the sciences. In certain theoretical contexts, the only reasons for preferring a traditional or an alternative virtue are socio-political. This undermines the notion that the traditional virtues can be considered purely cognitive.

Helen Longino seeks to break the current deadlock in the ongoing wars between philosophers of science and sociologists of science--academic battles founded on disagreement about the role of social forces in constructing scientific knowledge. While many philosophers of science downplay social forces, claiming that scientific knowledge is best considered as a product of cognitive processes, sociologists tend to argue that numerous noncognitive factors influence what scientists learn, how they package it, and how readily it is accepted. Underlying this disagreement, (...) however, is a common assumption that social forces are a source of bias and irrationality. Longino challenges this assumption, arguing that social interaction actually assists us in securing firm, rationally based knowledge. This important insight allows her to develop a durable and novel account of scientific knowledge that integrates the social and cognitive. Longino begins with a detailed discussion of a wide range of contemporary thinkers who write on scientific knowledge, clarifying the philosophical points at issue. She then critically analyzes the dichotomous understanding of the rational and the social that characterizes both sides of the science studies stalemate and the social account that she sees as necessary for an epistemology of science that includes the full spectrum of cognitive processes. Throughout, her account is responsive both to the normative uses of the term knowledge and to the social conditions in which scientific knowledge is produced. Building on ideas first advanced in her influential book Science as Social Knowledge, Longino brings her account into dialogue with current work in social epistemology and science studies and shows how her critical social approach can help solve a variety of stubborn problems. While the book focuses on epistemological concerns related to the sociality of inquiry, Longino also takes up its implications for scientific pluralism. The social approach, she concludes, best allows us to retain a meaningful concept of knowledge in the face of theoretical plurality and uncertainty. (shrink)

The distinction between perception and cognition frames countless debates in philosophy and cognitive science. But what, if anything, does this distinction actually amount to? In this introductory article, we summarize recent work on this question. We first briefly consider the possibility that a perception-cognition border should be eliminated from our scientific ontology, and then introduce and critically examine five positive approaches to marking a perception–cognition border, framed in terms of phenomenology, revisability, modularity, format, and stimulus-dependence.

In The Racial Contract, Charles Mills introduces the notion of an ‘inverted epistemology,’ an epistemology that construes social and racial ignorance as knowledge (p.18). As Mills points out, such ignorance can be used to oppress people by creating alternate realities or ‘white mythologies’ about race (p. 19). If the racial contract results in a society that oppresses people of color and supports white supremacy, then the question of how to correct an inverted epistemology becomes critical. Mills proposes the correction of (...) history and the racist thinking underwriting it as a solution to the problem. Others, like Alison Bailey, seek to confront racial ignorance with active resistance by suggesting that individuals from historically marginalized groups exploit what members of dominant society don’t know (p. 77). While Bailey’s solution, referred to as strategic ignorance, may originate from good intentions, I argue that it is in general inappropriate for Indigenous people. Strategic ignorance is a product of the Western worldview, and it privileges Western values. In fact, both solutions offered by Mills and Bailey fail to consider Indigenous values. Mills’ proposed solution, however, is less objectionable. Instead of either solution, a more suitable form of resistance – one that embraces connectedness, balance, and harmony – would be ideal for the Indigenous communities of Turtle Island. (shrink)

This paper argues that there are a number of different things that could be meant by the claim that a given agent 'could have done otherwise', because there are multiple ways of disambiguating the various anaphoric devices which are contained in the phrase. It goes on to suggest that on at least one of these disambiguations, the claim that a Frankfurtian agent could have done otherwise might be defensible, even given the presence of a counterfactual intervener who will ensure that (...) the agent phis. (shrink)

In Studying Human Behavior, Helen E. Longino enters into the complexities of human behavioral research, a domain still dominated by the age-old debate of “nature versus nurture.” Rather than supporting one side or another or attempting..

It is widely agreed that the intelligibility of modal metaphysics has been vindicated. Quine's arguments to the contrary supposedly confused analyticity with metaphysical necessity, and rigid with non-rigid designators.2 But even if modal metaphysics is intelligible, it could be misconceived. It could be that metaphysical necessity is not absolute necessity – the strictest real notion of necessity – and that no proposition of traditional metaphysical interest is necessary in every real sense. If there were nothing otherwise “uniquely metaphysically significant” about (...) metaphysical necessity, then paradigmatic metaphysical necessities would be necessary in one sense of “necessary”, not necessary in another, and that would be it. The question of whether they were necessary simpliciter would be like the question of whether the Parallel Postulate is true simpliciter – understood as a pure mathematical conjecture, rather than as a hypothesis about physical spacetime. In a sense, the latter question has no objective answer. In this article, I argue that paradigmatic questions of modal metaphysics are like the Parallel Postulate question. I then discuss the deflationary ramifications of this argument. I conclude with an alternative conception of the space of possibility. According to this conception, there is no objective boundary between possibility and impossibility. Along the way, I sketch an analogy between modal metaphysics and set theory. (shrink)

I argue that analogue mental representations possess a canonical decomposition into privileged constituents from which they compose. I motivate this suggestion, and rebut arguments to the contrary, through reflection on the approximate number system, whose representations are widely expected to have an analogue format. I then argue that arguments for the compositionality and constituent structure of these analogue representations generalize to other analogue mental representations posited in the human mind, such as those in early vision and visual imagery.

This volume will be the starting point for future discussion and research.

Gideon Rosen, Brian Leiter, and Catarina Dutilh Novaes raise deep questions about the arguments in Morality and Mathematics (M&M). Their objections bear on practical deliberation, the formulation of mathematical pluralism, the problem of universals, the argument from moral disagreement, moral ‘perception’, the contingency of our mathematical practices, and the purpose of proof. In this response, I address their objections, and the broader issues that they raise.

Scanlon’s Being Realistic about Reasons (BRR) is a beautiful book – sleek, sophisticated, and programmatic. One of its key aims is to demystify knowledge of normative and mathematical truths. In this article, I develop an epistemological problem that Scanlon fails to explicitly address. I argue that his “metaphysical pluralism” can be understood as a response to that problem. However, it resolves the problem only if it undercuts the objectivity of normative and mathematical inquiry.

This paper considers Davidson's critique, in his paper 'Causal Relations' of the Millian notion of the 'whole cause' of an event. The paper attempts to show why Davidson's criticisms of Mill, taken to its logical conclusion, entails that we must give up 'the network model of causation', a model which dominates contemporary philosophy of mind (as well as many accounts of the nature of causation in general) and shapes prevailing ideas about the form of some of its most important questions.

Making a Difference presents fifteen original essays on causation and counterfactuals by an international team of experts. Collectively, they represent the state of the art on these topics. The essays in this volume are inspired by the life and work of Peter Menzies, who made a difference in the lives of students, colleagues, and friends. Topics covered include: the semantics of counterfactuals, agency theories of causation, the context-sensitivity of causal claims, structural equation models, mechanisms, mental causation, causal exclusion argument, free (...) will, and the consequence argument. (shrink)

Essentialism--roughly, the view that natural kinds have discrete essences, generating truths that are necessary but knowable only _a posteriori_--is an increasingly popular view in the metaphysics of science. At the same time, philosophers of language have been subjecting Kripke’s views about the existence and scope of the necessary _a posteriori_ to rigorous analysis and criticism. Essentialists typically appeal to Kripkean semantics to motivate their radical extension of the realm of the necessary _a posteriori_; but they rarely attempt to provide any (...) semantic arguments for this extension, or engage with the critical work being done by philosophers of language. This collection brings authors on both sides together in one volume, thus helping the reader to see the connections between views in philosophy of language on the one hand and the metaphysics of science on the other. The result is a book that will have a significant impact on the debate about essentialism, encouraging essentialists to engage with debates about the semantic presuppositions that underpin their position, and, encouraging philosophers of language to engage with the metaphysical presuppositions enshrined in Kripkean semantics. (shrink)

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Abstract Following Clarke (2002), a Lakatosian approach is used to account for the epistemic development of conspiracy theories. It is then argued that the hypercritical atmosphere of the internet has slowed down the development of conspiracy theories, discouraging conspiracy theorists from articulating explicit versions of their favoured theories, which could form the hard core of Lakatosian research pro grammes. The argument is illustrated with a study of the “controlled demolition” theory of the collapse of three towers at the World (...) Trade Center on September 11, 2001. (shrink)

The Habits of Racism examines some of the complex questions raised by the phenomenon and experience of racism. Helen Ngo argues that the conceptual reworking of habit as bodily orientation helps to identify the more subtle but fundamental workings of racism, exploring what the lived experience of racism and racialization teaches about the nature of the embodied and socially-situated being.

An important work in the debate between materialists and dualists, the public correspondence between Anthony Collins and Samuel Clarke provided the framework for arguments over consciousness and personal identity in eighteenth-century Britain. In Clarke's view, mind and consciousness are so unified that they cannot be compounded into wholes or divided into parts, so mind and consciousness must be distinct from matter. Collins, by contrast, was a perceptive advocate of a materialist account of mind, who defended the possibility that (...) thinking and consciousness are emergent properties of the brain. Appendices include philosophical writings that influenced, and responded to, the correspondence. (shrink)