Despite the prominence of person‐centred care (PCC) in nursing, there is no general agreement on the assumptions and the meaning of PCC. We sympathize with the work of others who rethink PCC towards relational, embedded, and temporal selfhood rather than individual personhood. Our perspective addresses criticism of humanist assumptions in PCC using critical posthumanism as a diffraction from dominant values We highlight the problematic realities that might be produced in healthcare, leading to some people being more likely to be disenfranchised (...) from healthcare than others. We point to the colonial, homo‐ and transphobic, racist, ableist, and ageist consequences of humanist traditions that have influenced the development of PCC. We describe the deep rooted conditions that structurally uphold inequality and undermine nursing practice that PCC reproduces. We advocate for the self‐determination of patients and emphasize that we support the fundamental mechanisms of PCC enabling patients' choice; however, without critical introspection, these are limited to a portion of humans. Last, we present limitations of our perspective based on our white*‐cisheteropatriarchy** positionality. We point to the fact that any reimagining of models such as PCC should be carefully done by listening, following, and ceding power to people with diversity dimensions*** and the lived experience or expertise that exists from diverse perspectives. We point towards Black, queer feminism, and critical disabilities studies to contextualize our point of critique with humanism and PCC to amplify equity for all people and communities. Theory and philosophy are useful to understand restrictive factors in healthcare delivery and to inform systematic strategies to improve the quality of care so as not to perpetuate the oppression of groups of people with diversity dimensions. *We purposely capitalize Black and use lower case for white to decentre whiteness and as an intentional act of antiracism (see White Homework a podcast series by Tori W. Douglas). **Cisheteropatriarchy describes people with intersecting identities of dominant social groups; cisgender is the gender identity that aligns with the gender you were assigned at birth, hetero means heterosexual, and patriarchy refers to structural systems of power based on maleness where women are often excluded and hold less power. ***With diversity dimensions, we refer to subjective lived experience and material realities of people that exist outside the ‘dominant minorities' of white‐cisheteropatriarchy, meaning groups of people in society who historically and currently hold more power and through this, structurally dominate the norms and possibilities of living for other people. (shrink)

In reference to the philosophical theology of medieval Islamic theologian Ibn Taymiyya, this paper outlines a parallel between Taymiyyan thought and Alvin Plantinga’s thesis of ‘Reformed Epistemology’. In critiquing a previous attempt to build an account of ‘Islamic externalism’, the Taymiyyan model offers an account that can be seen as wholly ‘Plantingan’.

The problem of religious disagreement between epistemic peers is a potential threat to the epistemic justification of one’s theistic belief. In this paper, I develop a response to this problem which draws on the central epistemological thesis of skeptical theism concerning our inability to make proper judgements about God’s reasons for permitting evil. I suggest that this thesis may extend over to our judgements about God’s reasons for self-revealing, and that when it does so, it can enable theists to remain (...) steadfast amid disagreement with epistemic peers who hold a contrary theistic belief (i.e., atheistic belief). For if we’re unable to make proper judgements about God’s reasons for self-revealing, then for all we know, God has some reason for not revealing Himself to our apparent epistemic peer. Thus, their epistemic credentials needn’t provide reason to reduce one’s confidence to such a degree as to no longer uphold one’s theistic belief. (shrink)

This article aims to draw on the ‘Qur'anic Rationalism’ of Taqī al-Dīn Ibn Taymiyya (1263–1328) in elucidating an Islamic epistemology of theistic natural signs, in the lens of contemporary philosophy of religion. In articulating what Ibn Taymiyya coins ‘God's method of proof through signs (istidlāluhu taʿālā bi'l-āyāt)’, it seeks aid in particular from the work of C. Stephen Evans and other contemporary philosophers of religion, in an attempt to understand the relevance and force of this alternative to natural theology within (...) the Islamic tradition. In doing so, it aims to respond to existing criticisms of Ibn Taymiyya's perspective in the literature, and to consider the implications of a Taymiyyan reading of theistic natural signs, on the epistemic function of Qur'anic āyāt as theistic evidence. (shrink)

In this article, I consider how the epistemic problem of religious disagreement has been viewed within the Islamic tradition. Specifically, I consider two religious epistemological trends within the tradition: Islamic Rationalism and Islamic Traditionalism. In examining the approaches of both trends toward addressing the epistemic problem, I suggest that neither is wholly adequate. Nonetheless, I argue that both approaches offer insights that might be relevant to building a more adequate response. So, I attempt to combine insights from both by drawing (...) a distinction between inferential and noninferential reflective responsibility. Given this distinction, I argue that it may be possible for a theist to remain steadfast in upholding their tradition-specific theistic belief, without having to hold that belief by way of inference; but nevertheless, having to be sufficiently reflectively responsible in forming their theistic belief noninferentially. (shrink)

This chapter aims to draw on the critical threads of those vibrant theological conversations within the formative years of Islamic thought in considering the different theological models of the Divine within the broader Islamic tradition under the purview of classical theism as it is understood today in the contemporary philosophy of religion. In doing so, it makes reference to the major strands within the theological (‘ilm al- kalām & atharī scripturalism) and philosophical (falsafa) schools of the Islamic tradition. It aims (...) to consider how these different trends, schools, and thinkers construct a model of God in light of the classical and neo-classical theistic model of God. (shrink)

Contemporary philosophy of religion has been fascinated with questions of the rationality of religious belief. Alvin Plantinga—a prominent Christian philosopher—has contributed greatly to the exploration of these questions. Plantinga’s epistemology is rooted in the intuitions of Thomas Reid’s “common-sense” philosophy and has developed into a distinctive outlook that we may coin, Plantingian (Calvinist) Reidianism. This chapter aims to propose that, in fact, the central ideas of that outlook can be seen prior to Reid (and John Calvin), beyond the confines of (...) exclusively Christian and European circles, in the theological epistemology of the Damascene Islamic theologian, Taqī al-Dīn Ibn Taymiyya (d. 1328 CE). In exploring the contours of a Taymiyyan worldview, primed upon the notion of fiṭra, Ibn Taymiyya can be seen to have developed a faculty-based account of knowledge, moderate foundationalism, and a distinct “Reformed” epistemology. Within the midst of these developments, Ibn Taymiyya offers a potential framework for a “common-sense” philosophical methodology. Taken together these ideas form the basis for the intuitions of Plantingian Reidianism. Therefore, Plantinga might have looked to an earlier figure working in another tradition for historical support and inspiration for his religious epistemology. (shrink)

The third edition of the Standards for Academic and Professional Instruction in Foundations of Education, Educational Studies, and Educational Policy Studies (Standards) challenge us to envision what ?a more holistic, inclusive and intellectually challenging approach to preparing educators? might look like. This article discusses how the operating principles of a teacher education program parallel the commitments for educators found in the Standards and explores why collaborative relationships between teacher education and social foundations matter. Given the current political and social climate (...) surrounding the field of education, it is important for those of us in the field of social foundations to think outside the box. (shrink)

Past work has demonstrated that people’s moral judgments can influence their judgments in a number of domains that might seem to involve straightforward matters of fact, including judgments about freedom, causation, the doing/allowing distinction, and intentional action. The present studies explore whether the effect of morality in these four domains can be explained by changes in the relevance of alternative possibilities. More precisely, we propose that moral judgment influences the degree to which people regard certain alternative possibilities as relevant, which (...) in turn impacts intuitions about freedom, causation, doing/allowing, and intentional action. Employing the stimuli used in previous research, Studies 1a, 2a, 3a, and 4a show that the relevance of alternatives is influenced by moral judgments and mediates the impact of morality on non-moral judgments. Studies 1b, 2b, 3b, and 4b then provide direct empirical evidence for the link between the relevance of alternatives and judgments in these four domains by manipulating (rather than measuring) the relevance of alternative possibilities. Lastly, Study 5 demonstrates that the critical mechanism is not whether alternative possibilities are considered, but whether they are regarded as relevant. These studies support a unified framework for understanding the impact of morality across these very different kinds of judgments. (shrink)

Contemporary philosophy of religion has been fascinated with questions of the rationality of religious belief. Alvin Plantinga—a prominent Christian philosopher—has contributed greatly to the exploration of these questions. Plantinga’s epistemology is rooted in the intuitions of Thomas Reid’s “common-sense” philosophy and has developed into a distinctive outlook that we may coin, Plantingian (Calvinist) Reidianism. This chapter aims to propose that, in fact, the central ideas of that outlook can be seen prior to Reid (and John Calvin), beyond the confines of (...) exclusively Christian and European circles, in the theological epistemology of the Damascene Islamic theologian, Taqī al-Dīn Ibn Taymiyya (d. 1328 CE). In exploring the contours of a Taymiyyan worldview, primed upon the notion of fiṭra, Ibn Taymiyya can be seen to have developed a faculty-based account of knowledge, moderate foundationalism, and a distinct “Reformed” epistemology. Within the midst of these developments, Ibn Taymiyya offers a potential framework for a “common-sense” philosophical methodology. Taken together these ideas form the basis for the intuitions of Plantingian Reidianism. Therefore, Plantinga might have looked to an earlier figure working in another tradition for historical support and inspiration for his religious epistemology. (shrink)

This chapter aims to lay out a map of the diverse epistemological perspectives within the Islamic theological tradition, in the conceptual framework of contemporary analytic philosophy of religion. In order achieve that goal, it aims to consider epistemological views in light of their historic context, while at the same time seeking to “translate” those broadly medieval perspectives into contemporary philosophical language. In doing so, the chapter offers a succinct overview of the main epistemic trends within the Islamic theological tradition concerning (...) religious epistemology. The chapter is divided into two main sections designated for discussions of differing accounts found in distinct trends of the tradition, namely the Rationalist and Traditionalist trends. The discussion concerning the Rationalist trend focuses on the philosophical-theologians of the dominant Mu’tazilite, Ash’arite, and Maturidite schools. The section on Islamic Traditionalism focuses on the Atharite scripturalism of Ibn Qudāma, and in particular the thought of Ibn Taymiyya. In order to map out these historic positions in light of contemporary religious epistemology, reference is made to a threefold typology of current views in the literature: (1) theistic evidentialism, (2) reformed epistemology, and (3) fideism. As such, the remainder of the chapter will attempt to outline the different approaches toward religious epistemology in the Islamic theological tradition with this threefold typology in mind. (shrink)

With this paper, we walk out some central ideas about posthumanisms and the ways in which nursing is already deeply entangled with them. At the same time, we point to ways in which nursing might benefit from further entanglement with other ideas emerging from posthumanisms. We first offer up a brief history of posthumanisms, following multiple roots to several points of formation. We then turn to key flavors of posthuman thought to differentiate between them and clarify our collective understanding and (...) use of the terms. This includes considerations of the threads of transhumanism, critical posthumanism, feminist new materialism, and the speculative, affirmative ethics that arise from critical posthumanism and feminist new materialism. These ideas are fruitful for nursing, and already in action in many cases, which is the matter we occupy ourselves with in the final third of the paper. We consider the ways nursing is already posthuman—sometimes even critically so—and the speculative worldbuilding of nursing as praxis. We conclude with visions for a critical posthumanist nursing that attends to humans and other/more/nonhumans, situated and material and embodied and connected, in relation. (shrink)

This paper presents an overview of the process of entanglement at the 25th International Philosophy of Nursing Conference (IPNC) at University of California at Irvine held on August 18, 2022. Representing collective work from the US, Canada, UK and Germany, our panel entitled ‘What can critical posthuman philosophies do for nursing?’ examined critical posthumanism and its operations and potential in nursing. Critical posthumanism offers an antifascist, feminist, material, affective, and ecologically entangled approach to nursing and healthcare. Rather than focusing on (...) the arguments of each of the three distinct but interrelated panel presentation pieces, this paper instead focuses on process and performance (per/formance) and performativity as relational, connected and situated, with connections to nursing philosophy. Building upon critical feminist and new materialist philosophies, we describe intra‐activity and performativity as ways to dehierarchise knowledge making practices within traditional academic conference spaces. Creating critical cartographies of thinking and being are actions of possibility for building more just and equitable futures for nursing, nurses, and those they accompany—including all humans, nonhumans, and more than human matter. (shrink)

There is now a rapidly expanding population of interlinked developmental biology databases on the World Wide Web that can be readily accessed from a desk‐top PC using programs such as Netscape or Mosaic. These databases cover popular organisms (Arabidopsis, Caenorhabditis, Drosophila, zebrafish, mouse, etc.) and include gene and protein sequences, lists of mutants, information on resources and techniques, and teaching aids. More complex are databases relating domains of gene expression to embryonic anatomy and these range from existing text‐based systems for (...) specific organs such as kidney, to a massive project under development, that will cover gene expression during the whole of mouse embryogenesis. In this brief article, we review selected examples of databases currently available, look forward to what will be available soon, and explain how to gain access to the World Wide Web. (shrink)

BackgroundHuman infection studies (HIS) are valuable in vaccine development. Deliberate infection, however, creates challenging questions, particularly in low and middle-income countries (LMICs) where HIS are new and ethical challenges may be heightened. Consultation with stakeholders is needed to support contextually appropriate and acceptable study design. We examined stakeholder perceptions about the acceptability and ethics of HIS in Malawi, to inform decisions about planned pneumococcal challenge research and wider understanding of HIS ethics in LMICs.MethodsWe conducted 6 deliberative focus groups and 15 (...) follow-up interviews with research staff, medical students, and community representatives from rural and urban Blantyre. We also conducted 5 key informant interviews with clinicians, ethics committee members, and district health government officials.ResultsStakeholders perceived HIS research to have potential population health benefits, but they also had concerns, particularly related to the safety of volunteers and negative community reactions. Acceptability depended on a range of conditions related to procedures for voluntary and informed consent, inclusion criteria, medical care or support, compensation, regulation, and robust community engagement. These conditions largely mirror those in existing guidelines for HIS and biomedical research in LMICs. Stakeholder perceptions pointed to potential tensions, for example, balancing equity, safety, and relevance in inclusion criteria.ConclusionsOur findings suggest HIS research could be acceptable in Malawi, provided certain conditions are in place. Ongoing assessment of participant experiences and stakeholder perceptions will be required to strengthen HIS research during development and roll-out. (shrink)

Public health care interventions—regarding vaccination, obesity, and HIV, for example—standardly take the form of information dissemination across a community. But information networks can vary importantly between different ethnic communities, as can levels of trust in information from different sources. We use data from the Greater Pittsburgh Random Household Health Survey to construct models of information networks for White and Black communities--models which reflect the degree of information contact between individuals, with degrees of trust in information from various sources correlated with (...) positions in that social network. With simple assumptions regarding belief change and social reinforcement, we use those modeled networks to build dynamic agent-based models of how information can be expected to flow and how beliefs can be expected to change across each community. With contrasting information from governmental and religious sources, the results show importantly different dynamic patterns of belief polarization within the two communities. (shrink)

The effects of research ethics training on medical students' attitudes about clinical research are examined. A preliminary randomized controlled trial evaluated 2 didactic approaches to ethics training compared to a no-intervention control. The participant-oriented intervention emphasized subjective experiences of research participants (empathy focused). The criteria-oriented intervention emphasized specific ethical criteria for analyzing protocols (analytic focused). Compared to controls, those in the participant-oriented intervention group exhibited greater attunement to research participants' attitudes related to altruism, trust, quality of relationships with researchers, desire (...) for information, hopes about participation and possible therapeutic misconception, importance of consent forms, and deciding quickly about participation. The participant-oriented group also agreed more strongly that seriously ill people are capable of making their own research participation decisions. The criteria-oriented intervention did not affect learners' attitudes about clinical research, ethical duties of investigators, or research participants' decision making. An empathy-focused approach affected medical students' attunement to research volunteer perspectives, preferences, and attributes, but an analytically oriented approach had no influence. These findings underscore the need to further examine the differential effects of empathy-versus analytic-focused approaches to the teaching of ethics. (shrink)

The effects of research ethics training on medical students' attitudes about clinical research are examined. A preliminary randomized controlled trial evaluated 2 didactic approaches to ethics training compared to a no-intervention control. The participant-oriented intervention emphasized subjective experiences of research participants. The criteria-oriented intervention emphasized specific ethical criteria for analyzing protocols. Compared to controls, those in the participant-oriented intervention group exhibited greater attunement to research participants' attitudes related to altruism, trust, quality of relationships with researchers, desire for information, hopes about (...) participation and possible therapeutic misconception, importance of consent forms, and deciding quickly about participation. The participant-oriented group also agreed more strongly that seriously ill people are capable of making their own research participation decisions. The criteria-oriented intervention did not affect learners' attitudes about clinical research, ethical duties of investigators, or research participants' decision making. An empathy-focused approach affected medical students' attunement to research volunteer perspectives, preferences, and attributes, but an analytically oriented approach had no influence. These findings underscore the need to further examine the differential effects of empathy-versus analytic-focused approaches to the teaching of ethics. (shrink)

Self-criticism is a trait associated with increased psychopathology, but self-criticism is also a personality state reflecting an action that people do in moments of time. In the current study, we explored factors associated with heightened self-criticism in daily life. Participants (N = 197) received five random prompts per day for one week on their mobile phones, where they reported their current affect (negative and positive affect), willpower self-efficacy, distress intolerance, degree of support and criticism from others, current context (location, activity, (...) hunger, tiredness) and momentary self-criticism. We first demonstrated that self-criticism varies over time and across contexts, and is associated with heightened trait self-criticism. Then, using multilevel modelling, we explored the contextual factors associated with greater self-criticism. We found that self-criticism was higher when people were at home, and more tired. We also found higher self-criticism to be associated with greater negative and lower positive affect, greater distress intolerance, lower willpower and greater perceived criticism from others. In addition, self-criticism predicted subsequent distress intolerance, willpower and positive affect in lagged analyses. This study provides evidence that both environmental and psychological factors are associated with the dynamics of self-critical thoughts. (shrink)

We tested the hypothesis that choices determined by Type 1 processes are compelling because they are fluent, and for this reason they are less subject to analytic thinking than other answers. A total of 104 participants completed a modified version of Wason's selection task wherein they made decisions about one card at a time using a two-response paradigm. In this paradigm participants gave a fast, intuitive response, rated their feeling of rightness for that response, and were then allowed free time (...) to reconsider their answers. As we predicted, answers consistent with a matching heuristic were made more quickly than other answers, were given higher FOR ratings, and received less subsequent analysis as measured by rethinking time and the probability of changing answers. These data suggest that reasoning biases may be compelling because they are fluently generated; this is turn creates a strong FOR, which acts as a signal that further analysis is not necessary. (shrink)

ABSTRACT There is limited guidance about whether and how to provide psychological assessment results to research participants. This paper considers several ethical challenges associated with offering individual research results in psychological assessment research. Additionally, the process used to return individual results within a study examining neurodevelopmental effects of anesthesia exposure in children and adolescents is described. Almost all participants requested to know if results were concerning; however, only around a third of those with concerning findings sought additional feedback. Ongoing research (...) and guidance are necessary to establish evidence-based practices and manage challenges that may emerge when disclosing such results. (shrink)

A common philosophical account of expertise contends that (a) the good of expertise lies in the fact that it is grounded in reliably true beliefs or knowledge in a domain and (b) rejecting this truth-linked view threatens the authority of experts and opens one to epistemic relativism. I argue that both of these claims are implausible, and I show how epistemic authority and objectivity can be grounded in the current state of understanding and skill in a domain. Further, I argue (...) that what I call a ‘cognitive systems’ approach is consistent with this domain-linked account of expert authority, is empirically supported, and provides a philosophical foundation for both empirical and conceptual work on the nature and scope of expertise. (shrink)

Prior research shows that reasoners' confidence is poorly calibrated (Shynkaruk & Thompson, 2006). The goal of the current experiment was to increase calibration in syllogistic reasoning by training reasoners on (a) the concept of logical necessity and (b) the idea that more than one representation of the premises may be possible. Training improved accuracy and was also effective in remedying some systematic misunderstandings about the task: those in the training condition were better at estimating their overall performance than those who (...) were untrained. However, training was less successful in helping reasoners to discriminate which items are most likely to cause them difficulties. In addition we explored other variables that may affect confidence and accuracy, such as the number of models required to represent the problem and whether or not the presented conclusion was necessitated by the premises, possible given the premises, or impossible given the premises. These variables had systematically different relationships to confidence and accuracy. Thus, we propose that confidence in reasoning judgements is analogous to confidence in memory retrievals, in that they are inferentially derived from cues that are not diagnostic in terms of accuracy. (shrink)

The chapter argues that we should draw the line between realist and antirealist metaethics according to whether a theory locates the explanation for the special, puzzling features of moral terms and concepts out in the world, with the content of moral thoughts, or inside the head. This taxonomy places Mackie's error theory in the realist category, contrary to the usual scheme. The paper suggests that in looking for the “queerness” of objective value in the metaphysics of moral properties, Mackie makes (...) a mistake parallel to a fantastic mistake made by some of the characters in E. B. White's Charlotte's Web. (shrink)

This dissertation is about a priori justification and its relationship to experiential evidence. I begin with the assumption that a priori justification is justification that is independent of experience. It has been argued that putative examples of a priori justification are implausible because they are not, in any significant sense, independent of experience. My two central claims are that (a) a subject is plausibly justified a priori in believing a proposition only if the belief is not revisable on empirical grounds, (...) which I will call the empirical unrevisability thesis; and (b) moderate rationalists can resist four empirical challenges considered by many to be decisive against the empirical unrevisability thesis. I begin by developing an account of experiential evidence that is neutral between rationalists and empiricists in order to make clear the distinction between a priori and a posteriori justification. I then argue that a moderate rationalist account of a priori justification is plausible only if the beliefs justified a priori are empirically unrevisable in a qualified sense. I then argue that four classical objections that putative cases of a priori justification are not independent of experience fail, namely, that they are revisable by some instances of contrary testimony, by mistakes in long proofs and memory, that a paradigm example of a priori knowledge was overturned by new evidence in physics, and that psychological data undermines the reliability of sources of a priori justification. I conclude that there is only one potentially threatening case, derived from neurological malfunction, and I leave the solution to this case to future research. (shrink)

I’ll use an extension of the “smidget” example Soames sets out on pages 165-172 to bring out the point. Groups A and B are disjoint and satisfy certain regularity conditions. Recall that the extension and anti-extension are specified by a pair of sufficient conditions. We specify: every member of group A is a smidget and every member of group B is not a smidget. No decision is made about persons that are outside groups A and B. It is, of course, (...) crucial that the smidgethood of the indeterminate cases is genuinely left open. What is the cash value of the difference between leaving a case unsettled and settling a case as indeterminate? Here is one difference: when a case is left unsettled, speakers of the language can resolve it later, if there is some reason to do so. This provides a simple model of key features of legal stipulations, at least in circumstances like U.S. constitutional law, where a single body can introduce an expression and stipulate how it is to be interpreted. (shrink)

I’ll use an extension of the “smidget” example Soames sets out on pages 165-172 to bring out the point. Groups A and B are disjoint and satisfy certain regularity conditions. Recall that the extension and anti-extension are specified by a pair of sufficient conditions. We specify: every member of group A is a smidget and every member of group B is not a smidget. No decision is made about persons that are outside groups A and B. It is, of course, (...) crucial that the smidgethood of the indeterminate cases is genuinely left open. What is the cash value of the difference between leaving a case unsettled and settling a case as indeterminate? Here is one difference: when a case is left unsettled, speakers of the language can resolve it later, if there is some reason to do so. This provides a simple model of key features of legal stipulations, at least in circumstances like U.S. constitutional law, where a single body can introduce an expression and stipulate how it is to be interpreted. (shrink)

I’ll use an extension of the “smidget” example Soames sets out on pages 165-172 to bring out the point. Groups A and B are disjoint and satisfy certain regularity conditions. Recall that the extension and anti-extension are specified by a pair of sufficient conditions. We specify: every member of group A is a smidget and every member of group B is not a smidget. No decision is made about persons that are outside groups A and B. It is, of course, (...) crucial that the smidgethood of the indeterminate cases is genuinely left open. What is the cash value of the difference between leaving a case unsettled and settling a case as indeterminate? Here is one difference: when a case is left unsettled, speakers of the language can resolve it later, if there is some reason to do so. This provides a simple model of key features of legal stipulations, at least in circumstances like U.S. constitutional law, where a single body can introduce an expression and stipulate how it is to be interpreted. (shrink)