In lieu of an abstract, here is a brief excerpt of the content:The Practice of SurgeryKaren DevonThere’s no one on the snowy road driving beside me. It’s Christmas Eve, the night the newest attending surgeon on staff gets to be on call. Tonight feels like an anniversary of sorts. The first time I performed an appendectomy “alone” was on Christmas Eve. I can’t recall if it was snowing back then since I hadn’t left the hospital in days. I had assumed (...) that while I was operating on that 26–year–old woman with new abdominal pain that moved towards the left lower quadrant, my attending staff on call was sleeping soundly. I didn’t even know where he lived, or how long it would take if something catastrophic were to happen. I phoned the white–haired man to get his blessing just before midnight. “Have you done this operation before?” he asked. “Yes, several, but not completely alone” I confessed. “Go for it and call me when you are done. Oh, and be safe!” Click. Gulp.As I drive in tonight, again past midnight, I reflect upon that night. Was it practice? A right of passage? The most appropriate treatment for the patient? Perhaps it was even safer this way since my attending really had never done this operation the way it is now done—laparoscopically—by residents. I clearly recall telling the patient and her mother, “We do this all the time! The staff surgeon on call will come in if I need him, but the chief residents always do this operation and I feel comfortable taking care of you.” Sign on the dotted line and make sure you read the part where you are told this is a teaching hospital. Not only was independence an expectation, but I was also supposed to teach the more junior house staff how to emulate what I was so expertly performing.That night I took out the rotting appendix without incident and called the grey haired surgeon in the wee hours. “Merry Christmas Doctor. Sorry to bother you. I just wanted to let you know that the patient is awake and doing well.” “Yes I know. Good work” he replied. “I was in my office. Just in case.”As a resident, I was often torn between the need to gain independence in order to learn and grow as a surgeon, and the idea that I was practicing. As most budding surgeons do, I wanted to be the person doing the surgery. Working on my technical skills was clearly an important part of expertise. Surgery is inherently different than other types of medicine. It seemed slightly more difficult for someone to stop my cutting, than to catch the error in a prescription, before some damage is done. Perhaps a little more like driving a car, than learning to use a calculator. Recently a more modern surgical education is evolving, whereby students practice by simulations on machines. Yet educators know that ultimately many “firsts” need to occur with real patients. That proficiency and expertise are more than a diagnosis, a steady hand, or even the two combined. If the experience of operating as the primary surgeon without immediate supervision, on a patient with acute appendicitis never occurred until we passed licensing exams wouldn’t that be more harmful? I may have been the least legally responsible for outcomes, that night of my own first, when the grey–haired surgeon took the [End Page E1] responsibility of trusting me. But in fact, the obligation I felt was enormous. We cannot simulate the weight of responsibility that comes when responsible for another human being, who you have met and who provides their trust in you. Furthermore, as the teachers of this art and science, we need to balance our obligations to each individual patient with our obligation to society to train competent and caring future surgeons. Surgery would have no history if the “practice” of surgery had nothing to do with practice, defined in its simplest form, yet how do we cover all of this during the late night conversation that is called informed consent. Interestingly since that December evening and for the next 200 laparoscopic appendectomies before my graduation in to... (shrink)

Karen-Sue Taussig: Ordinary Genomes: Science, Citizenship and Genetic Identities Content Type Journal Article Category Book Review Pages 1-4 DOI 10.1007/s10441-012-9150-8 Authors Sabina Leonelli, Department of Sociology and Philosophy, ESRC Centre for Genomics in Society, University of Exeter, Exeter, Devon, UK Journal Acta Biotheoretica Online ISSN 1572-8358 Print ISSN 0001-5342.

Abstract:Therapeutic misconception (TM)—when clinical research participants fail to adequately grasp the difference between participating in a clinical trial and receiving ordinary clinical care—has long been recognized as a significant problem in consent to clinical trials. We suggest that TM does not primarily reflect inadequate disclosure or participants’ incompetence. Instead, TM arises from divergent primary cognitive frames. The researchers’ frame places the clinical trial in the context of scientific designs for assessing intervention efficacy. In contrast, most participants have a cognitive frame (...) that is personal and focused primarily on their medical problems. To illustrate this, we draw on interview material from both clinical researchers and participants in clinical trials. We suggest that reducing TM requires encouraging subjects to adjust their frame, not just add information to their existing frame. What is necessary is ascientific reframingof participation in a clinical trial. (shrink)

Name der Zeitschrift: Cognitive Linguistics Jahrgang: 26 Heft: 2 Seiten: 331-359.

Davidson has argued that the phenomenon of malapropism shows that languages thought of as social entities cannot be prior in the account of communication. This may be taken to imply that Dummett's belief, that language is prior in the account of thought, cannot be retained. This paper criticises the argument that takes Davidson from malapropism to the denial of the priority of language in the account of communication. It argues, against Davidson, that the distinction between word meaning and what speakers (...) mean by words, used by Davidson to account for metaphor, suffices to account for malapropism. The reasons for the failure of Davidson's argument are used to throw light on what is meant by the priority of language over thought, and to argue that the priority thesis is ambiguous. (shrink)

The disappearance of Catharine Macaulay’s eighteenth-century defense of the doctrines that justified the seventeeth-century republican parliament, has served to obscure an important strand of enlightenment faith, that was active in the lead up to the American and French Revolutions, and that also played a significant role in the history of feminism. This faith was made up of two intertwined strands, ‘Christian eudaimonism’ and ‘rational altruism’. Dominant contemporary accounts of the origins of republicanism and democratic theory during the eighteenth-century have excluded (...) serious consideration of Macaulay’s writing. Bringing her works into the mix, both poses difficulties for certain genealogies of the political thought of the period, and tends to favour a once popular view, which emphasized the centrality of Locke. Nevertheless, the Locke whose influence is found in Macaulay’s writing is not the possessive individualist, or rational egoist, that he and other liberals have been represented as being, but rather a rational altruist, whose political philosophy is grounded in natural law and harks back to Milton. This same philosophy provides the philosophical foundations for Wollstonecraft’s two most significant political texts, the Vindication of the Rights of Men and Vindcation of the Rights of Woman. (shrink)

At first glance, Germaine de Staël and Immanuel Kant evince strikingly different attitudes to aesthetic judgment. Yet she promoted Kant's aesthetics and philosophy. This paper examines both Staël's early literary works and her later De l'Allemagne in order to tease out the relationship between their aesthetic theories.

There is a disconnect between the central place that Hobbes now occupies in the presumed history of democratic republicanism, and the fortunes of his political philosophy during the period leading up to the American and French revolutions. Given the central place that Hobbes’s political ideas are now accorded in the history of liberal democracy, this is a surprising fact. One of the few eighteenth-century works to engage with Hobbes was Catharine Macaulay’s critical, Loose Remarks on certain positions to be found (...) in Mr Hobbes’s “Philosophical rudiments of government and society, first published in 1767. This chapter locates Macaulay’s polemic in the context of critiques and editions of Hobbes’s political philosophy, published earlier in the century, in particular the English edition of his works and the translation of Richard Cumberland’s De legibus naturae disquisition philosophica, which both appeared in 1750. It compares Macaulay’s critique with Cumberland’s and suggests that there are features of Macaulay’s treatment of Hobbes’s ideas which help explain how it has been possible for them to have come to occupy the central place they now enjoy in the history of democratic thought, as it is now taught, despite the fact that his philosophy was almost universally rejected by democratic republicans during the eighteenth century and thus had little to do with the actual genesis of Western democratic institutions. (shrink)

Margaret Jacob and Jonathan Israel have offered somewhat different accounts of what they call the ‘Radical Enlightenment’, that is those elements of enlightenment thought which resulted in the radical political upheavals of the late eighteenth century and the rise of democratic republicanism. Jonathan Israel, in particular, insists that the radical enlightenment was radical both in its secular rejection of all providentialist and teleological metaphysics, as well as radical in its democratic tendencies. This paper looks at the way in which Catharine (...) Macaulay’s very influential defence of the equal rights of men, during the lead up to the American and French revolutions, poses problems for Israel’s account of the radical enlightenment and argues that the religious foundation of her political radicalism was characteristic of many of her contemporaries and fits in better with Jacob’s more ecumenical account of the radical enlightenment than with Israel’s purely secular characterisation. (shrink)

Despite its importance for early analytic philosophy, Gottlob Frege's account of existence statements, according to which they classify concepts, has been thought to succumb to a number of well-worn criticisms. This article does two things. First, it argues that, by remaining faithful to the letter of Frege's claim that concepts are functions, the Fregean account can be saved from many of the standard criticisms. Second, it examines the problem that Frege's account fails to generalize to cases which involve definite descriptions (...) and proper names. To deal with this the proffered analysis deviates from the letter of Frege's views, while remaining within its spirit. It proposes, in opposition to Frege, that expressions which grammatically look like singular terms should not always be read as referring to objects, but are sometimes best analysed as indicating functions. (shrink)

This article begins with clarification of the notion of progress. The author believes that it is possible to consider progress objectively, if by progress we understand a positive change in the effectiveness of something. He mentions two types of progress: progress of improvement and progress of augmentation. He then distinguishes evaluative from reflective philosophy. Evaluative philosophy gives answers to the second and third of Kant's famous three questions; reflective philosophy answers the first, dealing with the limits of human knowledge. Progress (...) in evaluative philosophy takes the form of augmentation. But in reflective philosophy it could take the form of improvement. The author believes, however, that it is not an easy task to improve contemporary social philosophy. Three main obstacles are: the “anthropological turn” in philosophy, the challenge of postmodernism, and the turning of social philosophy into a kind of useful knowledge. (shrink)

This paper argues that the widespread Hegelian legacy that feminism has inherited from Beauvoir is highly problematic and that feminists, in particular, should be suspicious of philosophies of history and histories of philosophy that take Hegel too seriously. Any such history or philosophy will fail to take into account the deep roots of women’s comparatively equal status in the West in the long history of women’s political, ethical, theological, and philosophical theorizing since the fifteenth century. Nevertheless, in a reformulation of (...) Beauvoir’s Hegelianism, this paper proposes a new historical dialectic understood as a conversation in which female and male voices are equally represented and the unfolding of spirit is transformed into a dialectic of sex. (shrink)

This paper explores and reflects upon the literature and several mini case studies to recommend a change of focus for the linking management and development of community participants and community organisations. This change of focus looks at complexity and patterns that arise from the multitude of social interactions; the support and development of individuals and the effect this can have on an organisation’s wellbeing; and the effect a community organisation can have on that of the individual. To gain insight into (...) wellbeing, people need to be aware of their mind, body and energy and how they affect others. There is evidence that terminally ill people who have found new beliefs have experienced a spontaneous remission of disease. Humanity evolves in the same way as we control our destiny. We can learn to love, respect, trust, and commit to each other and work in harmony, or we can foster disharmony resulting in failure and negative feelings. As the economy changes, community organisations are under threat of extinction. Just as species and humanity evolve, we suggest that community organisations need to evolve to ensure wellbeing. (shrink)

Traces women's defence of their moral and spiritual equality with men, from the works of Christine de Pizan, through Marguerite of Navarre, Madeleine de Scudéry, Arcangela Tarabotti, to Mary Astell and Mary Wollstonecraft, arguing that although she appears not to have been aware of these precursors, the arguments they developed paved the way for her feminism.

This paper draws on research exploring how men narrate their long-term experiences of Weight Loss Surgery [WLS] and is specifically focused on findings relating to male embodiment. Whilst there is concern about increasing obesity and the possible role of bariatric [WLS] surgery in ameliorating this, there has been little research to date exploring men’s longer-term experiences of this. For the purposes of the present study, interviews were conducted with five men who had undergone bariatric surgery at least four years previously. (...) The transcribed interviews were subjected to narrative analysis with the additional incorporation of Watson’s “male body schema” into this process in order to facilitate focus on the embodied nature of the storied accounts obtained. The findings suggested two seemingly contrasting storylines: “ongoing struggles” and “success”. Struggles related mainly to control over eating habits and the visceral challenges of long-term side effects following surgery. Despite these struggles, the men ultimately presented an overriding storyline of embodied “success” in how the surgery had assisted them to live more normatively male lives. Importantly, narratives around struggles were presented as more private stories in contrast to the public emphasis on success. The silencing dynamic implicit in this suggests the likelihood that other men encountering similar experiences would be reticent to reveal their struggles, thereby perpetuating their suffering and leaving popular obesity and weight loss narratives unchallenged. (shrink)

Despite the growing literature on childhood obesity and lifestyle intervention programmes focusing on weight loss, few studies have examined young persons’ experiences of being identified as candidates for such programmes and of participating in them. This paper does so. Juxtaposing insights from phenomenology with an approach inspired by Foucault, the paper shows how teenage girls’ bodily self-perception and bodily self-awareness are shaped in intercorporeal assemblages comprising other people and specific features or elements of the lifestyle programme. Inspired by van Manen’s (...) hermeneutic-phenomenological approach, with its point of departure in lived experience, this paper draws on interviews with Norwegian teenage girls participating in the same lifestyle programme and identifies three core thematic aspects of the girls’ experiences: being identified as a candidate for a lifestyle programme and not wanting this; negotiating the lack of weight loss and the scales; and bodily situated agency – feeling good and being able. Permeating all three themes are two central, interrelated phenomena: agency and resistance. Furthermore, the paper shows how a combination of Foucauldian insights and a phenomenological understanding of intercorporeality can help to shed light on the power, affective, material and temporal dimensions of dys-appearance, as well as those of eu-appearance, and thus contribute to the understanding of the girls’ narrated lived experiences. On the basis of these findings, we argue that weight-related treatment goals are not necessarily compatible with the strengthening of adolescents’ body images and self-esteem. However, whilst being obliged to attend to their bodies while in the programme, the girls also encountered unexpected, positive bodily feelings and experiences. Such events, we suggest, offer a means of resisting the more troubling dys-appearing bodily situations our participants described so powerfully. (shrink)

Catharine Macaulay’s The History of England challenges Hume’s interpretation of the history of the Stuarts, as developed in his The History of Great Britain, and is grounded in meta-ethical, religious, and political principles that are also fundamentally opposed to those developed by Hume, as she makes clear in her Treatise on the Immutabilty of Moral Truth. Here it is argued that the contrast between them poses a problem for a number of recent accounts of the enlightenment period, and that Macaulay’s (...) work demonstrates that one path to radical politics went via an optimistic strand of intellectualist theism. Macaulay’s ‘republican’ history, which was read on both sides of the Atlantic as justifying the overthrow of arbitrary governments, was grounded in conceptions of liberty, virtue, and sincere theistic belief, similar to those of the Cambridge Platonists. By contrast, Hume’s moral and religious scepticism led naturally to the political conservatism evident in his history. This paper offers an outline of their alternative accounts of the significance of the two English revolutions, and the opposing metaphysical and meta-ethical positions that underpin those accounts. It concludes with a discussion of the contrast between their concepts of liberty and their consequent very different evaluations of the value of liberty. (shrink)

In this paper I explore the connection between Catharine Macaulay’s views on freedom of the will and her promotion of the cause of political liberty and show that the position she develops has its origins in Locke’s philosophy. I argue for the existence of a distinctive ‘Lockean’ conception of political liberty, which is grounded in an account of moral agency, and which does not fit very well into contemporary characterizations of negative, republican, or positive liberty. I demonstrate that this concept (...) of political liberty was widely disseminated during the eighteenth century and can be found in the writing of many of Macaulay’s female contemporaries, both in Great Britain and on the Continent. Recognizing this ‘Lockean’ conception of political liberty is important for understanding the connection between the idea of enlightenment and radical movements promoting political reform. Furthermore, acknowledging its widespread influence throws doubt on Jonathan Israel’s recent attempt to overthrow standard histories—according to which Locke’s rational religion is foundational for radical politics during the period—as well as Israel’s attempt to replace such standard histories with an account that locates the impetus for political reform in metaphysical monism and religious skepticism. (shrink)

In his late fragment, ‘Sources of Knowledge of Mathematics and Natural Sciences’ Frege laments the tendency to confuse functions with objects and says, ‘It is here that the tendency of language by its use of the definite article to stamp as an object what is a function and hence a non-object, proves itself to be the source of inaccurate and misleading expressions and also of errors of thought. Probably most of the impurities that contaminate the logical source of knowledge have (...) their origins in this.’ This paper applies Frege’s logical insights to a series of influential modal arguments for the existence of souls or minds, in order to demonstrate that they hinge on the error of treating functions as objects. Related arguments have also resulted in the claim that identity statements are necessary, and that apparent identities ‘really’ involve relations of constitution. Here it is argued that once we recognise that all these arguments involve the assimilation of objects and concepts (which Frege identifies with functions) they can be seen to be defective. (shrink)

This essay reflects on the role academic journals like the JRE can play in facilitating and addressing tainted legacies. As an institution in religious ethics, the journal not only determines whose work is important, but it also replicates such judgments, passing certain sets of issues, concerns, and methods down from the past to the present, shaping future work. Journals highlight the systemic, structural elements of legacies that we often neglect in heated debate over how to respond to them. Consequently, they (...) illuminate the complexity of the problems tainted legacies present. I first discuss three ways a journal like the JRE facilitates the structural features of tainted legacies in religious ethics. I then suggest how the JRE might implement a position I call the “reformer” in response to such legacies. This position emphasizes practices of moral repair designed to challenge the systemic injustices that underlay tainted legacies. (shrink)

New media can change the way that artifacts are constructed and used. Changes in these artifacts, in turn, will be reflected in work practices and processes. This article draws on an empirical investigation of the impact of computer-based technologies on classical scholarship to discuss some of the ramifications that a switch in medium may have for work. The article defines both traditional and computer-based tools as "packages" that consist of artifacts, skill sets, data, beliefs about the work process, and organizational (...) infrastructures, and applies the package metaphor to understand the multiple levels of changes taking place within classics as the use of textual databanks becomes more prevalent. (shrink)

Media critics invariably disparage the quality of programming produced by the U.S. television industry. But why the industry produces what it does is a question largely unasked. It is this question, at the crux of American popular culture, that Switching Channels explores.

In contemporary reflection on Christianity and politics, the work of realist, witness, and feminist theologians has been done in isolation--that is, each school has largely pursued its projects without incorporating the insights of others. Christian Ethics at the Boundary offers the first approach to public and political theology developed at the boundaries that separate these approaches.

This paper explores the power of womanist ethics to illuminate the Confederate monuments debate. First, I draw on Emilie Townes’s analysis of the “cultural production of evil” to construe Confederate monuments as products of the “fantastic hegemonic imagination” that render visible for whites the invisibility of “whiteness.” Second, I argue that Angela Sims’s work on lynching provides a vivid example of how “countermemory” functions as an antidote to the fantastic hegemonic imagination. Finally, I argue that Delores Williams’s re-evaluation of the (...) cross as a sacred symbol enables a reading of Confederate monuments as realist symbols of violence that require displacement from the center to the periphery of national sacred space. I conclude that although the debate on Confederate monuments is important, womanist analysis warns against an overly-narrow focus on this issue, lest we neglect the already obscured gendered, classist, homophobic, and xenophobic dimensions of structural injustice that the monuments represent. (shrink)

I argue that for those who migrate to other countries for economic survival and political asylum, historical trauma wounds across geographical space. Using the work of David Eng and Nadine Naber on queer and feminist diasporas, I contend that homogeneous discourses of Filipino nationalism simplify and erase transphobia, homophobia, and heterosexism, giving rise to intergenerational conflict and the passing-on of trauma among activists in the United States. Focusing on Filipina/o/x American activist organizations, I center intergenerational conflict among leaders, highlighting transphobic (...) and homophobic struggles that commonly arise in cisgender women majority spaces. I contextualize these struggles, linking them to traumas inherited through legacies of colonialism, feudalism, imperialism, hetero-patriarchy, capitalism, and white supremacy. I inquire: how does historical and personal trauma merge and shape activist relationships and conflict, and what are activists doing to disrupt and work through historical trauma? I advocate for a decolonizing approach for “acting out” and “working through” trauma and healing collectively. By exploring conflict in organizations shaped by dominant Filipino nationalist ideologies, I resist romantic notions of the diaspora. Revealing the ways that dominant Filipino nationalism perpetuates a simultaneous erasure of nonnormative histories and bodies and epistemological and interpersonal violence among activists, I reject homogeneous conceptions of nationalism and open up possibilities for decolonial organizing praxis. (shrink)

Contributing to the debate between referentialist and predicativist accounts of the semantics of proper names, this paper partly endorses a recent trend to reject unitary accounts of their semantics. It does so by restoring a Fregean version of the variety of use account. It criticizes alternative variety of use accounts for not clearly distinguishing pragmatic, syntactic, and semantic issues and argues that, once these are distinguished, the necessity of accepting that names have a variety of uses, and are sometimes logical (...) singular terms and at others logical predicates shows that Frege’s claim, that we should recognize that names have both reference and sense, is vindicated. (shrink)

Yih, Uusberg, Qian, and Gross proposed an appraisal approach to help conceptualize five different states that researchers have used as neutral control conditions. This approach has the poten...

Levy’s essay (2011) claims that some intuitions leading to one’s moral judgments can be unreliable, and he proposes the use of a more reliable, third party, empirical measure. It is commendable that Levy attempts to work beyond traditional bounds; however, the author’s use of functional magnetic resonance imaging (fMRI) data is questionable in supporting an argument about intentionality. As neuroscientists, we rely upon evidence-based thinking and conclusions to create generalizable knowledge, and while fMRI data can be informative in broad correlational (...) accounts of behavior, to rely upon these data as reliable measures of intuition is arguably just as speculative as the first-person account. It is of deep concern that society may attempt to apply these data in the manner Levy describes. Indeed, alarming misappropriation of fMRI and electroencephalography. (shrink)