This study adapted and tested the efficacy of the Red-Light Purple-Light games for improving executive function skills in preprimary classrooms in Nairobi, Kenya. A cluster randomized controlled trial was used to evaluate the efficacy of the adapted RLPL intervention. Specifically, 24 centers were randomized to the RLPL or a wait-list control condition. Consistent with previous studies, participating classrooms delivered 16 lessons across an 8-week intervention period. A total of 479 children were recruited into the study. After exclusions based on child (...) age and data quality, 451 and 404 children had completed computerized assessments of EF skills at pre- and posttest assessments, respectively. Children in the RLPL centers did not demonstrate any improvements in EF skills relative to their peers in the wait-list control condition. Exploratory tests of moderators were also all null. Results are discussed with respect to measurement limitations and contextual factors that may explain the null results of RLPL on EF skills in young children in Kenya. (shrink)

Biomedical research is increasingly globalized with ever more research conducted in low and middle-income countries. This trend raises a host of ethical concerns and critiques. While community engagement has been proposed as an ethically important practice for global biomedical research, there is no agreement about what these practices contribute to the ethics of research, or when they are needed.

As concerns about the negative health effects of unhealthy eating, overweight and obesity have increased, so too have policy efforts to promote healthy eating. Federal, state, and local governments have proposed and implemented a variety of healthy eating policies. Many of these policies are controversial, facing objections that range from the practical (e.g., the policy won’t succeed at improving people’s diets) to the ethical (e.g., the policy is paternalistic or inequitable). Especially controversial have been policies limiting the options offered in (...) the marketplace, limiting access to certain options, or providing disincentives for the purchase of certain options. Examples of such policies include proposed .. (shrink)

Many anti-obesity policies face a variety of ethical objections. We consider one kind of anti-obesity policy — modifications to food assistance programs meant to improve participants' diet — and one kind of criticism of these policies, that they are inequitable. We take as our example the recent, unsuccessful effort by New York State to exclude sweetened beverages from the items eligible for purchase in New York City with Supplemental Nutrition Support Program assistance. We distinguish two equity-based ethical objections that were (...) made to the sweetened beverage exclusion, and analyze these objections in terms of the theoretical notions of distributive equality and social equality. First, the sweetened beverage exclusion is unfair or violates distributive equality because it restricts the consumer choice of SNAP participants relative to non-participants. Second, it is disrespectful or violates social equality to prohibit SNAP participants from purchasing sweetened beverages with food stamps. We conclude that neither equity-based ethical objection is decisive, and that the proposed exclusion of sugar-sweetened beverages is not a violation of either distributive or social equality. (shrink)

As concerns about the negative health effects of unhealthy eating and overweight/obesity increase, so too do efforts to combat obesity. Both the federal government, as well as state and local governments, have proposed and implemented a variety of healthy eating and obesity prevention policies. Many of these policies are controversial, facing objections that range from the practical to the ethical. In this paper, we consider one such policy — restrictions on food assistance programs that are meant to improve participants’ diet (...) — and one criticism of these policies, that they are inequitable. We take as our primary example the recent, unsuccessful effort by New York State to exclude sweetened beverages from the items eligible for purchase in New York City with Supplemental Nutrition Assistance Program. (shrink)

First Published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First Published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First Published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

BackgroundHuman female orgasm is a vexed question in the field while there is credible evidence of cryptic female choice that has many hallmarks of orgasm in other species. Our initial goal was to produce a proof of concept for allowing females to study an aspect of infertility in a home setting, specifically by aligning the study of human infertility and increased fertility with the study of other mammalian fertility. In the latter case - the realm of oxytocin-mediated sperm retention mechanisms (...) seems to be at work in terms of ultimate function while the proximate function remains unresolved.MethodA repeated measures design using an easily taught technique in a natural setting was used. Participants were a small, non-representative sample of females. The introduction of a sperm-simulant combined with an orgasm-producing technique using a vibrator/home massager and other easily supplied materials.ResultsThe sperm flowback (simulate... (shrink)

This paper looks at how the strategies of mediaand cultural studies can be applied to thehealth studies field. This relationship,however, has been met with resistance due to anumber of status debates. We argue theimportance of fostering links between these`disciplines' namely because the definition ofwhat constitutes `health' has been broadenedand is inscribed in most forms of popularmedia. Using the example of the `health andlifestyle' debate, we argue that the mediainforms cultural understandings aboutrequirements for living and is therefore acrucial area of analysis (...) for health studies(and cultural/media studies) students. We arealso concerned with analysing how the mediacontributes to the construction and regulationof `healthy' subjects making links with publichealth discourses and current debates in thefield of media and health. (shrink)

State Medical Boards (SMBs) can take severe disciplinary actions (e.g., license revocation or suspension) against physicians who commit egregious wrongdoing in order to protect the public. However, there is noteworthy variability in the extent to which SMBs impose severe disciplinary action. In this manuscript, we present and synthesize a subset of 11 recommendations based on findings from our team’s larger consensus-building project that identified a list of 56 policies and legal provisions SMBs can use to better protect patients from egregious (...) wrongdoing by physicians. (shrink)

Over 40 years of research have shown that traumatic brain injury affects brain volume. However, technical and practical limitations made it difficult to detect brain volume abnormalities in patients suffering from chronic effects of mild or moderate traumatic brain injury. This situation improved in 2006 with the FDA clearance of NeuroQuant®, a commercially available, computer-automated software program for measuring MRI brain volume in human subjects. More recent strides were made with the introduction of NeuroGage®, commercially available software that is based (...) on NeuroQuant® and extends its utility in several ways. Studies using these and similar methods have found that most patients with chronic mild or moderate traumatic brain injury have brain volume abnormalities, and several of these studies found—surprisingly—more abnormal enlargement than atrophy. More generally, 102 peer-reviewed studies have supported the reliability and validity of NeuroQuant® and NeuroGage®. Furthermore, this updated version of a previous review addresses whether NeuroQuant® and NeuroGage® meet the Daubert standard for admissibility in court. It concludes that NeuroQuant® and NeuroGage® meet the Daubert standard based on their reliability, validity, and objectivity. Due to the improvements in technology over the years, these brain volumetric techniques are practical and readily available for clinical or forensic use, and thus they are important tools for detecting signs of brain injury. (shrink)

I outline a number of parallels between trust and distrust, emphasising the significance of situations in which both trust and distrust would be an imposition upon the (dis)trustee. I develop an account of both trust and distrust in terms of commitment, and argue that this enables us to understand the nature of trustworthiness. Note that this article is available open access on the journal website.

Was Descartes a Cartesian Dualist? In this controversial study, Gordon Baker and Katherine J. Morris argue that, despite the general consensus within philosophy, Descartes was neither a proponent of dualism nor guilty of the many crimes of which he has been accused by twentieth century philosophers. In lively and engaging prose, Baker and Morris present a radical revision of the ways in which Descartes' work has been interpreted. Descartes emerges with both his historical importance assured and his philosophical importance (...) redeemed. (shrink)

What kind of entity is a committee, a book group or a band? I argue that committees and other such social groups are concrete, composite particulars, having ordinary human beings amongst their parts. So the committee members are literally parts of the committee. This mereological view of social groups was popular several decades ago, but fell out of favour following influential objections from David-Hillel Ruben. But recent years have seen a tidal wave of work in metaphysics, including the metaphysics of (...) parts and wholes. We now have the resources to rehabilitate the mereological view of social groups. I show how this can be done, and why we should bother. (shrink)

The American Society for Bioethics and Humanities has created a quality attestation process for clinical ethics consultants; the pilot phase of reviewing portfolios has begun. One aspect of the QA process which is particularly challenging is assessing the interpersonal skills of individual clinical ethics consultants. We propose that using case simulation to evaluate clinical ethics consultants is an approach that can meet this need provided clear standards for assessment are identified. To this end, we developed the Assessing Clinical Ethics Skills (...) tool, which identifies and specifies specific behaviors that a clinical ethics consultant should demonstrate in an ethics case simulation. The aim is for the clinical ethics consultant or student to use a videotaped case simulation, along with the ACES tool scored by a trained rater, to demonstrate their competence as part of their QA portfolio. The development and piloting of the tool is described. (shrink)

We articulate a view of natural kinds as complex universals. We do not attempt to argue for the existence of universals. Instead, we argue that, given the existence of universals, and of natural kinds, the latter can be understood in terms of the former, and that this provides a rich, flexible framework within which to discuss issues of indeterminacy, essentialism, induction, and reduction. Along the way, we develop a 'problem of the many' for universals.

Analytic metaphysics is in resurgence; there is renewed and vigorous interest in topics such as time, causation, persistence, parthood and possible worlds. We who share this interest often pay lip-service to the idea that metaphysics should be informed by modern science; some take this duty very seriously.2 But there is also a widespread suspicion that science cannot really contribute to metaphysics, and that scientific findings grossly underdetermine metaphysical claims. For some, this prompts the thought ‘so much the worse for metaphysics’; (...) others mutter ‘so much the worse for science’. (shrink)

Much of what we learn from talking and listening does not qualify as testimonial knowledge: we can learn a great deal from other people without simply accepting what they say as being true. In this article, I examine the ways in which we acquire skills or knowledge how from our interactions with other people, and I discuss whether there is a useful notion of testimonial knowledge how.Keywords: Knowledge how; Practical knowledge; Tacit knowledge; Testimony; Skills; Assertion.

As the field of clinical ethics consultation sets standards and moves forward with the Quality Attestation process, questions should be raised about what ethical issues really do arise in practice. There is limited data on the type and number of ethics consultations conducted across different settings. At Loyola University Medical Center, we conducted a retrospective review of our ethics consultations from 2008 through 2013. One hundred fifty-six cases met the eligibility criteria. We analyzed demographic data on these patients and conducted (...) a content analysis of the ethics consultation write-ups coding both the frequency of ethical issues and most significant, or key, ethical issue per case. Patients for whom ethics consultation was requested were typically male, white, between 50 and 69 years old, of non-Hispanic origin, and of Roman Catholic faith. Nearly half were in the intensive care unit and 44.2 % died in the hospital. The most frequent broad ethical categories were decision-making, goals of care/treatment, and end-of-life. More specifically, capacity, patient’s wishes/autonomy, and surrogate decision maker were the most frequent particular ethical issues. The most common key ethical issues were withdrawing/withholding treatment, patient wishes/autonomy, and capacity. Our findings provide additional data to inform the training of clinical ethics consultants regarding the ethical issues that arise in practice. A wider research agenda should be formed to collect and compare data across institutions to improve education and training in our field. (shrink)

Vague existence can seem like the worst kind of vagueness in the world, or seem to be an entirely unintelligible notion. This bad reputation is based upon the rumour that if there is vague existence then there are non-existent objects. But the rumour is false: the modest brand of vague existence entailed by certain metaphysical theories of composition does not deserve its bad reputation.

People are described as suffering from impostor syndrome when they feel that their external markers of success are unwarranted, and fear being revealed as a fraud. Impostor syndrome is commonly framed as a troubling individual pathology, to be overcome through self-help strategies or therapy. But in many situations an individual’s impostor attitudes can be epistemically justified, even if they are factually mistaken: hostile social environments can create epistemic obstacles to self-knowledge. The concept of impostor syndrome prevalent in popular culture needs (...) greater critical scrutiny, as does its source, the concept of impostor phenomenon which features in psychological research. (shrink)

This article offers a reading of Sartre's phenomenological ontology in light of the pre-modern understanding of ‘transcendentals’ as universal properties and predicates of all determinate beings. Drawing on Sartre's transcendental account of nothingness in his early critique of Husserl as well as his discussion of ‘determination as negation’ in Being and Nothingness, this article argues that Sartre's universal predicate of ‘the not’ (le non) could be understood in a similar light to the medieval scholastic conception of transcendentals. But whereas the (...) scholastics saw the transcendental properties of oneness, truth, and goodness as reflections of God's divine perfections, Sartre's predicate of the ‘not’ operates as an atheistic transcendental which signifies the non-being of God – that God is not. By comparing Sartre's phenomenological ontology to medieval theological metaphysics, this article not only highlights the atheist underpinnings of Sartre's entire ontological schema in Being and Nothingness but also offers a new way of interpreting Sartre as a systematic transcendental metaphysician. (shrink)

If the property _being a methane molecule_ is a universal, then it is a structural universal: objects instantiate _being a methane molecule_ just in case they have the right sorts of proper parts arranged in the right sort of way. Lewis argued that there can be no satisfactory account of structural universals; in this paper I provide a satisfactory account.

Several prominent debates in biology, such as those surrounding adaptationism, group selection, and punctuated equilibrium, have focused on disagreements about the relative importance of a cause in producing a phenomenon of interest. Some philosophers, such as John Beatty have expressed scepticism about the scientific value of engaging in these controversies, and Karen Kovaka has suggested that their value might be limited. In this paper, I challenge that scepticism by giving a novel analysis of relative significance controversies, showing that there are (...) three forms they can take. I argue that these controversies can have significant epistemic upshots, in that they help scientists form predictions about new instances of the phenomenon of interest. Finally, using two historical examples, I show how engaging in these controversies can improve our understanding of causal relationships. (shrink)

I argue that, despite van Inwagen’s pessimism about the task, it is worth looking for answers to his General Composition Question. Such answers or ‘principles of composition’ tell us about the relationship between an object and its parts. I compare principles of composition with criteria of identity, arguing that, just as different sorts of thing satisfy different criteria of identity, they may satisfy different principles of composition. Variety in criteria of identity is not taken to reflect ontological variety in the (...) identity relation; I discuss whether variety in principles of composition should be taken to reflect ontological variety in the composition relation. (shrink)

If we are sympathetic to the project of naturalising metaphysics, how should we approach the metaphysics of the social world? What role can the social sciences play in metaphysical investigation? In the light of these questions, this paper examines three possible approaches to social metaphysics: inference to the best explanation from current social science, conceptual analysis, and Haslanger-inspired ameliorative projects.

This article offers a reading of the “transcendental” character of Alain Badiou’s and Giorgio Agamben’s ontologies. While neither Badiou nor Agamben are “transcendental” philosophers in the Kantian sense, this article argues that their respective projects of ontology both recover aspects of the “classical” conception of the transcendentals. Not unlike how pre-modern philosophers conceived of oneness, truth and goodness as transcendental properties of all things, both Badiou’s and Agamben’s ontologies present various structures which can be universally predicated of all being. However, (...) as opposed to the essentialist or even theological tendencies of traditional metaphysics, Badiou’s and Agamben’s ontologies are committedly “inessential” and atheistic at their very core. By replacing the divine names of the one, the true and the good in traditional metaphysics with a new yet quasi-classical transcendental notion of “the void” as a universal predicate of all beings, Badiou’s and Agamben’s works may be regarded as projects that go beyond both the pre-Kantian “theological” and the post-Kantian “subjective” conceptions of transcendental philosophy, thereby marking a new development in the history of western metaphysics. (shrink)

European Journal of Philosophy, Volume 29, Issue 4, Page 712-730, December 2021.

The field of clinical ethics consultation has matured into a multidisciplinary profession, with clinical ethics consultants (CECs) being trained in bioethics, philosophy, theology, law, medicine, n...

Ciudad Cayalá in Guatemala brands itself as the country’s first private city. I turn to Hannah Arendt to show how and why Cayalá does not and cannot provide the space of appearance she argues is needed to support the possibility of political action. I show how Arendt provides two apparently distinct phenomenological accounts in The Human Condition—one historically-oriented and the other politically-oriented—that articulate how Cayalá fails in its aspiration to privatize the political. Yet the apparent divergence between her accounts raises (...) concern about her relevance for liberatory feminist projects. To demonstrate how and why Arendt’s political phenomenology is aligned with certain feminist aims, I also generate a Cayaláian reading of Arendt to demonstrate the coherence of her two phenomenological accounts through interpreting her thinking by way of Cayalá’s architecture. This article enacts a dialogue between Arendt and Cayalá, mediated by feminist and architectural theory, concerning why efforts toward the privatization of cities will fail. (shrink)

In her paper "(White) Tyranny and the Democratic Value of Distrust," Meena Krishnamurthy argues that distrust has a political value that has often been overlooked by democratic theorists. She pursues this argument by developing an account of distrust from Martin Luther King Jr. and exploring the role that King's distrust played in the Black Civil Rights Movement. In this discussion note, I argue that an alternative account of distrust from recent work by Katherine Hawley can better capture (...) distrust 's democratic value, and moreover might reveal how that value is noninstrumental, in contrast with the contingent and instrumental value granted to distrust on Krishnamurthy's account. (shrink)

Gatekeeping, or determining membership of your group, is crucial to science: the moniker ‘scientific’ is a stamp of epistemic quality or even authority. But gatekeeping in science is fraught with dangers. Gatekeepers must exclude bad science, science fraud and pseudoscience, while including the disagreeing viewpoints on which science thrives. This is a difficult tightrope, not least because gatekeeping is a human matter and can be influenced by biases such as groupthink. After spelling out these general tensions around gatekeeping in science, (...) we shed light on them with a case study from psychology. This concerns whether academic psychologists rightly or wrongly classify the applied-psychology framework of NLP (‘neuro-linguistic programming’) as unscientific and even pseudoscientific. This example of gatekeeping is particularly instructive because both the NLP community and the psychology community, we argue, make legitimate but also illegitimate moves. This case gives rise to several general insights about gatekeeping in science more generally. (shrink)

Volume 20, Issue 3, March 2020, Page 27-29.

I claim that, if persisting objects have temporal parts, then there are non-supervenient relations between those temporal parts. These are relations which are not determined by intrinsic properties of the temporal parts. I use the Kripke-Armstrong 'rotating homogeneous disc' argument in order to establish this claim, and in doing so I defend and develop that argument. This involves a discussion of instantaneous velocity, and of the causes and effects of rotation. Finally, I compare alternative responses to the rotating disc argument, (...) and consider the implications of my arguments for the doctrines of Humean Supervenience and unrestricted mereology. (shrink)

Volume 19, Issue 11, November 2019, Page 69-70.

This is a short response to a paper by Trenton Merricks in which he argues against the following doctrine: Microphysical Supervenience (MS) Necessarily, if atoms A1 through An compose an object that exemplifies intrinsic qualitative properties Q1 through Qn, then atoms like A1 through An (in all their respective intrinsic qualitative properties), related to one another by all the same restricted atom-to-atom relations as A1 through An, compose an object that exemplifies Q1 through Qn.

In his paper in the same volume, Sider argues that, of maximalism and quantifier variance, the latter promises to let us make better sense of neo-Fregeanism. I argue that neo-Fregeans should, and seemingly do, reject quantifier variance. If they must choose between these two options, they should choose maximalism.

This article seeks to consider the compatibility between the doctrine of the Trinity and the theory of the transcendental properties by offering a consideration of the notion of the ‘gift’ as a transcendental term. In particular, this article presents a re-reading of John Milbank’s influential theology of the gift through Colin Gunton’s project of developing ‘trinitarian transcendentals’. In addition to showing how Milbank’s notion of the gift could be systematically understood in terms of what Gunton calls a ‘trinitarianly developed transcendental’ (...) which nonetheless avoids many of the problems found in Gunton’s original project, this article argues understanding ‘gift’ as a transcendental term can not only provide us with new ways of reconceiving the relationship between the philosophy of transcendental properties and various traditional doctrines, it can moreover show us how the traditional and biblical names of the Holy Spirit as ‘the Gift’ and the Son as ‘the Word’ can offer new ways of developing distinctively trinitarian accounts of metaphysics. (shrink)

Roughly speaking, perdurantism is the view that ordinary objects persist through time by having temporal parts, whilst endurantism is the view that they persist by being wholly present at different times. (Speaking less roughly will be important later.) It is often thought that perdurantists have an advantage over endurantists when dealing with objects which appear to coincide temporarily: lumps, statues, cats, tail-complements, bisected brains, repaired ships, and the like. Some cases – personal fission, for example – seem to involve temporary (...) coincidence between objects of the same kind. Other cases – a cat and its flesh, a statue and its lump – seem to involve objects of different kinds. (shrink)