The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610, that the heightened remedies available under the Elder Abuse Act, Cal. Welf. & Inst. Code, §§ 15657,15657.2, apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: section 15657, which provides for enhanced remedies for reckless neglect; and section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless (...) neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility, after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death. (shrink)

To rationalize the selection of a research methodology, one must understand its philosophical origins and unique characteristics. This process can be challenging in the landscape of evolving qualitative methodologies. Grounded theory is a research methodology with a distinct history that has resulted in numerous approaches. Although the approaches have key similarities, they also have differing philosophical assumptions that influence the ways in which their methods are understood and implemented. The purpose of this discussion paper is to compare and contrast three (...) widely used grounded theory approaches with key distinguishing characteristics, enabling a more thoughtful selection of approach. This work contributes to the existing literature through contrasting classic Glaserian grounded theory, Straussian grounded theory, and constructivist grounded theory in a systematic manner with prominent distinguishing characteristics developed from a review of the literature. These characteristics included historical development, philosophical perspective, role of the researcher, data analysis procedures, perspective of the grounded theory, and strengths/critique. Based on this analysis, three considerations are proposed to direct the methodological choice for a study: purpose, philosophy, and pragmatics. Understanding the similarities and differences in the grounded theory approaches can facilitate methodological transparency and determine the best fit for one's study and worldview as a researcher. (shrink)

The counterfactual comparative account of harm faces problems in cases that involve overdetermination and preemption. An influential strategy for dealing with these problems, drawing on a suggestion made by Derek Parfit, is to appeal to _plural harm_—several events _together_ harming someone. We argue that the most well-known version of this strategy, due to Neil Feit, as well as Magnus Jedenheim Edling’s more recent version, is fatally flawed. We also present some general reasons for doubting that the overdetermination and preemption problems (...) for the counterfactual comparative account can be satisfactorily solved by appealing to plural harm. (shrink)

The library and information profession in Africa is not well recognized. It does not carry an identifiable set of core activities that share a common understanding across societies in Africa. The number of libraries in Africa is limited for a variety of reasons including lack of resources, populations that are not based in print literacy, and having its roots in the British model of librarianship. HIV/AIDS continues to pose severe problems for Sub-Saharan Africa. Some countries in the region have successfully (...) reduced the number of HIV/AIDS cases, citing information as the main source of prevention, presenting library and information professionals a unique opportunity to collectively organize and establish their role in the fight against the disease. This paper will discuss the opportunity for how LIS professionals engaged in HIV/AIDS information activities can develop and strengthen a positive status for the library and information discipline in Sub-Saharan Africa. (shrink)

Health disparities education is an integral and required part of medical professional training, and yet existing curricula often fail to effectively denaturalize injustice or empower learners to advocate for change. We discuss a novel collaborative intervention that weds the health humanities to the field of health equity. We draw from the health humanities an intentional focus retraining provider imaginations by centering patient narratives; from the field of health equity, we draw the linkage between stigmatized social identities and health disparities. We (...) describe a longitudinal health equity curriculum for the Hospice and Palliative Medicine fellowship in Memphis, Tennessee, to give trainees exposure to the concept of structural violence and how it affects clinical care. The curriculum was developed in partnership with humanities and social sciences faculty who staff a Health Equity academic program at a small liberal arts college in Memphis. This curriculum has been implemented for the past four years in support of 22 hospice and palliative medicine fellows. Group debriefs and a mixed methods survey have revealed widespread and lasting impact towards understanding health equity concepts, enhanced communication and treatment of patients, and empowerment to address the broader needs and policies affecting patients and the communities in which they live. Ultimately, we model an educational initiative that integrates equity across the full scope of healthcare practice and equips learners with skills for sustaining compassionate practices, focusing on equity-oriented, person-centered care across the full scope of healthcare practice. (shrink)

Environmental aesthetics is a relatively new sub-field ofphilosophical aesthetics. It arose within analytic aesthetics in thelast third of the twentieth century. Prior to its emergence,aesthetics within the analytic tradition was largely concerned withphilosophy of art. Environmental aesthetics originated as a reactionto this emphasis, pursuing instead the investigation of the aestheticappreciation of natural environments. Since its early stages, thescope of environmental aesthetics has broadened to include not simplynatural environments but also human and human-influenced ones. At thesame time, the discipline has also (...) come to include the examination ofthat which falls within such environments, giving rise to what iscalled the aesthetics of everyday life. This area involves theaesthetics of not only more common objects and environments, but alsoa range of everyday activities. Thus, early in the twenty-firstcentury, environmental aesthetics embraced the study of the aestheticsignificance of almost everything other than art. Together with thisbroader scope of environmental aesthetics, the twenty-first centuryhas also given rise to renewed and more intense investigations of therelationship between environmental aesthetics and environmentalism aswell as to several new interests and directions. (shrink)

In alignment with stated social, health, and environmental values, hundreds of hospitals in the United States are purchasing local, organic, and other alternative foods. Due to the logistical and economic constraints associated with feeding hundreds to thousands of people every day, new food procurement initiatives in hospitals grapple with integrating conventional supply chain norms of efficiency, standardization, and affordability while meeting the diverse values driving them such as mutual benefit between supply chain members, environmental stewardship, and social equity. This paper (...) provides empirical data and analysis on emerging values-based supply chains in hospitals that attempt to meet both the scale-based requirements and values-based goals of alternative food procurement initiatives. In particular, it examines tensions among industrial, economic, and alternative agrifood values in relation to a particular set of hospital supply chain players called Group Purchasing Organizations. Hospital membership in GPOs in the United States is ubiquitous, and 80–90 % of a hospital’s foodservice procurement comes through GPO channels in keeping with contract terms. GPO-governed supply chains are deeply rooted in industrial and commercial norms, in other words, price competition, economic efficiency, and forces of standardization through adherence to technical and quality standards. The bulk of alternative food procurement initiatives in the health care sector currently occur outside of the GPO–hospital relationship, however, over 90 % of hospital foodservice directors interviewed for this research expressed a desire to increase sustainable food procurement through their GPO. This study finds that, if alternative agrifood efforts in the health care sector are to integrate with GPO-governed supply chains without losing the robustness of the original values and goals that brought them into being, concerns related to supply chain structure, transparency and traceability of alternative food attributes, and alignment of definitions of local and sustainable food between all supply chain members will need to be addressed. This study also details points of flexibility in health care food supply chains and the potential for hospitals to create purchasing and informational alliances around common food goals in order to create new, values-based supply chain relationships both within and beyond GPO procurement channels. (shrink)

In this thought-provoking and innovative book, Kendra Coulter examines the diversity of work done with, by, and for animals. Interweaving human-animal studies, labor theories and research, and feminist political economy, Coulter develops a unique analysis of the accomplishments, complexities, problems, and possibilities of multispecies and interspecies labor. She fosters a nuanced, multi-faceted approach to labor that takes human and animal well-being seriously, and that challenges readers to not only think deeply and differently about animals and work, but to reflect (...) on the potential for interspecies solidarity. The result is an engaging, expansive, and path-making text. (shrink)

Machine generated contents note: Introduction; 1. Inclusion and identity; 2. Contesting competence: the ideal of self-determination; 3. Expertise and authority in the early church; 4. Defining the circle of sophists: Philostratus and the construction of the Second Sophistic; 5. Becoming orthodox: heresiology as self-fashioning; 6. Successions and self-definition; 7. 'From such mothers and fathers': succession narratives in early Christian discourse.

We have argued that the counterfactual comparative account of harm and benefit (CCA) violates the plausible adequacy condition that an act that would harm an agent cannot leave her much better off than an alternative act that would benefit her. In a recent paper in this journal, however, Neil Feit objects that our argument presupposes questionable counterfactual backtracking. He also argues that CCA proponents can justifiably reject the condition by invoking so-called plural harm and benefit. In this reply, we argue (...) that Feit’s lines of criticism are both unsuccessful. (shrink)

Volume 19, Issue 10, October 2019, Page 103-105.

A principal aim of the branch of ethics called ‘population theory’ or ‘population ethics’ is to find a plausible welfarist axiology, capable of comparing total outcomes with respect to value. This has proved an exceedingly difficult task. In this paper I shall state and discuss two ‘trilemmas’, or choices between three unappealing alternatives, which the population ethicist must face. The first trilemma is not new. It originates with Derek Parfit's well-known ‘Mere Addition Paradox’, and was first explicitly stated by Yew-Kwang (...) Ng. I shall argue that one horn of this trilemma is less unattractive than Parfit and others have claimed. The second trilemma, which is a kind of mirror image of the first, appears hitherto to have gone unnoticed. Apart from attempting to resolve the two trilemmas, I shall suggest certain features which I believe a plausible welfarist axiology should possess. The details of this projected axiology will, however, be left open. (shrink)

In this paper, we give a new argument for the existence of moral luck. The argument is based on a manipulation case in which two agents both lack second-order control over their actions, but one of them has first-order control. Our argument is, we argue, in several respects stronger than standard arguments for moral luck. Five possible objections to the argument are considered, and its general significance for the debate on moral luck is briefly discussed.

In Section 1, I rehearse some arguments for the claim that morality should be ``action-guiding'', and try to state the conditions under which a moral theory is in fact action-guiding. I conclude that only agents who are cognitively and conatively ``ideal'' are in general able to use a moral theory as a guide to action. In Sections 2 and 3, I discuss whether moral ``actualism'' implies that morality cannot be action-guiding even for ideal agents. If actualism is true, an ideal (...) agent will know about her own future actions. Since such foreknowledge is often thought to be incompatible with deliberation, and since action-guidance presupposes the possibility of deliberation, there is an apparent difficulty in combining actualism with the requirement of action-guidance. In opposition to an argument by Jan Österberg, I try to show that actualism and action-guidance are in fact compatible. (shrink)

This paper criticizes the consequentialist theory recently put forward by Fred Feldman. I argue that this theory violates two crucial requirements. Another theory, proposed by Peter Vallentyne, is similarly flawed. Feldman's basic ideas could, however, be developed into a more plausible theory. I suggest one possible way of doing this.

Led by women, faith-based pregnancy centers constitute the largest segment of the movement to oppose abortion in the United States. These centers provide services for women but face criticism for offering assistance motivated and shaped by conservative religious views. In this article, I explore how evangelical staff at two faith-based centers in the western United States conceptualize their work as religious practice and reimagine “doing” evangelism. I draw upon observational, interview, and textual data to show how gender shapes the definition, (...) expression, and affective nature of evangelism. In “feminizing evangelism,” the centers challenge established evangelical practice to “share the gospel,” which necessitates spiritual regulation, a distinct form of emotional labor. In highlighting the emotional complexity of gendering religious practices, this article contributes to scholarly conversations at the intersection of gender, religion, and emotion. (shrink)

Farming God’s Way (FGW) is a type of conservation agriculture (CA) that re-interprets the CA principles of no tillage, mulching and crop rotation using biblical metaphors such as God doesn’t plow, God’s blanket, and the Garden of Eden. Through faith-based networks, FGW has spread throughout Sub-Saharan Africa, and beyond, as a development intervention for improving food security, adapting to climate change, and restoring soil productivity for resource-poor farming households. This research identifies and compares the production, sustainability and faith claims of (...) FGW to ascertain which claims are contested. A qualitative study of Canadian program managers with responsibilities for CA or FGW projects in Africa and smallholding FGW farmers in Kenya is employed using semi-structured interviews and focus groups. Production-related claims of improved soil moisture and climate change adaptation are generally consistent among program managers, farmers and the literature, but social claims of increased labour demand on women and religious claims of faith enhancing CA are contested. Findings show that female farmers unanimously contest the claim that their labour for weeding is increased under FGW. Similarly, FGW farmers contest the claim that faith inhibits adoption or innovation on the farm, reporting instead that FGW connects faith to their vocation, transforms why and how they farm, and changes mindsets for adopting faith-based CA. (shrink)

John Dewey provides a philosophy of nature riven with questions of contexted-function, education, ecological balance, and in general an analysis of nature that understands that fixity won’t work, in the pragmatist sense of work, and consequently, that survival necessitates change. In light of the recent flood of evidence showing that epigenetic factors may have a greater role in evolution than previously thought, a re-envisioning of Dewey’s philosophy of nature is warranted. Dewey’s emphasis on the process of the moving parts, rather (...) than the identity of the parts themselves, provides a contrasting view that largely avoids many of the problems of a gene-centric viewpoint and offers an interpretation of Darwin’s evolutionary theory that emphasizes the instrumental factor of experience in a way that is compatible with the findings of epigenetics. (shrink)

Background: The Declaration of Helsinki, the World Medical Association’s statement of ethical guidelines regarding medical research, is published in the three official languages of the WMA: English, French and Spanish.Methods: A detailed comparison of the three official language versions was carried out to determine ways in which they differed and ways in which the wording of the three versions might illuminate the interpretation of the document.Results: There were many minor linguistic differences between the three versions. However, in paragraphs 1, 6, (...) 29, 30 and in the note of clarification to paragraph 29, there were differences that could be considered potentially significant in their ethical relevance.Interpretation: Given the global status of the Declaration of Helsinki and the fact that it is translated from its official versions into many other languages for application to the ethical conduct of research, the differences identified are of concern. It would be best if such differences could be eliminated but, at the very least, a commentary to explain any differences that are unavoidable on the basis of language or culture should accompany the Declaration of Helsinki. This evidence further strengthens the case for international surveillance of medical research ethics as has been proposed by the WMA. (shrink)

ABSTRACT Suppose that, for every possible event and person who would exist whether or not the event were to occur, there is a well-being level that the person would occupy if the event were to occur, and a well-being level that the person would occupy if the event were not to occur. Do facts about such connections between events and well-being levels always suffice to determine whether an event would harm or benefit a person? Many seemingly attractive accounts of harm (...) and benefit entail an affirmative answer to this question, including the widely held Counterfactual Comparative Account (CCA). In this paper, however, we argue that all such accounts will be unsuccessful. (shrink)

An agent may abandon an initiated action plan, although he doesnot acquire new information or encounter unforeseen obstacles.Such dynamic inconsistency can be to the agent'';s guaranteeddisadvantage, and there is a debate on how it should rationallybe avoided. The main contenders are the sophisticated andthe resolute approaches. I argue that this debate is misconceived,since both approaches rely on false assumptions about theperformability of action plans. The debate can be reformulated,so as to avoid these mistaken assumptions. I try to show that sucha (...) reformulation must rely on certain implausible claims. (shrink)

We will study patterns which occur when considering how Σ 1 -elementary substructures arise within hierarchies of structures. The order in which such patterns evolve will be seen to be independent of the hierarchy of structures provided the hierarchy satisfies some mild conditions. These patterns form the lowest level of what we call patterns of resemblance . They were originally used by the author to verify a conjecture of W. Reinhardt concerning epistemic theories 449–460; Ann. Pure Appl. Logic, to appear), (...) but their relationship to axioms of infinity and usefulness for ordinal analysis were manifest from the beginning. This paper is the first part of a series which provides an introduction to an extensive program including the ordinal analysis of set theories. Future papers will conclude the introduction and establish, among other things, that notations we will derive from the patterns considered here represent the proof-theoretic ordinal of the theory KPℓ 0 or, equivalently, Π 1 1 −CA 0. (shrink)

This study examines a moderated/mediated model of ethical leadership on follower job satisfaction and affective organizational commitment. We proposed that managers have the potential to be agents of virtue or vice within organizations. Specifically, through ethical leadership behavior we argued that managers can virtuously influence perceptions of ethical climate, which in turn will positively impact organizational members’ flourishing as measured by job satisfaction and affective commitment to the organization. We also hypothesized that perceptions of interactional justice would moderate the ethical (...) leadership-to-climate relationship. Our results indicate that ethical leadership has both a direct and indirect influence on follower job satisfaction and affective commitment. The indirect effect of ethical leadership involves shaping perceptions of ethical climate, which in turn, engender greater job satisfaction and affective organizational commitment. Furthermore, when interactional justice is perceived to be high, this strengthens the ethical leadership-to-climate relationship. (shrink)

Shared Musical Lives makes the case for the epistemological and ethical significance of musical experience. Music can be a source of self-knowledge and self-expression, and hence reveal important dimensions of the self to others. This knowledge - of both self and of others - has a moral force as well. Shared musical experience can transform and establish new modes of being with others, cultivate virtues, and expand the moral imagination. The term sonification (which means translating data into non-verbal audible tones) (...) provides an organizing principle for the arguments in the book.Transposing the concept into a philosophical key, this book explores two forms of sonification: first, the process by which musical experience reveals dimensions of the self and relationships with others; and second, philosophical sonification, or the critical examination of philosophical concepts,arguments, and theories in view of what musical experience reveals. These two kinds of sonification are discussed specifically in the context of disability. In this book, author Licia Carlson brings the musical lives of people with cognitive and intellectual disabilities into the foreground in order to challenge and broaden existing conceptions of disability and music and provide new ways of thinking about the philosophies of music and disability. (shrink)

A journey across the lush, complex, and uneven landscapes of animal protection reveals that the wellbeing of animals is deeply connected to the work and the wellbeing of people.

In a recent article in this journal, John Martin Fischer defends the view that death harms its victim after she dies. More specifically, he develops a “truthmaking” account in order to solve what he calls the Problem of Predication for this view. In this reply, we argue that Fischer’s proposed solution to this problem is unsuccessful.

In an attempt to address the theoretical gap between linguistics and philosophy, a group of semanticists, calling itself the Generic Group, has worked to develop a common view of genericity. Their research has resulted in this book, which consists of a substantive introduction and eleven original articles on important aspects of the interpretation of generic expressions. The introduction provides a clear overview of the issues and synthesizes the major analytical approaches to them. Taken together, the papers that follow reflect the (...) current state of the art in the semantics of generics, and afford insight into various generic phenomena. (shrink)

In Consequentialism Reconsidered, Carlson strives to find a plausible formulation of the structural part of consequentialism. Key notions are analyzed, such as outcomes, alternatives and performability. Carlson argues that consequentialism should be understood as a maximizing rather than a satisficing theory, and as temporally neutral rather than future oriented. He also shows that certain moral theories cannot be reformulated as consequentialist theories. The relevant alternatives for an agent in a situation are taken to comprise all actions that they (...) can perform in the situation. The defense of this idea necessitates certain modifications to the standard consequentialist criteria of obligatoriness, rightness and wrongness. The problem of whether agents should adapt their actions to their own future actions is also addressed. Further, a conditional analysis of performability is suggested, and it is argued that particular actions should in this connection be regarded as `abstract' rather than `concrete'. The final chapter sketches a consequentialist theory for collective agents. (shrink)