IntroductionDeep brain stimulation (DBS) is utilized to treat pediatric refractory dystonia and its use in pediatric patients is expected to grow. One important question concerns the impact of hope and unrealistic optimism on decision-making, especially in “last resort” intervention scenarios such as DBS for refractory conditions.ObjectiveThis study examined stakeholder experiences and perspectives on hope and unrealistic optimism in the context of decision-making about DBS for childhood dystonia and provides insights for clinicians seeking to implement effective communication strategies.Materials and MethodsSemi-structured interviews (...) with clinicians (n = 29) and caregivers (n = 44) were conducted, transcribed, and coded.ResultsUsing thematic content analysis, four major themes from clinician interviews and five major themes from caregiver interviews related to hopes and expectations were identified. Clinicians expressed concerns about caregiver false hopes (86%, 25/29) and desperation (68.9%, 20/29) in light of DBS being a last resort. As a result, 68.9% of clinicians (20/29) expressed that they intentionally tried to lower caregiver expectations about DBS outcomes. Clinicians also expressed concern that, on the flip side, unrealistic pessimism drives away some patients who might otherwise benefit from DBS (34.5%, 10/29). Caregivers viewed DBS as the last option that they had to try (61.3%, 27/44), and 73% of caregivers (32/44) viewed themselves as having high hopes but reasonable expectations. Fewer than half (43%, 19/44) expressed that they struggled setting outcome expectations due to the uncertainty of DBS, and 50% of post-DBS caregivers (14/28) expressed some negative feelings post treatment due to unmet expectations. 43% of caregivers (19/44) had experiences with clinicians who tried to set low expectations about the potential benefits of DBS.ConclusionThoughtful clinician-stakeholder discussion is needed to ensure realistic outcome expectations. (shrink)

The aim of this literature study was to suggest a value ground for nursing anchored in two ethical principles: the principle of human value and the right to experience a meaningful life. Previous nursing research between the years 2000 and 2009 was analysed. Presented values suggested in this value ground are thus in line with the nursing context and science of today. Statements within ethical literature have been used in order to formulate arguments aimed at supporting the values that were (...) found in the study. In the literature study six values were found: trust, nearness, sympathy, support, knowledge and responsibility. These values hold equal status and are not presented in hierarchical order. They vary due to the persons involved, nursing situations and cultural surroundings, but have the common requirement of being non-excluding. In order to implement the values within the value ground, two prerequisites are discussed and claimed as essential: ethical dialogue and a caring encounter between care provider and patients. (shrink)

The article reviews different antitheodicies in response to Toby Betenson’s article “Anti-Theodicy”. Antitheodicies involve rejecting the position that God or meaning exist only, if evils have justifying morally sufficient reasons. The article builds on Betenson’s division into moral and conceptual antitheodicies and his characterization of antitheodicies as a metacritique of the problem of evil. Moral antitheodicies are problematic, as they do not address the key conceptual issues and might end up in question-begging or moralism. Dissolving the problem of evil requires (...) a conceptual antitheodicy that exposes its presuppositions as speculative metaphysics. Religious conceptual antitheodicies help to focus on different ways of sense-making that do not fall into theodicism. (shrink)

This book develops a grammatical method for our underlying presuppositions which can help us unravel the problem of evil. The problem essentially rests on a dualism between fact and meaning. 'Evil and Intelligibility' provides an examination of the grammar of being and of the intelligibility of the world, culminating in a philosophical grammar in which God, meaning, and evil can coexist.

1. 1826-1840 -- 2. 1840-1842 -- 3. 1842-1843 -- 4. 1844-1845 -- 5. 1845-1847 -- 6. 1847-1849 -- 7. 1850-1856 -- 8. 1857-1858 -- 9. 1859-1860.

Today the halls of Technology, Entertainment, and Design and Davos reverberate with optimism that hacking, brainstorming, and crowdsourcing can transform citizenship, development, and education alike. This article examines these claims ethnographically and historically with an eye toward the kinds of social orders such practices produce. This article focuses on a hackathon, one emblematic site of social practice where techniques from information technology production become ways of remaking culture. Hackathons sometimes produce technologies, and they always, however, produce subjects. This article argues (...) that the hackathon rehearses an entrepreneurial citizenship celebrated in transnational cultures that orient toward Silicon Valley for models of social change. Such optimistic, high-velocity practice aligns, in India, with middle-class politics that favor quick and forceful action with socially similar collaborators over the contestations of mass democracy or the slow construction of coalition across difference. (shrink)

Descartes's concept of the mind, as distinct from the body with which it forms a union, set the agenda for much of Western philosophy's subsequent reflection on human nature and thought. This is the first book to give an analysis of Descartes's pivotal concept that deals with all the functions of the mind, cognitive as well as volitional, theoretical as well as practical and moral. Focusing on Descartes's view of the mind as intimately united to and intermingled with the body, (...) and exploring its implications for his philosophy of mind and moral psychology, Lilli Alanen argues that the epistemological and methodological consequences of this view have been largely misconstrued in the modern debate. Informed by both the French tradition of Descartes scholarship and recent Anglo-American research, Alanen's book combines historical-contextual analysis with a philosophical problem-oriented approach. It seeks to relate Descartes's views on mind and intentionality both to contemporary debates and to the problems Descartes confronted in their historical context. By drawing out the historical antecedents and the intellectual evolution of Descartes's thinking about the mind, the book shows how his emphasis on the embodiment of the mind has implications far more complex and interesting than the usual dualist account suggests. (shrink)

The quality of early childhood education and care (ECEC) is important for children’s development. One instrument that was developed to assess an aspect of ECEC quality is the Classroom Assessment Scoring System for pre-kindergarten children (CLASS Pre-K). We examined the factorial validity of the instrument using data from 177 German preschool classrooms. The three-factor teaching through interaction model (Hamre et al., 2013) was contrasted to a one-factor, a two-factor, and a bifactor model as proposed by Hamre et al. (2014). Our (...) results indicated that the three-factor structure with the domains of emotional support, classroom organization, and instructional support fit the data best. The fit of the teaching through interaction model was satisfying after adding a cross-loading of the dimension language modeling on emotional support, and two correlated residuals. Evidence of convergent and discriminant validity are provided. In terms of factor structure and pattern score comparisons, the results were similar to previous U.S. and German studies. The discussion concerns the justifiability of the factor model revisions and draws directions for further research. We concluded that our study offers further evidence of the applicability of the CLASS Pre-K for the assessment of teacher-child interaction quality in the German context. (shrink)

In this article, I discuss my experiences of being an insider researching Laestadianism. I present my research, noting the advantages and disadvantages, ending with a conclusion in which I refer to the discussion among anthropologists and ethnologists, especially in the study of religion. The outcome is that even though the distinction insider–outsider researcher is complicated, both insider and outsider researchers will improve the research, contributing to its nuanced presentation.

The paper examines Johann Georg Hamann’s influence on Ludwig Wittgenstein’s late philosophy. Wittgenstein’s letters, diaries and Drury’s memoirs show that Wittgenstein read Hamann’s writings in the early 1930s and 1950s. Wittgenstein’s diary notes and the Cambridge lectures show that Wittgenstein’s discussion of Hamann’s views in 1931 corresponds to adopting a Hamannian view of symbols and rule-following. The view of language as an intertwining of signs, objects and meanings in use forms a common core in the philosophies of Hamann and Wittgenstein. (...) The harmony of language and reality takes place in communicative use, so non-communicative private languages and pre-linguistic ideal forms of representation are not possible. Language is a free response to reality, and it involves belief-systems and trust. (shrink)

This is the first book to give an analysis of Descartes's pivotal concept that deals with all the functions of the mind, cognitive as well as volitional, ...

In his Peirce and Religion, Roger Ward offers an insightful interpretative angle into Peirce’s philosophy. Ward interprets Peirce as a fundamentally religious Christian and Trinitarian thinker who holds that science and religion are complementary approaches to inquiry. He tracks the development of Peirce’s pragmatism against the background of Peirce’s life, and searches for points of contact between Peirce’s pragmatism on the one hand and Trinitarian theology and Christian ecclesiology on the other. Such an interpretation would place Peirce along great Christian (...) philosophers of language like Augustine, Duns Scotus, and J. G. Hamann.Ward first gives us an overview of Peirce’s intellectual background in mid-19th... (shrink)

Mentoring Away the Glass Ceiling in Academia: A Cultured Critique describes how women of diverse backgrounds perceive their mentoring experiences or the lack of mentoring experiences in the academy. This book provides a space for envisioning strategies and practices to improve mentoring practices and the collegiate environment.

One seldom-noted consequence of most recent arguments for “animal rights” or against “speciesism” is their inability to provide a justification for differential treatment on the basis of species membership, even in cases of rare or endangered species. I defend the claim that arguments about the moral status of individual animals inadequately deal with this issue, and go on, with the help of several test cases, to reject three traditional analyses of our alleged obligation to protect endangered species. I conclude (a) (...) that these traditional analyses fail, (b) that there is an important conceptual confusion in any attempt to ascribe value to a species, and (c) that our obligation must ultimately rest on the value---often aesthetic-of individual members of certain species. (shrink)

This chapter contains section titled: Introductory Remarks The Cartesian Background Impressions and Ideas Passions as Reflective Impressions Direct and Indirect Passions Association and the Individuation of Passions Perception and Perceiving Passions and Moral Sentiments Notes References Further reading.

There has been an explosion of interest in the idea of European Union citizenship in recent years, as a defining example of postnational cosmopolitan citizenship potentially replacing or layered on top of national citizenship. We argue this form of EU citizenship undermines industrial citizenship, which is a crucial support for social solidarity on which other types of citizenship are based. Because industrial citizenship arises from collectivities based on class identities and national institutions, it depends on the national territorial order and (...) the social closure inherent in it. EU citizenship in its ‘postnational’ form is realized through practices of mobility, placing it in tension with bounded class-based collectivities. Though practices of working-class cosmopolitanism may give rise to a working-class consciousness, the fragmented nature of this vision impedes the development of transnational class-based collectivities. Industrial and cosmopolitan citizenship must be re-imagined together if European integration is to be democratized. (shrink)

William Lillie. G.'E. Moore: Principia Ethica. Sir David Ross: The Right and the Good. The Foundations of Ethics. C. L. Stevenson: Ethics and Language. R. M. Hare: The Language of Morals In the following list, which makes no claim to ...

Hume is famous for his criticism of substantial minds, free will, and self-consciousness—central elements in traditional philosophical accounts of persons. His empiricism dissolves self-inspecting minds into heaps of distinct perceptions and turns cognitive faculties into successions of causally related, discrete impressions and ideas. Whatever regularities the complex ideas and their bundles or heaps display are explained by laws of association of ideas, which are supposed to play the same role in the mental world as Newton’s laws of gravitation play in (...) physical nature. This paper explores some strands of the new science of man proposed in Hume’s Treatise, in particular his account of personal identity.. (shrink)

Descartes's view of modality is analyzed by contrast to two earlier models: the ancient realist one, defended by Boethius, where possibility and necessity are connected to natural potency, and the modern intensionalist one, which dissociates necessary and possible truths from any ontological foundation, treating them as conceptual, a priori given preconditions for any intellect. The emergence of this view is traced from Gilbert of Poitiers to duns Scotus, Ockham and Suarez. The Cartesian theory of the creation of eternal truths, it (...) is argued, involves a rejection of this idea of absolute conceivability and can be seen as a constructivist view of intelligibility and rationality. (shrink)

One seldom-noted consequence of most recent arguments for “animal rights” or against “speciesism” is their inability to provide a justification for differential treatment on the basis of species membership, even in cases of rare or endangered species. I defend the claim that arguments about the moral status of individual animals inadequately deal with this issue, and go on, with the help of several test cases, to reject three traditional analyses of our alleged obligation to protect endangered species. I conclude that (...) these traditional analyses fail, that there is an important conceptual confusion in any attempt to ascribe value to a species, and that our obligation must ultimately rest on the value---often aesthetic-of individual members of certain species. (shrink)

Originally published in 1914, this book contains an illustrated story of life in a provincial French town in the early twentieth century. The French of the story is accessible for a young audience, and provides an entertaining as well as educational story for readers. This book will be of value to anyone with an interest in French life or the history of French education in Britain.

Before attempting to suggest a religious theory of ethics that appears to me to be tenable, I want to say three things by way of introduction.

This paper reflects on the status of Descartes' notion of the mind-body union as an object of knowledge in the framework of his new philosophy of nature, and argues that it should be taken seriously as representing a third kind of real thing or reality—that of human nature. Because it does not meet the criteria of distinctness that the two natures composing it—those of thinking minds and extended bodies— meet, the phenomena referred to it, which are objects of psychology as (...) traditionally understood, fall outside the scope of clear and distinct perception required for knowledge. The prospects for rationalist psychology are bleak, since because of the mind-body union so little of the contents of the human mind are accessible to rational inspection or introspection. Mechanistic natural philosophy on the other hand gives us knowledge only of the physiological and corporeal aspects of the phenomena Descartes classifies as mental. What pertains to the mind-body union can only be known through the senses, moreover, we learn to conceive the mind-body union only through daily experience (“usant seulement de la vie et des conversations ordinaries”, AT 3, 695). I discuss the nature of this experience, and the sense in which Cartesian psychology without being part of his philosophy of nature in the strict sense of the term, can still be seen as a naturalist undertaking in a more traditional sense of nature where life, sentience, reasoning and rational action are all seen as natural phenomena. (shrink)

Some ecologists and philosophers have tried to develop a concept of ecosystem health that would support a more 'objective' means of evaluating an ecosystem. I argue (following Dale Jamieson) that the concept of health is itself too subjective to justify such an attempt, and then suggest that part of the problem is that the goal of achieving greater objectivity is itself unclear. I analyse and evaluate three different ways of drawing the distinction between subjective and objective evaluations as a first (...) step towards clarifying that goal. (shrink)

Book reviewed in this article: The Code of Codes: Scientific and Social Issues in the Human Genome Project. Edited by Daniel J. Kevles and LeRoy Hood. Wonderwoman and Superman: The Ethics of Human Biotechnology. By John Harris.

This paper examines Descartes' controversial theory of the creation of eternal truths and the views of modality attributed to Descartes in recent interpretations of it. It shows why attempts to make Descartes' view intelligible by distinctions of different kinds of modality fail to do justice to his theory, which is radical indeed without being incoherent or involving universal possibilism or irrationalism. Descartes' opposition to traditional rationalist views of modality, it suggests, can be seen instead as foreshadowing contemporary views prefixed, logical (...) structure of reality or of the divine intellect. (shrink)

Cet article étudie la vue cartésienne de l'homme et la connaissance obtenue par la notion de l'union de l'âme et du corps. Le but est d'analyser les conséquences de la distinction cartésienne entre des notions primitives différentes et incomparables, et des différents genres de connaître qui s'en suivent, conséquences qui à cause de l'influence de la version Ryleienne du dualisme cartésien sont restées largement ignorées dans les débats anglo-américains récents. This paper examines Descartes's view of man and the understanding involved (...) in the notion of the mind-body union. The aim is to spell out the implications of Descartes's distinction between different and incomparable primary notion and related kinds of knowledge, which due to the misleading but influential Rylean version of Descartes's mind-body dualism have remained largely unnoticed in the contemporary Anglo-American debate. (shrink)

This paper examines Descartes's third primary notion and the distinction between different kinds of knowledge based on different and mutually irreducible primary notions. It discusses the application of the notions of clearness and distinctness to the domain of knowledge based on that of mind-body union. It argues that the consequences of the distinctions Descartes is making with regard to our knowledge of the human mind and nature are rather different from those that have been attributed to Descartes due to the (...) influential Rylean picture of Cartesian mind-body dualism. (shrink)

This paper explores Spinoza’s therapy of passions and method of salvation through knowledge and love of God. His optimism about this method is perplexing: it is not even clear how his God, who is unlike any traditional notion of divinity, can be loved. Sorting out Spinoza’s view involves distinguishing an ethics of bondage from another of freedom, and two corresponding notions of love of God. The paper argues that the highest kind of love—‘pure intellectual love of God’—should not be understood (...) as an affect at all, but instead as unimpeded intellectual activity. This suggestion requires reconsidering Spinoza’s account of cognition, particularly his use of the Cartesian notions of objective and formal reality which are not only central to his theory of ideas but constitute the foundations of his salvation project. (shrink)

Descartes's conception of matter changed the account of physical nature in terms of extension and related quantitative terms. Plants and animals were turned into species of machines, whose natural functions can be explained mechanistically. This article reflects on the consequences of this transformation for the psychology of human soul. In so far the soul is rational it lacks extension, yet it is also united with the body and affected by it, and so it is able to act on extended matter. (...) The article examines Descartes's concept of scientia and his different uses of nature, and argues that there is much more continuity between Aristotelian and Cartesian psychology than is usually recognized when it comes to an explanation of the functions of the embodied human soul. If this makes psychology unfit for inclusion in the new science of nature, its object is still a natural phenomenon and has an important place within scientia as Descartes conceived of it. (shrink)