Efforts in Virginia highlight an emerging approach to improving health and well-being for the population — human-centered design intentionally focused on protecting health and improving well-being. This keynote emphasized a data-informed approach facilitated by multi-sectoral leadership that promotes alignment of community assets focused to result in system changes more likely to sustainably improve health and well-being.

Book reviewed in this article: The Man Who Mistook His Wife for a Hat and Other Clinical Tales. By Oliver Sacks.

Kirk’s aim in this book is to bridge what he calls “the intelligibility gap,” expressed in the question, “How could complex patterns of neural firing amount to this?”. He defends a position that he describes as “broadly functionalist,” which consists of several theses. I will briefly review them.

In this paper I propose a model of demonstrative thought. I distinguish token-demonstratives, that pick out individuals, from type-demonstratives, that pick out kinds, or properties, and provide a similar treatment for both. I argue that it follows from my model of demonstrative thought, as well as from independent considerations, that demonstration, as a mental act, operates directly on mental representations, not external objects. That is, though the relation between a demonstrative and the object or property demonstrated is semantically direct, the (...) mechanism by which a demonstrative acquires its referent involves mediation by a perceptual representation. Finally, I argue that so-called 'demonstrative concepts'—which I treat as type-demonstratives—cannot perform the various philosophical functions that have been assigned to them. (shrink)

People typically show excellent memory for information that is central to an emotional event but poorer memory for peripheral details. Not all studies demonstrate memory narrowing as a result of emotion, however. Critically important emotional information is sometimes forgotten; seemingly peripheral details are sometimes preserved. To make sense of both the general pattern of findings that emotion leads to memory narrowing, and findings that violate this pattern, this review addresses mechanisms through which emotion enhances and impairs memory. Divergent approaches to (...) characterising information as central versus peripheral are also addressed. By directly contrasting these approaches, and the evidence supporting them, this review helps to clarify when and how emotion enhances memory and provides directions for future research. Evidence shows that memory narrowing as a result of emotion, and a number of violations of the memory narrowing pattern, can be explained by the view that emotion enhances memory for information relevant to currently active goals. (shrink)

In this paper I argue against Brandom's two-ply theory of action. For Brandom, action is the result of an agent acknowledging a practical commitment and then causally responding to that commitment by acting. Action is social because the content of the commitment upon which one acts is socially conferred in the game of giving and asking for reasons. On my proposal, instead of seeing action as the coupling of a rational capacity to acknowledge commitments and a non-rational capacity to reliably (...) respond to these commitments, we should see action as the coupling, or potential coupling, of a capacity to reason practically and a capacity to act on habits and bodily skills. In putting forward this alternative model of action, I aim to replace Brandom's rationalist brand of Pragmatism with a more classical kind, one that will let us see action as social not only at the level of reasons but also at the level of bodily habits and skills. (shrink)

This philosophical analysis of the phenomenon of racism brings together some of the most influential analytic philosophers writing on racism today. The introduction by Tamas Pataki outlines the historical and thematic development of conceptions of race and racism, and locates the following essays against the backdrop of contemporary reactions to that development. While the framework is primarily analytic, the volume also includes essays deeply informed by psychoanalysis, phenomenology, and feminist and social theory. The fourteen chapters in this collection address three (...) interrelated questions: What is racism? What are the causes of racism? and What are the moral and political implications of racism? Although their approaches are wide ranging, the contributors to Racism in Mind broadly endorse a psychological-characterological approach to the understanding of many aspects of racism. (shrink)

Philosophical writing on the welfare state has taken a defensive turn in recent years, largely in response to two related phenomena: the re-emergence of pro-market ideologies in the larger political culture and the imperiled condition of real world welfare states in a global economy in which national governments have diminishing capacities for shaping the social and economic lives of their citizens. But thanks in part to the tireless advocacy of Philippe Van Parijs, an even more radically redistributive form of public (...) provision than the welfare state has come onto the intellectual agenda—and the political agenda too, at least in Belgium and the Netherlands. Van Parijs proposes that all citizens be accorded an unconditional “basic income grant” as large as is compatible with the need to generate as much wealth as possible for redistribution. By now, this idea has many defenders. It also boasts a genealogy extending back to such writers as Tom Paine, François Huet, Edward Bellamy and G. D. H. Cole. But Van Parijs has become its best-known and most adept philosophical proponent, and this book represents his most sustained effort to date to investigate its normative foundations. (shrink)

In this paper I argue that color is a relational feature of the distal objects of perception, a way of appearing. I begin by outlining three constraints any theory of color should satisfy: physicalism about the non‐mental world, consistency with what is known from color science, and transparency about color experience. Traditional positions on the ontological status of color, such as physicalist reduction of color to spectral reflectance, subjectivism, dispositionalism, and primitivism, fail, I claim, to meet all three constraints. By (...) treating color as a relational property, a way of appearing, the three constraints can be met. However, serious problems for this view emerge when considering the relation between illusory color experiences and veridical color experiences. I do not propose a solution to these problems. (shrink)

I examine Robert Brandom's reading of the classical pragmatists, as given in his new book Perspectives on Pragmatism: Classical, Recent, and Contemporary. I argue that his reading is deficient in certain fundamental respects, and that this deficiency illuminates important blind spots in Brandom's overall theoretical project. Specifically, I focus on Brandom's rationalist pragmatism and its rejection of the classical pragmatic conception of experience. I argue that this rejection is based on an overly instrumental reading of the classical figures, as well (...) as on an incorrect interpretation of them as succumbing to the Myth of the Given. My overall goal is to demonstrate that Brandom is lead astray in his encounter with the classical pragmatists because of his unwillingness to integrate into his theoretical picture the essentially embodied nature of human cognitive and practical activity. (shrink)

The proposal of Rips et al. is motivated by discontinuity and input claims. The discontinuity claim is that no continuity exists between early (nonverbal) numerical representations and natural number. The input claim is that particular experiences (e.g., cardinality-related talk and object-based activities) do not aid in natural number construction. We discuss reasons to doubt both claims in their strongest forms.

The involvement of developing countries in international clinical trials is necessary for the development of appropriate medicines for local populations. However, the absence of appropriate structures for ethical review represents a barrier for certain countries. Currently there is very little information available on existing structures dedicated to ethics in western and central Africa. This article briefly describes historical milestones in the development of networks dedicated to capacity building in ethical review in these regions and outlines the major conclusions of two (...) workshops on this issue, which were held in September and October 2002 in Libreville, Gabon, and Paris, France. The workshops were the culmination of collaboration between the African Malaria Network Trust (AMANET) and the Pan African Bioethics Initiative (PABIN). They produced an update on ethics organizations with regard to mission, function, activities, members, and contact people, in eight countries within the regions discussed. As a result of the commitment of mandated delegates, a further prominent outcome followed these workshops: the creation of national structures, where none existed before, dedicated to the ethical review of clinical trials. (shrink)

Introduction: sustainable critique and the lost vocation of international relations -- "For we born after:" the challenge of sustainable critique -- Sustainable critique and critical IR theory: against emancipation -- The realist dilemma: politics and the limits of theory -- Communitarian IR theory -- Individualist IR theory: disharmonious cooperation -- Conclusion: toward sustainably critical international theory.

The view that species are individuals, as developed by Ghiselinand Hull, has been touted as explaining the role of type specimens intaxonomy. The kinship of this explanation with the Kripke-Putnam theoryof names has long been recognized. In light of this kinship, however,Hull's account of type specimens can be seen to entail two relatedinscrutability problems – unreasonable limits placed on the natureand extent of biological knowledge. An appreciation for these problemsinvites us to consider the proper relation between metaphysical andepistemological inquires in (...) the philosophy of science. (shrink)

Stem cell science, using both embryonic and a variety of tissue-specific stem cells, is advancing rapidly and offers promise to improve medical care in the future. Yet, with the notable exception of hematopoietic stem cell transplantation, a long-established approach to treating certain cancers of the blood system, this promise is long term and most stem cell research focuses on basic scientific questions or the collection of pre-clinical data. Although some clinical trials are underway, most are focused on safety, and novel (...) effective therapy is likely a long way off. Despite the preliminary nature of most stem cell research, however, numerous clinics around the world offer stem cell “therapies” to patients today outside the context of a clinical trial. Although the number of patients who have received these stem cell-based interventions is unknown, anecdotal reports suggest a substantial population of patients is willing to try them, despite unresolved questions about their safety and efficacy. (shrink)

In his book Truth and Justification Habermas replaces his long-held discourse-theoretic conception of truth with what he calls a pragmatic theory of truth. Instead of taking truth to originate in the communicative interactions between subjects, this new theory ties truth to the action contexts of the lifeworld, contexts where the existence of the world is ratified in practice. This, Habermas argues, overcomes the relativism and contextualism endemic to the linguistic turn. This article has two goals: (1) to chart in detail (...) how Habermas’ new theory of truth overcomes relativism and contextualism; and (2) to argue for the thesis that Habermas’ specific way of meeting this objective is flawed insofar as he resists relativism and contextualism by yoking truth to a concept of objectivity that is not consistent with the larger pragmatic transformation of his thought. (shrink)

ignette and autobiographical recall studies have often been used to test models of the appraisals associated with specific emotions. Recently, critiques of both methodologies have called into question the applicability of appraisal theory to naturally-occurring emotional responses. This study examined supporter's responses to Ross Perot's withdrawal from the 1992 presidential race to assess the extent to which appraisal models accurately capture responses to a naturally-occurring event. Supporters in Riverside County, California (N = 227) completed questionnaires concerning their interpretations of the (...) event, their initial emotional reactions, changes in their reactions in the weeks immediately following Perot's withdrawal, and their plans. Appraisal models correctly predicted the dimensions of agency and coping potential that served to differentiate sadness from anger, and the appraisals and plans associated with hope. Appraisal models did not predict the strong focus of sad supporters on their past goals and beliefs, and the plans associated with sadness and anger. Changes in emotional intensity occurred as a function of changes in goals and plans rather than merely as a function of time. These findings demonstrate the applicability of appraisal theory to naturally-occurring emotional responses, but also show that models may understate the complexity of the planning processes associated with emotions. (shrink)

The involvement of developing countries in international clinical trials is necessary for the development of appropriate medicines fo.

I explore the implications of recognizing two forms of access that might be constitutively related to phenomenal consciousness. I argue, in support of Block, that we don't have good reason to think that the link to reporting mechanisms is the kind of access that distinguishes an experience from a mere state.

Extract: Clearly, academic life takes place at the intersection of many social practices. If MacIntyre is right, the role-specific virtues of academic life should be understood in terms of these practices.2 Academic virtues are those excellences required to obtain the internal goods of the social practices constituting academic life. And the social practices of academic life are sustained, competitive and cooperative attempts to achieve a set of academic goals and realize academic forms of excellence. They are also sustained attempts to (...) expand and improve conceptions of these goals and forms of excellence. They emerge out of traditions—for instance the tradition of scientific argument— and must be understood in terms of these traditions. MacIntyre argues that this preliminary account of virtues in relation to social practices needs to be deepened in two ways: connecting it to the unity of an individual’s life on the one hand and to a coherent historical tradition on the other. Virtues are not just any set of traits delivering the internal goods of social practices, but those that serve to make coherent a person’s life and her place in an on-going tradition. They are crucial to lending meaning to one’s life and its struggles. (shrink)

Abstract.There is ample evidence that humans (and other primates) possess a knowledge instinct—a biologically driven impulse to make coherent sense of the world at the highest level possible. Yet behavioral decision‐making data suggest a contrary biological drive to minimize cognitive effort by solving problems using simplifying heuristics. Individuals differ, and the same person varies over time, in the strength of the knowledge instinct. Neuroimaging studies suggest which brain regions might mediate the balance between knowledge expansion and heuristic simplification. One region (...) implicated in primary emotional experience is more activated in individuals who use primitive heuristics, whereas two areas of the cortex are more activated in individuals with a strong knowledge drive: one region implicated in detecting risk or conflict and another implicated in generating creative ideas. Knowledge maximization and effort minimization are both evolutionary adaptations, and both are valuable in different contexts. Effort minimization helps us make minor and routine decisions efficiently, whereas knowledge maximization connects us to the beautiful, to the sublime, and to our highest aspirations. We relate the opposition between the knowledge instinct and heuristics to the biblical story of the fall, and argue that the causal scientific worldview is mathematically equivalent to teleological arguments from final causes. Elements of a scientific program are formulated to address unresolved issues. (shrink)

Capitalizing on the hype surrounding stem cell research, numerous clinics around the world offer “stem cell therapies” for a variety of medical conditions. Despite questions about the safety and efficacy of these interventions, anecdotal evidence suggests a relatively large number of patients are traveling to receive these unproven treatments — a practice called “stem cell tourism.” Because these unproven treatments pose risks to individual patients and to legitimate translational stem cell research, stem cell tourism has generated substantial policy concern and (...) inspired attempts to reduce these risks through the development of guidelines for patients and medical practitioners. This paper examines the roles and responsibilities of physicians in patients' home countries with respect to patients' decisions to try unproven stem cell therapies abroad. Specifically, it examines professional guidance from two organizations — the American Medical Association and the International Society for Stem Cell Research — and assesses physicians' professional and legal obligations to patients considering unproven stem cell therapies. Then, drawing on qualitative interviews conducted with patients who traveled abroad for unproven stem cell treatments, it explores the roles that physicians actually play in patients' decisions and compares these actual roles with their professional and legal responsibilities. The paper concludes with a discussion of strategies to help improve the guidance physicians provide to patients considering unproven treatments. (shrink)

HUME’S ARGUMENT AGAINST JUSTIFIED BELIEF IN MIRACLES CANNOT BE PROPERLY UNDERSTOOD APART FROM HIS ANALYSIS OF CAUSATION. IT IS ARGUED THAT HUME’S POSITION HAS NEVER BEEN CORRECTLY INTERPRETED BECAUSE ITS CONNECTION WITH HIS MORE GENERAL METAPHYSICS HAS NEVER BEEN ADEQUATELY EXAMINED. TO UNDERSTAND HUME’S VIEW ON MIRACLES THE FOLLOWING QUESTION MUST BE ANSWERED: WHY DID HUME THINK THAT ONE COULD JUSTIFIABLY BELIEVE THAT AN "EXTRAORDINARY" EVENT HAD OCCURRED, BUT THAT ONE COULD "NEVER" JUSTIFIABLY BELIEVE A "MIRACLE" HAD OCCURRED? THIS BOOK (...) OFFERS A SUSTAINED TREATMENT OF THAT QUESTION. IT IS ALSO ARGUED THAT IT MAKES NO SIGNIFICANT DIFFERENCE WHETHER HUME’S CENTRAL ARGUMENT IS INTERPRETED AS AN "A PRIORI" OR AN "A POSTERIORI" ARGUMENT; AND THAT HIS ARGUMENT IS APPLICABLE BOTH TO BELIEF BASED ON TESTIMONY AND DIRECT EXPERIENCE OF A MIRACLE. IN PART II THE CENTRAL QUESTION ADDRESSED IS WHETHER OR NOT ANYONE CAN JUSTIFIABLY BELIEVE A MIRACLE TO HAVE OCCURRED GIVEN A CONTEMPORARY EPISTEMOL. (shrink)

Drawing on implications from ethics, theology, law, politics, and education, this book argues that we can decide what is right by describing particular cases in detail, without the aid of ethical theories and principles.