Waste is a major global environmental issue that assembles socio-cultural and bio-geological processes in complex indeterminate relationships. Drawing on three case studies, this article explores the shifting environmental politics concerned with waste’s material, economic, political, and cultural ‘management’. The Canadian case studies – determining a new waste management technology in a mid-sized city in central Ontario, an open dump in a remote Nunavut community, and an abandoned gold mine in the Northwest Territories – suggest waste occasions particular material and political (...) mobilizations. Landfill leachate, colonialism, disinterested publics, freezing arsenic, global corporate investments, country food, land claims, neoliberal governance, permafrost, ravens, and a host of other socio-material forces both empower and thwart ‘management’ politics. Through these case studies, this article explores Isabelle Stengers’s assertion that participating citizenship is an ‘Empty Great Idea’, and a provocation to consider the contexts in which waste may generate acquiescent or objecting publics. (shrink)

Feminist analyses have made important contributions to the sociocultural experiences of pregnancy, birth and breastfeeding. This article draws upon recent theorizing within science studies to focus on the mattering of these processes. Specifically, the article expands upon Mauss's notion of the ‘gift’, which Diprose develops through the idea of ‘corporeal generosity’. I am interested in corporeal generosity insofar as it circumvents descriptions of relationships in terms of a closed economy in which resources are exchanged without excess or remainder. Corporeal generosity (...) refers to the often missed but nevertheless inescapable debt that a body owes to other bodies. At the same time, this embodied ‘gifting’ is both unpredictable and intrusive – there is as much possibility of threatening the integrity of bodies as there is of opening new possibilities. (shrink)

Canada is the world’s highest per capita municipal solid waste producer. By 2000, Canadians produced more annual waste per person than Americans; and by 2005, Canada produced nearly twice as much garbage as Japan (Conference Board of Canada 2008). By 2006, Canadians produced over 1000 kg of waste per person; 35 million tons of waste in a single calendar year (Statistics Canada 2008). The bulk of this waste ended up in landfills (ibid). In 2010, thirty percent of existing Canadian landfills (...) reached or surpassed capacity. Over one million tons of waste were exported out of Canada in 2002, much of it headed from southern Ontario to rural regions of Canada or to the United States (Statistics Canada 2005). Some cities .. (shrink)

Nigel Clark’s ‘ex-orbitant globality’ concerns the incalculability of other-than-human forces we typically fail to acknowledge, yet which haunt all considerations of environmental change. This article considers Gaia theory as a useful heuristic to register the ubiquity of bacteria to environmental activity and regulation. Bacteria are Gaia theory’s fundamental actants, and through symbiosis and symbiogenesis, connect life and matter in biophysical and biosocial entanglements. Emphasizing symbiosis might invoke the expectation of a re-inscription of the human insofar as the ubiquitous inter-connectivity of (...) life ultimately connects everything to the human. I want to argue toward the opposite conclusion: that bacterial liveliness suggests a profound indifference to human life. As such, symbiosis does not efface difference, nor its vigorous refusal to be absorbed within human formulations of world-remaking, including environmental change. Bacterial indifference’s radical asymmetry suggests the need for non-human centred theories of globality. (shrink)

Ten years after the publication of the special issue of Social Epistemology on feminist epistemology, this paper explores recent feminist interest in the inhuman. Feminist science studies, cultural studies, philosophy and environmental studies all build on the important work feminist epistemology has done to bring to the fore questions of feminist empiricism, situated knowledges and knowing as an intersubjective activity. Current research in feminist theory is expanding this epistemological horizon to consider the possibility of an inhuman epistemology. This paper explores (...) these developments through the subject of waste. Waste, as both an epistemological and material phenomenon, invites timely questions about possibilities for acknowledging an inhuman epistemology. These questions appear to be particularly urgent from an environmental perspective. (shrink)

In Sex, Gender and Science , Myra Hird outlines the social study of science and nature, specifically in relation to sex, sex differences, and sexuality. She examines how Western understandings of sex are based less upon understanding material sex differences than on a discourse that emphasizes sex dichotomy over sex diversity and argues for a feminist engagement with scientific debate that embraces the diversity and complexity of nature.

Sociology of Science: A Critical Canadian Introduction provides an overview of how sociology approaches science and, to a lesser extent, technology. It examines how science developed as a set of theories about both what we know and how we know. The book provides a succinct critical examination of the current state of science studies with a particular emphasis on research conducted by Canadian scholars. Hird illustrates that science studies offers useful perspectives on current and ongoing sociological debates, such as (...) the strengths and limitations of social constructionism, as well as popular public debates, such as the ethics of stem-cell research. Using examples from throughout history and with a focus on the Canadian context, the book provides students with an examination of influential science studies concepts, theories, and debates and situates these theories and debates within contemporary field of sociology. (shrink)

The distinction between ‘sex’ and ‘gender’ is challenged by arguments that ‘sex’ is equally a social construction, initiating a selfreflexive effort to return feminism to its foundational grounding. This article concerns intersexuality and transsexualism as two bodily forms that further suggest ‘sex’ as socially inscribed. I argue that feminist theory needs to ascertain whether the artificial emphasis on sexual difference, contra nature, is better able to effect social change than conjoined efforts to expose ‘sex’ as a construction intended to ground (...) divisions. Recent support for ‘multiple genders’ often remain dependent on a morphological notion of ‘sex’, and, as such, may not constitute a radical challenge to our current ‘sex’/‘gender’ system. (shrink)

Feminist philosophical analyses have recently returned to psychoanalytic theory's insights into the origins of gender. Freud's exegesis on social development holds gender to be a matter of identification, as opposed to an ontological condition of being. This article considers Judith Butler's use of psychoanalytic theory to argue that homosexuality both precedes and conditions the formation of heterosexual gender identification. While convinced the processes of identification do involve loss and are grieved in some way, I am less convinced that the precedence (...) of either heterosexuality or homosexuality can be logically sustained. I suggest that Butler's political commitment to subvert the hetero-normative gender system leads to a conflation of identification with desire, two distinct processes involving different psychic mechanisms. I want to argue that all gender is melancholic, as any restriction of pleasures entails loss; but the closer to the dominant heteronormative system the greater that failure. (shrink)

This paper concerns a theoretical struggle to situate childless women within contemporary feminist debates about gender, the body and sexuality. Although psychoanalytic theory offers a compelling approach to the body, a Freudian account of childless women has largely escaped investigation. This paper will provide such an analysis, arguing that competing interpretations of psychoanalytic theory reveal a salient tension in the interpretation of gender identification. On the one hand, some theorists focus on a social development model of gender identification. This model (...) emphasizes the sexual aim of reproduction as a salient feature of ‘normal’ gender identity development. In this paper, I argue this approach may pathologize childless women insofar as they ‘fail’ to socially develop in ways that conform to the imperative to sexually reproduce. On the other hand, a number of theorists argue against the foreclosure on gender identity that the social development model implies. An alternate interpretation of psychoanalytic theory calls attention to Freud's theory of ‘psychic bisexuality’ or ‘polymorphous perversity’. This notion invites a much more complex and ambivalent notion of gender identity as it emphasizes the temporal, fragile and incomplete process of gender identification. I aim to argue that this latter interpretation offers a space for childless women as it attempts to lay bare the hegemonic relationship between femininity and sexual reproduction. I draw upon the work of a number of feminist theorists who variously take up these central themes in Freudian psychoanalytic theory to further contest the reification of the association between femininity and maternity. (shrink)

We conducted a survey of residents of Kingston, Ontario, Canada, (n = 107) to understand their attitudes to and experiences of waste management and governance. Currently, the municipality is emphasising waste diversion and exploring new waste processing systems (WPS; e.g., incineration) to reduce costs. Using Foucault's governmentality theory, our data suggest Kingston's reliance on an attitude-behaviour-context model of behaviour change successfully fosters an environmental citizenship identity based on waste diversion (e.g., recycling). However, we argue that the neoliberal governmentality upon which (...) the attitude-behaviour-context model is predicated elides the need for, and inhibits consideration of, broader societal change concerning urgent environmental issues involving consumption and waste. (shrink)

Missouri, the "Show Me State," has become the epicenter of several important national public policy debates, including abortion rights, the right to choose and refuse medical treatment, and, most recently, early stem cell research. In this environment, the Center for Practical Bioethics (formerly, Midwest Bioethics Center) emerged and grew. The Center's role in these "cultural wars" is not to advocate for a particular position but to provide well researched and objective information, perspective, and advocacy for the ethical justification of policy (...) positions; and to serve as a neutral convener and provider of a public forum for discussion. In this article, the Center's work on early stem cell research is a case study through which to argue that not only the Center, but also the field of bioethics has a critical role in the politics of public health policy. (shrink)

The American Journal of Bioethics, Volume 11, Issue 6, Page 3-4, June 2011.

Myra Hird and Harlan Weaver have been invited by the editors of this special issue to enter into discussion with each other – to conduct a series of interchanges – because of the careful attention their research has paid to the ways in which transness as a lived reality is ontologized in humans, non-human animals, bacteria, and viruses. With this issue’s interchanges, we would like to further the conversation on critically approaching the consequences of merging transness with animality. (...) In the following series of four essay questions, we particularly invited each of these scholars to consider moments of classificatory tension in which taxonomies of human and non-human become inflected and redirected by the categories of race, gender, sexuality, class, ability, and geopolitical location. (shrink)

Based on in-depth interviews with policymakers and archival data, we examine the policy debates over court reform in family law and criminal law in Chile after the democratic transition. We introduce the concept of “gendered expertise” to capture the set of competences and claims organized around perceived gender differences and mobilized through gendered networks that we found in these debates. We show how gender structured and valorized lawyers’ expertise and shaped the differing outcomes in these two reforms. In the power (...) struggles among law reformers, both men and women lawyers used gendered expertise as a resource for characterizing themselves and their opponents. In the end, criminal law reform not only received far more political and economic support for its implementation than any other Chilean judicial reform, but defined the appropriate political reforms in relation to gendered meanings of law and political reconciliation. (shrink)

By examining the 5,413 illustrations provided in 33 introductory sociology textbooks published between 1982 and 1988, we explored the way textbook publishers in sociology pictorially construct images of gender and race. Individuals in a picture are coded for race and gender identity; each picture is coded for location in or outside the United States and for placement in 1 of 26 substantive topics. Although people of color were shown in numerically “fair” proportions, including Blacks seemed to be a way of (...) “staging” equality in the United States, while including other minorities appeared to offer “cross-cultural” comparisons to American society. Women accounted for only 36 percent of the individuals portrayed in these books, regardless of racial and ethnic category. Race and gender seemed to be conceptualized as nonoverlapping categories; White women “have” gender, while women of color apparently “have” only race. White men and boys occupied the center stage in these images of society; not only were more White men and boys presented than any other gender or race category, but they also received more exclusive attention and visually dominated the crucial institutions of politics and the economy. Although authors and publishers may strive to be fair, the way that race and gender representation is constructed in introductory sociology textbooks tends to reflect rather than critique popular American stereotypes. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:194 HISTORY OF PHILOSOPHY and properly, in a consideration of Bradley, although it is a little like citing Bradley in his own behalf. In all, Mr. Saxena's book is carefully researched and judicious, selecting Bradley's chief metaphysical themes for explication and defence. As one slight criticism: Bradley's doctrine of truth is treated as coherence, which it indeed was on the level of reality; but he dealt with truth quite (...) differently in immediate experience and on the level of appearance (elaborating those levels in his Essays on Truth and Reality), and hia metaphysics would appear richer if those theories of truth were discussed and applied to their appropriate realms. It~J~ Ross Scripps College Filosofia e SLoria nel Pensiero Crociano. By Adriano Bausola. (Milano: SocietA editrici Vitae Pensiero, 1965. Pp. 280. Paper. L. 4~500.) Etica e Politica nel Pensiero dl Benedetto Croce. (Milano: SocietA editrici Vitae Pensiero, 1966. Pp. 265. Paper. L 3,500.) Theee two volumes examine respectively Croce's doctrines of the theoretic and of the practical spheres of experience and thus treat of many of the main tenets of Croce's entire philosophy. For within these spheres, Adriano Bausola critically discusses important views which occur in the areas of logic, gnoseology, theory of history, as well as in ethics, economic and political doctrine. The scope of Bausola's treatment is in accord with Croce's own approach to philosophy, since strictly speaking, neither the theoretic nor the practical sphere can be correctly understood in abstraction from the other. Moreover, in his treatment of Croce's view, Bausola frequently discusses the criticisms of other contemporary Italian Crocean critics,as for example, of Gentile, Guido Calogero and Ugo Spirito, and this method of exposition has the advantages of making Croce's own position clear and of giving us some idea of very recent Italian philosophy. According to Bausola, the essential character of Croce's philosophy is shown in his rejection of every view which admits of transcendent experience or of abstract ideas. Thus, Filosofia e Storia critically traces this rejection as it occurs throughout the theoretic sphere of experience and attempts to make explicit the "positive" Crocean doctrine which accompanies his denial of the transcendent and of the abstract. Here Bausola concludes that despite Croce's claim to the contrary, there is more than one "logical" reason for Croce's refutation of the transcendent. Among these reasons are Croce's view of the identity of subject and object, his refutation of every mediate cognitive process, of every inference, and of every experience which issupposed to be neither theoretic nor practical. Chapter i ol Filosofia c Storia discusses the foundation of Croce's philosophy which Bausola maintains should be described as "spiritualism" (spiritualismo) rather than as "idealism" (idealismo), since for Croce, reality is fundamentally "spirit" and not "pure thought." Chapters 11 and 111 treat specifically of epistemic problems, such as, the nature of philosophic or pure concepts and the judgments to which they give rise, the nature of scientific or pseudoconcepts and the relations between philosophy and science. Chapters IV and v treat of Croce's view of the nature of "the real" and of the relations between the categories---their autonomy and their unity. Here Bausola attempts to show that Croce's transcendental deduction of the four forms of experience (aesthetic, logical, economic and ethical) has failed and that his demonstration shows merely that the distinction between these forms are empirical. Chapter IV then discusses Croce's view of philosophy as history. The next three chapters present a critical analysis of Croce's doctrine of error which forms one of his most interesting contributions to philosophy. Here Bausola's task is not to consist of an explication of the central Crocean view on error, but rather of an examination of its "concrete" development and its validity. At the outset of his discussion, Bausola asks: Does error ever result from non-practical as well as from practical acts? BOOK REVIEWS 195 Does error invariably result from conscious volition? And Bausola tries to show contrary to Croce% view that there are instances of error which do not involve conscious volition, but that Croce% denial of such instances follows... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:194 HISTORY OF PHILOSOPHY and properly, in a consideration of Bradley, although it is a little like citing Bradley in his own behalf. In all, Mr. Saxena's book is carefully researched and judicious, selecting Bradley's chief metaphysical themes for explication and defence. As one slight criticism: Bradley's doctrine of truth is treated as coherence, which it indeed was on the level of reality; but he dealt with truth quite (...) differently in immediate experience and on the level of appearance (elaborating those levels in his Essays on Truth and Reality), and hia metaphysics would appear richer if those theories of truth were discussed and applied to their appropriate realms. It~J~ Ross Scripps College Filosofia e SLoria nel Pensiero Crociano. By Adriano Bausola. (Milano: SocietA editrici Vitae Pensiero, 1965. Pp. 280. Paper. L. 4~500.) Etica e Politica nel Pensiero dl Benedetto Croce. (Milano: SocietA editrici Vitae Pensiero, 1966. Pp. 265. Paper. L 3,500.) Theee two volumes examine respectively Croce's doctrines of the theoretic and of the practical spheres of experience and thus treat of many of the main tenets of Croce's entire philosophy. For within these spheres, Adriano Bausola critically discusses important views which occur in the areas of logic, gnoseology, theory of history, as well as in ethics, economic and political doctrine. The scope of Bausola's treatment is in accord with Croce's own approach to philosophy, since strictly speaking, neither the theoretic nor the practical sphere can be correctly understood in abstraction from the other. Moreover, in his treatment of Croce's view, Bausola frequently discusses the criticisms of other contemporary Italian Crocean critics,as for example, of Gentile, Guido Calogero and Ugo Spirito, and this method of exposition has the advantages of making Croce's own position clear and of giving us some idea of very recent Italian philosophy. According to Bausola, the essential character of Croce's philosophy is shown in his rejection of every view which admits of transcendent experience or of abstract ideas. Thus, Filosofia e Storia critically traces this rejection as it occurs throughout the theoretic sphere of experience and attempts to make explicit the "positive" Crocean doctrine which accompanies his denial of the transcendent and of the abstract. Here Bausola concludes that despite Croce's claim to the contrary, there is more than one "logical" reason for Croce's refutation of the transcendent. Among these reasons are Croce's view of the identity of subject and object, his refutation of every mediate cognitive process, of every inference, and of every experience which issupposed to be neither theoretic nor practical. Chapter i ol Filosofia c Storia discusses the foundation of Croce's philosophy which Bausola maintains should be described as "spiritualism" (spiritualismo) rather than as "idealism" (idealismo), since for Croce, reality is fundamentally "spirit" and not "pure thought." Chapters 11 and 111 treat specifically of epistemic problems, such as, the nature of philosophic or pure concepts and the judgments to which they give rise, the nature of scientific or pseudoconcepts and the relations between philosophy and science. Chapters IV and v treat of Croce's view of the nature of "the real" and of the relations between the categories---their autonomy and their unity. Here Bausola attempts to show that Croce's transcendental deduction of the four forms of experience (aesthetic, logical, economic and ethical) has failed and that his demonstration shows merely that the distinction between these forms are empirical. Chapter IV then discusses Croce's view of philosophy as history. The next three chapters present a critical analysis of Croce's doctrine of error which forms one of his most interesting contributions to philosophy. Here Bausola's task is not to consist of an explication of the central Crocean view on error, but rather of an examination of its "concrete" development and its validity. At the outset of his discussion, Bausola asks: Does error ever result from non-practical as well as from practical acts? BOOK REVIEWS 195 Does error invariably result from conscious volition? And Bausola tries to show contrary to Croce% view that there are instances of error which do not involve conscious volition, but that Croce% denial of such instances follows... (shrink)

David Luban (ed.), The Good Lawyer: Lawyers? Roles and Lawyers? Ethics. Maryland Studies in Public Philosophy. Totowa, N.J.: Rowman & Allanheld, 1984, 368 pp. Jennifer Radden, Madness and Reason: Studies in Applied Philosophy, Allen & Unwin, 1985, 174 pp.

The goals of medicine -- A story about a patient with aortic stenosis -- What are facts in medicine? -- Clarify the chain of events that led to the present state : the case as a narrative -- The case of Myra Manner -- Examine your presuppositions and preconceptions -- Separate and examine the values at issue -- A question of judgment -- The patient, the doctor, and the relationship -- Observation, prognosis, and prognosticating -- Thinking in medicine -- (...) Accepting the challenge. (shrink)

Lynn Margulis’s writing about symbiosis has profoundly influenced contemporary evolutionary theory, as well as continental and analytic philosophy of science, the materialist turn, and new materialism. Nonetheless, her work, and all symbiosis or evolution, is founded on a paradox: symbiosis fictionalizes customary accounts of the origin and evolution of species, yet it is impossible to speak of symbiosis (cross-species association) unless species-boundaries have been posited in advance. Thus, a tension is legible throughout Margulis’s work between the drive to surpass the (...) limits of species-definitions as they have been traditionally understood, and a need to maintain them in order that there can be “symbiosis” at all. Margulis criticized neo-Darwinian accounts of evolution in part because she saw symbiogenesis as debunking the theory that life was defined by individualistic competition. More recently, Myra Hird has suggested that the gift, such as it has been theorized by certain anthropologists and philosophers, could adequately figure symbiosis and the ethical relations founded on it. I turn to Derrida’s writing on the gift to suggest that, if a gift worthy of the name chances to happen, it necessarily exceeds scientific, theoretical, and philosophical knowledge. (shrink)

Recent ‘new materialist’ readings of evolution by such feminists as Elizabeth Grosz, Claire Colebrook, Luciana Parisi, Susan Oyama and Myra Hird have provided important insights on the openness of evolutionary processes and the emergence of difference by focusing on evolution as a temporal dynamic. Building on Darwin's observations on geographical variation, this article highlights the importance of viewing evolution as not only temporal but also spatial. For this purpose, the article turns to population genetics and its practice of (...) mapping the early human diaspora. The article identifies a spatiotemporal dynamic of evolutionary emergence that posits gender, sexuality and race as ontologically mutually constitutive, as well as shows that such ontology is inseparable from the techniques and technologies that study it. The article argues that this mutual embeddedness of ontology and epistemology provides a site where both the limits and potential of evolutionary emergence may be examined and negotiated. (shrink)

Acknowledgments 1. Culture Is Essential 2. Culture Exists 3. Culture Evolves 4. Culture Is an Adaptation 5. Culture Is Maladaptive 6. Culture and Genes Coevolve 7. Nothing about Culture Makes Sense except in the Light of Evolution.

Introduction, Thomas McLaughlinI Literature as Writing1 Representation, W. J. T. Mitchell2 Structure, John Carlos Rowe3 Writing, Barbara Johnson4 Discourse, Paul A. Bove5 Narrative, J. Hillis Miller6 Figurative Language, Thomas McLaughlin7 Performance, Henry Sayre8 Author, Donald E. PeaseII Interpretation9 Interpretation, Steven Mailloux10 Intention, Annabel Patterson11 Unconscious, Franoise Meltzer12 Determinacy/Indeterminacy, Gerald Graff13 Value/Evaluation, Barbara Herrnstein Smith14 Influence, Louis A. Renza15 Rhetoric, Stanley FishIII Literature, Culture, Politics16 Culture, Stephen Greenblatt17 Canon, John Guillory18 Literary History, Lee Patterson19 Gender, Myra Jehlen20 Race, Kwane Anthony (...) Appiah21 Ethnicity, Werner Sollors22 Ideology, James H. KavanaghIn Place of an Afterword--Someone Reading, Frank LentricchiaReferencesList of ContributorsIndex. (shrink)

Patient narratives from two investigational deep brain stimulation trials for traumatic brain injury and obsessive‐compulsive disorder reveal that injury and illness rob individuals of personal identity and that neuromodulation can restore it. The early success of these interventions makes a compelling case for continued post‐trial access to these technologies. Given the centrality of personal identity to respect for persons, a failure to provide continued access can be understood to represent a metaphorical identity theft. Such a loss recapitulates the pain of (...) an individual's initial injury or illness and becomes especially tragic because it could be prevented by robust policy. A failure to fulfill this normative obligation constitutes a breach of disability law, which would view post‐trial access as a means to achieve social reintegration through this neurotechnological accommodation. (shrink)

In this paper I critically examine the implications of the uncodifiability thesis for principlism as a pluralistic and non-absolute generalist ethical theory. In this regard, I begin with a brief overview of W.D. Ross’s ethical theory and his focus on general but defeasible prima facie principles before turning to 2) the revival of principlism in contemporary bioethics through the influential work of Tom Beauchamp and James Childress; 3) the widespread adoption of specification as a response to the indeterminacy of abstract (...) general principles and the limitations of balancing and deductive approaches; 4) the challenges raised to fully specified principlism by the uncodifiability thesis and 5) finally offer a defense of the uncodifiability thesis against various critiques that have been raised. (shrink)

Une mention d’Athéna Archegetis dans un passage fragmentaire du papyrus P.Hib. I 15 conduit à déterminer l’histoire de l’épithète, attestée dans la tradition littéraire et épigraphique entre la fin du ve siècle et la période impériale. À partir de la fin du iiie siècle avant J.-C., l’usage d’archegetis s’étend à d’autres divinités qu’Athéna en dehors d’Athènes (Magnésie, Xanthos, Éphèse, Samos, Attaleia, Myra…). Cette étude passe en revue et reconsidère la documentation disponible sur ce terme afin d’en préciser — quand (...) c’est possible — le sens et les fonctions, surtout (mais pas seulement) en contexte athénien. En règle générale, l’épithète souligne le caractère identitaire d’une divinité particulière en un moment de changement ou de renouveau politique ou religieux. (shrink)

In this paper we discuss ethical implications of the use of mobile phone apps in the control of the COVID-19 pandemic. Contact tracing is a well-established feature of public health practice during infectious disease outbreaks and epidemics. However, the high proportion of pre-symptomatic transmission in COVID-19 means that standard contact tracing methods are too slow to stop the progression of infection through the population. To address this problem, many countries around the world have deployed or are developing mobile phone apps (...) capable of supporting instantaneous contact tracing. Informed by the on-going mapping of ‘proximity events’ these apps are intended both to inform public health policy and to provide alerts to individuals who have been in contact with a person with the infection. The proposed use of mobile phone data for ‘intelligent physical distancing’ in such contexts raises a number of important ethical questions. In our paper, we outline some ethical considerations that need to be addressed in any deployment of this kind of approach as part of a multidimensional public health response. We also, briefly, explore the implications for its use in future infectious disease outbreaks. (shrink)

Background:Moral distress occurs when constraints prevent healthcare providers from acting in accordance with their core moral values to provide good patient care. The experience of moral distress in nurses might be magnified during the current Covid-19 pandemic.Objective:To explore causes of moral distress in nurses caring for Covid-19 patients and identify strategies to enhance their moral resiliency.Research design:A qualitative study using a qualitative content analysis of focus group discussions and in-depth interviews. We purposively sampled 31 nurses caring for Covid-19 patients in (...) the acute care units within large academic medical systems in Maryland and New York City during April to June 2020.Ethical considerations:We obtained approval from the Institutional Review Board at the University of Maryland, Baltimore.Results:We identified themes and sub-themes representative of major causes of moral distress in nurses caring Covid-19 patients. These included (a) lack of knowledge and uncertainty regarding how to treat a new illness; (b) being overwhelmed by the depth and breadth of the Covid-19 illness; (c) fear of exposure to the virus leading to suboptimal care; (d) adopting a team model of nursing care that caused intra-professional tensions and miscommunications; (e) policies to reduce viral transmission (visitation policy and PPE policy) that prevented nurses to assume their caring role; (f) practicing within crisis standards of care; and (g) dealing with medical resource scarcity. Participants discussed their coping mechanisms and suggested future strategies.Discussion/Conclusion:Our study affirms new causes of moral distress related to the Covid-19 pandemic. Institutions need to develop a supportive ethical climate that can restore nurses’ moral resiliency. Such a climate should include non-hierarchical interdisciplinary spaces where all providers can meet together as moral peers to discuss their experiences. (shrink)

The social world contains institutions, groups, objects, and more. This essay explores a puzzle about the essences of social items. There is widespread consensus against social essences because of problematic presuppositions often made about them. But it is argued that essence can be freed from these presuppositions and their problems. Even so, a puzzle still arises. In a Platonic spirit, essences in general seem detached from the world. In an Aristotelian spirit, social essences in particular seem embedded in the world. (...) The puzzle is that these inclinations are individually plausible but jointly incompatible. The essay has four aims: to clarify and refine the puzzle; to explore the puzzle's implications for essence in general and for social essences in particular; to illustrate the fruitfulness of the general distinction between detached and embedded; and to develop this distinction to sketch a novel solution to the puzzle. (shrink)