Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. All respondents (...) were to assume the role of patient when presented with hypothetical clinical scenarios and standardized provider definitions. Despite presumptions to the contrary, ED patients are generally unwilling to be seen by PAs, NPs, and residents. While seldom asked in practice, 79.5% of patients fully expect to see a physician regardless of acuity or potential for cost savings by seeing another provider. Patients are more willing to see residents than nonphysicians. (shrink)

This ground-breaking analysis of key differences between early Buddhist texts, written in Pali, Sanskrit and Chinese, puts fresh perspectives on the Buddha, Buddhism and Buddhist meditative practices. These practices will be of particular interest to present-day practitioners of awareness and insight meditation. A landmark book on Buddhist origins.

In a recent publication, d'Alençon et al.(1) presented evidence that a form of non‐homologous DNA recombination involving direct repeats is dependent upon the replication of the DNA. In addition, density‐labeling experiments showed that after recombination was stimulated, progenies were present only in molecules that had undergone complete replication. These observations are consistent with a replicative and not a breakage‐and‐rejoining model for the DNA recombination events. These two models had of course been contrasted many years ago in mechanistic studies of homologous (...) DNA recombination. It is therefore interesting to place the latest findings of d'Alençon et al. in this historical context. (shrink)

The meaning of its title, ‘Section with Verses’, may appear sufficient to explain why the Sagatha-vagga was identified as a discrete entity within the Samyuttanikaya. However, this article looks beyond that simple explanation, to discover whether some other rationale may underlie this grouping of samyuttas. It examines evidence that the compiling of the Sagatha-vagga was probably based on a familiar, although doctrinally marginal, piece of Buddhist teaching, namely the ‘eight Assemblies’.

In both the A?guttara Nik?ya in Pali and the Ekottarika?gamain Chinese translation, the suttas are grouped into eleven nip?tas, from the Ekaka-nip?ta/Eka-nip?ta to the Ek?dasaka-nip?ta – though in the Ekottarika?gama the nip?tas are not labelled as such. This grouping into nip?tas is based on the number of doctrinal items dealt with in the component suttas. In the Ones and Twos, it is often the case that a single original sutta has been subdivided so that its component sections become a series (...) of similarly structured derivative suttas superficially appropriate for inclusion in the Ones or Twos. Moreover, material for this process of subdividing has sometimes been provided by multiplying doctrinal sets with formulaic statements. In most of the remaining nip?tas the phenomena noted in the Ones and Twos are also present, but on a much smaller scale. In view of their Chinese counterparts in the Sa?yukta?gama, some groups of suttas in the A?guttara Nik?ya with sa?yutta-like nature were probably moved from the Sa?yutta Nik?ya to the A?guttara Nik?ya within the Pali tradition. Evidence of a comparable movement into the Ekottarika?gama is also available. The artificial suttas created by subdivision and the original suttas shared by the Ekottarika?gama and the A?guttara Nik?ya largely retained their original places at the beginning of each nip?ta, while the genuine suttas, probably earlier located in the Sa?yukta?gama and Madhyama?gama, were added progressively at the end of the growing nip?ta. (shrink)

What determines whether an action is right or wrong? Morality, Rules, and Consequences: A Critical Reader explores for students and researchers the relationship between consequentialist theory and moral rules. Most of the chapters focus on rule consequentialism or on the distinction between act and rule versions of consequentialism. Contributors, among them the leading philosophers in the discipline, suggest ways of assessing whether rule consequentialism could be a satisfactory moral theory. These essays, all of which are previously unpublished, provide students in (...) moral philosophy with essential material and ask key questions on just what the criteria for an adequate moral theory might be. (shrink)

ABSTRACT Four decades ago, Gerald Kramer showed that economic conditions affect electoral outcomes. Some researchers took this to mean that voters were self-interested, voting their “pocketbooks,” while others, such as Leif Lewin, took it to mean that voters were sociotropic, motivated by the public interest—and therefore altruistic. It is important, however, to avoid conflating sociotropic voters with altruistic ones. Voters might be voting in favor of politicians or parties that they think will further the public interest as an indirect route (...) to furthering their own interests, as members of the public. More research, perhaps conducted using novel methodologies, is needed in order to settle the extent to which voters are motivated by self-interest or by the public interest. (shrink)

ABSTRACT Four decades ago, Gerald Kramer showed that economic conditions affect electoral outcomes. Some researchers took this to mean that voters were self-interested, voting their “pocketbooks,” while others, such as Leif Lewin, took it to mean that voters were sociotropic, motivated by the public interest—and therefore altruistic. It is important, however, to avoid conflating sociotropic voters with altruistic ones. Voters might be voting in favor of politicians or parties that they think will further the public interest as an indirect route (...) to furthering their own interests, as members of the public. More research, perhaps conducted using novel methodologies, is needed in order to settle the extent to which voters are motivated by self-interest or by the public interest. (shrink)

Virtue ethics is normally taken to be an alternative to consequentialist and Kantian moral theories. I shall discuss what I think is the most interesting version of virtue ethics – Rosalind Hursthouse's. I shall then argue that her version is inadequate in ways that suggest revision in the direction of a kind of rule-consequentialism.

This complete life story of David Hume, one of Scotland’s greatest thinkers, follows the Enlightenment from its early roots to its full blossoming in 18th-century Edinburgh. Using original sources, many for the first time, this biography details every aspect of the philosopher’s life—from the lukewarm reception of his now pivotal work, Treatise of Human Nature, to the fame and near excommunication brought about by his famous Essays and History. Also detailed are the stories behind his nickname, “The Great Infidel,” the (...) numerous guests seeking an invitation to dine at his table, and his lengthy intellectual involvement with a married aristocrat. This work is a well-rounded picture of the man, the century in which he lived, his famous ideas, and above all, his humanity. (shrink)

A Lagrangian formulation is constructed for particle interpretations of quantum mechanics, a well-known example of such an interpretation being the Bohm model. The advantages of such a description are that the equations for particle motion, field evolution and conservation laws can all be deduced from a single Lagrangian density expression. The formalism presented is Lorentz invariant. This paper follows on from a previous one which was limited to the single-particle case. The present paper treats the more general case of many (...) particles in an entangled state. It is found that describing more than one particle while maintaining a relativistic description requires the specification of final boundary conditions as well as the usual initial ones, with the experimenter’s controllable choice of the final conditions thereby exerting a backwards-in-time influence. This retrocausality then allows an important theoretical step forward to be made, namely that it becomes possible to dispense with the usual, many-dimensional description in configuration space and instead revert to a description in space–time using separate, single-particle wavefunctions. (shrink)

The moral philosophy of the first half of the twentieth century, at least in the English-speaking part of the world, has been largely devoted to problems of an ontological or epistemological nature. This concentration of effort by many acute analytical minds has not produced any general agreement with respect to the solution of these problems; it seems likely, on the contrary, that the wealth of proposed solutions, each making some claim to plausibility, has resulted in greater disagreement than ever before, (...) and in some cases disagreement about issues so fundamental that certain schools of thought now find it unrewarding, if not impossible, to communicate with one another. Moral philosophers of almost all schools seem to agree, however, that no major possibility has been neglected during this period, and that every proposed solution which can be adjudged at all plausible has been examined with considerable thoroughness. It is now common practice, for example, for the authors of books on moral philosophy to introduce their own theories by what purports to be a classification and review of all \emph{possible} solutions to the basic problems of analysis; and in many cases, indeed, the primary defense of the author's own position seems to consist in the negative argument that his own position cannot fail to be correct because none of the others which he has mentioned is satisfactory. (shrink)

This paper is concerned with the causally symmetric version of the familiar de Broglie–Bohm interpretation, this version allowing the spacelike nonlocality and the configuration space ontology of the original model to be avoided via the addition of retrocausality. Two different features of this alternative formulation are considered here. With regard to probabilities, it is shown that the model provides a derivation of the Born rule identical to that in Bohm’s original formulation. This derivation holds just as well for a many-particle, (...) entangled state as for a single particle. With regard to “certainties”, the description of a particle’s spin is examined within the model and it is seen that a statistical description is no longer necessary once final boundary conditions are specified in addition to the usual initial state, with the particle then possessing a definite value for every spin component at intermediate times. These values are consistent with being the components of a single, underlying spin vector. The case of a two-particle entangled spin state is also examined and it is found that, due to the retrocausal aspect, each particle possesses its own definite spin during the entanglement, independent of the other particle. In formulating this picture, it is demonstrated how such a realistic model can preserve Lorentz invariance in the face of Bell’s theorem and avoid the need for a preferred reference frame. (shrink)

This paper begins by celebrating Sidgwick's Methods of Ethics. It then discusses Sidgwick's moral epistemology and in particular the coherentist element introduced by his argument from common-sense morality to utilitarianism. The paper moves on to a discussion of how common-sense morality seems more appealing if its principles are formulated as picking out pro tanto considerations rather than all-things-considered demands. Thefinal section of the paper considers the question of which version of utilitarianism follows from Sidgwick's arguments.

Act-utilitarianism claims that one is required to do nothing less than what makes the largest contribution to overall utility. Critics of this moral theory commonly charge that it is unreasonably demanding. Shelly Kagan and David Brink, however, have recently defended act-utilitarianism against this charge. Kagan argues that act-utilitarianism is right, and its critics wrong, about how demanding morality is. In contrast, Brink argues that, once we have the correct objective account of welfare and once we accept that act-utilitarianism is a (...) criterion of moral rightness, not necessarily a good method for everyday moral thought, act-utilitarianism is not as demanding as its critics claim. I shall argue that Brink's arguments for thinking act-utilitarianism is not so demanding fail. I shall then argue against Kagan that, in comparison with act-utilitarianism, rule-utilitarianism is considerably less demanding and more plausible. (shrink)

"Churchland and Hooker have collected ten papers by prominent philosophers of science which challenge van Fraassen's thesis from a variety of realist perspectives. Together with van Fraassen's extensive reply... these articles provide a comprehensive picture of the current debate in philosophy of science between realists and anti-realists."—Jeffrey Bub and David MacCallum, Foundations of Physics Letters.

Franz Brentano developed an original theory of intrinsic value which he attempted to base on his philosophical psychology. Roderick Chisholm presents here a critical exposition of this theory and its place in Brentano's general philosophical system. He gives a detailed account of Brentano's ontology, showing how Brentano tried to secure objectivity for ethics not through a theory of practical reason, but through his theory of the intentional objects of emotions and desires. Professor Chisholm goes on to develop certain suggestions (...) about intrinsic value made by Brentano and his students, and discusses their relevance to theodicy and the problem of evil. Brentano, as the teacher of Husserl, Meinong, Twardowski, and others, stands at the origin of the phenomenological tradition and of the Polish school of philosophy that developed after World War I. He has also had considerable influence on Anglo-American philosophy. This book will interest those concerned with the origins of phenomenological value theory and more generally with the connections between ethics and philosophical psychology. (shrink)

Tim van Gelder, following Brandom, Collins and others, uses the so‐called wide content of capacities which support social, norm governed activities, such as language, to argue for their anti‐natural, abstract, but socially instituted nature and thence for the failure of the entire traditional mind‐body discussion as ill‐posed. We argue that his former conclusion is wrong, that such properties are naturalisable, complicated organisational properties of the complexly organised, non‐linearly interactive systems that human beings are. This analysis also provides principled support, but (...) on other grounds, for van Gelder’s latter conclusion. We outline a new naturalist approach to the organisational capacities of such systems that is intended to ground their biological, cognitive and social characters. (shrink)

A generalization of the familiar de Broglie-Bohm interpretation of quantum mechanics is formulated, based on relinquishing the momentum relationship p=∇S and allowing a spread of momentum values at each position. The development of this framework also provides a new perspective on the well-known question of joint distributions for quantum mechanics. It is shown that, for an extension of the original model to be physically acceptable and consistent with experiment, it is necessary to impose certain restrictions on the associated joint distribution (...) for particle positions and momenta. These requirements thereby define a new class of possible models. In pursuing this line of reasoning, the main contributions of this paper are (i) to identify the restrictions that must be imposed, (ii) to demonstrate that joint distribution expressions satisfying them do exist, and (iii) to construct a sample model based on one such joint distribution. (shrink)

_The Foundations of Knowing _ was first published in 1982. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. This collection of essays on the foundations of empirical knowledge brings together ten of Roderick M. Chisholm's most important papers in epistemology, three of them published for the first time, the others significantly revised and expanded for this edition. The essays in Part I constitute (...) a thoroughgoing defense of foundationalism—the doctrine that our justification for believing always rests upon a self-evident basis. In Part II, Chisholm applies foundationalist principles to various areas within the theory of knowledge, and in part III he presents a history of twentieth-century American epistemology. "Roderick M. Chisholm's work has been most influential both in the development of epistemology and in the widespread application of his analytic method. I am sure this publication featuring the unification of his views will be of great value to those working on the central issues of philosophy." Hector-Neri Castañeda, Indiana University Roderick Chisholm is Andrew W. Mellon Professor of the Humanities in the department of philosophy at Brown University. Among his books are _Perceiving: A Philosophical Study, Theory of Knowledge, Person and Object_,and _The First Person _. (shrink)

J. S. Mill's distinction between higher and lower pleasures is often thought to conflict with his commitment to psychological and ethical hedonism: if the superiority of higher pleasures is quantitative, then the higher/lower distinction is superfluous and Mill contradicts himself; if the superiority of higher pleasures is not quantitative, then Mill's hedonism is compromised.

In 1943, Allied forces in recently liberated Naples were confronted with an outbreak of louse-borne typhus. The established Anglo-American narrative of that epidemic is a triumphant story of effective action that controlled the disease with unprecedented speed and success, aided by the pioneering use of the pesticide DDT. Rather than retell that tale, this article discusses why the outbreak and its ending are largely absent from Italian accounts of wartime Naples. Drawing on Italian sources and contemporary Allied ones, it argues (...) that this absence speaks powerfully to the realities of life for Neapolitans at the time. These realities included the likelihood that the epidemic left most people unscathed, and the presence of additional challenges that made survival in the city perilous. Illustrating how tangled events (and even non-events) can be fashioned into simplistic but meaningful frameworks according to the perspective and priorities of the observer, the article also demonstrates how methods (in this case, delousing with insecticide) that were later proclaimed as crucial in ending an epidemic can be viewed very differently by populations required to comply with them, especially when the disease's dangers seem remote. (shrink)

Roderick Chisholm has been for many years one of the most important and influential philosophers contributing to metaphysics, philosophy of mind, and epistemology. This book can be viewed as a summation of his views on an enormous range of topics in metaphysics and epistemology. Yet it is written in the terse, lucid, unpretentious style that has become a hallmark of Chisholm's work. The book is an original treatise designed to defend an original, non-Aristotelian theory of categories. Chisholm argues that (...) there are necessary things and contingent things; necessary things being things that are not capable of coming into being or passing away. He defends the argument from design, and thus includes the category of necessary substance (God). Further contentions of the essay are that attributes are also necessary beings, but not necessary substances, and that human beings are contingent substances but may not be material substances. (shrink)

Brentano uses terms in place of predicates (e.g. "a thinker" in place of "thinks") and characterizes the "is" of predication in terms of the part-whole relation. Taking as his ontological data certain intentional phenomena that are apprehended with certainty, he conceives the substance-accident relation as a defmeable type of part-whole relation which we can apprehend in "inner perception". He is then able to distinguish the following types of individual or ens reale: substances; primary individuals which are not substances; accidents; aggregates; (...) and boundaries. (shrink)

Roderick Firth's writings on epistemology amount to an exceptionally careful and cogent defense of an account of perceptual knowledge in the tradition Firth called 'radical empiricism.' This important book collects all of Firth's major works on epistemology; it also contains his only publication in ethics, the extremely influential essay on 'Ethical Absolutism and the Ideal Observer.' In addition, the book includes a number of important previously unpublished essays. Together, these writings constitute the most finished and compelling version of traditional (...) empiricist epistemology. This book will be of value to students and scholars of epistemology, phenomenalism, and ethics. (shrink)

This paper outlines an original interactivist-constructivist approach to modelling intelligence and learning as a dynamical embodied form of adaptiveness and explores some applications of I-C to understanding the way cognitive learning is realized in the brain. Two key ideas for conceptualizing intelligence within this framework are developed. These are: intelligence is centrally concerned with the capacity for coherent, context-sensitive, self-directed management of interaction; and the primary model for cognitive learning is anticipative skill construction. Self-directedness is a capacity for integrative process (...) modulation which allows a system to "steer" itself through its world by anticipatively matching its own viability requirements to interaction with its environment. Because the adaptive interaction processes required of intelligent systems are too complex for effective action to be prespecified learning is an important component of intelligence. A model of self-directed anticipative learning is formulated based on interactive skill construction, and argued to constitute a central constructivist process involved in cognitive development. SDAL illuminates the capacity of intelligent learners to start with the vague, poorly defined problems typically posed in realistic learning situations and progressively refine them, transforming them into problems with sufficient structure to guide the construction of a solution. Finally, some of the implications of I-C for modelling of the neuronal basis of intelligence and learning are explored; in particular, Quartz and Sejnowski's recent neural constructivism paradigm, enriched by Montague and Sejnowski's dopaminergic model of anticipative-predictive neural learning, is assessed as a promising, but incomplete, contribution to this approach. The paper concludes with a fourfold reflection on the divergence in cognitive modelling philosophy between the I-C and the traditional computational information processing approaches. (shrink)

In his important recent book, Ethics and the Global Financial Crisis: Why Incompetence is Worse than Greed, Boudewijn de Bruin argues that a key element of the global financial crisis of 2007–2008 was a failure of epistemic virtue. To improve matters, then, de Bruin argues we need to focus on the acquisition and exercise of epistemic virtues, rather than to focus on a more ethical culture for banking per se. Whilst this is an interesting suggestion and it is indeed very (...) plausible that an increased focus on proper knowledge-related behaviour will be part of a solution, we are sceptical both about de Bruin’s overarching theoretical claims and about his practical suggestions for change. Instead we argue that change in this sector is best promoted by reconceiving of the relationship between financial institutions and the societies they serve, and that this is fundamentally not an epistemic but a moral issue. (shrink)

This scarce antiquarian book is a facsimile reprint of the original. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment for protecting, preserving, and promoting the world's literature in affordable, high quality, modern editions that are true to the original work.

This landmark collection of essays by six renowned philosophers explores the implications of the contentious realism/antirealism debate for epistemology. The essays examine issues such as whether epistemology needs to be realist, the bearing of a realist conception of truth on epistemology, and realism and antirealism in terms of a pragmatist conception of epistemic justification. Richard Rorty's essay provides a critical commentary on the other five.