Background: Professional ethical codes are an important part of healthcare. They are part of the professionalisation of an occupation, are used for regulation of the professions and are intended to guide ethical behaviour in healthcare. However, so far, little is known about the practical use of professional codes in healthcare, particularly in paramedicine. Objective: The aim of this scoping review was to determine what is known in the existing literature about health professionals’ knowledge, awareness and use of their professional codes. (...) Method: A scoping review was performed based on a six-stage framework as described by Levac et al. Six databases were searched: OVID Medline, EMBASE, EMCARE, CINAHL, ProQuest and Scopus, in September 2020. Google Scholar, Trove and Google using.gov and.org websites were also searched for grey literature. Two reviewers independently assessed study eligibility. Results: The search yielded 1162 results after duplicate removal. Thirty-nine studies remained after title and abstract review. Twenty-five articles were included after full-text review. Sixteen examined nursing, eight examined medicine and one examined both nursing and medicine. No studies were identified that examined paramedicine. Twenty-one studies were of a cross-sectional design and four studies were of a qualitative design. Conclusion: Most health professionals know the codes exist, but do not think they know the content. Despite valuing professional codes highly, healthcare professionals do not use them regularly in clinical practice. Further research is needed, and professional codes should be made useful for practice and consideration given to how codes can be written, communicated and implemented to increase their actualisation in healthcare. Research should also begin in paramedicine to identify clinician’s knowledge and use of codes in this profession. Review registration: Open Science Framework – doi:10.17605/OSF.IO/NKBY4 Ethics Statement: This article does not contain any studies involving human participants performed by any of the authors. The review followed good scientific conduct. (shrink)

Background Paramedicine is a newly regulated profession in Australia and with the introduction of regulation in 2018 for this profession came increased responsibilities – including the introduction of a professional code of conduct. Several countries now have regulation of paramedicine and associated professional codes to guide ethical and professional behaviour. Despite this, there has been no published research into paramedic understanding and use of their professional codes. Objectives To explore Australian paramedics’ use and understanding of their professional code of conduct. (...) Research design: This study used a qualitative descriptive design, underpinned by hermeneutic theory. Reflexive thematic analysis was used to analyse the interview data and identify Australian paramedic perceptions surrounding the use of their code of conduct. Results 11 Registered Paramedics from several states and territories were interviewed. Participants were invited to interview by advertisement on social media and the Australasian College of Paramedicine Web site. Participants had varied professional backgrounds including clinical work, education providers and policymakers/managers. Four themes were identified as follows: Theme 1 – ‘You don’t know, what you can’t know’; Theme 2 – ‘I don’t need the code – the code is for others’; Theme 3 – ‘It’s about time’; Theme 4 – ‘Navigating the new profession’. Ethical considerations: Ethics approval was granted by the Monash University Human Research Ethics Committee (MUHREC) Project ID: 28921. All participants provided informed consent. Conclusions The results of this study suggest that paramedics’ knowledge and use of their code is limited, and participants appeared to mostly rely instead on ‘common sense’ morals. Participants did appear to want to understand the broad concepts of the code more and have this better integrated into the profession. The code was also interpreted as important to the paramedic profession and its new professional status, helping to legitimise it as a health profession in Australia. (shrink)

The practice of burying objects with the dead is often claimed as some of the earliest evidence for religion, on the assumption that such “grave goods” were intended for the decedents’ use in the afterlife. However, this assumption is largely speculative, as the underlying motivations for grave‐good practices across time and place remain little understood. In the present work, we asked if explicit and implicit religious beliefs (particularly those concerning the continuity of personal consciousness after death) motivate contemporary grave‐good practices. (...) Across three studies, and comparing participants from the United States and NZ, we measured grave‐good deposition at actual or hypothetical funerals, finding that jewelry, photographs, and other items with sentimental, emotional, and relationship value were common. In addition, intuitive afterlife reasoning (as measured by people's attributions of mental states to the dead) motivated grave‐good decision‐making for about half (Study 2) or more (Study 3) people, including afterlife nonbelievers (“extinctivists”), while those who held explicit (i.e., stated) afterlife beliefs were more likely to participate in the practice. The decision to leave grave goods was also associated with magical contagion beliefs and a need for personal comfort, while other motivations, such as social signaling, were less common. Our results suggest that “afterlife use” is a common motivation for grave‐good practices, and that humans possess evolutionarily early intuitions about postdeath consciousness. (shrink)

David Macarthur has assembled not only a fascinating collection of essays from Hilary Putnam and Ruth Anna Putnam that spans two decades but also a collection that makes a compelling series of arguments about what pragmatism has been, is, and may yet become. This is all the more impressive since it weaves together the voices of two scholars who shared both an intellectual commitment and a life. As a longtime admirer of Hilary Putnam’s work, I was excited to take (...) a deep dive into the thought of Ruth Anna Putnam, and, truth be told, her essays in this volume deliver the stronger notes. Not only do readers gain a glimpse into the fascinating conversations that took place between these two philosophers over the years... (shrink)

Michael A. PetersBeijing Normal UniversityMy deepest condolences to Pepe, Dom and Marcus and to Jim’s grandchildren. Tina and I spent a lot of time at the Marshall family home, often attending dinn...

In lieu of an abstract, here is a brief excerpt of the content:The Institute of MedicineRuth Ellen Bulger (bio)IN 1863 the National Academy of Sciences (NAS) was established by federal charter to advise the government on scientific matters. Almost 100 years later, in 1971, the Academy created the Institute of Medicine within the NAS to focus on health-related problems and issues. Today the IOM has a program budget of about $13 million, which includes both private and government funds, and is (...) regarded as a leading center for health policy research.After briefly explaining the structure and general goals of IOM, this article describes several new or anticipated projects as well as some recently completed reports that have a strong ethical component.The IOMThe IOM's distinguished membership is made up of health care professionals of all sorts, scientists working in health-related disciplines, and lawyers, economists, and others knowledgeable in and involved with policies and activities associated with health issues. It is organized around eight working groups or divisions: Health Sciences Policy; Health Care Services; Health Promotion and Disease Prevention, including AIDS activities; International Health; Biobehavioral Sciences and Mental Disorders; the Food and Nutrition Board; the Medical Follow-up Agency; and the Health Policy Fellowship Programs. Each of these divisions is assisted by an oversight board that provides advice on its activities.It is important to know at the outset that IOM has decided that each of the divisions will include consideration of human values and ethical issues in their activities. Therefore, no separate locus was established within the IOM to deal with these matters. I am director of the Division of Health Sciences Policy, which is the only division that has made ethics a priority in its work, and it is the focus of this article.We have addressed questions of ethics, human values, social values, decision making, and priority setting in many of the division's reports. In fact, most of our reports at least raise ethical questions. In addition, a portion of the interest from endowment funds given to IOM by the Howard Hughes Medical Institute has been devoted to work in this area. [End Page 73]The division's advisory board, headed by Claude Bennett, chairman of the Department of Medicine, University of Alabama at Birmingham School of Medicine, has decided on two major priorities for the division: (1) foster an environment conducive to productive research, and (2) anticipate the impact of scientific—especially biomedical—advances on society, monitoring and considering the social and ethical factors that accompany basic scientific and technological progress. These two priorities are interdependent because the fostering of a good environment for research presupposes that the results of this research will produce beneficial effects for the society that supports the research.Upcoming StudiesSociety has been unable to establish a mechanism for discussing in a meaningful way—and possibly resolving—a number of pressing national issues with social, ethical, legal, and scientific ramifications. The President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research considered several such issues and produced important reports about them. However, the commission was funded only until 1983. The Congressional Biomedical Ethics Advisory Committee was authorized in 1985 to address these contentious issues, but it was caught in the crossfire of congressional abortion politics and subsequently died. A new model is needed to attempt to develop national consensus on these complex, contentious issues.The Board on Health Sciences Policy has wrestled with this idea. Recently, it approved a proposal to establish a study committee charged with developing effective alternative methodologies for anticipating and addressing the social, legal, and ethical issues that may accompany rapid advances in biomedical science and technology. This multidisciplinary committee will be given a series of tasks: (1) to explore past experiences with some of these varying methodologies (i.e., town meetings, consensus conferences, forums, commissions, etc.); (2) to develop an agenda of issues likely to arise in the future; (3) to define and test a variety of alternative methodological approaches to these questions; (4) to evaluate strengths, weaknesses, and impact of the various approaches; and (5) to make recommendations on the process and structure by which this fact-finding, analytical, and decision-making function could be... (shrink)

This volume, in memory of Ruth Manor, consists of articles presented at her memorial conference at Tel Aviv University. The articles, by colleagues and students, friends and family represent the wide range of interest and expertise that Manor brought to her teaching and research - from formal logic to pragmatics, and from rhetoric to ethics. The collection includes articles by Jaakko Hintikka, Arnon Avron, Oron Shagrir, Eli Dresner, Eran Guter, Amnon Wolman, Anat Matar, and Anat Biletzki. Emblematic of Manor's (...) hugh panoply of philosophical themes, the diversity and variety of subjects covered also portray her analytical profundity and logical proficiency at always seeing connections'. (shrink)

A leading scholar in the psychology of thinking and reasoning argues that the counterfactual imagination—the creation of "if only" alternatives to ...

Written by one of today's most creative and innovative philosophers, Ruth Garrett Millikan, this book examines basic empirical concepts; how they are acquired, how they function, and how they have been misrepresented in the traditional philosophical literature. Millikan places cognitive psychology in an evolutionary context where human cognition is assumed to be an outgrowth of primitive forms of mentality, and assumed to have 'functions' in the biological sense. Of particular interest are her discussions of the nature of abilities as (...) different from dispositions, her detailed analysis of the psychological act of reidentifying substances, and her critique of the language of thought for mental representation. In a radical departure from current philosophical and psychological theories of concepts, this book provides the first in-depth discussion on the psychological act of reidentification. (shrink)

How the various things that are said to have meaning—purpose, natural signs, linguistic signs, perceptions, and thoughts—are related to one another.

I defend the historical definition of "function" originally given in my Language, Thought and Other Biological Categories (1984a). The definition was not offered in the spirit of conceptual analysis but is more akin to a theoretical definition of "function". A major theme is that nonhistorical analyses of "function" fail to deal adequately with items that are not capable of performing their functions.

" Biosemantics " was the title of a paper on mental representation originally printed in The Journal of Philosophy in 1989. It contained a much abbreviated version of the work on mental representation in Language Thought and Other Biological Categories. There I had presented a naturalist theory of intentional signs generally, including linguistic representations, graphs, charts and diagrams, road sign symbols, animal communications, the "chemical signals" that regulate the function of glands, and so forth. But the term " biosemantics " (...) has usually been applied only to the theory of mental representation. Let me first characterize a more general class of theories called "teleological theories of mental content" of which biosemantics is an example. Then I will discuss the details that distinguish biosemantics from other naturalistic teleological theories. (shrink)

This article is based on a chapter of my forthcoming book, A World Cut in Two: The Global Traffic in Organs . My debts to those who have assisted the Organs Watch project are too numerous to be acknowledged here. The late "Micky" Friedlaender of Hadassah Hospital was an invaluable friend and feisty interlocutor on the ethics and practice of transplantation. Meira Weiss, esteemed anthropological colleague and friend, and Dr. Chen Kugel, military IDF commissioned officer and senior pathologist, each paid (...) dearly for their love of truth, of their professions, and their patriotism. Their work on this subject paved the way for the writing of this article. (shrink)

Questioning the usual judgements of political ethics, Ruth W. Grant argues that hypocrisy can actually be constructive while strictly principled behavior can be destructive. _Hypocrisy and Integrity_ offers a new conceptual framework that clarifies the differences between idealism and fanaticism while it uncovers the moral limits of compromise. "Exciting and provocative.... Grant's work is to be highly recommended, offering a fresh reading of Rousseau and Machiavelli as well as presenting a penetrating analysis of hypocrisy and integrity."—Ronald J. Terchek, _American (...) Political Science Review_ "A great refreshment.... With liberalism's best interests at heart, Grant seeks to make available a better understanding of the limits of reason in politics."—Peter Berkowitz, _New Republic_. (shrink)

This paper addresses five questions: First, what is trajectory of Western liberal ethics and politics in defining life, rights and citizenship? Second, how will neuro-remediation and other technologies change the definition of death for the brain injured and the cryonically suspended? Third, will people always have to be dead to be cryonically suspended? Fourth, how will changing technologies and definitions of identity affect the status of people revived from brain injury and cryonic suspension? I propose that Western liberal thought is (...) working towards a natural end, a “telos.” In response to a variety of biotechnologies, law and public opinion in liberal democracies will be forced to make explicit that the rights of a living thing are determined by its level of consciousness. I discuss the way that technology will force three clarifications about the value of consciousness, at the beginning, the end and boundaries of human life. Sentience and personhood will become the basis of moral concern, regardless of its media. Just as human rights have become independent of race, gender and property, rights will become independent of being a breathing human being. But even as we make this transition, the cryonically preserved are still likely to be considered dead for pragmatic reasons, albeit with gradually increasing rights as technology makes their reanimation increasingly probable. I suggest that it could be acceptable to cryonicists that the frozen continue to be defined as dead if assisted suicide can be legalized. Under a liberal assisted suicide policy cryonicists might be allowed to carry out suspension before a declaration of death, preserving the maximum amount of neural information. The gradual redefinition of life and personal identity in terms of psychological continuity will also have consequences for the legal status of the reanimated. If, due to information loss, the reanimated do not meet a threshold of psychological continuity, they may be considered new persons. Cryonicists may therefore wish to specify ahead of time whether they are still interested in being reanimated if pre-animation assessment suggests that the result will not meet the necessary threshold of continuity. Finally, I touch on the way that neural technology will fundamentally problematize the separate, autonomous self on which liberal democratic values are based, leading to a legal and political Singularity. It is this looming neural Singularity that makes the proposed liberal democratic telos a final stage in humanistic thought, before it is superceded by something radically different. (shrink)

It is necessary that, if the world is divided into nations, conflicts should arise in which there is no strong argument against terrorism or repression. By a strong argument I mean one that would sway all minds not blindly partisan, without moral commitments that are unusual or outlandish in the modern world and with as much aversion to violence as most people have. So I do not here consider, because it is unusual, heroic and absolute pacifism, much as I respect (...) it; on the other hand I do mention Christian moral objections applying specially to terrorism because it seems somewhat outlandish even now to ignore the Christian element in our tradition. (shrink)

"'There is only one thing that is certain, namely that we can have nothing certain; and therefore it is not certain that we can have nothing certain,' Samuel Butler once said, expressing in that mindbloggler all the elements required to form a classical paradox. Throughout the ages wise men and jesters alike have been intrigued by such mental twists and riddles which defy common sense and yet appear to be true." -- Dust jacket.

There are no "special sciences" in Fodor's sense. There is a large group of sciences, "historical sciences," that differ fundamentally from the physical sciences because they quantify over a different kind of natural or real kind, nor are the generalizations supported by these kinds exceptionless. Heterogeneity, however, is not characteristic of these kinds. That there could be an univocal empirical science that ranged over multiple realizations of a functional property is quite problematic. If psychological predicates name multiply realized functionalist properties, (...) then there is no single science dealing with these: human psychology, ape psychology, Martian psychology and robot psychology are necessarily different sciences. (shrink)

Readers of this book are sure to view the ethics of incentives in a new light.

In this paper I adduce a new argument in support of the claim that IBE is an autonomous form of inference, based on a familiar, yet surprisingly, under-discussed, problem for Hume’s theory of induction. I then use some insights thereby gleaned to argue for the claim that induction is really IBE, and draw some normative conclusions.

As a contribution to the Common Knowledge symposium on the resolution and prevention of enmity, this article concerns how enmity deforms social as well as individual personality. Societies need time and must exert significant effort, much of it intellectual, in order to recuperate: they need to recover both from harms that others have intentionally done them and from having done harm to others. Social recuperation is difficult because the tactics and standards of wartime seep into civilian and personal domestic life. (...) In contemporary American life, the proliferation of armed and gated communities, the institution of the house gun, the general acquiescence in stop-and-frisk encounters, and the incarceration in huge numbers of gang members and small-time drug dealers are examples. An inverse relationship of wartime and peacetime abuses is also apparent: behaviors associated with civilian private life are deployed during wartime as techniques with which to humiliate and torture enemy combatants. This type of mimetic effect reaches the limit of complexity when wartime abuses that mirror domestic abuses are then mirrored in their further application to domestic settings that themselves have become militarized. (shrink)

I defend the suggestion that the rational probability in the Sleeping Beauty paradox is one third. The reasoning in its favour is familiar: for every heads-waking, there are two tails-wakings. To complete the defense, I rebut the reasoning which purports to justify the competing suggestion – that the correct probability is half – by undermining its premise, that no new information has been received.

It is possible that a fair coin tossed infinitely many times will always land heads. So the probability of such a sequence of outcomes should, intuitively, be positive, albeit miniscule: 0 probability ought to be reserved for impossible events. And, furthermore, since the tosses are independent and the probability of heads (and tails) on a single toss is half, all sequences are equiprobable. But Williamson has adduced an argument that purports to show that our intuitions notwithstanding, the probability of an (...) infinite sequence is 0. In this paper, I rebut his argument.No Abstract. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:EMBODIED HUMAN AGENTS INHABITING A MATERIAL WORLD? CHARLES T. HUGHES Chapman University Orange, California I. /n;troduction HE CONCEPT of a "logically possible world" has roven useful in the investigation of issues within many ranches of philosophy, including the philosophy of religion.1 Since this paper includes an analysis of one "possible worlds" objection to Christian theism, based upon the problem of evil, it will prove useful to preface my (...) discussion with a paragraph which summarizes some of the ideas important to the logic of possible worlds. Each logically possible world contains a complete set of compossible facts, which includes the past, present, and future of its objects, properties, and relations. Those complete sets of compossible facts, each of which describes the way the actual world could have been, have in common the truth of all logically necessary propositions (for example, 2 +2 = 4, "Circles cannot be squared "), and the falsity of all logically impossible propositions (for example, 2 +6 = 7, " Circles can be squared"), but differ in their truth values with respect to at least some logically contingent propositions (for example, "Elephants exist" is true in one or more possible worlds but false in all others, and "Unicorns exist " is true in one or more possible worlds but false in all others). An impossible world includes an affirmation of the falsity of at least one necessary proposition (for example,,.._,(2 +2 = 4)), and/or affirms the truth of at least one logical1 See Alvin Plantinga, The Nature of Necessity (Oxford: Clarendon Press, 1974), chapters IX and X. 389 390 CHARLES T. HUGHES ly impossible proposition (for example, " Logically necessary propositions are false in all possible worlds ").2 The actual world, which is our world, is that complete set of compossible propositions which describe the way things actually are. The actual world, therefore, differs from other possible worlds in that all of its contingent propositions correspond to the past, present, and future of all of the objects, properties, and relations which actually obtain. There is an on-going debate about the nature and ontological status of possible worlds and their objects.3 The purpose of this paper is to analyze and reject a particular "possible worlds" objection to Christian theism, based upon the problem of evil, which is not frequently discussed in philosophical literature. The problem is this : If God must actualize a possible world in order to provide human agents with the initial stage of existence they require to develop freely as rational, moral, and religious beings, who choose their own destinies, why did God not create them as incorporeal agents within an immaterial world which would, by its very nature, eliminate the physical dimension of evil and suffering which plagues the actual world? For it seems, prima facie, that God could have realized his purposes by actualizing an immaterial world, populated with human-like incorporeal agents, thereby avoiding all of the terrible evil and suffering made possible by physicality. Therefore, the existence of the actual physical world, with all its evil and suffering, is evidence against the existence of God.4 In order to show that the previously stated objection from evil could pose a genuine threat to theism, I will first identify some of my important assumptions in this paper, and then outline particular Christian ideas to determine how the " possible worlds " 2 For an argument that some impossible propositions are not self-contradictory, see Linda Zagzebski, " What If the Impossible Had Been Actual," in Michael D. Beatty, ed., Christian Theism aml the Problems of Philosophy (Notre Dame: University of Notre Dame Press, 1990), pp. 165-183. a Compare, for example, the positions of D. M. Armstrong, A Combinatorial Theory of Possibility (Cambridge: Cambridge University Press, 1989) and D. Lewis, On the Plurality of Worlds (Oxford: Blackwell, 1986). 4 Some interesting discussion of this type of problem can be found in Austin Farrer, Love Almighty and Ills Unlimited (London: Collins, 1962), pp. 69-76. EMBODIED HUMAN AGENTS 391 objection to Christian theism could arise in the first place. After that, I will discuss the nature of the " possible worlds " objection and how, in principle, it might be rebutted by theists who possess a great amount of... (shrink)

It is argued that quantum theory is best understood as requiring an ontological duality of res extensa and res potentia, where the latter is understood per Heisenberg’s original proposal, and the former is roughly equivalent to Descartes’ ‘extended substance.’ However, this is not a dualism of mutually exclusive substances in the classical Cartesian sense, and therefore does not inherit the infamous ‘mind-body’ problem. Rather, res potentia and res extensa are proposed as mutually implicative ontological extants that serve to explain the (...) key conceptual challenges of quantum theory; in particular, nonlocality, entanglement, null measurements, and wave function collapse. It is shown that a natural account of these quantum perplexities emerges, along with a need to reassess our usual ontological commitments involving the nature of space and time. (shrink)

Some have thought that the plausibility of teleosemantics requires that it yield a determinate answer to the question of what the semantic “content” is of the “representation” triggered in the optic nerve of a frog that spots a fly. An outsize literature has resulted in which, unfortunately, a number of serious confusions and omissions that concern the way teleosemantics would have to work have appeared and been passed on uncorrected leaving a distorted and simplistic picture of the teleosemantic position. I (...) will speak to a half dozen of the worst of these misunderstandings and then say just a word about the frog question itself. (shrink)

I give an analysis of how empirical terms do their work in communication and the gathering of knowledge that is fully externalist and that covers the full range of empirical terms. It rests on claims about ontology. A result is that armchair analysis fails as a tool for examining meanings of ‘basic’ empirical terms because their meanings are not determined by common methods or criteria of application passed from old to new users, by conventionally determined ‘intensions’. Nor do methods of (...) application used by individual speakers constitute definitive reference-determining intensions for their idiolect terms or associated concepts. Conventional intensions of non-basic empirical terms ultimately rest on basic empirical concepts, so no empirical meaning is found merely ‘in the head’. I discuss the nature of lexical definition, why empirical meanings cannot ultimately be modelled as functions from possible worlds to extensions, and traps into which armchair analysis of meaning can lead us. A coda explains how ‘Swampman’ examples, as used against teleosemantic theories of content, illustrate such traps. (shrink)

Suppose lightning strikes a dead tree in a swamp; I am standing nearby. My body is reduced to its elements, while entirely by coincidence (and out of different molecules) the tree is turned into my physical replica. My replica, The Swampman.....moves into my house and seems to write articles on radical interpretation. No one can tell the difference.