Comparatively little scholarly attention has been given to the question of futility in chronic psychiatric disorders, with the exception of a small body of work on so-called end-stage anorexia nervosa. A review of this literature provides the background for a critical examination of whether the concept of futility has any clinically meaningful, ethically justifiable, and legally defensible application to AN. In this article, the arguments for and against futility judgments in AN are analyzed with special emphasis on determinations of capacity (...) in this serious mental illness. Parallels between the futility disputes in medical and psychiatric disorders, where applicable, will be drawn to further illuminate whether or not the concept that continued psychiatric treatment for AN is ever truly futile. (shrink)

McCarthy, Homan, and Rozier’s presentation of theological anthropology and its contribution to secular bioethics suffers from three primary limitations. First, the article re...

In "Beyond the Myth of the Myth: A Kantian Theory of Non-Conceptual Content", Robert Hanna argues for a very strong kind of non-conceptualism, and claims that this kind of non-conceptualism originally has been developed by Kant. But according to "Kant's Non-Conceptualism, Rogue Objects and the Gap in the B Deduction", Kant's non-conceptualism poses a serious problem for his argument for the objective validity of the categories, namely the problem that there is a gap in the B Deduction. This gap is (...) that the B Deduction goes through only if conceptualism is true, but Kant is a non-conceptualist. In this paper I argue, contrary to what Hanna claims, that there is not a gap in the B Deduction. (shrink)

This book provides the first comprehensive account of Hume’s conception of objects in Book I of the Treatise. What, according to Hume, are objects? Ideas? Impressions? Mind-independent objects? All three? None of the above? Through a close textual analysis, I show that Hume thought that objects are imagined ideas. However, I argue that he struggled with two accounts of how and when we imagine such ideas. On the one hand, Hume believed that we always and universally imagine that objects are (...) the causes of our perceptions. On the other hand, he thought that we only imagine such causes when we reach a “philosophical” level of thought. This tension manifests itself in Hume’s account of personal identity; a tension that, I argue, Hume acknowledges in the Appendix to the Treatise. As a result of presenting a detailed account of Hume’s conception of objects, we are forced to accommodate new interpretations of, at least, Hume’s notions of belief, personal identity, justification and causality. (shrink)

The definitive book on ethics for chemical dependency treatment professionals.

The focus of this paper is institutional change and the changing role of business in Germany. Back in the 1980s, the German institutional framework was characterized by implicit mandatory and obligatory regulations that set a clear context for responsible corporate behavior. Today, this framework has eroded and given way to a situation in which corporations explicitly and voluntarily take responsibility for social issues. This shift from implicit to explicit corporate social responsibility is an indication of a major institutional change epitomized (...) by the deconstruction of ’old’ and the reconstruction of ‘new’ institutions. In the course of this change, corporations, state actors, and civil society organizations compete for their ideas and interests in what we call a fight for myths. The paper traces this fight for myths and the changing understanding of corporate responsibility in Germany. (shrink)

In this paper, we see that contrary to most readings of T 1.4.2 in the Treatise, Hume does not think that objects are sense impressions. This means that Hume’s position on objects is not to be conflated with the vulgar perspective. Moreover, the vulgar perspective undergoes a marked transition in T 1.4.2, evolving from what we may call vulgar perspective I into vulgar perspective II. This paper presents the first detailed analysis of this evolution, which includes an explanation of T (...) 1.4.2’s four-part system. (shrink)

_ Source: _Volume 37, Issue 1, pp 61 - 94 Interchanges between political, juridical and theological thought in the early modern period have been studied extensively during the past decades. Less light has been cast on the corresponding interrelations between politico-juridical thought and biblical hermeneutics. However, this issue deserves some attention, too, as the following case study on Hugo Grotius wants to show by pointing to the mutual adjustment of juridical, theological and biblical arguments in the progress of the core (...) semantics of Grotius’s natural law theory from _De iure praedae_ to _De iure belli ac pacis._. (shrink)

The present work investigates whether the hemispheric processing of both verbal and emotional stimuli, studied by means of a dichotic listening task, differs between normal high and low dissociators as assessed by the Dissociative Experiences Scale . Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727–735). Two groups of subjects , participated in the experiment. The task consisted in identifying both verbal and emotional stimulus-targets, respectively, on successive sessions. Reaction time and response accuracy (...) were registered and analysed using ANOVA . The interaction between stimuli , channel , and dissociation level reached statistical significance in terms of accuracy measures = 4.75; p < .05). Both high and low dissociators exhibited the expected right ear advantage on verbal targets. On the other hand, whereas low dissociators exhibited the expected left ear advantage on emotional targets, high dissociators failed to follow this typical pattern of hemispheric asymmetry: both hemispheres exhibited similar performances. These results confirm the hypothesis that dissociation is related to changes in hemispheric processing, specifically of emotional information. (shrink)

In this paper we explore quarantining as a more ethical method for delimiting the spread of Hate Speech via online social media platforms. Currently, companies like Facebook, Twitter, and Google generally respond reactively to such material: offensive messages that have already been posted are reviewed by human moderators if complaints from users are received. The offensive posts are only subsequently removed if the complaints are upheld; therefore, they still cause the recipients psychological harm. In addition, this approach has frequently been (...) criticised for delimiting freedom of expression, since it requires the service providers to elaborate and implement censorship regimes. In the last few years, an emerging generation of automatic Hate Speech detection systems has started to offer new strategies for dealing with this particular kind of offensive online material. Anticipating the future efficacy of such systems, the present article advocates an approach to online Hate Speech detection that is analogous to the quarantining of malicious computer software. If a given post is automatically classified as being harmful in a reliable manner, then it can be temporarily quarantined, and the direct recipients can receive an alert, which protects them from the harmful content in the first instance. The quarantining framework is an example of more ethical online safety technology that can be extended to the handling of Hate Speech. Crucially, it provides flexible options for obtaining a more justifiable balance between freedom of expression and appropriate censorship. (shrink)

When patients are admitted to the hospital, they are generally expected to remain in or within close proximity to their assigned rooms in order to promote their safety and appropriate medical care. Although there are circumstances when patients may safely leave their hospital room or floor, guidance within the medical literature for the management of patient movement within the hospital are lacking. Excessive restrictions on patient movement may be seen as overly paternalistic, while lax requirements may interfere with high quality (...) care, patient safety and efficient hospital practice. As a result, guidance in the form of institutional policy is warranted. Such policy development should take into consideration the potential clinical, legal, and ethical concerns in balancing the competing values of patients’ preferences and respect for autonomy, while ensuring high quality, safe, and efficacious medical care. This paper will provide a framework for hospitals to create institution-specific patient movement policies that are fair, systematic, and transparent. (shrink)

Camras and Shutter review evidence suggesting that infants’ facial expressions do not represent discrete emotions and cannot easily be matched to the facial expressions of adults. This raises the important question of whether infants have a notion about the meanings of discrete emotions at all. The authors do not discuss whether infants are sensitive to discrete emotional expressions when perceiving others. In our commentary we discuss evidence for the perception of discrete emotional facial expressions in infancy.

in kant’s account of cognition, Eric Watkins and Marcus Willaschek distinguish between a ‘broad’ and ‘narrow’ sense of Kant’s use of the term ‘cognition.’ Every “conscious representation that represents an object” counts as a cognition, taken in the broad sense.1 Every “conscious representation of a given object and of its general features” counts as a cognition in the narrow sense.2 In the case of finite beings, they argue, cognition in the narrow sense must fulfill two conditions: First, the object must (...) be given, since cognition must actually latch onto an object, and intuition satisfies that condition insofar as it immediately relates to the object represented in the intuition.... (shrink)

When Blanchot sketches the obscure space of the other night, he describes it primarily in terms of sound. The vocation of the other night, the domain of inspiration, which is approached because it promises to enable artistic works but ultimately puts them at the utmost risk, turns out to be one’s own “eternally reverberating echo.” In my article, I want to trace how such nocturnal sounds are articulated in works of art across different media, especially by staging breath. Echoing Blanchot, (...) these works indicate how hearing the night and hearing breath, the sound of physical inspiration, coincides with hearing what constitutes the respective work’s medial and material bases. In Virginia Woolf’s novels Jacob’s Room and The Waves, an impersonal, neutral narrative voice resounds in a “murmur of air,” “tremulous with breathing,” spreading darkness across space and time. The visitors’ exploration of Kimsooja’s installation To Breathe: Bottari ends in a completely dark anechoic chamber where visitors start hearing their own breath. By creating this uncanny moment of hearing one’s own respiration as an external and disembodied sound, the spatial installation points to what essentially determines it: the bodily movements of the participants. “Nightmarket,” a track by Burial, is a labyrinthine soundscape consisting mainly of muffled whispering, rustling, crackling and audible breath. Through the acoustic proximity of the recorded breath and the vinyl crackles, the track evokes its own medial constitution and history: it displays traces of the organic basis of voice as well as the analogue medium in the digital. (shrink)

Forty-six core samples were collected from a deep well that penetrated organic-rich layers of the Chang 7, 8, and 9 members of the Yanchang Formation in the Ordos Basin. Tests for total organic content, Rock-Eval pyrolysis, X-ray diffraction mineralogy, and molecular composition of gases released from rock crushing were conducted. Analytical results indicate that TOC and clay contents are elevated. The organic matter -rich mudstone in the Triassic Yanchang Fm suggests good-to-excellent source potential for oil generation. Its thermal maturity is (...) in the oil window. Strong petroleum expulsion occurred from the upper part of the approximately 13 m thick Chang 7 member, and for the Chang 8 and Chang 9 members, resulting in low free oil and low methane concentration in these OM-rich intervals. A combination of sandstone and thin organic-rich mudstone layers is a perfect hybrid lithology stacking pattern for petroleum expulsion. The thickness for effective source rock, approximately 10–12 m, varied with sandstone/mudstone lithology stacking pattern. In contrast, limited or no oil expulsion occurred in the lower part of Chang 7 member, a 25 m thick organic-rich interval, which is indicated by high free oil and high [Formula: see text] concentration. A [Formula: see text]-TOC plot can be used to differentiate generated gas, retained gas in OM-rich mudstones, and migrated gas in permeable sandstone beds. We have developed a conceptual model for petroleum expulsion from OM-rich thin versus OM-rich thick layers. Compaction and thermal volume expansion of oil generated from OM may play an important role in petroleum expulsion in OM-rich mudstones. The estimated petroleum expulsion efficiency is approximately 70% and 35% for thin and thick OM-rich mudstone layers, respectively. The redistributed OM in clay-dominated rock assemblage likely forms the preferred migration path to petroleum expulsion. (shrink)

This article shows that in 1.4.2.15-24 of the Treatise of Human Nature, Hume presents his own position on objects, which is to be distinguished from both the vulgar and philosophical conception of objects. Here, Hume argues that objects that are effectively imagined to have a “perfect identity” are imagined due to the constancy and coherence of our perceptions (what we may call ‘level 1 constancy and coherence’). In particular, we imagine that objects cause such perceptions, via what I call ‘indirect (...) causation.’ In virtue of imagining ideas of objects that have a perfect identity, our perceptions seem to be even more constant and coherent (what we may call ‘level 2 constancy and coherence’). Thus, in addition to seeing that Hume is presenting his own position on objects in this section of the Treatise, we see that he is working with a previously unrecognized kind of causation, i.e., indirect causation, and that he has two kinds of constancy and coherence in mind: level 1 and level 2. (shrink)

_ Source: _Volume 37, Issue 1, pp 61 - 94 Interchanges between political, juridical and theological thought in the early modern period have been studied extensively during the past decades. Less light has been cast on the corresponding interrelations between politico-juridical thought and biblical hermeneutics. However, this issue deserves some attention, too, as the following case study on Hugo Grotius wants to show by pointing to the mutual adjustment of juridical, theological and biblical arguments in the progress of the core (...) semantics of Grotius’s natural law theory from _De iure praedae_ to _De iure belli ac pacis._. (shrink)

Extended critical discussion of Stefanie Grüne's *Blinde Anschauung*.

The principle of sustainability contains two objectives of justice regarding the conservation and use of ecosystems and their services : global justice between different people of the present generation ; justice between people of different generations. Three hypotheses about their relationship — independency, facilitation and rivalry — are held in the political and scientific sustainability discourse. Applying the method of qualitative content analysis to important political documents and the scientific literature, we reveal six determinants underlying the different hypotheses: quantity and (...) quality of ecosystem services, population development, substitutability of ecosystem services, technological progress, institutions and political restrictions. (shrink)

Resumen Tomando como punto de partida las condiciones del contexto socio político donde se originó el brote epidémico del virus SARS-CoV-2, los autores analizan la influencia que tuvo el principio de beneficencia como una de las razones éticas que condujeron al oftalmólogo Li Wenliang a alertar a través de la red social Weibo, sobre el surgimiento de un brote epidémico distinto, por su agresividad, al del SARS. Se asume que dicho principio puede comprenderse a partir de un enfoque donde se (...) conjugan referentes occidentales -la primera formulación del imperativo categórico kantiano y el legado hipocrático- y orientales -el principio del Ren o humanidad, derivado del pensamiento confuciano-. El artículo concluye señalando que en un mundo interrelacionado donde las prácticas médicas tienen fundamentos científicos universales, es posible tomar decisiones éticas médicas válidas para diferentes contextos culturales, siempre y cuando se continúe avanzando en el terreno de un diálogo inter-civilizatorio con perspectiva horizontal.This article analyzes the influence of the principle of beneficence as one of the ethical reasons that led ophthalmologist Li Wenliang to alert, using the Weibo plaform, about the emergence of an epidemic outbreak different from SARS. Accordingly, we discuss the socio-political context of the SARS-CoV-2 epidemic in China. We assume that the principle of beneficence might be understood from an approach combining Western references - the first formulation of the Kantian categorical imperative and the Hippocratic legacy - with Oriental ones - the Ren or humanity, derived from Confucian thought. We conclude that in an interrelated world, with medical practices having universal scientific foundations, it is possible to validate medical ethical decisions from different cultural contexts, as long as progress continues in the field of an inter-civilizational dialogue with a horizontal perspective. (shrink)

This paper argues that Husserl’s method is partially driven by an attempt to avoid certain absurdities inherent in Hume’s epistemology. In this limited respect, we may say that Hume opened the door to phenomenology, but as a sacrificial lamb. However, Hume was well aware of his self-defeating position, and perhaps, in some respects, the need for an alternative. Moreover, Hume’s “mistakes” may have incited Husserl’s discovery of the epoche, and thus, transcendental phenomenology.

Hume and Quine argue that human beings do not have access to general knowledge, that is, to general truths . The arguments of these two philosophers are premised on what Jaakko Hintikka has called the atomistic postulate. In the present work, it is shown that Hume and Quine in fact sanction an extreme version of this postulate, according to which even items of particular knowledge are not directly accessible in so far as they are relational. For according to their fully (...) realized systems, human beings do not initially perceive any relations, or similar epistemological elements that can associate or combine terms on which a relational or general knowledge claim may be based. Nor, likewise, do human beings perceive the relations or the associations themselves as separate entities. ;In Chapters 1 and 2, respectively, it is shown precisely why Hume and Quine deny that human beings initially perceive either such associative elements or associations in general. Concomitantly, it is made clear why Hume's and Quine's respective epistemologies preclude human beings from initially apprehending not only general knowledge, but particular relational knowledge as well. But this is not to say that Hume and Quine do not think we can eventually acquire such associative elements and correspondingly, knowledge. Rather, Hume and Quine do provide an account of knowledge, but one that holds all relational and connective elements to be constructed by the human mind. In Hume's case, they are constructed by the imagination. In Quine's case, we are never told quite how this construction occurs, although the evidence suggests that Quine implicitly relies on a faculty similar to Hume's imagination. ;In the final chapter of this thesis, it is argued that both Hume and Quine must be read as philosophers who justify knowledge by reducing its possibility to a psychological faculty of construction, as well as to a few concepts of intuitively grasped relations. By way of conclusion, it is shown that this makes Quine's naturalism the psychological heir to Carnap's Aufbau. (shrink)

»Latenz« bezeichnet als spezifischer Modus des Verborgenseins und der Wirksamkeit aus dem Verborgenen eine ebenso alte wie virulente Figur. Das Wirken des Begriffs selbst jedoch geschieht bezeichnenderweise oft fast unbemerkt und wie aus dem Verborgenen: Nicht nur sucht man vergebens nach einer umfassenden Theorie der Latenz, auch im Einzelnen sind detaillierte Klärungen zur Struktur oder Verwendungsweise der mit Latenz verbundenen Begrifflichkeit die Ausnahme. »Latenz« taucht vielmehr fast ausschließlich als operativer Begriff auf, der einen Teil seiner spezifischen Wirksamkeit womöglich gerade seinem (...) unthematisierten, ›latenten‹ Charakter verdankt – der Ovid’schen Devise entsprechend, dass die Kunstfertigkeit darin bestehe, die ihr eigene Technik zu verbergen: ars adeo latet arte sua. (shrink)

Source-rock samples from the Upper Triassic Yanchang Formation in the Ordos Basin of China were geochemically characterized to determine variations in depositional environments, organic-matter source, and thermal maturity. Total organic carbon content varies from 4 wt% to 10 wt% in the Chang 7, Chang 8, and Chang 9 members — the three OM-rich shale intervals. The Chang 7 has the highest TOC and hydrogen index values, and it is considered the best source rock in the formation. Geochemical evidence indicates that (...) the main sources of OM in the Yanchang Formation are freshwater lacustrine phytoplanktons, aquatic macrophytes, aquatic organisms, and land plants deposited under a weakly reducing to suboxic depositional environment. The elevated [Formula: see text] sterane concentration and depleted [Formula: see text] values of OM in the middle of the Chang 7 may indicate the presence of freshwater cyanobacteria blooms that corresponds to a period of maximum lake expansion. The OM deposited in deeper parts of the lake is dominated by oil-prone type I or type II kerogen or a mixture of both. The OM deposited in shallower settings is characterized by increased terrestrial input with a mixture of types II and III kerogen. These source rocks are in the oil window, with maturity increasing with burial depth. The measured solid-bitumen reflectance and calculated vitrinite reflectance from the temperature at maximum release of hydrocarbons occurs during Rock-Eval pyrolysis and the methylphenanthrene index chemical maturity parameters range from 0.8 to [Formula: see text]. Because the thermal labilities of OM are associated with the kerogen type, the required thermal stress for oil generation from types I and II mixed kerogen has a higher and narrower range of temperature for hydrocarbon generation than that of OM dominated by type II kerogen or types II and III mixed kerogen deposited in the prodelta and delta front. (shrink)

Work on a computer program called SMILE + IBP (SMart Index Learner Plus Issue-Based Prediction) bridges case-based reasoning and extracting information from texts. The program addresses a technologically challenging task that is also very relevant from a legal viewpoint: to extract information from textual descriptions of the facts of decided cases and apply that information to predict the outcomes of new cases. The program attempts to automatically classify textual descriptions of the facts of legal problems in terms of Factors, a (...) set of classification concepts that capture stereotypical fact patterns that effect the strength of a legal claim, here trade secret misappropriation. Using these classifications, the program can evaluate and explain predictions about a problem’s outcome given a database of previously classified cases. This paper provides an extended example illustrating both functions, prediction by IBP and text classification by SMILE, and reports empirical evaluations of each. While IBP’s results are quite strong, and SMILE’s much weaker, SMILE + IBP still has some success predicting and explaining the outcomes of case scenarios input as texts. It marks the first time to our knowledge that a program can reason automatically about legal case texts. (shrink)

Pezdek and Lam [Pezdek, K. & Lam, S. . What research paradigms have cognitive psychologists used to study “False memory,” and what are the implications of these choices? Consciousness and Cognition] claim that the majority of research into false memories has been misguided. Specifically, they charge that false memory scientists have been misusing the term “false memory,” relying on the wrong methodologies to study false memories, and misapplying false memory research to real world situations. We review each of these claims (...) and highlight the problems with them. We conclude that several types of false memory research have advanced our knowledge of autobiographical and recovered memories, and that future research will continue to make significant contributions to how we understand memory and memory errors. (shrink)

Brahma? -- Thoreau's experiment -- The guru arrives -- Swami Vivekananda's legacy -- The making of an American guru -- Theos Bernard's spiritual heroism -- Margaret Woodrow Wilson "turns Hindu" -- Uncovering reality in Hollywood -- Hatha yoga on Sunset Boulevard -- Psychedelic sages -- How to be a guru without really trying -- Marshmallow yoga -- The new penitents.

It is our privilege to be invited to write a commentary on the "Interface of Ethics and Psychiatry: A Philosophical Case Consultation on Psychiatric Ethics on the Ground." The article presents an innovative collaboration between a philosopher and a psychiatrist reasoning together through the ethical aspects of three clinical cases. The case consultation also offers a unique opportunity to reflect on the teaching of psychiatric ethics in clinical settings. This commentary explores those areas of the article from the perspective of (...) a teacher and trainee whose mentoring relationship is grounded in their shared interest in philosophy and psychiatric ethics.A quick search on PubMed and Google Scholar confirms my own... (shrink)