We conducted focus groups to assess patient attitudes toward research on medical practices in the context of usual care. We found that patients focus on the implications of this research for their relationship with and trust in their physicians. Patients view research on medical practices as separate from usual care, demanding dissemination of information and in most cases, individual consent. Patients expect information about this research to come through their physician, whom they rely on to identify and filter associated risks. (...) In general, patients support this research, but worry that participation in research involving randomization may undermine individualized care that acknowledges their unique medical histories. These findings suggest the need for public education on variation in practice among physicians and the need for a collaborative approach to the governance of research on medical practices that addresses core values of trust, transparency, and partnership. (shrink)

This study examines employee perceptions on the effective adoption of artificial intelligence principles in their organizations. 49 interviews were conducted with employees of 24 organizations across 11 countries. Participants worked directly with AI across a range of positions, from junior data scientist to Chief Analytics Officer. The study found that there are eleven components that could impact the effective adoption of AI principles in organizations: communication, management support, training, an ethics office, a reporting mechanism, enforcement, measurement, accompanying technical processes, a (...) sufficient technical infrastructure, organizational structure, and an interdisciplinary approach. The components are discussed in the context of business code adoption theory. The findings offer a first step in understanding potential methods for the effective adoption of AI principles in organizations. (shrink)

We face significant challenges in the translation of basic biomedical research into meaningful improvements in patients' health, moving research from “bench to bedside.” The federal government's ne...

A memoir of one womanÆs struggle against breast cancer reveals how she channeled her energy to transform her life, even as she was dying.

The influence of historiography on aspects of political thought in France, Italy and Germany. In recent years the overlap between political thought and historiography has changed the boundaries of intellectual history. Donald Kelley, the longtime editor of The Journal of the History of Ideas has played a leading part in this process. These essays by his friends and former students follow in his footsteps. The collection is divided into three parts: France, England [six essays], and Italy and Germany [four (...) essays]. Anthony Grafton and John Salmon provide an introduction, and the volume concludes with a bibliography of Donald Kelley's many works. Historians and Ideologues is designed for those with an interest in the contribution of historiography to political thought, and will be a timely addition to the growing reaction against the postmodern scepticism in historiographical research in this field. Contributors include Ann Blair, Julian Franklin, Kathleen Parrow, David Harris Sacks, Sarah Hanley, Daniel Woolf, Gordon Schochet, Joseph Levine, John Pocock, Perez Zagorin, William Connell, Donald Phillip Verene, and Michael Carhart. Anthony Grafton is a Professor in the Department of History at Princeton University. John Salmon is the Marjorie Walter Goodheart Emeritus Professor of History at Bryn Mawr College. (shrink)

Organizations do moral wrong. States pursue unjust wars, businesses avoid tax, charities misdirect funds. Our social, political, and legal responses require guidance. We need to know what we’re responding to and how we should respond to it. We need a metaphysical and moral theory of wrongful organizations. This book provides a new such theory, paying particular attention to questions that have been underexplored in existing debates. These questions include: where are organizations located as material objects in the natural world? What’s (...) the metaphysical relation between organizations and their members? Can organizations be blameworthy for attitudes and character traits, as well as for actions? What about feelings of guilt, remorse, and shame—can organizations feel these emotions and why does this matter? How and why are members implicated in organizations’ wrongs? How should organizations’ reparative costs be apportioned among members? The book answers these questions. It argues that organizations are material objects with humans as material parts—much like how a pizza is a material object with slices as material parts. This picture helps us make sense of organizations’ blameworthiness, including blame for organization-level actions, attitudes, and character traits. The book argues that organizations can experience moral self-awareness—a crucial component of guilt, remorse, and shame. Members can be implicated in organizations’ actions in numerous ways—and, it is argued, members’ level of implication should determine their share of organizations’ reparative burdens. (shrink)

Jones's (1991) issue-contingent model of ethical decision making posits that six dimensions of moral intensity influence decision markers' recognition of an issue as a moral problem and subsequent behavior. He notes that "organizational settings present special challenges to moral agents" (1991, p. 390) and that organizational factors affect "moral decision making and behavior at two points: establishing moral intent and engaging in moral behavior" (1991, p. 391). This model, however, minimizes both the impact of organizational setting and organizational factors on (...) these experiences of ethical issues. In this theory, context is modeled as affecting the moral intent and behavior of the actor rather than directly affecting the issue's moral intensity. Here we look specifically at the effect of context on the moral intensity of ethical issues through a phenomenological study. Our results indicate that in certain environments, context may be critical in affecting the moral intensity of ethical issues. Thus, researchers should consider it more fully when assessing these issues' moral intensity. (shrink)

Moral duties are regularly attributed to groups. Does this make conceptual sense or is this merely political rhetoric? And what are the implications for these individuals within groups? Collins outlines a Tripartite Model of group duties that can target political demands at the right entities, in the right way and for the right reasons.

In 2009, health authorities from Taiwan formally attended the 62nd World Health Assembly of the World Health Organization as observers, marking the country’s participation for the first time since 1972. The long process of negotiating this breakthrough has been cited as an example of successful global health diplomacy. This paper analyses this negotiation process, drawing on government documents, formal representations from both sides of the Taiwan Strait, and key informant interviews. The actors and their motivations, along with the forums, practices (...) and outcomes of the negotiation process, are detailed. While it is argued that non-traditional diplomatic action was important in establishing the case for Taiwan’s inclusion at the WHA, traditional concerns regarding Taiwanese sovereignty and diplomatic representation ultimately played a decisive role. The persistent influence of these traditional diplomatic questions illustrates the limits of global health diplomacy. (shrink)

The ethics of care has flourished in recent decades yet we remain without a succinct statement of its core theoretical commitment. This book uses the methods of analytic philosophy to argue for a simple care ethical slogan: dependency relationships generate responsibilities. It uses this slogan to unify, specify and justify the wide range of views found within the care ethical literature.

Scientific modelling is a value-laden process: the decisions involved can seldom be made using ‘scientific’ criteria alone, but rather draw on social and ethical values. In this paper, we draw on a body of philosophical literature to analyze a COVID-19 vaccination model, presenting a case study of social and ethical value judgments in health-oriented modelling. This case study urges us to make value judgments in health-oriented models explicit and interpretable by non-experts and to invite public involvement in making them.

How do adolescent girls envision the world of work and their potential place in it? This article considers teen magazines as a possible source for girls’ perceptions about the work world, including their own career futures. The author explores the occupational landscape embedded with in Seventeen magazinein 1992 in both quantitative and qualitative terms. The labor market in Seventeen-land is heavily skewed toward professional occupations, particularly in the entertainment industry. A close reading of the text reveals four primary messages about (...) the world of work: Entertainment careers are a viable and prestigious option, men are the norm as workers, men hold the power, and fashion modeling is the pinnacle of “women’s work. ” The author argues that Seventeen may be promulgating a distinct set of what Collins called “controlling images” directed at predominantly white girls. The findings suggest gender researchers should attend to the connection between the mass media and girl culture. They also underscore the importance of teaching media literacy. (shrink)

In this article, I consider the harms inflicted upon transgender persons through “misgendering,” that is, such deployments of gender terms that diminish transgender persons’ selfrespect, limit the discursive resources at their disposal to define their own gender, and cause them microaggressive psychological harms. Such deployments are morally contestable, that is, they can be challenged on ethical or political grounds. Two characterizations of “woman” proposed in the feminist literature are critiqued from this perspective. When we consider what would happen to transgender (...) women upon the broad implementation of these characterizations within transgender women’s social context, we discover that they suffer from two defects: they either exclude at least some transgender women, or else they implicitly foster hierarchies among women, marginalizing transgender women in particular. In conclusion, I claim that the moral contestability of gender-term deployments acts as a stimulus to regularly consider the provisionality and revisability of our deployments of the term “woman.”. (shrink)

Argues that positive changes in perspective and deeper spiritual connections to things greater than oneself can influence the world for the better.

It has been claimed that a broad attentional breadth buffers the impact of negative stimuli on human perception and cognition. Here we identify issues with the research on which this claim is based, and then rigorously test the claim. To induce narrow versus broad attentional breadth participants attended to the local versus global elements of Navon stimuli, and to investigate the impact of emotionally salient stimuli on performance we measured the effect of task-irrelevant stimuli of varying emotional salience (negative, neutral, (...) or positive) on task performance. Across a series of experiments, we found that the Navon stimuli were effective in inducing different attentional breadths, and that both negative and positive task-irrelevant stimuli slowed responses relative to neutral stimuli, but that the magnitude of this emotion-induced slowing was invariant to whether attentional breadth was broad or narrow. This indicates that a broad attentional breadth did not buffer against the effect of either negative or positive emotionally salient stimuli. These results challenge the claim the broadening attentional breadth protects against the impact of emotionally salient stimuli. (shrink)

"La desfiguración es la forma que adoptan las cosas en el olvido", dice Walter Benjamin en su famoso ensayo sobre Franz Kafka. El mundo de la desfiguración alberga todo aquello que, excluido del orden social y lingüístico y olvidado por nosotros, ha sido desechado como inútil, sobrante, inclasificable y que, sin embargo, sobrevive al orden intencionado y orientado a objetivos. Este residuo, precisamente porque no se puede conceptualizar, siempre ha producido su propio mundo de imágenes en la literatura, la música, (...) en definitiva, en la imaginación humana. En este artículo, rescato la idea de la desfiguración de Walter Benjamin como clave de interpretación de este círculo de figura. Los habitantes de este mundo de la desfiguración, traviesamente se esconden en los rincones ocultos de nuestro orden doméstico. Son extraños y ajenos, inquietantes como algo que una vez fue nuestro y ahora está excluido. Lo que tienen en común es que se niegan a hablar, que se sustraen al agarre del concepto, que no se les puede inmovilizar, que despiertan culpa y vergüenza y que -quizá porque no viven, sino que a lo sumo sobreviven- no pueden morir. Como revoltosos y fantasmales cambia-formas, no nos dan tregua, exigen atención y desafían nuestro pensamiento, y sugieren que sin ellos no será posible una vida reconciliada. (shrink)

How do we know what an amoeba looks like? How can doctors see the details of our skeletons and internal organs? All of these things are made possible through the innovations of photography. The author provides a primer on the applications of photography to science as she explores the multiple facets of this complex relationship.

Until recently, Albert Einstein's complaints in his later years about the intelligibility of Quantum Mechanics often led philosophers and physicists to dismiss him as, essentially, an old fool in his dotage. Happily, this kind of thing is now coming to an end as philosophers and mathematicians of the caliber of Karl Popper and Roger Penrose conspicuously point out the continuing conceptual difficulties of quantum theory [cf. Penrose's searching discussion in..

Mankind soon learn to make interested uses of every right and power which they possess, or may assume. The public money and public liberty...will soon be discovered to be sources of wealth and dominion to those who hold them; distinguished, too, by this tempting circumstance, that they are the instrument, as well as the object of acquisition. With money we will get men, said Caesar, and with men we will get money. Nor should our assembly be deluded by the integrity (...) of their own purposes, and conclude that these unlimited powers will never be abused, because themselves are not disposed to abuse them. They should look forward to a time, and that not a distant one, when a corruption in this, as in the country from which we derive our origin, will have seized the heads of government, and be spread by them through the body of the people; when they will purchase the voices of the people, and make them pay the price. (shrink)

In this chapter, Stephanie Collins examines the idea that individuals can acquire ‘membership duties’ as a result of being members of a group that itself bears duties. In particular, powerful and wealthy states are duty-bearing groups, and their citizens have derivative membership duties (for example, to contribute to putting right wrongs that have been done in the past by the group in question, and to increase the extent to which the group fulfils its duties). In addition, she argues, individuals (...) have duties to signal their willingness to coordinate with others so as to do more good than the sum of what each could do on their own. Putting these two things together, Collins suggests, individuals’ duties in (for instance) matters of global poverty might be largely driven by such group-based considerations, leaving little room for the duties that would follow from more individualistic reasoning. (shrink)

The most important philosopher of science since Francis Bacon, Sir Karl Popper finally solved the puzzle of scientific method, which in practice had never seemed to conform to the principles or logic described by Bacon -- see The Great Devonian Controversy, by Martin J. S. Rudwick, for a case study of Baconian rhetoric and expectations being contradicted by actual practice and results. Instead of scientific knowledge being discovered and verified by way of inductive generalizations, leaping from perceptual data into blank (...) minds, in terms that go back to. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Florence Kelley: Pragmatist, Feminist, SocialistJudy D. Whippssupreme court justice felix frankfurter said in 1953 that Florence Kelley “had probably the largest single share in shaping the social history of the United States during the first 30 years of the 20th Century” (Frankfurter x). Kelley is an unusual figure to discuss in a philosophical journal, perhaps because she has generally been classified only as a social scientist. (...) Yet, as I discovered, she is a wonderful thinking partner, sometimes raising more philosophical questions than she resolves. Her commitments, struggles, failures, and accomplishments problematize and reveal new insights into pragmatist pluralism, feminist political choices, and the role of socialism in early pragmatism. Bringing her into the feminist pragmatist discussion gives us more examples of how to approach problem-solving from feminist and pragmatist perspectives.1Florence Kelley and Jane Addams first met when Kelley knocked on Hull House’s door early one snowy December morning in 1891. She was fleeing with her three small children from her physically abusive husband in New York, needing an occupation and a home in Chicago. She became the only early resident who was a single mother. Kelley spent most of the next decade at Hull House. Kelley and Addams had similar family backgrounds and became close friends, although they had dramatically different personalities. One thing they shared in common was that both were very close to their politician fathers.Kelley’s father was a longtime progressive congressman from Pennsylvania. He helped to develop her social consciousness by taking her along on his investigations of industrial conditions when, as a child herself, she often saw the horrifying conditions of children’s work environments. At two in the morning, she witnessed the “terrifying sight” of boys younger than herself working near the steel mills’ red-hot furnaces and molten metal. With her [End Page 10] father, she also witnessed young boys called “dogs” working in glass factories. Each glass blower was assisted by one of these boys who knelt with his head near the oven as the glass came out from the furnaces to prepare the hot mold for the blower’s next project. These events left her with the “astonished impression of the utter unimportance of children compared with products” (Kelley, “My Philadelphia” 56–57).She entered Cornell University at age 16 and was drawn to the study of social science and economics. Like many college-bound young women in the late nineteenth century, she quickly became committed to social reform, focusing on women and children’s social and economic conditions. As Kelley said in 1882, in her first published article after college, “In the field of sociology, there is brainwork waiting for women which men cannot do” (“Need Our Working Women” 521). In their lives and studies, young college women like Kelley experienced the inequalities and suffering around them and were looking for a solution. Kelley developed an approach that focused on both the causes as well as the effects of the social problems she worked to eradicate. She believed that college-educated women and working-class women could work together to produce knowledge and change.Kelley was exposed briefly to Marxism and socialism in her college years when a family friend convalesced in their home. This man’s father had known Karl Marx, and he shared some Marxist pamphlets with Kelley (Autobiography 72). After college, when she continued her studies in Zurich, she became immersed in Marxism. She returned to the United States three years later, with her Russian Marxist husband and their three children. She expected to continue her Marxist work with the New York Socialist Labor Party, but the party expelled her and her husband. She then turned her attention to researching working women’s financial and social struggles.In Chicago, Kelley’s early research into local living and working conditions was published in the ground-breaking Hull House Maps and Papers, written by Hull House residents (Addams et al.), considered a pioneering work in sociology and an early example of what became cultural geography. Her investigations into child labor, sweatshops, and industrial conditions led to her position as Illinois’s first chief factory inspector. Armed with data and the support of... (shrink)

Using Jakob Fries's epistemological scheme of Wissen, Glaube, and Ahndung, "Understanding, Belief, and Aesthetic Sense," (to use Kent Richter's translation), Ruldolf Otto expands the meaning of Ahndung beyond the merely aesthetic by introducing the category of numinosity, which is the quality of sacred or holy objects, persons, or experiences in religion. Although Otto is often classified as a theoretician of mysticism, "numinosity" is not fundamentally a theory of mystical experiences, because every practionier of any religion experiences certain things as sacred (...) to that religion. The "sacred" and the "holy," and the "unclean" or "polluted," are categories that apply (non-metaphorically) to peculiarly religious objects in an entirely universal and cross-cultural manner. (shrink)

Poetry and informational text showcase the work of community animal shelters. Ten different fictional animals represent the millions of pets brought to shelters every day. Suggestions on animal adoption, including how to prepare and appropriate pet selection, are included, along with resources list.

Do you wake up in the morning and still feel tired? Do your supposedly relaxing activities actually just feel like another thing to check off that to-do-list? Do you feel like you never really have time to recharge? It's time to rethink rest! Rest is no longer about just getting a good night's sleep or taking an evening to relax on the couch and watch TV. It's a radical act of self-care that asks you to take into account all the (...) different aspects of yourself that need to rest and take a break. And The Little Book of Rest has everything you need to get started. In this book, you'll find restful solutions that will impact each of every part of yourself. With insight into why resting-really resting-can benefit you and your community as a whole, this book is your guide to slowing down, letting go, and finding peace and healing within yourself. (shrink)

Acute care nurse practitioner roles have been introduced in many countries. The acute care nurse practitioner provides nursing and medical care to meet the complex needs of patients and their families using a holistic, health‐centred approach. There are many pressures to adopt a performance framework and execute activities and tasks. Little time may be left to explore domains of advanced practice nursing and develop other forms of knowledge. The primary objective of praxis is to integrate theory, practice and art, and (...) facilitate the recognition and valuing of different types of knowledge through reflection. With this framework, the acute care nurse practitioner assumes the role of clinician and researcher. Praxis can be used to develop the acute care nurse practitioner role as an advanced practice nursing role. A praxis framework permeates all aspects of the acute care nurse practitioner's practice. Praxis influences how relationships are structured with patients, families and colleagues in the work setting. Decision‐makers at different levels need to recognize the contribution of praxis in the full development of the acute care nurse practitioner role. Different strategies can be used by educators to assist students and practitioners to develop a praxis framework. (shrink)

Judgment subjectivism is the view that x is good for S if and only if, because, and to the extent that S believes, under the proper conditions, that x is good for S. In this paper, I offer three related arguments against the theory. The arguments are about what judgment subjectivism implies about the well-being of welfare nihilists, people who believe there are no welfare properties, or at least that none are instantiated. I maintain that welfare nihilists can be benefited (...) and harmed. Judgment subjectivism is implausible because it implies otherwise. (shrink)

Can we expect our scientific theories to make up a unified structure, or do they form a kind of “patchwork” whose pieces remain independent from each other? Does the proliferation of sometimes-incompatible representations of the same phenomenon compromise the ability of science to deliver reliable knowledge? Is there a single correct way to classify things that science should try to discover, or is taxonomic pluralism here to stay? These questions are at the heart of philosophical debate on the unity or (...) plurality of science, one of the most central issues in philosophy of science today. This book offers a critical overview and a new structure of this debate. It focuses on the methodological, epistemic, and metaphysical commitments of various philosophical attitudes surrounding monism and pluralism, and offers novel perspectives and pluralist theses on scientific methods and objects, reductionism, plurality of representations, natural kinds, and scientific classifications. (shrink)

Addressing the contradictions surrounding modern-day femininity and its complicated relationship with feminism and postfeminism, this book examines a range of popular female/feminist icons and paradigms. It offers an innovative and forward-looking perspective on femininity and the modern female self.

Ce texte a déjà paru dans Sofistikê, n° 1, 2009. Nous remercions Stéphanie Orace de nous avoir autorisé à le reproduire ici. Le mouvement plus ou moins caché par lequel ce qui n'est pas encore est déjà ou est entièrement dans ce qui est […] s'appelle le rythme. Paul Valéry Comme l'a précisé Jean Mourot dès son introduction au Génie d'un style, expliquer le phénomène rythmique est une véritable gageure. Reste le parti de l'empirisme, pris finalement par Jean Mourot, et (...) qui revient non pas à cerner (...) - Poétique et Études littéraires – GALERIE – Nouvel article. (shrink)

Individuals sometimes pass their duties on to collectives, which is one way in which collectives can come to have duties. The collective discharges its duties by acting through its members, which involves distributing duties back out to individuals. Individuals put duties in and get (transformed) duties out. In this paper we consider whether (and if so, to what extent) this general account can make sense of states' duties. Do some of the duties we typically take states to have come from (...) individuals having passed on certain individual duties? There are complications: states can discharge their duties by contracting fulfilment out to non-members; states seem able to dissolve the duties of non-members; and some of states' duties are not derived in this way. We demonstrate that these complicate, but do not undermine, the general account and its application to states. And the application has an interesting upshot: by asking which individuals robustly participate in this process of duty transfer-and-transformation with a given state, we can begin to get a grip on who counts as a member of that state. (shrink)

There is disagreement in the literature about the exact nature of the phenomenon of empathy. There are emotional, cognitive, and conditioning views, applying in varying degrees across species. An adequate description of the ultimate and proximate mechanism can integrate these views. Proximately, the perception of an object's state activates the subject's corresponding representations, which in turn activate somatic and autonomic responses. This mechanism supports basic behaviors that are crucial for the reproductive success of animals living in groups. The Perception-Action Model, (...) together with an understanding of how representations change with experience, can explain the major empirical effects in the literature. It can also predict a variety of empathy disorders. The interaction between the PAM and prefrontal functioning can also explain different levels of empathy across species and age groups. This view can advance our evolutionary understanding of empathy beyond inclusive fitness and reciprocal altruism and can explain different levels of empathy across individuals, species, stages of development, and situations. Key Words: altruism; cognitive empathy ; comparative; emotion; emotional contagion; empathy ; evolution; human; perception-action; perspective taking. (shrink)

C. G. Jung and the Dead: Visions, Active Imagination and the Unconscious Terrainoffers an in-depth look at Jung's encounters with the dead, moving beyond a symbolic understanding to consider these figures a literal presence in the psyche. Stephani Stephens explores Jung's personal experiences, demonstrating his skill at visioning in all its forms as well as detailing the nature of the dead. This unique study is the first to follow the narrative thread of the dead from Memories, Dreams, Reflections into The (...) Red Book, assessing Jung's thoughts on their presence, his obligations to them, and their role in his psychological model. It offers the opportunity to examine this previously neglected theme unfolding during Jung's period of intense confrontation with the unconscious, and to understand active imagination as Jung's principle method of managing that unconscious content. As well as detailed analysis of Jung's own work, the book includes a timeline of key events and case material. C. G. Jung and the Deadwill offer academics and students of Jungian and post-Jungian studies, the history of psychology, Western esoteric history and gnostic and visionary traditions a new perspective on Jung's work. It will also be of great interest to Jungian analysts and psychotherapists, analytical psychologists and practitioners of other psychological disciplines interested in Jungian ideas. ysis of Jung's own work, the book includes a timeline of key events and case material. C. G. Jung and the Deadwill offer academics and students of Jungian and post-Jungian studies, the history of psychology, Western esoteric history and gnostic and visionary traditions a new perspective on Jung's work. It will also be of great interest to Jungian analysts and psychotherapists, analytical psychologists and practitioners of other psychological disciplines interested in Jungian ideas. (shrink)